Civic Intelligence

Hospice of Little Traverse Bay

EIN 38-2425019 • 501(c)3

1 Hiland Drive49770

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2011

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2011

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2011

No value available

No filing with officer or executive compensation is available for this organization yet.

No value available

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

Source year 2011

No value available

No valid filing value is available for this score.

Balance Sheet

Liabilities / AssetsScore unavailable

Assets

$0

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Net Assets

$0

No earlier filing loaded for comparison.

Operations

Liabilities / RevenueScore unavailable Net MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

$174,731

No earlier filing loaded for comparison.

Net Income

-

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset GrowthScore unavailable

Grouped bars show assets, liabilities, and net assets across loaded filings.

Highlighted filing

2011

Assets$0

Liabilities$0

Net Assets$0

Open 2011 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income by year, with the latest filing highlighted.

Highlighted filing

2011

Revenue-

Expenses$174,731

Net Income-

Open 2011 Filing

Filings

Most recent year

2011 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Assets: $0
Liabilities: $0
Net assets: $0
Revenue: -
Expenses: $174,731
Net income: -

	Balance Sheet			Operations
Year	Assets	Liabilities	Net Assets	Revenue	Expenses	Net Income
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.	$0.00	$0.00	$0.00		$1.75

Latest Filing Detail

Jump To

Filing Snapshot

Filing Period: Jan 1, 2011 to Dec 31, 2011
Signed: Nov 15, 2012
Return Version: 2011v1.2
Gross Receipts: $1,046,638

Filing and Contact Details

Filer

EIN: 38-2425019

Raw XML AppendixShowing 400 of 693 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path	#	Value
IRS990/AccountantCompileOrReview	0	0
IRS990/AccountsPayableAccruedExpenses/BOY	0	234286
IRS990/AccountsReceivable/BOY	0	718115
IRS990/AccountsReceivable/EOY	0	0
IRS990/ActivitiesConductedPartnership	0	0
IRS990/ActivityOrMissionDescription	0	TO PROVIDE COMFORT, SUPPORT, AND END-OF-LIFE CARE AS WE WOULD FOR OUR OWN LOVED ONES.
IRS990/AddressPrincipalOfficerUS/AddressLine1	0	416 CONNABLE AVENUE
IRS990/AddressPrincipalOfficerUS/City	0	PETOSKEY
IRS990/AddressPrincipalOfficerUS/State	0	MI
IRS990/AddressPrincipalOfficerUS/ZIPCode	0	49770
IRS990/Advertising/ProgramServices	0	-161
IRS990/Advertising/Total	0	-161
IRS990/AnnualDisclosureCoveredPersons	0	1
IRS990/AuditCommittee	0	1
IRS990/BenefitsPaidToMembersCY	0	0
IRS990/BenefitsPaidToMembersPriorYear	0	0
IRS990/BsnssRltnshpThruFamilyMember	0	0
IRS990/BsnssRltnshpWithOrganization	0	0
IRS990/CashNonInterestBearing/EOY	0	0
IRS990/ChangesToOrganizingDocs	0	0
IRS990/CollectionsOfArt	0	0
IRS990/CompensationFromOtherSources	0	0
IRS990/CompensationProcessCEO	0	1
IRS990/CompensationProcessOther	0	1
IRS990/ComplianceWithBackupWitholding	0	1
IRS990/ConferencesMeetings/ManagementAndGeneral	0	875
IRS990/ConferencesMeetings/Total	0	875
IRS990/ConflictOfInterestPolicy	0	1
IRS990/ConservationEasements	0	0
IRS990/ConsolidatedAuditFinancialStmt	0	1
IRS990/ContributionsGrantsCurrentYear	0	0
IRS990/ContributionsGrantsPriorYear	0	943666
IRS990/CreditCounseling	0	0
IRS990/DecisionsSubjectToApproval	0	1
IRS990/DeductibleContributionsOfArt	0	0
IRS990/DeductibleNonCashContributions	0	0
IRS990/DelegationOfManagementDuties	0	0
IRS990/DepreciationDepletion/ManagementAndGeneral	0	48227
IRS990/DepreciationDepletion/ProgramServices	0	52968
IRS990/DepreciationDepletion/Total	0	101195
IRS990/DescribedIn501C3	0	1
IRS990/Description	0	DISCONTINUATION OF HOSPICE OF LITTLE TRAVERSE BAY.
IRS990/DisregardedEntity	0	0
IRS990/DocumentRetentionPolicy	0	1
IRS990/DonorAdvisedFunds	0	0
IRS990/ElectionOfBoardMembers	0	1
IRS990/ExcessBenefitTransaction	0	0
IRS990/Expense	0	132013
IRS990/FamilyOrBusinessRelationship	0	0
IRS990/FederalGrantAuditRequired	0	0
IRS990/FeesForServicesAccounting/ManagementAndGeneral	0	-11480
IRS990/FeesForServicesAccounting/Total	0	-11480
IRS990/FeesForServicesOther/ManagementAndGeneral	0	305
IRS990/FeesForServicesOther/ProgramServices	0	921
IRS990/FeesForServicesOther/Total	0	1226
IRS990/FinancialStatementConsolidated	0	X
IRS990/FollowSFAS117	0	X
IRS990/ForeignActivities	0	0
IRS990/ForeignFinancialAccount	0	0
IRS990/ForeignOffice	0	0
IRS990/Form8282PropertyDisposedOf	0	0
IRS990/Form990PartVIISectionA/AverageHoursPerWeek	0	2.80
IRS990/Form990PartVIISectionA/AverageHoursPerWeek	1	2.80
IRS990/Form990PartVIISectionA/AverageHoursPerWeek	2	2.80
IRS990/Form990PartVIISectionA/AverageHoursPerWeek	3	2.80
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector	0	X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector	1	X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector	2	X
IRS990/Form990PartVIISectionA/NamePerson	0	CATHERINE DEVET
IRS990/Form990PartVIISectionA/NamePerson	1	MARY-ANNE PONTI
IRS990/Form990PartVIISectionA/NamePerson	2	STEPHEN SCANNELL
IRS990/Form990PartVIISectionA/NamePerson	3	EUGENE KAMINSKI
IRS990/Form990PartVIISectionA/Officer	0	X
IRS990/Form990PartVIISectionA/Officer	1	X
IRS990/Form990PartVIISectionA/Officer	2	X
IRS990/Form990PartVIISectionA/Officer	3	X
IRS990/Form990PartVIISectionA/OtherCompensation	0	55223
IRS990/Form990PartVIISectionA/OtherCompensation	1	34317
IRS990/Form990PartVIISectionA/OtherCompensation	2	45274
IRS990/Form990PartVIISectionA/OtherCompensation	3	39211
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization	0	0
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization	1	0
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization	2	0
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization	3	0
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs	0	486688
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs	1	231732
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs	2	263995
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs	3	186927
IRS990/Form990PartVIISectionA/Title	0	PRESIDENT/CEO
IRS990/Form990PartVIISectionA/Title	1	SECRETARY & COO
IRS990/Form990PartVIISectionA/Title	2	TREASURER & VP OF FINANCE/CFO
IRS990/Form990PartVIISectionA/Title	3	VP OF HUMAN RESOURCES
IRS990/Form990ProvidedToGoverningBody	0	1
IRS990/FormersListed	0	0
IRS990/FSAudited	0	1
IRS990/FundraisingActivities	0	0
IRS990/FundsToPayPremiums	0	0
IRS990/GainOrLoss/Securities	0	7730
IRS990/Gaming	0	0
IRS990/GrantsAndSimilarAmntsCY	0	0
IRS990/GrantsAndSimilarAmntsPriorYear	0	0
IRS990/GrantsToIndividuals	0	0
IRS990/GrantsToOrganizations	0	0
IRS990/GrantToRelatedPerson	0	0
IRS990/GrossAmountSalesAssets/Securities	0	1030306
IRS990/GrossReceipts	0	1046638
IRS990/GroupReturnForAffiliates	0	0
IRS990/Hospital	0	0
IRS990/IndependentAuditFinancialStmt	0	0
IRS990/IndoorTanningServices	0	0
IRS990/InfoInScheduleOPartVI	0	X
IRS990/InfoInScheduleOPartVII	0	X
IRS990/InfoInScheduleOPartXI	0	X
IRS990/InfoInScheduleOPartXII	0	X
IRS990/IntangibleAssets/EOY	0	0
IRS990/InventoriesForSaleOrUse/EOY	0	0
IRS990/InvestmentIncomeCurrentYear	0	70867
IRS990/InvestmentIncome/ExclusionAmount	0	63137
IRS990/InvestmentIncomePriorYear	0	37467
IRS990/InvestmentIncome/TotalRevenueColumn	0	63137
IRS990/InvestmentInJointVenture	0	0
IRS990/InvestmentsOtherSecurities/BOY	0	17051
IRS990/InvestmentsOtherSecurities/EOY	0	0
IRS990/InvestmentsProgramRelated/EOY	0	0
IRS990/InvestmentsPubTradedSecurities/BOY	0	2246374
IRS990/InvestmentsPubTradedSecurities/EOY	0	0
IRS990/LandBuildingsEquipmentBasis	0	0
IRS990/LandBuildingsEquipmentBasisNet/BOY	0	3803864
IRS990/LandBuildingsEquipmentBasisNet/EOY	0	0
IRS990/LessCostOthBasisSalesExpenses/Securities	0	1022576
IRS990/LoanToOfficerOrDQP	0	0
IRS990/LobbyingActivities	0	0
IRS990/LocalChapters	0	0
IRS990/MaterialDiversionOrMisuse	0	0
IRS990/MembersOrStockholders	0	1
IRS990/MethodOfAccountingAccrual	0	X
IRS990/MinutesOfCommittees	0	1
IRS990/MinutesOfGoverningBody	0	1
IRS990/MissionDescription	0	TO PROVIDE COMFORT, SUPPORT, AND END-OF-LIFE CARE AS WE WOULD FOR OUR OWN LOVED ONES.
IRS990/MoreThan5000KToIndividuals	0	0
IRS990/MoreThan5000KToOrganizations	0	0
IRS990/NameOfPrincipalOfficerPerson	0	CATHERINE DEVET
IRS990/NbrIndependentVotingMembers	0	0
IRS990/NbrVotingGoverningBodyMembers	0	3
IRS990/NbrVotingMembersGoverningBody	0	3
IRS990/NetAssetsOrFundBalancesBOY	0	7066253
IRS990/NetAssetsOrFundBalancesEOY	0	0
IRS990/NetGainOrLossInvestments/ExclusionAmount	0	7730
IRS990/NetGainOrLossInvestments/TotalRevenueColumn	0	7730
IRS990/NetUnrelatedBusinessTxblIncome	0	0
IRS990/NonDeductibleContributions	0	0
IRS990/NumberFormsTransmittedWith1096	0	5
IRS990/NumberIndependentVotingMembers	0	0
IRS990/NumberIndividualsGT100K	0	0
IRS990/NumberOfContractorsGT100K	0	0
IRS990/NumberOfEmployees	0	0
IRS990/NumberW2GIncluded	0	0
IRS990/OfficeExpenses/ManagementAndGeneral	0	4528
IRS990/OfficeExpenses/ProgramServices	0	-2323
IRS990/OfficeExpenses/Total	0	2205
IRS990/OfficerEntityWithBsnssRltnshp	0	0
IRS990/OfficerMailingAddress	0	0
IRS990/Organization501c3	0	X
IRS990/OtherAssetsTotal/BOY	0	14073
IRS990/OtherAssetsTotal/EOY	0	0
IRS990/OtherExpensePriorYear	0	1218349
IRS990/OtherExpensesCurrentYear	0	170924
IRS990/OtherExpenses/Description	0	BAD DEBT EXPENSE
IRS990/OtherExpenses/Description	1	HR RETENTION
IRS990/OtherExpenses/Description	2	LICENSE FEES/DUES
IRS990/OtherExpenses/Description	3	MEDICAL SUPPLIES & DRUG
IRS990/OtherExpenses/Fundraising	0	250
IRS990/OtherExpenses/ManagementAndGeneral	0	320
IRS990/OtherExpenses/ManagementAndGeneral	1	155
IRS990/OtherExpenses/ProgramServices	0	76368
IRS990/OtherExpenses/ProgramServices	1	-30
IRS990/OtherExpenses/Total	0	76618
IRS990/OtherExpenses/Total	1	320
IRS990/OtherExpenses/Total	2	155
IRS990/OtherExpenses/Total	3	-30
IRS990/OtherNotesLoansReceivableNet/EOY	0	0
IRS990/OtherRevenueCurrentYear	0	0
IRS990/OtherRevenuePriorYear	0	10500
IRS990/OtherSalariesAndWages/ManagementAndGeneral	0	-462
IRS990/OtherSalariesAndWages/ProgramServices	0	4269
IRS990/OtherSalariesAndWages/Total	0	3807
IRS990/PartialLiquidation	0	0
IRS990/PledgesAndGrantsReceivable/BOY	0	501062
IRS990/PledgesAndGrantsReceivable/EOY	0	0
IRS990/PoliticalActivities	0	0
IRS990/PremiumsPaid	0	0
IRS990/PrepaidExpensesDeferredCharges/EOY	0	0
IRS990/PriorExcessBenefitTransaction	0	0
IRS990/ProfessionalFundraising	0	0
IRS990/ProgramServiceRevenue/BusinessCode	0	623110
IRS990/ProgramServiceRevenueCY	0	-46805
IRS990/ProgramServiceRevenue/Description	0	PATIENT SERVICES
IRS990/ProgramServiceRevenuePriorYear	0	2418709
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome	0	-46805
IRS990/ProgramServiceRevenue/TotalRevenueColumn	0	-46805
IRS990/ProhibitedTaxShelterTrans	0	0
IRS990/QuidProQuoContributions	0	0
IRS990/ReceivablesFromDisqualPersons/EOY	0	0
IRS990/ReceivablesFromOfficersEtc/EOY	0	0
IRS990/ReconcilationOtherChanges	0	-6915584
IRS990/ReconcilationRevenueExpenses	0	-150669
IRS990/RegularMonitoringEnforcement	0	1
IRS990/RelatedEntity	0	1
IRS990/RelatedOrgControlledEntity	0	1
IRS990/ReportFin48Footnote	0	0
IRS990/ReportInvestOthSecurities	0	0
IRS990/ReportLandBldgEquip	0	0
IRS990/ReportOtherAssets	0	0
IRS990/ReportOtherLiabilities	0	0
IRS990/ReportProgRelInvest	0	0
IRS990/Revenue	0	-46805
IRS990/RevenuesLessExpensesCY	0	-150669
IRS990/RevenuesLessExpensesPriorYear	0	529586
IRS990/SalariesEtcCurrentYear	0	3807
IRS990/SalariesEtcPriorYear	0	1662407
IRS990/SavingsAndTempCashInvestments/EOY	0	0
IRS990ScheduleA/AmountsSubstContributorsTotal	0	559392
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus1Year	0	954166
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus2Years	0	556491
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus3Years	0	683056
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus4Years	0	479341
IRS990ScheduleA/GiftsGrantsContribReceived170/Total	0	2673054
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYear	0	63137
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus1Year	0	38269
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus2Years	0	33494
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus3Years	0	71482
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus4Years	0	218730
IRS990ScheduleA/GrossInvestmentIncome170/Total	0	425112
IRS990ScheduleA/GrossReceiptsFromAdmissionsEtc	0	8392079
IRS990ScheduleA/PubliclySupportedOrg170b1Avi	0	X
IRS990ScheduleA/PublicSupportPertcentage170	0	0.68220
IRS990ScheduleA/PublicSupportPertcentPriorYear	0	0.73720
IRS990ScheduleA/PublicSupportTotal170	0	2113662
IRS990ScheduleA/ThirtyThreePercntTestsCY170	0	X
IRS990ScheduleA/Total170/CurrentTaxYearMinus1Year	0	954166
IRS990ScheduleA/Total170/CurrentTaxYearMinus2Years	0	556491
IRS990ScheduleA/Total170/CurrentTaxYearMinus3Years	0	683056
IRS990ScheduleA/Total170/CurrentTaxYearMinus4Years	0	479341
IRS990ScheduleA/Total170/Total	0	2673054
IRS990ScheduleA/TotalSupport	0	3098166
IRS990/ScheduleBRequired	0	0
IRS990ScheduleD/BoardDesignatedEOYBalance	0	0.00000
IRS990ScheduleD/CurrentYear/BeginningOfYearBalance	0	533194
IRS990ScheduleD/CurrentYearMinus1Year/BeginningOfYearBalance	0	527457
IRS990ScheduleD/CurrentYearMinus1Year/EndOfYearBalance	0	533194
IRS990ScheduleD/CurrentYearMinus1Year/InvestmentEarningsOrLosses	0	5738
IRS990ScheduleD/CurrentYearMinus2Years/BeginningOfYearBalance	0	551228
IRS990ScheduleD/CurrentYearMinus2Years/EndOfYearBalance	0	527457
IRS990ScheduleD/CurrentYearMinus2Years/InvestmentEarningsOrLosses	0	41558
IRS990ScheduleD/CurrentYearMinus2Years/OtherExpenditures	0	-65329
IRS990ScheduleD/CurrentYearMinus3Years/BeginningOfYearBalance	0	1461188
IRS990ScheduleD/CurrentYearMinus3Years/EndOfYearBalance	0	551228
IRS990ScheduleD/CurrentYearMinus3Years/InvestmentEarningsOrLosses	0	-161496
IRS990ScheduleD/CurrentYearMinus3Years/OtherExpenditures	0	-748464
IRS990ScheduleD/CurrentYear/OtherExpenditures	0	-533194
IRS990ScheduleD/EndowmentsHeldByRelatedOrgs	0	0
IRS990ScheduleD/EndowmentsHeldByUnrelatedOrgs	0	0
IRS990ScheduleD/PermanentEndowmentEOYBalance	0	0.00000
IRS990ScheduleD/TermEndowmentEOYBalance	0	0.00000
IRS990ScheduleD/TotalOfBookValueLandBuildings	0	0
IRS990ScheduleJ/AnyNonFixedPayments	0	0
IRS990ScheduleJ/CompBasedNetEarningsFilingOrg	0	0
IRS990ScheduleJ/CompBasedNetEarningsRelateOrgs	0	0
IRS990ScheduleJ/CompBasedOnRevenueOfFilingOrg	0	0
IRS990ScheduleJ/CompBasedOnRevenueRelatedOrgs	0	0
IRS990ScheduleJ/EquityBasedCompArrangement	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs	0	90050
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs	2	5000
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs	3	100
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs	0	327018
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs	1	214236
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs	2	241305
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs	3	167489
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs	0	48852
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs	1	27233
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs	2	24663
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs	3	25213
IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation	0	THE CEO/EXECUTIVE DIRECTOR IS COMPENSATED BY NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM, A RELATED ORGANIZATION. THEY UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT AND BOARD APPROVAL TO ESTABLISH COMPENSATION.
IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation	1	SIX INDIVIDUALS PARTICIPATE IN A NONQUALIFIED 457(F) RETIREMENT PLAN, OF WHICH INCLUDE CATHERINE DEVET, EUGENE KAMINSKI, STEPHEN SCANNELL, ROBERT DEAN, JR., MARY-ANNE PONTI, AND CAROLINE SEAGREN. CATHERINE DEVET RECEIVED A PAYMENT OF $50,918 FROM THE NONQUALIFIED 457(F) RETIREMENT PLAN IN 2011.
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference	0	PART I, LINE 3
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference	1	PART I, LINE 4B
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson	0	CATHERINE DEVET
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson	1	MARY-ANNE PONTI
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson	2	STEPHEN SCANNELL
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson	3	EUGENE KAMINSKI
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs	0	6371
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs	1	7084
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs	2	20611
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs	3	13998
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs	0	69620
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs	1	17496
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs	2	17690
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs	3	19338
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationFilingOrg	0	0
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationFilingOrg	1	0
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationFilingOrg	2	0
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationFilingOrg	3	0
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs	0	541911
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs	1	266049
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs	2	309269
IRS990ScheduleJ/Form990ScheduleJPartII/TotalCompensationRelatedOrgs	3	226138
IRS990ScheduleJ/InitialContractException	0	0
IRS990/ScheduleJRequired	0	1
IRS990ScheduleJ/SeverancePayment	0	0
IRS990ScheduleJ/SupplementalNonqualRetirePlan	0	1
IRS990ScheduleN/AGNotified	0	0
IRS990ScheduleN/AssetsDistributed	0	1
IRS990ScheduleN/BondLiabilitiesDischarged	0	0
IRS990ScheduleN/BondsOutstanding	0	0
IRS990ScheduleN/DirectorOfSuccessor	0	1
IRS990ScheduleN/EmployeeOfSuccessor	0	1
IRS990ScheduleN/Form990ScheduleNPartIII/Explanation	0	PART I, LINE 2E: CATHERINE DEVET, MARY-ANNE PONTI, STEPHEN SCANNELL AND EUGENE KAMINSKI.
IRS990ScheduleN/Form990ScheduleNPartIII/Explanation	1	PART I, LINE 2E: THE INDIVIDIUALS LISTED ARE ALSO BOARD MEMBERS AND/OR KEY EMPLOYEES WITH NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM - THE RELATED ORGANIZATION OF WHICH THE ASSETS WERE TRANSFERRED TO.
IRS990ScheduleN/Form990ScheduleNPartIII/Explanation	2	PART I, LINE 7C: QUESTION 6B: NOT APPLICABLE - THE ORGANIZATION DID NOT HAVE ANY TAX-EXEMPT BOND LIABILITIES.
IRS990ScheduleN/Form990ScheduleNPartIII/Explanation	3	THE ORGANIZATION IS NO LONGER ACTIVE AND HAS TRANSFERRED ALL OF ITS ASSETS TO EXEMPT RELATED ORGANIZATIONS. THE CORPORATION HAS NOT YET BEEN OFFICIALLY DISSOLVED.
IRS990ScheduleN/Form990ScheduleNPartIII/Identifier	0	PART I, LINE 4B:
IRS990ScheduleN/LiabilitiesPaid	0	1
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1	0	360 CONNABLE AVENUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1	1	761 LAFAYETTE AVENUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1	2	761 LAFAYETTE AVENUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1	3	761 LAFAYETTE AVENUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City	0	PETOSKEY
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City	1	CHEBOYGAN
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City	2	CHEBOYGAN
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City	3	CHEBOYGAN
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State	0	MI
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State	1	MI
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State	2	MI
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State	3	MI
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/ZIPCode	0	49770
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/ZIPCode	1	49721
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/ZIPCode	2	49721
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/ZIPCode	3	49721
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution	0	2011-12-31
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution	1	2011-12-31
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution	2	2011-12-31
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution	3	2011-12-31
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset	0	CASH & INVESTMENTS
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset	1	LAND, BUILDING AND EQUIPMENT
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset	2	ACCOUNTS RECEIVABLE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset	3	CASH
IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN	0	382445611
IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN	1	382445613
IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN	2	382445613
IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN	3	382445613
IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset	0	2253215
IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset	1	3400250
IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset	2	21047
IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset	3	100
IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection	0	501(C)(3)
IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection	1	501(C)(3)
IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection	2	501(C)(3)
IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection	3	501(C)(3)
IRS990ScheduleN/LiquidationTable/LiquidationDetail/MethodOfFMVDetermination	0	BOOK VALUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/MethodOfFMVDetermination	1	BOOK VALUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/MethodOfFMVDetermination	2	BOOK VALUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/MethodOfFMVDetermination	3	BOOK VALUE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/NameBusiness/BusinessNameLine1	0	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM FOUNDATION
IRS990ScheduleN/LiquidationTable/LiquidationDetail/NameBusiness/BusinessNameLine1	1	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM
IRS990ScheduleN/LiquidationTable/LiquidationDetail/NameBusiness/BusinessNameLine1	2	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM
IRS990ScheduleN/LiquidationTable/LiquidationDetail/NameBusiness/BusinessNameLine1	3	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM
IRS990ScheduleN/OwnerOfSuccessor	0	0
IRS990ScheduleN/ReceiveCompensation	0	0
IRS990ScheduleN/RequiredToNotifyAG	0	1
IRS990ScheduleO/GeneralExplanation/Explanation	0	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM SHALL BE THE SOLE MEMBER OF THE ENTITY.
IRS990ScheduleO/GeneralExplanation/Explanation	1	VACANCIES IN POSITIONS ON THE BOARD OF DIRECTORS, OTHER THAN THOSE DESIGNATED FOR INCUMBENTS OF A PARTICULAR OFFICE, OCCURRING BY REASON OF DEATH, RESIGNATION, REMOVAL OR OTHER INABILITY TO SERVE, SHALL BE FILLED BY THE SOLE MEMBER.

Document Assets

No mirrored PDF or thumbnail assets are attached yet.