MSU HEALTH CARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MSU HEALTH CARE INC (EIN 83-2236308)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202201369349303275
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T09:23:21-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 TOWN CENTER SUITE 100 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832236308 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MSU HEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MSUH | BusinessNameControlTxt |
| Phone | 5173533143 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3610 FOREST ROAD NO C | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48910 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SETH CIABOTTI | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5173533143 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SETH | PersonFirstNm |
| Person Last | CIABOTTI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2022-05-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NATHAN TER BEEK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3610 FOREST ROAD NO C | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48910 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $115,734,137 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHCARE.MSU.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2018 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF ALL THE COMMUNITIES WE SERVE.MSU HEALTH CARE AS THE CLINICAL ENTERPRISE OF MICHIGAN STATE UNIVERSITY'S HUMAN HEALTH COLLEGES' FOCUS IS TO PROVIDE HEALING AND CARING, FORM JOINT VENTURES AND PARTNERSHIPS AND LEVERAGE OUR EXPANSIVE CLINICAL RESEARCH AND EXPERT EDUCATIONAL STRENGTHS FOR OUR PATIENTS.WE REMAIN DEDICATED TO THE LAND-GRANT MISSION AND VALUES OF MSU, A MEMBER OF THE ASSOCIATION OF AMERICAN UNIVERSITIES AND A TOP 100 RESEARCH INSTITUTION.MSU HEALTH CARE WAS FORMED TO: - FOCUS ON HEALING AND CARING - FORM JOINT VENTURES AND PARTNERSHIPS - LEVERAGE OUR CLINICAL, RESEARCH AND EDUCATION STRENGTHS | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $62,226 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,501,152 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $242,519 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $104,049,931 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,622 | PYInvestmentIncomeAmt |
| CY Investment Income | $94,600 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $4,088,454 | CYOtherRevenueAmt |
| PY Total Revenue | $337,367 | PYTotalRevenueAmt |
| CY Total Revenue | $115,734,137 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,382,044 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,036,687 | PYOtherExpensesAmt |
| CY Other Expenses | $86,394,980 | CYOtherExpensesAmt |
| PY Total Expenses | $1,036,687 | PYTotalExpensesAmt |
| CY Total Expenses | $116,778,524 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$699,320 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,044,387 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,605,003 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,553,428 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,930 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,514,701 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,595,073 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,038,727 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH OF ALL THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $99,410,056 | ExpenseAmt |
| Grant | $1,500 | GrantAmt |
| Revenue | $104,049,931 | RevenueAmt |
| Desc | MSU HEALTH CARE IS A 501(C)(3) NON-PROFIT CORPORATION CREATED TO BE THE CLINICAL ENTERPRISE OF MICHIGAN STATE UNIVERSITY'S COLLEGE OF HUMAN MEDICINE, COLLEGE OF NURSING AND COLLEGE OF OSTEOPATHIC MEDICINE. OUR FOCUS IS TO PROVIDE HEALING AND CARING, FORM JOINT VENTURES AND PARTNERSHIPS AND LEVERAGE OUR EXPANSIVE CLINICAL RESEARCH AND EXPERT EDUCATIONAL STRENGTHS FOR OUR PATIENTS. WE REMAIN DEDICATED TO THE LAND-GRANT MISSION AND VALUES OF MSU, A MEMBER OF THE ASSOCIATION OF AMERICAN UNIVERSITIES AND A TOP 100 RESEARCH INSTITUTION. | Desc |
| Total Program Service Expenses | $99,410,056 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NATHAN TER BEEK | PersonNm |
| Phone | 5173533143 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3610 FOREST ROAD NO C | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48910 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANTHONY AVELLINO | |||||||||
| DIRECTOR | 0.25 | 59.75 | Yes (X) | $0 | $852,074 | $64,235 | |||
| NORMAN J BEAUCHAMP JR | |||||||||
| CHAIR | 0.25 | 59.75 | Yes (X) | $0 | $699,545 | $62,833 | Yes (X) | ||
| ANDREW ZWYGHUIZEN | |||||||||
| DIRECTOR (PART YEAR) | 0.25 | 59.75 | Yes (X) | $0 | $514,984 | $54,788 | |||
| ANDREA AMALFITANO | |||||||||
| VICE CHAIR | 0.25 | 59.75 | Yes (X) | $0 | $487,831 | $55,642 | Yes (X) | ||
| ARON SOUSA | |||||||||
| DIRECTOR | 0.25 | 59.75 | Yes (X) | $0 | $419,826 | $54,853 | |||
| JOEL GREENBERG | |||||||||
| TREASURER | 0.25 | 59.75 | Yes (X) | $0 | $418,070 | $44,220 | Yes (X) | ||
| FRANCESCA C DWAMENA | |||||||||
| DIRECTOR (PART YEAR) | 0.25 | 59.75 | Yes (X) | $0 | $407,890 | $50,555 | |||
| SETH CIABOTTI | |||||||||
| CEO, MSU HEALTH CARE INC | 60.00 | 0.00 | Yes (X) | $343,050 | $0 | $51,431 | Yes (X) | ||
| JED G MAGEN | |||||||||
| DIRECTOR | 0.25 | 59.75 | Yes (X) | $0 | $308,482 | $49,495 | |||
| RANDOLPH F RASCH | |||||||||
| SECRETARY | 0.25 | 59.75 | Yes (X) | $0 | $295,091 | $39,971 | Yes (X) | ||
| ANNETTE CAWLEY | |||||||||
| CFO, MSU HEALTH CARE INC | 60.00 | 0.00 | $212,700 | $0 | $47,566 | Yes (X) | |||
| KRISTINE ALLEN | |||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | $203,349 | $0 | $47,604 | Yes (X) | |||
| DENISE K FERRELL | |||||||||
| DIRECTOR (PART YEAR) | 0.25 | 59.75 | Yes (X) | $0 | $179,065 | $29,959 | |||
| COLLEEN HOFFMAN | |||||||||
| RADIOLOGY ADMINISTRATOR | 40.00 | 0.00 | $147,049 | $0 | $42,870 | Yes (X) | |||
| SANDRA CAMPBELL | |||||||||
| CHIEF PHARMACIST | 40.00 | 0.00 | $140,960 | $0 | $24,869 | Yes (X) | |||
| SUSAN DOLBY | |||||||||
| QUALITY/RISK MGMT ADMINISTRATOR | 40.00 | 0.00 | $118,208 | $0 | $35,368 | Yes (X) | |||
| HOLLY PETERSON | |||||||||
| RADIOLOGY ADMINISTRATOR | 40.00 | 0.00 | $114,203 | $0 | $37,662 | Yes (X) | |||
| CHRISTIE DAISS | |||||||||
| PHARMACIST | 40.00 | 0.00 | $113,115 | $0 | $27,615 | Yes (X) | |||
| ANN SHEENHAN | |||||||||
| DIRECTOR (PART YEAR) | 0.25 | 59.75 | Yes (X) | $0 | $96,460 | $28,230 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,392,634 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,679,318 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $849,766 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CHARTIS GROUP | |||||
| DEPARTMENT 5925 | CAROL STREAM | IL | 60122 | STRATEGIC PLANNING | $1,404,257 |
| JENNIFER LYNN UITVLUGT | |||||
| 4760 NAKOMA DR | OKEMOS | MI | 48864 | ER PHYSICIAN | $201,300 |
| LOCUM TENENSCOM LLC | |||||
| 2655 NORTHWEST PARKWAY | ALPHARETTA | GA | 30009 | TEMP PROVIDER COVERAGE | $160,861 |
| HALL RENDER KILLIAN HEATH & LYMAN | |||||
| PO BOX 714570 | CINCINNATTI | OH | 45271 | LEGAL SERVICES | $147,657 |
| AFIA INC | |||||
| 555 BRIARWOOD CIRCLE STE 116 | ANN ARBOR | MI | 48108 | CONSULTING | $141,669 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,235,117 | RelatedOrganizationsAmt |
| Government Grants | $175,000 | GovernmentGrantsAmt |
| All Other Contributions | $91,035 | AllOtherContributionsAmt |
| Total Contributions | $7,501,152 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621110 | $71,826,077 | $71,826,077 |
| CONTRACT FEES | 621110 | $16,721,345 | $16,721,345 |
| PHARMACY REVENUE | 621110 | $14,869,977 | $14,869,977 |
| SPARTAN RADIOLOGY JV INCOME | 621110 | $487,547 | $487,547 |
| CARE COORDINATION FEES | 621110 | $128,287 | $128,287 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,698 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,698 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $104,049,931 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,600 | TotalRevenueColumnAmt |
| Exclusion | $94,600 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $680,956 | TotalRevenueColumnAmt |
| Exclusion | $680,956 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $200,295 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $200,295 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200,295 | TotalRevenueColumnAmt |
| Exclusion | $200,295 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PAY FOR PERFORMANCE | 621110 | $1,776,180 | $1,776,180 |
| MANAGEMENT SERVICE FEES | 621110 | $889,243 | $889,243 |
| BILLING SERVICE FEES | 621110 | $216,361 | $216,361 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $325,419 | TotalRevenueColumnAmt |
| Exclusion | $325,419 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,207,203 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,734,137 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $104,049,931 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,183,054 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500 | TotalAmt |
| Program Services | $1,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $917,364 | TotalAmt |
| Management And General | $917,364 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,041,370 | TotalAmt |
| Program Services | $15,576,537 | ProgramServicesAmt |
| Management And General | $4,464,833 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,815,250 | TotalAmt |
| Program Services | $1,424,550 | ProgramServicesAmt |
| Management And General | $390,700 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,084,704 | TotalAmt |
| Program Services | $4,977,475 | ProgramServicesAmt |
| Management And General | $1,107,229 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,523,356 | TotalAmt |
| Program Services | $1,178,045 | ProgramServicesAmt |
| Management And General | $345,311 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,197 | TotalAmt |
| Management And General | $156,197 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,411 | TotalAmt |
| Management And General | $66,411 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,672,374 | TotalAmt |
| Program Services | $1,206,597 | ProgramServicesAmt |
| Management And General | $1,465,777 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,398 | TotalAmt |
| Program Services | $7,401 | ProgramServicesAmt |
| Management And General | $164,997 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,518,670 | TotalAmt |
| Program Services | $3,312,724 | ProgramServicesAmt |
| Management And General | $205,946 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,528,083 | TotalAmt |
| Program Services | $300,644 | ProgramServicesAmt |
| Management And General | $6,227,439 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,848,562 | TotalAmt |
| Program Services | $2,575,859 | ProgramServicesAmt |
| Management And General | $272,703 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,104 | TotalAmt |
| Program Services | $7,231 | ProgramServicesAmt |
| Management And General | $1,873 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,785 | TotalAmt |
| Program Services | $4,788 | ProgramServicesAmt |
| Management And General | $11,997 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,774,487 | TotalAmt |
| Program Services | $47,774,487 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,334,259 | TotalAmt |
| Program Services | $30,191 | ProgramServicesAmt |
| Management And General | $1,304,068 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,902,364 | TotalAmt |
| Program Services | $1,810,896 | ProgramServicesAmt |
| Management And General | $91,468 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $16,385,390 | $16,385,340 | $50 |
| BAD DEBT EXPENSE | $1,928,161 | $1,928,161 | |
| MAINTENANCE | $351,603 | $310,735 | $40,868 |
| DUES & SUBSCRIPTIONS | $64,620 | $46,712 | $17,908 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,512 | TotalAmt |
| Program Services | $550,183 | ProgramServicesAmt |
| Management And General | $115,329 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,778,524 | TotalAmt |
| Program Services | $99,410,056 | ProgramServicesAmt |
| Management And General | $17,368,468 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $705,261 | BOYAmt |
| EOY | $1,484,628 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,174,742 | BOYAmt |
| EOY | $22,376,492 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,712,933 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $776,318 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,605,797 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,333,622 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,272,175 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $725,000 | BOYAmt |
| EOY | $930,882 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,605,003 | BOYAmt |
| EOY | $36,553,428 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,930 | BOYAmt |
| EOY | $1,985,267 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $124,720 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,404,714 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,930 | BOYAmt |
| EOY | $7,514,701 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,595,073 | BOYAmt |
| EOY | $29,038,727 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,595,073 | BOYAmt |
| EOY | $29,038,727 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,605,003 | BOYAmt |
| EOY | $36,553,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,044,387 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$528,082 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $25,016,123 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $6,500,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,501,152 | CurrentTaxYearAmt |
| Total | $14,063,378 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $242,519 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $104,049,931 | CurrentTaxYearAmt |
| Total | $104,292,450 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $6,500,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $304,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $111,551,083 | CurrentTaxYearAmt |
| Total | $118,355,828 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $6,500,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $7,235,117 | CurrentTaxYearAmt |
| Total | $13,735,117 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $237,519 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,051,551 | CurrentTaxYearAmt |
| Total | $16,289,070 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $6,500,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $237,519 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,286,668 | CurrentTaxYearAmt |
| Total | $30,024,187 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $88,331,641 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $975,851 | CurrentTaxYearAmt |
| Total | $977,971 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $975,851 | CurrentTaxYearAmt |
| Total | $977,971 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $3,207,203 | CurrentTaxYearAmt |
| Total | $3,207,203 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $6,502,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $304,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,734,137 | CurrentTaxYearAmt |
| Total | $122,541,002 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $248,303 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,084 | DepreciationAmt |
| Book Value | $225,219 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,277,520 | OtherCostOrOtherBasisAmt |
| Depreciation | $364,300 | DepreciationAmt |
| Book Value | $913,220 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,079,974 | OtherCostOrOtherBasisAmt |
| Depreciation | $946,238 | DepreciationAmt |
| Book Value | $133,736 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,272,175 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $5,404,714 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,404,714 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $94,188,514 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$21,545,623 | OtherRevenueAmt |
| Revenue Not Reported | -$21,545,623 | RevenueNotReportedAmt |
| Revenue Subtotal | $115,734,137 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $115,734,137 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $70,216,778 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $70,216,778 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $46,561,746 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $46,561,746 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $116,778,524 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -1,928,161. GAIN ON TRANSFER OF OPERATIONS 25,016,123. EXPENSES NETTED WITH REVENUE FOR FS REPORTING -44,633,585. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,928,161. EXPENSES NETTED WITH REVENUE FOR FS REPORTING 44,633,585. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY AVELLINO | ||||||||||||||
| DIRECTOR | $0 | $471,360 | $0 | $145,000 | $0 | $235,714 | $0 | $27,690 | $0 | $36,545 | $0 | $916,309 | $0 | $0 |
| NORMAN J BEAUCHAMP JR | ||||||||||||||
| CHAIR | $0 | $594,105 | $0 | $100,000 | $0 | $5,440 | $0 | $28,500 | $0 | $34,333 | $0 | $762,378 | $0 | $0 |
| ANDREW ZWYGHUIZEN | ||||||||||||||
| DIRECTOR (PART YEAR) | $0 | $92,863 | $0 | $167,621 | $0 | $254,500 | $0 | $23,131 | $0 | $31,657 | $0 | $569,772 | $0 | $0 |
| ANDREA AMALFITANO | ||||||||||||||
| VICE CHAIR | $0 | $391,906 | $0 | $95,925 | $0 | $0 | $0 | $24,378 | $0 | $31,264 | $0 | $543,473 | $0 | $0 |
| ARON SOUSA | ||||||||||||||
| DIRECTOR | $0 | $309,826 | $0 | $20,000 | $0 | $90,000 | $0 | $24,575 | $0 | $30,278 | $0 | $474,679 | $0 | $0 |
| JOEL GREENBERG | ||||||||||||||
| TREASURER | $0 | $183,476 | $0 | $234,594 | $0 | $0 | $0 | $13,968 | $0 | $30,252 | $0 | $462,290 | $0 | $0 |
| FRANCESCA C DWAMENA | ||||||||||||||
| DIRECTOR (PART YEAR) | $0 | $240,362 | $0 | $85,165 | $0 | $82,363 | $0 | $23,131 | $0 | $27,424 | $0 | $458,445 | $0 | $0 |
| SETH CIABOTTI | ||||||||||||||
| CEO, MSU HEALTH CARE INC | $310,550 | $0 | $32,500 | $0 | $0 | $0 | $22,267 | $0 | $29,164 | $0 | $394,481 | $0 | $0 | $0 |
| JED G MAGEN | ||||||||||||||
| DIRECTOR | $0 | $220,500 | $0 | $37,982 | $0 | $50,000 | $0 | $28,364 | $0 | $21,131 | $0 | $357,977 | $0 | $0 |
| RANDOLPH F RASCH | ||||||||||||||
| SECRETARY | $0 | $288,496 | $0 | $0 | $0 | $6,595 | $0 | $16,862 | $0 | $23,109 | $0 | $335,062 | $0 | $0 |
| ANNETTE CAWLEY | ||||||||||||||
| CFO, MSU HEALTH CARE INC | $212,225 | $0 | $0 | $0 | $475 | $0 | $21,416 | $0 | $26,150 | $0 | $260,266 | $0 | $0 | $0 |
| KRISTINE ALLEN | ||||||||||||||
| CHIEF NURSING OFFICER | $203,349 | $0 | $0 | $0 | $0 | $0 | $20,571 | $0 | $27,033 | $0 | $250,953 | $0 | $0 | $0 |
| DENISE K FERRELL | ||||||||||||||
| DIRECTOR (PART YEAR) | $0 | $154,412 | $0 | $0 | $0 | $24,653 | $0 | $12,622 | $0 | $17,337 | $0 | $209,024 | $0 | $0 |
| COLLEEN HOFFMAN | ||||||||||||||
| RADIOLOGY ADMINISTRATOR | $146,669 | $0 | $0 | $0 | $380 | $0 | $14,707 | $0 | $28,163 | $0 | $189,919 | $0 | $0 | $0 |
| SANDRA CAMPBELL | ||||||||||||||
| CHIEF PHARMACIST | $139,980 | $0 | $0 | $0 | $980 | $0 | $14,288 | $0 | $10,581 | $0 | $165,829 | $0 | $0 | $0 |
| SUSAN DOLBY | ||||||||||||||
| QUALITY/RISK MGMT ADMINISTRATOR | $117,923 | $0 | $0 | $0 | $285 | $0 | $11,806 | $0 | $23,562 | $0 | $153,576 | $0 | $0 | $0 |
| HOLLY PETERSON | ||||||||||||||
| RADIOLOGY ADMINISTRATOR | $113,918 | $0 | $0 | $0 | $285 | $0 | $11,432 | $0 | $26,230 | $0 | $151,865 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. APPROVAL BY THE BOARD OR COMPENSATION COMMITEE | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | IN FY21, MSU HEALTH CARE INC. BEGAN RECORDING CLINICAL OPERATIONS UNDER ITS OWN TAX ID. PREVIOUSLY THIS ACTIVITY OCCURRED UNDER A RELATED PARTY, MICHIGAN STATE UNIVERSITY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY IS THE SOLE MEMBER OF MSU HEALTH CARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER SHALL HAVE SUCH RIGHTS AND POWERS AS ARE PROVIDED IN THE ARTICLES, THE BYLAWS, AND THE LAWS OF THE STATE OF MICHIGAN, INCLUDING THE FOLLOWING POWERS: (A) TO AMEND THE ARTICLES AND/OR THE BYLAWS; (B) THE APPOINT OR REMOVE, WITH OR WITHOUT CASE, ANY DIRECTOR OF THE CORPORATION, AS DESCRIBED HEREIN; (C) TO VOTE ON ALL MATTERS IN WHICH THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED UNDER THE ARTICLES, THE BYLAWS, OR THE LAWS OF THE STATE OF MICHIGAN; (D) TO APPROVE THE CORPORATION'S MERGER, DISSOLUTION, CONSOLIDATED, OR REORGANIZATION; (E) TO APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF THE MAJORITY OF THE CORPORATION'S ASSETS, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS; (F) TO APPROVE THE INDEBTEDNESS OF THE CORPORATION IN EXCESS OF 20% OF THE ANNUAL BUDGET OF THE CORPORATION; (G) TO APPROVE NON-BUDGETED EXPENDITURES IN EXCESS OF 10% OF THE ANNUAL BUDGET OF THE CORPORATION (H) TO APPROVE THE DISPOSITION OF THE CORPORATION'S ASSETS AS THE TIME OF THE CORPORATION'S DISSOLUTION, SUBJECT TO THE ARTICLES (I) TO APPROVE THE CORPORATION ENTERING INTO ANY JOINT VENTURES OR CREATING ANY SUBSIDIARY ORGANIZATIONS WITH A CAPITAL COMMITMENT GREATER THAN $10 MILLION DOLLARS; AND (J) TO APPROVE CHANGES IN THE CORPORATION'S MISSION OR PHILOSOPHY POWERS THAT ARE NOT RESERVED TO THE CORPORATE MEMBER OR OTHERWISE DELEGATED BY THE BOARD OF DIRECTORS SHALL BE EXERCISED BY THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE LIMITATIONS CONTAINED IN THE ARTICLES, THE BYLAWS, AND APPLICABLE LAW. AMONG SUCH POWERS, THE BOARD OF DIRECTORS SHALL HAVE AUTHORITY TO DISCUSS, VOTE UPON, AND PRESENT ANY OF THE ABOVE MATTER TO THE CORPORATE MEMBER FOR ITS APPROVAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE LINE 7A EXPLANATION |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT, REVIEWED AND APPROVED BY THE AUDIT COMMITTEE AND CFO, AND PROVIDED TO THE BOARD PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR AND PRINCIPAL OFFICER SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE INTERESTED PERSON SHALL THEN LEAVE THE BOARD OF DIRECTORS MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE CHAIRPERSON SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT TO DETERMINE WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE, AND IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FAILURE TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST SHALL RESULT IN APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, LINE 1B | THE BOARD DOES NOT HAVE ANY INDEPENDENT DIRECTORS BECAUSE THEY ARE ALL COMPENSATED BY A RELATED ORGANIZATION, BUT ULTIMATELY THE ORGANIZATION IS CONTROLLED BY THE SOLE MEMBER, ANOTHER 501(C)(3), WHICH DOES HAVE AN INDEPENDENT BOARD. |
| PART VI, SECTION B, LINES 13 AND 14: | MSU HEALTH CARE INC. DOES NOT HAVE A FORMAL WRITTEN WHISTLEBLOWER POLICY OR DOCUMENT RETENTION POLICY, BUT IS CURRENTLY USING THOSE OF MICHIGAN STATE UNIVERSITY, ITS SOLE MEMBER. THESE POLICIES ARE IN THE PROCESS OF BEING ADOPTED BY MSU HEALTH CARE INC. |
| FORM 990, PART XI, LINE 9: | GAIN ON TRANSFER OF OPERATIONS 25,016,123. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHIGAN STATE UNIVERSITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 426 AUDITORIUM ROAD | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48824 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 386005984 | EIN |
| Primary Activities | EDUCATION | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 2 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYSANDER SERIES OF AESIR SERIES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1327 ASHLEY RIVER ROAD BLDG C STE 2 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29407 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830915942 | EIN |
| Primary Activities | RISK MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |