MARWOOD MANOR NURSING HOME: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MARWOOD MANOR NURSING HOME (EIN 38-2683251)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-12
- IRS object ID
- 201902249349301635
- Schema version
- 2017v2.3
- 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 | 2019-08-12T16:49:55-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | 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 | 27400 NORTHWESTERN HIGHWAY | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382683251 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARWOOD MANOR NURSING HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARW | BusinessNameControlTxt |
| Phone | 8109828591 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5011 | AddressLine1Txt |
| City | PORT HURON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48060 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER MONTGOMERY | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 8109828591 | PhoneNum |
| Signature | 2019-08-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00181637 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2019-08-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.59.56.32 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-02 | IPDt |
| IP Tm | 14:00:48 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BCD91890B86AB1D1DA69BFC932A0D6ECC2ADE94B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARWOOD MANOR NURSING AND REHAB | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER MONTGOMERY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5011 | AddressLine1Txt |
| City | PORT HURON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,348,795 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCLAREN.ORG/MARWOOD | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF NURSING HOME | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 465 | TotalEmployeeCnt |
| Total Volunteers | 73 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,093 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,095,098 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,811,788 | CYProgramServiceRevenueAmt |
| PY Investment Income | $637,813 | PYInvestmentIncomeAmt |
| CY Investment Income | $476,494 | CYInvestmentIncomeAmt |
| PY Other Revenue | $28,971 | PYOtherRevenueAmt |
| CY Other Revenue | $60,513 | CYOtherRevenueAmt |
| PY Total Revenue | $21,765,975 | PYTotalRevenueAmt |
| CY Total Revenue | $23,348,795 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,819,065 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,710,241 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,574,786 | PYOtherExpensesAmt |
| CY Other Expenses | $7,496,084 | CYOtherExpensesAmt |
| PY Total Expenses | $20,393,851 | PYTotalExpensesAmt |
| CY Total Expenses | $21,206,325 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,372,124 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,142,470 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,007,707 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,128,404 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,054,401 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,937,853 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,953,306 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,190,551 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE OUR RESIDENTS WITH QUALITY CARE IN A SAFE AND COMFORTABLE ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,329,369 | ExpenseAmt |
| Revenue | $22,811,788 | RevenueAmt |
| Desc | PROVIDED NURSING HOME SERVICES. CURRENTLY, THE NURSING HOME HAS 240 BEDS. DURING FY 2018 651 PATIENTS WERE ADMITTED, OF WHICH 418 (OR 64.2%) CAME FROM MCLAREN PORT HURON HOSPITAL. TOTAL PATIENT DAYS WERE 75,806. A TOTAL OF 88% OF PATIENT DAYS REPRESENTS CARE TO THE INDIGENT AND ELDERLY POPULATION OF THE COMMUNITY THROUGH THE MEDICAID AND MEDICARE PROGRAMS. 3,847 MEDICARE HMO DAYS11,327 MEDICARE DAYS51,570 MEDICAID DAYS | Desc |
| Total Program Service Expenses | $17,329,369 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 465 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGET SHOLTIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8109875000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1Txt |
| City | PORT HURON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48060 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MIKE TURNBULL | |||||||||
| CHAIRMAN | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER MONTGOMERY | |||||||||
| PRESIDENT & CEO | 1.00 | 42.00 | Yes (X) | Yes (X) | $0 | $547,521 | $140,575 | ||
| RICHARD LEVEILLE | |||||||||
| VICE-CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANKLIN MORTIMER II | |||||||||
| SECRETARY-TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SCOTT CRAWFORD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN MONAGHAN | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN JARAD MD | |||||||||
| MEDICAL DIRECTOR | 8.00 | 0.00 | Yes (X) | $26,400 | $0 | $0 | |||
| THOMAS SEPPO | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EDMOND W FITZGERALD JR MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JANET TURNER LOMASNEY OD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GEOF KUSCH MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN LISTON | |||||||||
| ASSISTANT TREASURER | 1.00 | 40.00 | Yes (X) | $0 | $444,593 | $44,637 | |||
| NANCY KULMAN | |||||||||
| ASSISTANT TREASURER | 1.00 | 40.00 | Yes (X) | $0 | $114,880 | $23,823 | |||
| BRIAN OBERLY | |||||||||
| ADMINISTRATOR | 40.00 | 0.00 | Yes (X) | $168,503 | $0 | $15,887 | |||
| DIANE SCHUNK | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $114,838 | $0 | $5,129 | Yes (X) | |||
| THOMAS DEFAUW | |||||||||
| FORMER PRESIDENT & CEO | 0.00 | 0.00 | $0 | $534,710 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $309,741 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,641,704 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $230,051 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCEPT REHAB INC | |||||
| 7150 GRANITE CIRCLE STE 200 | TOLEDO | OH | 43617 | THERAPY SERVICES | $252,930 |
| WATSON BROS SERVICE CO | |||||
| 3433 ELECTRIC AVE | PORT HURON | MI | 48060 | PLUMBING, HEATING/AC | $118,404 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID | 623000 | $18,849,379 | $18,849,379 |
| RESIDENT SERVICES | 623000 | $3,868,644 | $3,868,644 |
| CAFETERIA | 722210 | $49,956 | $49,956 |
| BEAUTY & BARBER SHOP | 900099 | $22,934 | $22,934 |
| TELEPHONE CHARGES | 623000 | $20,875 | $20,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,811,788 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $476,494 | TotalRevenueColumnAmt |
| Exclusion | $476,494 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $60,513 | TotalRevenueColumnAmt |
| Exclusion | $60,513 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $60,513 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,348,795 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,811,788 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $537,007 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,083 | TotalAmt |
| Program Services | $26,400 | ProgramServicesAmt |
| Management And General | $305,683 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,886,861 | TotalAmt |
| Program Services | $9,368,788 | ProgramServicesAmt |
| Management And General | $1,518,073 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,149 | TotalAmt |
| Program Services | $158,677 | ProgramServicesAmt |
| Management And General | $30,472 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,530,059 | TotalAmt |
| Program Services | $1,294,121 | ProgramServicesAmt |
| Management And General | $235,938 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,089 | TotalAmt |
| Program Services | $662,369 | ProgramServicesAmt |
| Management And General | $109,720 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,189 | TotalAmt |
| Program Services | $5,732 | ProgramServicesAmt |
| Management And General | $332,457 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520 | TotalAmt |
| Management And General | $520 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,135 | TotalAmt |
| Management And General | $12,135 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,003,640 | TotalAmt |
| Program Services | $1,998,618 | ProgramServicesAmt |
| Management And General | $5,022 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,041 | TotalAmt |
| Management And General | $105,041 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $939,896 | TotalAmt |
| Program Services | $658,693 | ProgramServicesAmt |
| Management And General | $281,203 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,111 | TotalAmt |
| Management And General | $270,111 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,808 | TotalAmt |
| Program Services | $344,808 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,911 | TotalAmt |
| Management And General | $4,911 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,089 | TotalAmt |
| Management And General | $9,089 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,950 | TotalAmt |
| Management And General | $81,950 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $880,170 | TotalAmt |
| Program Services | $880,170 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,940 | TotalAmt |
| Management And General | $31,940 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS | $1,145,662 | $1,145,662 | |
| FOOD | $711,756 | $711,756 | |
| RENTAL & LEASE EQUIP | $80,523 | $80,523 | |
| MAINTENANCE | $44,176 | $44,176 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,567 | TotalAmt |
| Program Services | $29,399 | ProgramServicesAmt |
| Management And General | $462,168 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,206,325 | TotalAmt |
| Program Services | $17,329,369 | ProgramServicesAmt |
| Management And General | $3,876,956 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,696,412 | BOYAmt |
| EOY | $2,969,744 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,328,182 | BOYAmt |
| EOY | $10,868,502 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,970,873 | BOYAmt |
| EOY | $1,626,677 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,306 | BOYAmt |
| EOY | $61,295 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,709 | BOYAmt |
| EOY | $47,858 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,648,111 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,121,761 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,637,076 | BOYAmt |
| EOY | $10,526,350 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,149 | BOYAmt |
| EOY | $27,978 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,007,707 | BOYAmt |
| EOY | $26,128,404 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,065,244 | BOYAmt |
| EOY | $2,791,226 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,804,508 | BOYAmt |
| EOY | $4,118,150 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,649 | BOYAmt |
| EOY | $28,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,054,401 | BOYAmt |
| EOY | $6,937,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,949,643 | BOYAmt |
| EOY | $19,187,188 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,663 | BOYAmt |
| EOY | $3,363 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,953,306 | BOYAmt |
| EOY | $19,190,551 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,007,707 | BOYAmt |
| EOY | $26,128,404 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,142,470 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $94,775 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 Minus4 Years | $1,310 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $387,992 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,621 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,093 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $403,016 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,202,846 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,464,613 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,750,298 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,095,098 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,811,788 | CurrentTaxYearAmt |
| Total | $92,324,643 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,204,156 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,852,605 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,759,919 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,099,191 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,811,788 | CurrentTaxYearAmt |
| Total | $92,727,659 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $92,727,659 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,459 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,846 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $637,813 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $476,494 | CurrentTaxYearAmt |
| Total | $1,308,464 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,459 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,846 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $637,813 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $476,494 | CurrentTaxYearAmt |
| Total | $1,308,464 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,701 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30,196 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,179 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,971 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,513 | CurrentTaxYearAmt |
| Total | $141,560 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,207,316 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,971,647 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,883,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,765,975 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,348,795 | CurrentTaxYearAmt |
| Total | $94,177,683 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98460 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98940 | PublicSupportPY509Pct |
| Investment Income CY | 0.01390 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00940 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,232 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,232 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | A PORTION OF DUES PAID TO HCAM (HEALTH CARE ASSOCIATION OF MICHIGAN) IS ALLOCATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $190,000 | OtherCostOrOtherBasisAmt |
| Book Value | $190,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,197,585 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,954,325 | DepreciationAmt |
| Book Value | $8,243,260 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $360,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $195,590 | DepreciationAmt |
| Book Value | $164,956 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,041,193 | OtherCostOrOtherBasisAmt |
| Depreciation | $971,846 | DepreciationAmt |
| Book Value | $1,069,347 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $858,787 | OtherCostOrOtherBasisAmt |
| Book Value | $858,787 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,526,350 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $15,348 |
| PATIENT TRUSTS | $13,129 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,477 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENNIFER MONTGOMERY | ||||||||||||||
| PRESIDENT & CEO | $0 | $367,846 | $0 | $131,750 | $0 | $47,925 | $0 | $137,150 | $0 | $3,425 | $0 | $688,096 | $0 | $0 |
| JOHN LISTON | ||||||||||||||
| ASSISTANT TREASURER | $0 | $372,784 | $0 | $63,948 | $0 | $7,861 | $0 | $32,580 | $0 | $12,057 | $0 | $489,230 | $0 | $0 |
| BRIAN OBERLY | ||||||||||||||
| ADMINISTRATOR | $147,058 | $0 | $19,850 | $0 | $1,595 | $0 | $0 | $0 | $15,887 | $0 | $184,390 | $0 | $0 | $0 |
| THOMAS DEFAUW | ||||||||||||||
| FORMER PRESIDENT & CEO | $0 | $513,500 | $0 | $0 | $0 | $21,210 | $0 | $0 | $0 | $0 | $0 | $534,710 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. |
| PART I, LINE 3 | THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINES 4A-B | LINE 4A: TOM DEFAUW - RECEIVED $534,710 LINE 4B: MCLAREN 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 EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS 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 PARTICIPANT'S 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. |
| PART I, LINE 6 | MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS MCLAREN PORT HURON. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT THE DIRECTORS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY ENTITY CFO AND THE FINANCE LEADERSHIP OF MCLAREN HEALTH CARE (MHC). COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MHC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE RELIEVED OF THEIR SERVICE TO MHC. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTHCARE CORPORATION'S CEO TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PERQUISITES OF THE OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC EXECUTIVE & SENIOR VICE-PRESIDENTS AND CEOS OF MHC SUBSIDIARY ORGANIZATIONS) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4958-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES ANNUALLY OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2018. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MCLAREN BAY MEDICAL FOUNDATION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN BAY REGION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 381976271 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| BAY REGIONAL MEDICAL CENTER AUXILIARY | |||||||||||
| 1908 COLUMBUS AVENUE | BAY CITY | MI | 48708 | 386081235 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN BAY SPECIAL CARE | |||||||||||
| 3250 E MIDLAND ROAD STE 1 | BAY CITY | MI | 48706 | 383161753 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN BAY REGION | Yes (1) | |
| MCLAREN CENTRAL MICHIGAN | |||||||||||
| 1221 SOUTH DRIVE | MT PLEASANT | MI | 48858 | 381420304 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE | |||||||||||
| 14676 WEST UPRIGHT | CHARLEVOIX | MI | 49720 | 383038683 | SKILLED NURSING FACILITY | MI | 501(C)(3) | LINE 10 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| KARMANOS CANCER FOUNDATION | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 383584572 | CANCER CARE CENTER | MI | 501(C)(3) | LINE 7 | BARBARA ANN KARMANOS CANCER INSTITUTE | Yes (1) | |
| MCLAREN GREATER LANSING FOUNDATION | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(C)(3) | LINE 7 | MCLAREN GREATER LANSING | Yes (1) | |
| MCLAREN GREATER LANSING | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 381434090 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| BARBARA ANN KARMANOS CANCER HOSPITAL | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 201649466 | HOSPITAL | MI | 501(C)(3) | LINE 3 | BARBARA ANN KARMANOS CANCER INSTITUTE | Yes (1) | |
| BARBARA ANN KARMANOS CANCER INSTITUTE | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 381613280 | CANCER RESEARCH & CARE CENTER | MI | 501(C)(3) | LINE 7 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN LAPEER REGION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN LAPEER REGION FOUNDATION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN LAPEER REGION | Yes (1) | |
| MCLAREN HEALTH CARE CORPORATION | |||||||||||
| ONE MCLAREN PARKWAY | GRAND BLANC | MI | 48439 | 382397643 | SUPPORTING ORG | MI | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MCLAREN HEALTH CARE VILLAGE FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 262693350 | SUPPORTING ORG | MI | 501(C)(3) | LINE 12A, I | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN HEALTH PLAN COMMUNITY | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 272204037 | INSURANCE | MI | 501(C)(4) | MCLAREN HEALTH PLAN | Yes (1) | ||
| MCLAREN HEALTH PLAN INC | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383252216 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN INTEGRTAED HMO GROUP | Yes (1) | ||
| MCLAREN HOSPICE & HOME CARE FOUNDATION | |||||||||||
| 1515 CAL DR | DAVISON | MI | 48423 | 463643089 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN HEALTH MANAGEMENT GROUP | Yes (1) | |
| MCLAREN MEDICAL GROUP | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382988086 | MANAGEMENT COMPANY | MI | 501(C)(3) | LINE 12A, I | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382146751 | ACUTE CARE HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN NORTHERN MICHIGAN FOUNDATION | |||||||||||
| 360 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 382445611 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN PORT HURON | |||||||||||
| 1221 PINE GROVE AVENUE | PORT HURON | MI | 48060 | 381369611 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MCLAREN FLINT | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| MICHIGAN CANCER SOCIETY | |||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48201 | 382823451 | CANCER RESEARCH | MI | 501(C)(3) | LINE 7 | BARBARA ANN KARMANOS CANCER INSTITUTE | Yes (1) | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(C)(3) | LINE 10 | MCLAREN MACOMB | Yes (1) | |
| MCLAREN MACOMB | |||||||||||
| 1000 HARRINGTON | MOUNT CLEMENS | MI | 48043 | 381218516 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| NORTH OAKLAND NORTH MACOMB IMAGING INC | |||||||||||
| 355 BARCLAY CIR STE A | ROCHESTER HILLS | MI | 48307 | 382807040 | MRI IMAGING | MI | 501(C)(3) | LINE 3 | MCLAREN OAKLAND | Yes (1) | |
| NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 320020293 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| NORTHERN MICHIGAN MEDICAL MANAGEMENT | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 208458840 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN OAKLAND FOUNDATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(C)(3) | LINE 12C, III-FI | MCLAREN OAKLAND | Yes (1) | |
| MCLAREN OAKLAND | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| PORT HURON HOSPITAL FOUNDATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48060 | 382777750 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN PORT HURON | Yes (1) | |
| REGIONAL EMERGENCY MEDICAL SERVICE INC | |||||||||||
| 25400 W 8 MILE ROAD | SOUTHFIELD | MI | 48034 | 383255499 | AMBULANCE SERVICE | MI | 501(C)(3) | LINE 10 | MCLAREN MEDICAL MANAGEMENT INC | Yes (1) | |
| THE CARDIAC INSTITUTE DBA MICHIGAN HEART & VASCULAR SPECIALISTS | |||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 262774689 | PHYSICIAN PRACTICE | MI | 501(C)(3) | LINE 3 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN HEALTH MANAGEMENT GROUP | |||||||||||
| 1515 CAL DRIVE | DAVISON | MI | 48423 | 383491714 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| VITALCARE INC | |||||||||||
| 761 LAFAYETTE AVENUE | CHEBOYGAN | MI | 49721 | 382527255 | HOSPICE CARE/HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | MCLAREN NORTHERN MICHIGAN | Yes (1) | |
| MCLAREN FLINT FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 381358053 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12A, I | MCLAREN FLINT | Yes (1) | |
| CARO COMMUNITY HOSPITAL | |||||||||||
| 410 N HOOPER ST | CARO | MI | 48723 | 383426063 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| CARO COMMUNITY HOSPITAL ENDOWMENT FOUNDATION | |||||||||||
| 410 N HOOPER ST | CARO | MI | 48724 | 382422995 | FOUNDATION | MI | 501(C)(3) | LINE 12C, III-FI | CARO COMMUNITY HOSPITAL | Yes (1) | |
| MDWISE INC | |||||||||||
| 1200 MADISON AVE STE 400 | INDIANAPOLIS | IN | 46225 | 351931354 | HEALTH MAINTENANCE ORGANIZATION | IN | 501(C)(4) | MCLAREN INTEGRTAED HMO GROUP | Yes (1) | ||
| MDWISE MEDICAID NETWORK INC | |||||||||||
| 1200 MADISON AVE STE 400 | INDIANAPOLIS | IN | 46225 | 473192307 | INSURANCE | IN | 501(C)(4) | MCLAREN INTEGRTAED HMO GROUP | Yes (1) | ||
| HURON MEMORIAL HOSPITAL | |||||||||||
| 1100 S VAN DYKE ROAD | BAD AXE | MI | 48413 | 381474929 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | Yes (1) | |
| HURON MEMORIAL HEALTHCARE CORP | |||||||||||
| 1100 S VAN DYKE ROAD | BAD AXE | MI | 48413 | 382717146 | SUPPORTING ORG | MI | 501(C)(3) | LINE 12B, II | HURON MEMORIAL HOSPITAL | Yes (1) | |
| HURON MEMORIAL FOUNDATION | |||||||||||
| 1100 S VAN DYKE ROAD | BAD AXE | MI | 48413 | 382717147 | FOUNDATION | MI | 501(C)(3) | LINE 7 | HURON MEMORIAL HOSPITAL | Yes (1) | |
| MCLAREN INTEGRATED HMO GROUP | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 824449304 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC | |||||||
| 39000 COUNTRY CLUB DRIVE | FARMINGTON HILLS | MI | 48331 | 263112935 | RENTAL REAL ESTATE | MI | N/A |
| MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS | |||||||
| 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 262524717 | BUILDING MANAGEMENT | MI | N/A |
| SOUTH VAN DYKE MEDICAL COMPLEX-A | |||||||
| 125 N HANSELMAN ST | BAD AXE | MI | 48413 | 383372174 | VARIOUS HEALTHCARE ACTIVITIES | MI | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLARKSTON PROPERTY ASSOCIATES | |||||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 432006072 | REAL ESTATE | MI | N/A | C | 0 | ||||
| DELPHINUS INVESTMENT INC | |||||||||||||
| 4100 JOHN R ST | DETROIT | MI | 48075 | 454758176 | HOLD PASSIVE INVESTMENT | MI | N/A | C | 0 | ||||
| HEALTH ADVANTAGE INC | |||||||||||||
| G3245 BEECHER ROAD | FLINT | MI | 48532 | 912141720 | INSURANCE | MI | N/A | C | 0 | ||||
| HOSPITAL HEALTH CARE INC | |||||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 382643070 | HEALTH CARE | MI | N/A | C | 0 | ||||
| MCLAREN INSURANCE COMPANY LTD | |||||||||||||
| INSURANCE | N/A | C | 0 | 10 MAIN ST | GRAND CAYMAN | CJ | CJ | ||||||
| MID-MICHIGAN PHYSICIANS PC | |||||||||||||
| 2510 KERRY STREET SUITE 200 | LANSING | MI | 48912 | 383267121 | PHYSICIAN PRACTICE | MI | N/A | C | 0 | ||||
| MCLAREN PHYSICIAN PARTNERS | |||||||||||||
| ONE MCLAREN PARKWAY | GRAND BLANC | MI | 48439 | 383136458 | MANAGED CARE | MI | N/A | C | 0 | ||||
| RAPIN & RAPIN INC DBA PRESCRIPTION SERVICES PHARMACY | |||||||||||||
| 416 CONNABLE AVENUE | PETOSKEY | MI | 49770 | 383465261 | RETAIL PHARMACY | MI | N/A | C | 0 | ||||
| VITALCARE HOME MEDICAL EQUIPMENT INC | |||||||||||||
| 761 LAFAYETTE AVENUE | CHEBOYGAN | MI | 49721 | 382662954 | SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT | MI | N/A | C | 0 | ||||
| HURON CLINIC CONDOMINIUMS OWNERS | |||||||||||||
| 125 N HANSELMAN ST | BAD AXE | MI | 48413 | 412144341 | VARIOUS HEALTHCARE ACTIVITIES | MI | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MCLAREN PORT HURON | ||
| M | $902,533 | ALLOCATION OF COST |
| MCLAREN PORT HURON | ||
| O | $54,253 | ALLOCATION OF COST |
| MCLAREN HEALTH CARE CORPORATION | ||
| Q | $198,310 | ALLOCATION OF COST |