MHA HEALTH FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MHA HEALTH FOUNDATION (EIN 38-6091188)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349302034
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T09:47:19-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 MICHIGAN AVEAddressLine1
CityEAST LANSINGCity
StateMIState
ZIP Code48823ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN386091188EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MHA HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMHAHNameControl
Phone5173233443Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16215 WEST ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARY HENRIKSENName
TitleCFOTitle
Phone5173233443Phone
Date Signed2012-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKEVIN E KRAUSEName
Phone5173326200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MHA CENTER FOR HEALTH RESOURCESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSPENCER JOHNSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16215 WEST ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6119360GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MHA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPERFORM THE CHARITABLE AND EDUCATIONAL FUNCTIONS OF THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI40435TotalGrossUBI
Net Unrelated Business Txbl Income14937NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5828617ContributionsGrantsPriorYear
Contributions Grants Current Year3941518ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1962631ProgramServiceRevenuePriorYear
Program Service Revenue CY2074628ProgramServiceRevenueCY
Investment Income Prior Year45001InvestmentIncomePriorYear
Investment Income Current Year30903InvestmentIncomeCurrentYear
Other Revenue Prior Year80356OtherRevenuePriorYear
Other Revenue Current Year54790OtherRevenueCurrentYear
Total Revenue Prior Year7916605TotalRevenuePriorYear
Total Revenue Current Year6101839TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1034644SalariesEtcPriorYear
Salaries Etc Current Year1268938SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5633142OtherExpensePriorYear
Other Expenses Current Year5299765OtherExpensesCurrentYear
Total Expenses Prior Year6667786TotalExpensesPriorYear
Total Expenses Current Year6568703TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1248819RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-466864RevenuesLessExpensesCY
Total Assets BOY6278981TotalAssetsBOY
Total Assets EOY6471740TotalAssetsEOY
Total Liabilities BOY1290003TotalLiabilitiesBOY
Total Liabilities EOY1949626TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4988978NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4522114NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPERFORM CHARITABLE AND EDUCATIONAL FUNCTIONS OF THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2905469Expense
Revenue2718581Revenue
DescriptionKEYSTONE CENTER: ITS PURPOSE IS TO PROMOTE THE DELIVERY OF QUALITY HEALTHCARE IN MICHIGAN HOSPITALS BY SHARING BEST PRACTICES BETWEEN HOSPITALS AND DRAWING ON NATIONAL EXPERTS TO EDUCATE HOSPITALS ON QUALITY AND PATIENT SAFETY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1125274Expense
Revenue1202568Revenue
DescriptionPATIENT SAFETY ORGANIZATION: ITS PURPOSE IS TO ENCOURAGE PATIENT SAFETY PRACTICES IN MICHIGAN HOSPITALS BY COLLECTING AND SHARING DATA BETWEEN HOSPITALS REGARDING SAFETY INCIDENTS IN HOSPITALS AND BEST PRACTICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1996754Expense
Revenue1998051Revenue
DescriptionBIO-TERRORISM PROGRAM: ITS PURPOSE IS TO PREPARE MICHIGAN HOSPITALS TO TREAT MICHIGAN CITIZENS IN THE EVENT OF BIO-TERRORISM IN MICHIGAN.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense436836Expense
Revenue995706Revenue
DescriptionSEMINARS, WORKSHOPS, AND GOVERNANCE: THE PURPOSES ARE TO EDUCATE/INFORM HEALTH CARE INDUSTRY EMPLOYEES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp436836TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev995706TotalOfOtherProgramServiceRev
Total Program Service Expense6464333TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees29NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GARY HENRIKSENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5173233443TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SPENCER MAIDLOW
CHAIR1.00XX000
GERSON COOPER
MEMBER1.00X000
GARRY FAJA
MEMBER1.00X000
GERALD FITZGERALD
MEMBER1.00X000
GEORGIA FOJTASEK
MEMBER1.00X000
DAVID JAHN
MEMBER1.00X000
HENRY VEENSTRA
MEMBER1.00X000
SPENCER JOHNSON
PRESIDENT1.00XX0932984433453
SAM WATSON
EXECUTIVE DIRECTOR, KEYSTO40.00X157319067718X
LUCILLE SMITH
PRESIDENT, VODI40.00X112474028018X
FRANK SARDONE
MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org269793TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs932984TotalReportableCompFrmRltdOrgs
Total Other Compensation529189TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LEAN TRANSFORMATIONS GROUP
2121 RAWSONVILLE RDBELLEVILLEMI48111CONSULTANTS401500
ECRI INSTITUTE
5200 BUTLER PIKEPLYMOUTH MEETINGPA19462DATA SERVICES372000
BARBARA ANN MEYER LUCAS
531 S DENWOODDEARBORNMI48124CONSULTANTS105742
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants1998051GovernmentGrants
All Other Contributions1943467AllOtherContributions
Total Contributions3941518TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SUBSCRIPTIONS AND OTHE90009911999351199935
ADMINISTRATIVE FEES541900455148455148
SEMINAR FEES611600419545419545
FieldValueIRS element (for citing)
Total Program Service Revenue2074628TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30903TotalRevenueColumn
Exclusion$30,903ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events31876GrossIncomeFundraisingEvents
Fundraising Direct Expenses17521FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column14355TotalRevenueColumn
Exclusion$14,355ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADVERTISING INCOMEDescription
Business Code541800BusinessCode
Total Revenue Column40435TotalRevenueColumn
Unrelated Business Revenue40435UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue40435TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6101839TotalRevenueColumn
Related Or Exempt Function Income2074628RelatedOrExemptFunctionIncome
Unrelated Business Revenue40435UnrelatedBusinessRevenue
Exclusion$45,258ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total199552Total
Program Services199552ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total712661Total
Program Services712661ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total121048Total
Program Services121048ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total158826Total
Program Services158826ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total76851Total
Program Services76851ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26271Total
Program Services26271ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2341448Total
Program Services2341448ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total174052Total
Program Services174052ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17000Total
Program Services17000ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total513558Total
Program Services513558ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19411Total
Program Services19411ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11387Total
Program Services11387ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total29012Total
Program Services29012ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
GRANTS IMPLEMENTATION19967541996754
ADMINISTRATIVE FEES104370104370
HONORARIA5912559125
DUES & SUBSCRIPTIONS73777377

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6568703Total
Program Services6464333ProgramServices
Management And General104370ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2142333BOY
EOY2136418EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3184714BOY
EOY3215165EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY822353BOY
EOY924014EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis129020LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec94065LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18832BOY
EOY34955EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1744BOY
EOY1647EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY109005BOY
EOY159541EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6278981BOY
EOY6471740EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY306039BOY
EOY522710EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY719642BOY
EOY735747EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY264322BOY
EOY691169EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1290003BOY
EOY1949626EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1066226BOY
EOY1437783EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3922752BOY
EOY3084331EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4988978BOY
EOY4522114EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6278981BOY
EOY6471740EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-466864ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN HEALTH & HOSPITAL ASSOCIATION (A 501(C)(6) ORGANIZATION)BusinessNameLine1
FieldValueIRS element (for citing)
EIN381458751EIN
Type Of Organization9TypeOfOrganization
Listed In Governing Doc0ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis129020OtherCostOrOtherBasis
Depreciation94065Depreciation
Book Value34955BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34955TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$561,557
ACCRUED COMPENSATION$113,476
ACCRUED VACATION, BENEFITS, AND PENSION$16,136
FieldValueIRS element (for citing)
Total Of Amounts691169TotalOfAmounts
Total Revenue6101839TotalRevenue
Total Expenses6568703TotalExpenses
Excess Or Deficit For Year-466864ExcessOrDeficitForYear
Excess Or Deficit Per FS-466864ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LINKS 4 HEALTH GOLFNameOfEvent1
Gross Receipts Event131876GrossReceiptsEvent1
Gross Revenue Event131876GrossRevenueEvent1
Rent Facility Costs Event19625RentFacilityCostsEvent1
Other Direct Expenses Event17896OtherDirectExpensesEvent1
Gross Receipts Total31876GrossReceiptsTotal
Gross Revenue Total Events31876GrossRevenueTotalEvents
Rent Facility Costs Total Events9625RentFacilityCostsTotalEvents
Other Direct Expenses Total Events7896OtherDirectExpensesTotalEvents
Direct Expense Summary Events17521DirectExpenseSummaryEvents
Net Income Summary14355NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SPENCER JOHNSON
060653803264460004034320300210136643700
SAM WATSON
137319020000000443580233600225037000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationSAM WATSON PARTICPATED IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, THERE WERE NO PAYMENTS IN THE CURRENT YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ARE ELECTED BY THE MHA BOARD (FOUNDATION'S ONLY MEMBER).
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING/AUDIT FIRM, AND REVIEWED BY THE CONTROLLER, CFO, AND PRESIDIENT PRIOR TO FILING.
REQUIRE BOARD MEMBERS TO SIGN CONFLICT OF INTEREST STATEMENTS AND VERBALLY REMIND THEM OF THAT PERIODICALLY DURING THE YEAR. THE INDIVIDUAL BOARD MEMBER IS EXPECTED TO RAISE THE ISSUE THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST AND DESCRIBE THAT CONFLICT. THE BOARD THEN DETERMINES IN EXECUTIVE SESSION WHETHER THAT PERSON HAS A CONFLICT OF INTEREST THAT WOULD PRECLUDE THAT PERSON FROM PARTICIPATING IN THE DISCUSSION AND VOTING ON THE MATTER.FORM 990, PART VI, SECTION B, LINE 12C
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MHA PATIENT SAFETY ORGANIZATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
EIN800244102EIN
Primary ActivitiesPROCESS IMPROVEMENTSPrimaryActivities
Legal Domicile StateMILegalDomicileState
Total Income1202568TotalIncome
EOY Assets1135874EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN HEALTH & HOSPITAL ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
EIN381458751EIN
Primary ActivitiesPROMOTE HEALTH CAREPrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501(C)(6)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MHA SERVICE CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
EIN382259766EIN
Primary ActivitySERVICE TO HOSPITALSPrimaryActivity
Legal Domicile StateMILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MICHIGAN HEALTH & HOSPITAL ASSOCITAION
J17000
MICHIGAN HEALTH & HOSPITAL ASSOCITAION
K70175
MICHIGAN HEALTH & HOSPITAL ASSOCITAION
L381566
MICHIGAN HEALTH & HOSPITAL ASSOCITAION
N115698
MHA SERVICE CORPORATION
K3500
MHA SERVICE CORPORATION
L615899
MICHIGAN HEALTH & HOSPITAL ASSOCITAION
C400000

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