Midmichigan Urgent Care

“Part 1, lines 3 & 4 and part vi, section a, line 1 - those members who are not independent are employees of the organization or a related organization listed in schedule r and are compensated at market value for the services provided to that organization. Section a, line 1 - the following officers and directors have business relationships through a for-profit entity due to the small size and limited resources of our community: james bicknell and dan kozakiewicz”

“The sole member of the corporation is midmichigan health.”

“The board of directors of midmichigan health, the organization's sole corporate member, elects the members of the organization's governing body.”

“The following rights and responsibilities are reserved to the sole member: a) approve any change in the purposes of the corporation; b) approve changes in the corporation's articles of incorporation or bylaws; c) approve plans of merger, consolidation, or dissolution of the corporation or the creation by the corporation of any controlled corporation or entity; d) approve any proposed sale, transfer, lease, pledge, or encumbrance of all or substantially all of the assets of the corporation, or the proposed sale, transfer, lease, pledge , or encumbrance of any asset or assets of the corporation other than in the ordinary course of business; e) approve the corporation's budget and any capital expenditures of the corporation in excess of any amount designated from time to time by the sole member; f) approve the guarantee by the corporation of the debt of others; g) approve the incurrence by the corporation of any debt or lease obligation in an amount in excess of an amount designated from time to time by the sole member.”

“The form 990 information is prepared by the finance staff at midmichigan health, the sole member of this organization. The information is submitted for review by a senior finance staff member at midmichigan health. The staff member in consultation with our tax accountant (a certified public accounting firm) requests additional information and obtains clarification. Once the initial review is complete, the information is submitted to our tax professionals at andrews hooper pavlik plc. Upon review by their professionals, including a partner, information is returned to midmichigan health for its final review. This review includes a review by the svp and treasurer. All compensation disclosures are reviewed with the midmichigan health ceo prior to filing. Prior to filing: the form 990 part vii and schedule j compensation information is reviewed by the compensation committee prior to filing. Form 990, including all schedules, is made available to this organization's board of directors in a secure electronic format with a summary of all the major changes from the prior year return. Questions or concerns are addressed by the svp and treasurer. The questions or concerns of these reviews are presented to the midmichigan health board of directors and this organization's board of directors, if any are identified.”

“The organization requires each director, officer, key employee, and member of a committee of the board annually: 1) to review the organization's conflict of interest policy (the "policy"); 2) to disclose any possible personal, familial, or business relationship that reasonably could give rise to a conflict of interest or the appearance of a conflict of interest; 3) and to acknowledge by his or her signature that he or she is acting in accordance with the letter and spirit of the policy. The completed forms are reviewed by the midmichigan health secretary and filed for reference as needed. Voting board members with conflicts on specific issues are asked to leave the meeting during discussions and abstain from voting on any issue in which they are not independent.”

“All ceos and operating officers compensation is annually approved by an independent compensation committee of midmichigan health and the compensation is then reviewed by the organization's board of directors (or subcommittee thereof). For detailed information on compensation, please see schedule j.”

“All officer and key employee compensation is reviewed annually by the compensation committee for adherence to corporate policies. For detailed information on compensation, please see schedule j.”

“All documents are available upon request.”

“No directors receive pay for the purpose of serving on the board. They are considered to work an average of 2 hours a week on board-related matters. All individuals with reportable compensation are paid by either the reporting organization or a related organization for services related to a full-time position. Those persons are estimated to work an average of 50 hours a week related to their full-time position. Officers paid by a related organization are employees of midmichigan health, the sole member of the corporation. Midmichigan health provides managerial assistance to its various subsidiaries and hours of services is not tracked by affiliate. Therefore the full time service to all affiliates of 50 hours per week is listed for those officers.”

“All lines left blank are not applicable to the organization”

“Business ceased in december 2013 and all assets were transferred to midmichigan physicians group in january 2014.”

“Association dues & other fees 231,777 0 0 purchased/contract services 101,612 0 0”

“Line 1 - at the beginning of the year, midmichigan urgent care was part of a pooled account that had positive cash at june 30,2013.”

“Distributions from midmichigan health 90,197 net asset transfers to affiliates 681,398”