Civic Intelligence

Blue Water Health Services Corporation

990 • Fiscal year 2014 • EIN 38-2453295

Jul 01, 2013 to Jun 30, 2014 • Filed on Mar 31, 2015

Organization ProfileN/A
1221 Pine Grove Avenue48060

(810) 987-5000

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

53rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

1st percentile

-424633%

Higher net margin than 1% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

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

Source year 2014

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $20,473 (-100%) from 2013

Net Assets

Up

$0

Up $81,819 (+100%) from 2013

Liabilities

Down

$0

Down $102,292 (-100%) from 2013

Revenue And Expenses
Liabilities / Revenue53rd percentileNet Margin1st percentile

Revenue

Down

$6

Down $7 (-54%) from 2013

Expenses

Up

$25,484

Up $17,208 (+208%) from 2013

Net Income

Down

-$25,478

Down $17,215 (-208%) from 2013

Historical Trend

Balance Sheet Trend

Asset Growth2nd percentile

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

$150K$100K$50K$0-$50K-$100KAssets 2010: $16,434Liabilities 2010: $77,236Net Assets 2010: -$60,8022010Assets 2011: $20,450Liabilities 2011: $86,148Net Assets 2011: -$65,6982011Assets 2012: $20,460Liabilities 2012: $94,016Net Assets 2012: -$73,5562012Assets 2013: $20,473Liabilities 2013: $102,292Net Assets 2013: -$81,8192013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0
Open 2014 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$40K$20K$0-$20K-$40KExpenses 2010: $10,3982010Expenses 2011: $8,9112011Expenses 2012: $7,8692012Revenue 2013: $13Expenses 2013: $8,276Net Income 2013: -$8,2632013Revenue 2014: $6Expenses 2014: $25,484Net Income 2014: -$25,4782014

Highlighted filing

2014

Revenue$6
Expenses$25,484
Net Income-$25,478
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Mar 31, 2015
Return Version
2013v4.0
Gross Receipts
$6
Mission and Program Overview

Mission

Provide general guidance and direction, long range planning, financial management, and other services for subsidiaries.

Management of health care system, provide general guidance and direction long term planning.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$20,473$0▼ $20,473
Total Assets$20,473$0▼ $20,473
Liabilities
Other Liabilities$102,292$0▼ $102,292
Total Liabilities$102,292$0▼ $102,292
Net Assets / Fund Balance
Unrestricted Net Assets$-81,819$0▲ $81,819
Total Net Assets Fund Balance$-81,819$0▲ $81,819
Total Liabilities and Net Assets / Fund Balance$20,473$0▼ $20,473
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
David ThompsonChairman
Thomas DefauwPresident and CEO
Karen Niver MdVice Chairman
David C WhippleDirector
Franklin Mortimer IiDirector
Karl TomionDirector
John ListonAsst. Treasurer (non-votin
Mona ArmstrongSecretary
John OgdenTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$6
Other Revenue
$0
Change in Net Assets
$-25,478
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$20,478
Other Expenses$5,006
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$20,478--$20,478
Fees for Services Accounting-$4,872-$4,872
Office Expenses-$134-$134
Total Functional Expenses$20,478$5,006$0$25,484
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
38-1369611-501 (c) (3)Acquisition by Mclaren Health Care Corporation$20,478
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“A copy of form 990 was provided to the board for review prior to filing.”

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

“All trustees and directors annually complete the conflict of interest policy. The governance reviews the conlfict of interest policy annually and discloses any potential conflicts at that time. Any perceived or potential conflicts are shared with the board chair and vice-chair for any discussion or action if a conflict should arise.”

Form 990, Part VI, Section C, Line 19

“Documents are available upon request.”

Filing and Contact Details

Filer

EIN
38-2453295
Phone
8109875000

Signing Officer

Name
John Liston
Title
Assistant Treasurer & CFO
Phone
8109875000
Signed
2015-03-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas Defauw
Formed
1981
Legal Domicile
Mi
Voting Board Members
8
Independent Board Members
7
Employees
0
Volunteers
0

Preparer

Preparer
Carol Lalonde CPA
Phone
2695674500
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

“Blue water health services is no longer conducting activities due to the acquisition by mclaren health care corporation.”

FORM 990, PART XI, LINE 9:

“Transfer from related organization 107,297.”

FORM 990, PART XII, LINE 2C:

“There has been no change in process since prior year.”

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JOHN LISTON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT AND CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1ASST. TREASURER (NON-VOTIN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0816012
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1403422
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THOMAS DEFAUW AND JOHN LISTON CONTRIBUTED $60,389 AND $20,028, RESPECTIVELY, TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd01
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH ACCOUNTS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine10PORT HURON HOSPITAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-05-01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0381369611
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt020478
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501C(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0FMV
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine101221 PINE GROVE AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City0PORT HURON
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State0MI
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode048060
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: DAVID THOMPSON, THOMAS DEFAUW, JOHN LISTON, MONA ARMSTRONG, KARL TOMION, DAVID WHIPPLE
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: MANY OF THE THE BOARD MEMBERS ARE ALSO BOARD MEMBERS OF PORT HURON HOSPITAL.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0BLUE WATER HEALTH SERVICES IS NO LONGER CONDUCTING ACTIVITIES DUE TO THE ACQUISITION BY MCLAREN HEALTH CARE CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A COPY OF FORM 990 WAS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL TRUSTEES AND DIRECTORS ANNUALLY COMPLETE THE CONFLICT OF INTEREST POLICY. THE GOVERNANCE REVIEWS THE CONLFICT OF INTEREST POLICY ANNUALLY AND DISCLOSES ANY POTENTIAL CONFLICTS AT THAT TIME. ANY PERCEIVED OR POTENTIAL CONFLICTS ARE SHARED WITH THE BOARD CHAIR AND VICE-CHAIR FOR ANY DISCUSSION OR ACTION IF A CONFLICT SHOULD ARISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4TRANSFER FROM RELATED ORGANIZATION 107,297.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THERE HAS BEEN NO CHANGE IN PROCESS SINCE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd01
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0382491659
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0MI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0RENT/SALE MEDICAL EQUIPMENT
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine10WILLOW ENTERPRISES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine10PO BOX 5011
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/City0PORT HURON
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/State0MI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCode048061
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd11
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd21
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd31
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine10MCLAREN- PART YEAR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine11PORT HURON HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine12PORT HURON HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine13PORT HURON HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10PORT HURON HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11PORT HURON HOSPITAL FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine12MARWOOD MANOR NURSING HOME
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine13PARKVIEW PROPERTY MANAGEMENT CORP
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0381369611
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1382777750
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2382683251
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3382467310
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1SUPPORTING ORG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2NURSING HOME
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3MANAGEMENT CORP
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 11A, I
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt2LINE 9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt3LINE 11A, I
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine101221 PINE GROVE AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine11PO BOX 5011
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine12PO BOX 5011

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$6
Expenses
$25,484
Net income
-$25,478
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.25$0.25
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.20$1.02$0.82$0.00$0.08$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.20$0.94$0.74$0.08
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.20$0.86$0.66$0.09
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.16$0.77$0.61$0.10