NORTH OAKLAND-NORTH MACOMB IMAGING INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTH OAKLAND-NORTH MACOMB IMAGING INC (EIN 38-2807040)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349302888
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)
Timestamp2011-11-15T10:04:33-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382807040EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH OAKLAND - NORTH MACOMB IMAGINGBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone2482998000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARCLAY CIRCLE NO STE AAddressLine1
CityROCHESTER HILLSCity
StateMIState
ZIP Code483074511ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRED KORTEName
TitleTREASURERTitle
Phone2482998000Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2695674500Phone
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 Line1MICHIGAN RESONANCE IMAGINGBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonFRED KORTENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1355 BARCLAY CIRCLE NO STE AAddressLine1
CityROCHESTER HILLSCity
StateMIState
ZIP Code483074511ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12081692GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MRIOFMICHIGAN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROVIDES MAGNETIC RESONANCE IMAGING SERVICES TO DIAGNOSE DISEASES OF THE CENTRAL NERVOUS SYSTEM, SPINAL CORD DETERIORATION, ABNORMALITIES IN JOINTS AND TUMORS OF THE BRAIN.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees55TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12257987ProgramServiceRevenuePriorYear
Program Service Revenue CY11876613ProgramServiceRevenueCY
Investment Income Prior Year302155InvestmentIncomePriorYear
Investment Income Current Year1477InvestmentIncomeCurrentYear
Other Revenue Prior Year200315OtherRevenuePriorYear
Other Revenue Current Year203602OtherRevenueCurrentYear
Total Revenue Prior Year12760457TotalRevenuePriorYear
Total Revenue Current Year12081692TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2700000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1134000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2968377SalariesEtcPriorYear
Salaries Etc Current Year3001136SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7360221OtherExpensePriorYear
Other Expenses Current Year7052504OtherExpensesCurrentYear
Total Expenses Prior Year13028598TotalExpensesPriorYear
Total Expenses Current Year11187640TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-268141RevenuesLessExpensesPriorYear
Revenues Less Expenses CY894052RevenuesLessExpensesCY
Total Assets BOY10521831TotalAssetsBOY
Total Assets EOY12486267TotalAssetsEOY
Total Liabilities BOY6836954TotalLiabilitiesBOY
Total Liabilities EOY7907338TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3684877NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4578929NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE QUALITY OF DIAGNOSTIC CARE PROVIDED TO THE PATIENTS OF OUR PARTNERS, PHYSICIANS, COMMUNITIES AND FOUNDING HOSPITALS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10135529Expense
Grants1134000Grants
Revenue11876613Revenue
DescriptionFOR THE CALENDAR YEAR ENDING DECEMBER 31, 2010, NORTH OAKLAND NORTH MACOMB IMAGING PROVIDED MAGNETIC RESONANCE IMAGING SERVICES TO DIAGNOSE OVER 18,000 SPINAL CORD DETERIORATION, ABNORMALITIES IN JOINTS AND TUMORS OF THE BRAIN.Description
Total Program Service Expense10135529TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees55NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 Approval1DecisionsSubjectToApproval
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 Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
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 Line1FRED KORTEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2483385681TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 N PERRY STREETAddressLine1
CityPONTIACCity
StateMIState
ZIP Code48342ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL CLARK
PRESIDENT1.00XX014746423665
PATRICIA KEIGHER
SECRETARY1.00XX014695224121
FRED KORTE
TREASURER1.00XX015918914200
GREG LANE
DIRECTOR1.00X01170418179405
TAMMIE SMITH
DIRECTOR1.00X09583120764
LAURA GIBBARD
DIRECTOR1.00X013586116235
JANELLE SPANN
EXECUTIVE DIRECTOR40.00X184033017995
DEBRA MONTROSE
CHIEF TECHNOLOGIST/PAC'S ADMINISTRATOR40.00105191010000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org289224TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1855715TotalReportableCompFrmRltdOrgs
Total Other Compensation306385TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MACOMB OAKLAND MRI PC DRS KELLAM & KLEI
399 S BROADWAYLAKE ORIONMI48362RADIOLOGY1988465
SIEMENS MEDICAL SOLUTIONS USA INC
DEPT CH 14195PALATINEIL60055EQUIPMENT MAINTENANCE CONTRACTS677988
TMV GROUP
2139 COLE STREETBIRMINGHAMMI48009MARKETING & ADVERTISING348723
DR SYSTEMS
10140 MESA RIM RDSAN DIEGOCA92121FILMLESS IMAGING237063
MCKESSON
PO BOX 841838DALLASTX75284MEDICAL SUPPLIES230042
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMRI SCANSDescription
Business Code621500BusinessCode
Total Revenue Column11876613TotalRevenueColumn
Related Or Exempt Function Income11876613RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11876613TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1477TotalRevenueColumn
Exclusion$1,477ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real203602Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real203602Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column203602TotalRevenueColumn
Exclusion$203,602ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12081692TotalRevenueColumn
Related Or Exempt Function Income11876613RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$205,079ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1134000Total
Program Services1134000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total202028Total
Program Services40406ProgramServices
Management And General161622ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2194958Total
Program Services2037464ProgramServices
Management And General157494ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35693Total
Program Services31182ProgramServices
Management And General4511ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total385845Total
Program Services353242ProgramServices
Management And General32603ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total182612Total
Program Services159532ProgramServices
Management And General23080ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1067Total
Management And General1067ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25825Total
Management And General25825ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3025378Total
Program Services2846943ProgramServices
Management And General178435ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total226038Total
Program Services196653ProgramServices
Management And General29385ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total477116Total
Program Services357016ProgramServices
Management And General120100ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19200Total
Program Services19200ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total478409Total
Program Services416216ProgramServices
Management And General62193ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total37866Total
Program Services32943ProgramServices
Management And General4923ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total161268Total
Program Services161268ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1929791Total
Program Services1678918ProgramServices
Management And General250873ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES446730446730
BAD DEBT EXPENSE223816223816

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11187640Total
Program Services10135529ProgramServices
Management And General1052111ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1514500BOY
EOY4869748EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1218267BOY
EOY1213372EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY232572BOY
EOY227081EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18577882LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12416555LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7541284BOY
EOY6161327EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15208BOY
EOY14739EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10521831BOY
EOY12486267EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1394258BOY
EOY718767EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5442696BOY
EOY7188571EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6836954BOY
EOY7907338EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3684877BOY
EOY4578929EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3684877BOY
EOY4578929EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10521831BOY
EOY12486267EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses894052ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
POH REGIONAL MEDICAL CENTER
3814281643111$378,000
MT CLEMENS REGIONAL MEDICAL CENTER
3812185163111$378,000
CRITTENTON HOSPITAL
3813592473111$378,000
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts1134000SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis250000OtherCostOrOtherBasis
Book Value250000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2312672OtherCostOrOtherBasis
Depreciation961003Depreciation
Book Value1351669BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis762142OtherCostOrOtherBasis
Depreciation401000Depreciation
Book Value361142BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14940461OtherCostOrOtherBasis
Depreciation11054552Depreciation
Book Value3885909BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis312607OtherCostOrOtherBasis
Book Value312607BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6161327TotalOfBookValueLandBuildings
Total Revenue12081692TotalRevenue
Total Expenses11187640TotalExpenses
Excess Or Deficit For Year894052ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS894052ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12081692TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12081692RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012081692TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11187640TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11187640ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011187640TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
POH REGIONAL MEDICAL CENTER
50 N PERRYPONTIACMI48342381428164501(C)(3)378000N/AN/APROGRAM SUPPORT
MT CLEMENS REGIONAL MEDICAL CENTER
50 N PERRYPONTIACMI48342381218516501(C)(3)378000N/AN/APROGRAM SUPPORT
CRITTENTON HOSPITAL
1101 W UNIVERSITY DRIVEROCHESTERMI48307381359247501(C)(3)378000N/AN/APROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: FUNDS ARE DISTRIBUTED TO SUPPORTED ORGANIZATIONS. NO PROCEDURES ARE IN PLACE TO MONITOR THE USE OF FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (6 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
MICHAEL CLARK
0139624000784002266021399017112900
PATRICIA KEIGHER
01314750154770007348016773017107300
FRED KORTE
0159189000003200011000017338900
GREG LANE
06605670261000024885101617890176160134982300
LAURA GIBBARD
0135861000003120013115015209600
JANELLE SPANN
14846602956706000029950150000202028000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationMCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN THE FORM OF A SINGLE SUM DISTRIBUTION EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANTS COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. THE INDIVIDUAL LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP IS GREG LANE. THERE ARE NO INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION IS ORGANIZED ON A STOCK BASIS. THE TOTAL NUMBER OF SHARES WHICH THE CORPORATION HAS THE AUTHORITY TO ISSUE IS 60,000 CONSISTING OF VOTING COMMON SHARES WITH NO PAR VALUE. THE STOCK IS OWNED EQUALLY BY THE THREE SUPPORTED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 7ASTOCKHOLDERS MAY ELECT GOVERNING BODY MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BANY MERGER, CONSOLIDATION, RECAPITALIZATION, RECLASSIFICATION, LIQUIDATION, DISSOLUTION OR BANKRUTPCY PROCEEDING IN WHICH THE COPRORATION IS A PARTY, OR THE SALE LEASE, EXCHANGE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION MAY BE AUTHORIZED ONLY BY AN AFFIRMATIVE VOTE OF THE STOCKHOLDER OWNING NOT LESS THAN 75% OF THE OUTSTANDING COMMON SHARES OF THE CORPORATION ENTITLED TO VOTE THEREON.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM AND THEN REVIEWED BY MANAGEMENT FOR COMPLETENESS AND ACCURACY.
ANNUALLY THE BOARD OF DIRECTORS RESOLVE TO REPORT ANY CONFLICT OF INTEREST AND SIGN AN ANNUAL DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE BOARD OF DIRECTORS MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY.FORM 990, PART VI, SECTION B, LINE 12C
THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS AND IS BASED UPON THE PERFORMANCE OF THE EXECUTIVE DIRECTOR AND COMPARABILITY DATA. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS WITHIN THE SALARY RANGES DETERMINED BY THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY, BASED ON BUDGETARY REQUIREMENTS AND PERFORMANCE APPRAISALS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2010.FORM 990, PART VI, SECTION B, LINE 15A
DOCUMENTS THAT ARE NOT OPEN TO PUBLIC INSPECTION ARE NOT AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
TAMMIE SMITH AND MICHAEL CLARK EACH WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT CRITTENTON HOSPITAL MEDICAL CENTER. PATRICIA KEIGHER AND LAURA GIBBARD EACH WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT MT. CLEMENS REGIONAL MEDICAL CENTER. FRED KORTE WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT PONTIAC OSTEOPATHIC HOSPITAL. GREG LANE WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT MCLAREN HEALTH CARE CORPORATION.FORM 990, PART VII:
NO CHANGE IN PROCESS FROM PRIOR YEAR.FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
POH REGIONAL MEDICAL CENTER
50 N PERRYPONTIACMI48342381428164HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION0
CRITTENTON HOSPITAL MEDICAL CENTER
1101 W UNIVERSITY DRIVEROCHESTERMI48307381359247HOSPITALMI501(C)(3)LINE 30
POH RILEY FOUNDATION
50 N PERRYPONTIACMI48342200442217FUNDRAISINGMI501(C)(3)LINE 11C, III-FIPONTIAC OSTEOPATHIC HOSPITAL1
MCLAREN HEALTH CARE CORPORATION
401 S BALLENGER HWYFLINTMI48532382397643MANAGEMENT COMPANYMI501(C)(3)LINE 11A, I0
BAY MEDICAL FOUNDATION
1900 COLUMBUS AVEBAY CITYMI48708382156534FOUNDATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTER1
BAY REGIONAL MEDICAL CENTER
1900 COLUMBUS AVEBAY CITYMI48708381976271HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
BAY REGIONAL MEDICAL CENTER AUXILIARY
1908 COLUMBUS AVENUEBAY CITYMI48708386081235SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IBAY REGIONAL MEDICAL CENTER1
BAY SPECIAL CARE HOSPITAL
1900 COLUMBUS AVEBAY CITYMI48708383161753HOSPITALMI501(C)(3)LINE 3BAY REGIONAL MEDICAL CENTER1
CENTRAL MICHIGAN COMMUNITY HOSPITAL
1221 SOUTH DRIVEMT PLEASANTMI48858381420304HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY
1000 HARRINGTONMT PLEASANTMI48858300312172HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
GREAT LAKES CANCER INSTITUTE
401 S BALLENGER HWYFLINTMI48532383584572CANCER CARE CENTERMI501(C)(3)LINE 7MCLAREN HEALTH CARE CORPORATION1
INGHAM REGIONAL HEALTHCARE FOUNDATION
401 S GREENLAWN AVELANSINGMI48910382463637FOUNDATIONMI501(C)(3)LINE 7INGHAM REGIONAL MEDICAL CENTER1
INGHAM REGIONAL MEDICAL CENTER
401 S GREENLAWN AVELANSINGMI48910381434090HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
LAPEER REGIONAL MEDICAL CENTER
1375 N MAIN STLAPEERMI48446382689033HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
LAPEER REGIONAL MEDICAL CENTER FOUNDATION
1375 N MAIN STLAPEERMI48446382689603FOUNDATIONMI501(C)(3)LINE 11A, ILAPEER REGIONAL MEDICAL CENTER1
MCLAREN HEALTH PLAN
G-3245 BEECHER ROADFLINTMI48532383383640HEALTH CARE SERVICESMI501(C)(4)MCLAREN HEALTH CARE CORPORATION0
MCLAREN MEDICAL MANAGEMENT INC
401 S BALLENGER HWYFLINTMI48532382988086MANAGEMENT COMPANYMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
MCLAREN REGIONAL MEDICAL CENTER
401 S BALLENGER HWYFLINTMI48532382383119HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION
PO BOX 326MOUNT CLEMENSMI48046382578873FOUNDATIONMI501(C)(3)LINE 9MOUNT CLEMENS REGIONAL MEDICAL CENTER1
MOUNT CLEMENS REGIONAL MEDICAL CENTER
1000 HARRINGTONMOUNT CLEMENSMI48043381218516HOSPITALMI501(C)(3)LINE 3MCLAREN HEALTH CARE CORPORATION1
VISITING NURSE SERVICE OF MICHIGAN
401 S BALLENGER HWYFLINTMI48532383491714HEALTH CARE SERVICESMI501(C)(3)LINE 9MCLAREN HEALTH CARE CORPORATION1
WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN
401 S BALLENGER HIGHWAYFLINTMI48532381358053SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IMCLAREN HEALTH CARE CORPORATION1
REGIONAL EMERGENCY MEDICAL SERVICE INC
25400 W 8 MILE ROADSOUTHFIELDMI48034383255499AMBULANCE SERVICEMI501(C)(3)LINE 9MCLAREN MEDICAL MANAGEMENT INC1
PRIMARY CARE
1900 COLUMBUS AVEBAY CITYMI48708202443604HEALTH CARE SERVICESMI501(C)(3)LINE 9BAY REGIONAL MEDICAL CENTER1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC
39000 COUNTRY CLUB DRIVEFARMINGTON HILLSMI48331263112935RENTAL REAL ESTATEMIN/A
MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS
1000 HARRINGTON STMOUNT CLEMENSMI48043262524717BUILDING MANAGEMENTMIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
HOSPITAL HEALTH CARE INC
50 N PERRYPONTIACMI48342382643070HEALTH CAREMIN/AC
HEALTH ADVANTAGE INC
G3245 BEECHER ROADFLINTMI48532912141720HEALTH CARE SERVICESMIN/AC
CLARKSTON PROPERTY ASSOCIATES
50 NORTH PERRY STREETPONTIACMI48342432006072REAL ESTATEMIN/AC
PHYSICIAN ORGANIZED HEALTHCARE SYSTEM
50 NORTH PERRY STREETPONTIACMI48342383136458MANAGED CAREMIN/AC
MCLAREN HEALTH PLAN INSURANCE COMPANY
G-3245 BEECHER ROAD SUITE 200FLINTMI48532271780283INSURANCEMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CRITTENTON HOSPITAL MEDICAL CENTER
I203602LEASE AGREEMENT
MT CLEMENS REGIONAL MEDICAL CENTER
J50646LEASE AGREEMENT
MT CLEMENS REGIONAL MEDICAL CENTER
B378000BOARD APPROVAL
CRITTENTON HOSPITAL MEDICAL CENTER
B378000BOARD APPROVAL
POH REGIONAL MEDICAL CENTER
B378000BOARD APPROVAL
POH REGIONAL MEDICAL CENTER
K50601INVOICES

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