Civic Intelligence

Tri-County Emergency Medical Control Authority

990 • Fiscal year 2019 • EIN 23-7293603

Jan 01, 2019 to Dec 31, 2019 • Filed on Jul 06, 2021

2127 University Park Drive No 370Okemos, MI 48864

(517) 699-2888

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

79th percentile

0.32x

Higher debt load relative to assets than 79% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

77th percentile

0.21x

Higher debt load relative to revenue than 77% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

34th percentile

-1.9%

Higher net margin than 34% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

75th percentile

$67,455

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 8.6% of source-year revenue.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2019

Assets

$523,266

No earlier filing loaded for comparison.

Net Assets

$354,905

No earlier filing loaded for comparison.

Liabilities

$168,361

No earlier filing loaded for comparison.

Revenue

$788,833

No earlier filing loaded for comparison.

Expenses

$803,456

No earlier filing loaded for comparison.

Net Income

-$14,623

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800K$600K$400K$200K$0Assets 2019: $523,266Liabilities 2019: $168,361Net Assets 2019: $354,9052019Assets 2020: $494,949Liabilities 2020: $118,663Net Assets 2020: $376,2862020Assets 2021: $453,586Liabilities 2021: $70,272Net Assets 2021: $383,3142021Assets 2022: $604,519Liabilities 2022: $240,788Net Assets 2022: $363,7312022Assets 2023: $574,248Liabilities 2023: $215,001Net Assets 2023: $359,2472023Assets 2024: $597,677Liabilities 2024: $191,698Net Assets 2024: $405,9792024

Highlighted filing

2019

Assets$523,266
Liabilities$168,361
Net Assets$354,905

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2019: $788,833Expenses 2019: $803,456Net Income 2019: -$14,6232019Revenue 2020: $814,059Expenses 2020: $792,678Net Income 2020: $21,3812020Revenue 2021: $1,117,309Expenses 2021: $1,110,281Net Income 2021: $7,0282021Revenue 2022: $692,212Expenses 2022: $711,795Net Income 2022: -$19,5832022Revenue 2023: $963,308Expenses 2023: $967,792Net Income 2023: -$4,4842023Revenue 2024: $799,131Expenses 2024: $752,399Net Income 2024: $46,7322024

Highlighted filing

2019

Revenue$788,833
Expenses$803,456
Net Income-$14,623
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Jul 6, 2021
Return Version
2019v5.2
Gross Receipts
$792,613
Mission and Program Overview

Mission

To support stakeholders and facilitate collaboration by providing leadership and medical direction of the ems system as prescribed under michigan law, p.a. 209, in clinton, eaton, and ingham counties.

Coordinate emergency medical services

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$213,702$216,370▲ $2,668
Cash and Non-Interest-Bearing Accounts$270,529$192,157▼ $78,372
Pledges and Grants Receivable$64,508$70,292▲ $5,784
Accounts Receivable-$38,863-
Land, Buildings, and Equipment, Net$2,598$3,217▲ $619
Prepaid Expenses and Deferred Charges$5,386$2,367▼ $3,019
Total Assets$556,723$523,266▼ $33,457
Liabilities
Deferred Revenue$185,894$163,517▼ $22,377
Accounts Payable and Accrued Expenses$1,301$4,844▲ $3,543
Total Liabilities$187,195$168,361▼ $18,834
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$369,528$354,905▼ $14,623
Total Net Assets Fund Balance$369,528$354,905▼ $14,623
Total Liabilities and Net Assets / Fund Balance$556,723$523,266▼ $33,457

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,217$3,102$6,319
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Robert Orr DoMedical DirectorPT$67,455$67,455

Board Members and Trustees

NameTitle
Angela AckleyChairperson From Dec
Kris AllenChairperson to Dec
Phil MillerVice Chairman
Bill PrieseAgency Director
Tim JamesAgency Director
Angela StornantHospital Director
Christine JodineHospital Director
Kevin BoggsHospital Director
John TrubaSecy/treas- Hosp Director
Phillip SchertzingConsumer Rep
Diane SimonEmergency Dept Manager
Allen VierlingSecy/treas From Dec

Highest Paid Contractors

ContractorServicesLocationCompensation
Dr EdwardsMedical Director2127 UNIVERSITY PARK DR STE 370, Okemos, MI 48864$115,892
Revenue and Support

Revenue Composition

Contributions and Grants
$784,160
Program Service Revenue
$0
Investment Income
$2,715
Other Revenue
$1,958
Change in Net Assets
$-14,623

Audited Revenue Reconciliation

Revenue per Audited Statements
$788,833
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$3,780
Total Revenue per Audited Statements
$792,613
Total Revenue per Form 990
$788,833
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$503,602
Salaries, Compensation, and Employee Benefits$299,854
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$181,755$17,976-$199,731
Fees for Services Other$115,892--$115,892
Current Officers, Directors, Trustees, and Key Employees$67,455--$67,455
Occupancy$49,397$4,187-$53,584
Fees for Services Accounting$27,003$6,510-$33,513
Office Expenses$15,732$1,556-$17,288
Payroll Taxes$15,083$1,492-$16,575
Other Employee Benefits$14,645$1,448-$16,093
Conferences and Meetings$15,496--$15,496
Other Expenses$10,061$995-$11,056
Travel$5,823--$5,823
Information Technology$5,165--$5,165
Insurance-$3,855-$3,855
Depreciation Depletion$693$156-$849
Total Functional Expenses$765,281$38,175$0$803,456

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$807,236
Expenses per Audited Statements$803,456
Total Expenses per Form 990$803,456
Expenses Not Reported on Form 990$3,780
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$3,780
Fundraising Gross Income$3,780
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Hospital corporations serve as corporate members.

Form 990, Part VI, Section A, Line 7A

Hospital corporations serve as corporate members and select the individuals who serve on the board of directors.

Form 990, Part VI, Section A, Line 7B

Reserved powers of the corporate members include removal of hospital directors, amendment of the articles of incorporation and bylaws, dissolution of the corporation, and appointment of a medical director.

Form 990, Part VI, Section B, Line 11B

Each board member receives a pdf copy of form 990.

Form 990, Part VI, Section B, Line 12C

Policy is provided to new board members; manager of operations monitors compliance on an ongoing basis.

Form 990, Part VI, Section B, Line 15

Line 15a compensation process for top official: the board annually reviews and approves compensation for the medical director and manager of operations. Compensation process for officers: see response to 15a.

Form 990, Part VI, Section C, Line 19

UPON REQUEST

Filing and Contact Details

Filer

Filer Name
Tri-county Emergency Medical Control
EIN
23-7293603
Phone
5176992888
Address
2127 UNIVERSITY PARK DRIVE NO 370, OKEMOS, MI 48864

Signing Officer

Name
Angela Ackley
Title
Chairperson
Phone
5176992888
Signed
2021-07-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Angela Ackley
Formed
1970
Legal Domicile
Mi
Voting Board Members
12
Independent Board Members
11
Employees
8
Volunteers
12

Preparer

Firm
Maner Costerisan Pc
Address
2425 E GRAND RIVER SUITE 1, LANSING, MI 48912-3291
Preparer
Amber Rathbun CPA
Phone
5173237500
Supplemental Narrative

Additional Explanations

Page 1, Item B. Amended Return Explanation

This return is being amended to update for changes due to a 2019 financial statements audit being completed after the original 2019 form 990 was filed. The following sections were updated as a result: page 1, item c. Name of organization was updated to match actual per governing documents and irs master file. Page 1, item j. Website address was added. Page 1, item l. Year of formation was updated to state of michigan incorporation date. Part i lines 3, 4, and 6 and part vi lines 1a and 1b were updated to match part vii. Part iii, line 1 organization's mission description was expanded. Part iii, line 4a and 4b expenses, revenue, and ordering were updated. Part vi, section a. Questions 6, 7a, and 7b were updated to yes with explanations per the organization's bylaws. Part vi, section b. Question 14 was updated to yes. Part vi, section c. Question 20, care of books name was updated. Part vii section a. Board listing order was updated. Part vii section b. Compensation amount was updated. Part viii, ix, x, xi, and xii and related schedules were updated with financial information from 2019 audited financial statements.

Form 990, Part IX, Line 11G

Medical director: program service expenses 115,892. Management and general expenses 0. Fundraising expenses 0. Total expenses 115,892.

Financial Statement Notes

PART X, LINE 2:

In the preparation of tax returns, tax positions are taken based on interpretation of federal, state, and local income tax laws. Management periodically reviews and evaluates the status of uncertain tax positions and makes estimates of amounts, including interest and penalties, ultimately due or owed. No amounts have been identified, or recorded, as uncertain tax positions. Federal, state, and local tax returns generally remain open for examination by the various taxing authorities for a period of three to four years.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Fundraising event direct expenses 3,780.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Fundraising event direct expenses 3,780.

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IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0354905
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt04187
IRS990/OccupancyGrp/ProgramServicesAmt049397
IRS990/OccupancyGrp/TotalAmt053584
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt01556
IRS990/OfficeExpensesGrp/ProgramServicesAmt015732
IRS990/OfficeExpensesGrp/TotalAmt017288
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt01448
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt014645
IRS990/OtherEmployeeBenefitsGrp/TotalAmt016093
IRS990/OtherExpensesGrp/Desc0IMPLEMENTATION PROJECTS
IRS990/OtherExpensesGrp/Desc1MISCELLANEOUS
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0995
IRS990/OtherExpensesGrp/ProgramServicesAmt0241081
IRS990/OtherExpensesGrp/ProgramServicesAmt110061
IRS990/OtherExpensesGrp/TotalAmt0241081
IRS990/OtherExpensesGrp/TotalAmt111056
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt01958
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01958
IRS990/OtherRevenueTotalAmt01958
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt017976
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0181755
IRS990/OtherSalariesAndWagesGrp/TotalAmt0199731
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt01492
IRS990/PayrollTaxesGrp/ProgramServicesAmt015083
IRS990/PayrollTaxesGrp/TotalAmt016575
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt064508
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt070292
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt05386
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt02367
IRS990/PrincipalOfficerNm0ANGELA ACKLEY
IRS990/ProfessionalFundraisingInd00
IRS990/ProgSrvcAccomActy2Grp/Desc0COORDINATE & ASSESS QUALITY OF TRI-COUNTY EMERGENCY MEDICAL SERVICES. INCLUDES TRAINING FOR EMS PERSONNEL, WORKING WITH AGENCIES TO IMPROVE SYSTEM & ENSURING MEDICAL DIRECTION FOR EMT'S, PARAMEDICS, & SPECIALISTS.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0242636
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt01958
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0200273
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt01848
IRS990/PYOtherExpensesAmt0730179
IRS990/PYOtherRevenueAmt048793
IRS990/PYProgramServiceRevenueAmt0791163
IRS990/PYRevenuesLessExpensesAmt017877
IRS990/PYSalariesCompEmpBnftPaidAmt0294021
IRS990/PYTotalExpensesAmt01024200
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01042077
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-14623
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0213702
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0216370
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0784160
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0200273
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0196276
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0197836
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0195980
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01574525
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt02715
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt01848
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt01259
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt01159
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0236
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt07217
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0839956
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0705023
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0455427
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0603838
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt02604244
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt02715
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt01848
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt01259
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt01159
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0236
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt07217
IRS990ScheduleA/InvestmentIncomeCYPct00.00170
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt05738
IRS990ScheduleA/OtherIncome509Grp/TotalAmt05738
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99690
IRS990ScheduleA/PublicSupportPY509Pct00.99890
IRS990ScheduleA/PublicSupportTotal509Amt04178769
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0784160
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt01040229
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0901299
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0653263
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0799818
IRS990ScheduleA/Total509Grp/TotalAmt04178769
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0792613
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt01042077
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0902558
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0654422
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0800054
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt04191724
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/EquipmentGrp/BookValueAmt03217
IRS990ScheduleD/EquipmentGrp/DepreciationAmt03102
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt06319
IRS990ScheduleD/ExpensesNotReportedAmt03780
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0803456
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherExpensesIncludedAmt03780
IRS990ScheduleD/OtherRevenueAmt03780
IRS990ScheduleD/RevenueNotReportedAmt03780
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0788833
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE, AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE, AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1FUNDRAISING EVENT DIRECT EXPENSES 3,780.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2FUNDRAISING EVENT DIRECT EXPENSES 3,780.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03217
IRS990ScheduleD/TotalExpensesPerForm990Amt0803456
IRS990ScheduleD/TotalRevenuePerForm990Amt0788833
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0792613
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0807236
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THIS RETURN IS BEING AMENDED TO UPDATE FOR CHANGES DUE TO A 2019 FINANCIAL STATEMENTS AUDIT BEING COMPLETED AFTER THE ORIGINAL 2019 FORM 990 WAS FILED. THE FOLLOWING SECTIONS WERE UPDATED AS A RESULT: PAGE 1, ITEM C. NAME OF ORGANIZATION WAS UPDATED TO MATCH ACTUAL PER GOVERNING DOCUMENTS AND IRS MASTER FILE. PAGE 1, ITEM J. WEBSITE ADDRESS WAS ADDED. PAGE 1, ITEM L. YEAR OF FORMATION WAS UPDATED TO STATE OF MICHIGAN INCORPORATION DATE. PART I LINES 3, 4, AND 6 AND PART VI LINES 1A AND 1B WERE UPDATED TO MATCH PART VII. PART III, LINE 1 ORGANIZATION'S MISSION DESCRIPTION WAS EXPANDED. PART III, LINE 4A AND 4B EXPENSES, REVENUE, AND ORDERING WERE UPDATED. PART VI, SECTION A. QUESTIONS 6, 7A, AND 7B WERE UPDATED TO YES WITH EXPLANATIONS PER THE ORGANIZATION'S BYLAWS. PART VI, SECTION B. QUESTION 14 WAS UPDATED TO YES. PART VI, SECTION C. QUESTION 20, CARE OF BOOKS NAME WAS UPDATED. PART VII SECTION A. BOARD LISTING ORDER WAS UPDATED. PART VII SECTION B. COMPENSATION AMOUNT WAS UPDATED. PART VIII, IX, X, XI, AND XII AND RELATED SCHEDULES WERE UPDATED WITH FINANCIAL INFORMATION FROM 2019 AUDITED FINANCIAL STATEMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1HOSPITAL CORPORATIONS SERVE AS CORPORATE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2HOSPITAL CORPORATIONS SERVE AS CORPORATE MEMBERS AND SELECT THE INDIVIDUALS WHO SERVE ON THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3RESERVED POWERS OF THE CORPORATE MEMBERS INCLUDE REMOVAL OF HOSPITAL DIRECTORS, AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, AND APPOINTMENT OF A MEDICAL DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EACH BOARD MEMBER RECEIVES A PDF COPY OF FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5POLICY IS PROVIDED TO NEW BOARD MEMBERS; MANAGER OF OPERATIONS MONITORS COMPLIANCE ON AN ONGOING BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL: THE BOARD ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR THE MEDICAL DIRECTOR AND MANAGER OF OPERATIONS. COMPENSATION PROCESS FOR OFFICERS: SEE RESPONSE TO 15A.

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