Civic Intelligence

Alpena Dialysis Services Inc

990 • Fiscal year 2014 • EIN 38-3331341

Jul 01, 2013 to Jun 30, 2014 • Filed on Mar 29, 2015

300 E Warwick DrAlma, MI 48801

(989) 839-3181

Siviq Scores

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

Liabilities / Assets

87th percentile

0.41x

Higher debt load relative to assets than 87% of similar nonprofits.

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

Liabilities / Revenue

98th percentile

3.29x

Higher debt load relative to revenue than 98% of similar nonprofits.

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

Net Margin

93rd percentile

56%

Higher net margin than 93% of similar nonprofits.

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

Top Officer Pay

100th percentile

$662,781

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 1381.6% of source-year revenue.

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

Asset Growth

15th percentile

-30%

Faster asset growth than 15% of similar nonprofits.

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

Revenue Growth

2nd percentile

-94%

Faster revenue growth than 2% of similar nonprofits.

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

Assets

Down

$381,654

Down $163,258 (-30%) from 2013

Net Assets

Down

$224,046

Down $8,301 (-3.6%) from 2013

Liabilities

Down

$157,608

Down $154,957 (-50%) from 2013

Revenue

Down

$47,973

Down $792,951 (-94%) from 2013

Expenses

Up

$21,274

Up $3,134 (+17%) from 2013

Net Income

Down

$26,699

Down $796,085 (-97%) from 2013

Historical Trend

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0Assets 2011: $2,754,677Liabilities 2011: $1,834,455Net Assets 2011: $920,2222011Assets 2012: $1,493,801Liabilities 2012: $484,238Net Assets 2012: $1,009,5632012Assets 2013: $544,912Liabilities 2013: $312,565Net Assets 2013: $232,3472013Assets 2014: $381,654Liabilities 2014: $157,608Net Assets 2014: $224,0462014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2014

Assets$381,654
Liabilities$157,608
Net Assets$224,046

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MExpenses 2011: $3,068,1712011Expenses 2012: $2,167,8082012Revenue 2013: $840,924Expenses 2013: $18,140Net Income 2013: $822,7842013Revenue 2014: $47,973Expenses 2014: $21,274Net Income 2014: $26,6992014Revenue 2015: -$15,292Expenses 2015: $54Net Income 2015: -$15,3462015

Highlighted filing

2014

Revenue$47,973
Expenses$21,274
Net Income$26,699
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Mar 29, 2015
Return Version
2013v4.0
Gross Receipts
$47,973
Mission and Program Overview

Mission

To provide excellent health services to improve the quality of life for people in our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$252,075$345,031▲ $92,956
Prepaid Expenses and Deferred Charges$256,214--
Land, Buildings, and Equipment, Net$36,623$36,623→ $0
Total Assets$544,912$381,654▼ $163,258
Liabilities
Escrow Account Liability$265,000--
Accounts Payable and Accrued Expenses$47,565$157,608▲ $110,043
Total Liabilities$312,565$157,608▼ $154,957
Net Assets / Fund Balance
Unrestricted Net Assets$232,347$224,046▼ $8,301
Total Net Assets Fund Balance$232,347$224,046▼ $8,301
Total Liabilities and Net Assets / Fund Balance$544,912$381,654▼ $163,258

Asset Categories

AssetBook ValueDepreciationBasis
Land$36,623-$36,623
Compensation and Service Providers

Employees

NameTitleOtherTotal
Deborah MillsSecretary/tr$205,331$205,331
Mike SeguinDirector$126,231$126,231

Board Members and Trustees

NameTitle
Charles SherwinChair
Francine PadgettDirector
Scott CurrieDirector
Deborah MillsSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$426
Other Revenue
$47,547
Change in Net Assets
$26,699
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$21,274
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses-$15,323-$15,323
Information Technology-$5,951-$5,951
Total Functional Expenses$0$21,274$0$21,274
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
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Members are all nonprofit 501(c)(3) entities.

Form 990, Page 6, Part VI, Line 7A

Members nominate and elect the board of trustees.

Form 990, Page 6, Part VI, Line 11B

The form 990 information is prepared by the finance staff at midmichigan health, the sole member of midmichigan medical center - gratiot. 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.

Form 990, Page 6, Part VI, Line 19

Documents are available upon request.

Filing and Contact Details

Filer

EIN
38-3331341
Phone
9898393181

Signing Officer

Name
Francine M Padgett
Title
Sr. VP & Treasurer
Phone
9898393181
Signed
2015-03-29

Organization Details

Principal Officer
Debbie Mills
Formed
1996
Legal Domicile
Mi
Voting Board Members
5
Independent Board Members
0
Employees
0
Volunteers
4

Preparer

Preparer
Laura M Ebel
Phone
9894975300
Supplemental Narrative

Additional Explanations

Form 990

Part i, lines 3 & 4 and part vi, section a, line 1 those members who are not independent are employees of a related organization listed in schedule r and are compensated at market value for the services provided to that organization. All lines left blank are not applicable to the organization.

Form 990, Part XI, Line 9

Release of funds from escrow 265,000 dividends paid to: 0 alpena regional medical center 150,000 regional dialysis services, inc 150,000 total 0

Form 990, Part XII

This entity is not separately audited. Annually, the director of internal audit and the corporate compliance officer of midmichigan health review and test the financial information for this organization as midmichigan health records its share of this entity in its audited consolidated financial statements.

Financial Statement Notes

Schedule D, Page 2, Part IV, Line 2B

As a part of the sale to total renal care, inc., on february 1, 2012, 5% of the transaction was held in escrow for a period of two years, ending february 1, 2014. In the event that any unknown issues arose during the two year period, the escrow account was available to resolve those unknown issues. Proceeds of the escrow account remaining at the end of the two year period were distributed to the members of alpena dialysis services on march 31, 2014.

Raw XML Appendix383 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/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt047565
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0157608
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.
IRS990/BooksInCareOfDetail/PersonNm0FM PADGETT SR VP TREASURER
IRS990/BooksInCareOfDetail/PhoneNum09898393181
IRS990/BooksInCareOfDetail/USAddress/AddressLine104000 WELLNESS DRIVE
IRS990/BooksInCareOfDetail/USAddress/City0MIDLAND
IRS990/BooksInCareOfDetail/USAddress/State0MI
IRS990/BooksInCareOfDetail/USAddress/ZIPCode048670
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0true
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0426
IRS990/CYOtherExpensesAmt021274
IRS990/CYOtherRevenueAmt047547
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt026699
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt021274
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt047973
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0DUE TO THE INCREASED COSTS AND REDUCED REVENUE, AND IN ORDER TO FURTHER THE LONG TERM GOALS OF MIDMICHIGAN AND TO FURTHER THE INTERESTS OF THE COMMUNITY SERVED, AS OF FEBRUARY 1, 2012, SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION WERE SOLD AND THE OPERATIONS DISCONTINUED. IMMATERIAL CONTINUING CASH FLOWS WILL OCCUR UNTIL THE REMAINING ASSETS ARE SOLD.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0true
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/EscrowAccountLiabilityGrp/BOYAmt0265000
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt050.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt150.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt250.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt350.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt450.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt02.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt12.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt22.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt32.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt42.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt0141589
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt119922
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt242123
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt326050
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt426927
IRS990/Form990PartVIISectionAGrp/PersonNm0FRANCINE PADGETT
IRS990/Form990PartVIISectionAGrp/PersonNm1SCOTT CURRIE
IRS990/Form990PartVIISectionAGrp/PersonNm2DEBORAH MILLS
IRS990/Form990PartVIISectionAGrp/PersonNm3CHARLES SHERWIN
IRS990/Form990PartVIISectionAGrp/PersonNm4MIKE SEGUIN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0521192
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1241503
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2163208
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt3155258
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt499304
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TR
IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01996
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt047973
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt05951
IRS990/InformationTechnologyGrp/TotalAmt05951
IRS990/InvestmentIncomeGrp/ExclusionAmt0426
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0426
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt036623
IRS990/LandBldgEquipBasisNetGrp/EOYAmt036623
IRS990/LandBldgEquipCostOrOtherBssAmt036623
IRS990/LegalDomicileStateCd0MI
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0232347
IRS990/NetAssetsOrFundBalancesEOYAmt0224046
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-35000
IRS990/OtherExpensesGrp/Desc0OTHER
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt015323
IRS990/OtherExpensesGrp/TotalAmt015323
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0OTHER REVENUE
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt047547
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt047547
IRS990/OtherRevenueTotalAmt047547
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0256214
IRS990/PrincipalOfficerNm0DEBBIE MILLS
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0666962
IRS990/PYOtherExpensesAmt018140
IRS990/PYOtherRevenueAmt0173962
IRS990/PYRevenuesLessExpensesAmt0822784
IRS990/PYTotalExpensesAmt018140
IRS990/PYTotalRevenueAmt0840924
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt026699
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0252075
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0345031
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd0false
IRS990ScheduleA/ContributionControllerInd0false
IRS990ScheduleA/ContributionFamilyInd0false
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0386000029
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc03
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0150000
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10ALPENA REGIONAL MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd0true
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt0150000
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/AgentTrusteeEtcInd0false
IRS990ScheduleD/ExplanationProvidedInd0X
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0true
IRS990ScheduleD/LandGrp/BookValueAmt036623
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt036623
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0AS A PART OF THE SALE TO TOTAL RENAL CARE, INC., ON FEBRUARY 1, 2012, 5% OF THE TRANSACTION WAS HELD IN ESCROW FOR A PERIOD OF TWO YEARS, ENDING FEBRUARY 1, 2014. IN THE EVENT THAT ANY UNKNOWN ISSUES AROSE DURING THE TWO YEAR PERIOD, THE ESCROW ACCOUNT WAS AVAILABLE TO RESOLVE THOSE UNKNOWN ISSUES. PROCEEDS OF THE ESCROW ACCOUNT REMAINING AT THE END OF THE TWO YEAR PERIOD WERE DISTRIBUTED TO THE MEMBERS OF ALPENA DIALYSIS SERVICES ON MARCH 31, 2014.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 2, PART IV, LINE 2B
IRS990ScheduleD/TotalBookValueLandBuildingsAmt036623
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt090341
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt141243
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt220300
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt325262
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0329724
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1190691
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2132479
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3129996
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt0117994
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt114507
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt226394
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt023595
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt15415
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt215729
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt326050
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0101127
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt19569
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt210429
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0FRANCINE PADGETT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1SCOTT CURRIE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2DEBORAH MILLS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3CHARLES SHERWIN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SECRETARY/TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3CHAIR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0662781
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1261425
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2205331
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3181308
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0SCHEDULE J, LINE 4B: PADGETT IS A PARTICIPANT IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE TO HER IN 2013. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANT'S ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403(B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MIDMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, PROVIDED THEY HAVE BEEN EMPLOYED AT LEAST FIVE YEARS, THE PARTICIPANT EARNS 75 POINTS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART III
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0true
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS ARE ALL NONPROFIT 501(C)(3) ENTITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MEMBERS NOMINATE AND ELECT THE BOARD OF TRUSTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF MIDMICHIGAN MEDICAL CENTER - GRATIOT. 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5RELEASE OF FUNDS FROM ESCROW 265,000 DIVIDENDS PAID TO: 0 ALPENA REGIONAL MEDICAL CENTER 150,000 REGIONAL DIALYSIS SERVICES, INC 150,000 TOTAL 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THIS ENTITY IS NOT SEPARATELY AUDITED. ANNUALLY, THE DIRECTOR OF INTERNAL AUDIT AND THE CORPORATE COMPLIANCE OFFICER OF MIDMICHIGAN HEALTH REVIEW AND TEST THE FINANCIAL INFORMATION FOR THIS ORGANIZATION AS MIDMICHIGAN HEALTH RECORDS ITS SHARE OF THIS ENTITY IN ITS AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd1false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine10MIDMI HLTH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine11NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10REGIONAL DIALYSIS SERVICES INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11ALPENA REGIONAL MEDICAL CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0383120704
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1386000029
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0DIALYSIS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt011A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt13
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine10PO BOX 608
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine111501 W CHISHOLM ST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0ALMA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City1ALPENA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State1MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode048801
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode149707
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0150000
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt1150000
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0BOOKS & RECORDS
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1BOOKS & RECORDS
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine10ALPENA REGIONAL MEDICAL CENTER
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine11REGIONAL DIALYSIS SERVICES INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0R
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1R
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0true
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0MI
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0544912
IRS990/TotalAssetsEOYAmt0381654
IRS990/TotalAssetsGrp/BOYAmt0544912
IRS990/TotalAssetsGrp/EOYAmt0381654
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt021274
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt021274
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0312565
IRS990/TotalLiabilitiesEOYAmt0157608
IRS990/TotalLiabilitiesGrp/BOYAmt0312565
IRS990/TotalLiabilitiesGrp/EOYAmt0157608
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0232347
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0224046
IRS990/TotalOtherCompensationAmt0256611
IRS990/TotalRevenueGrp/ExclusionAmt0426
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt047547
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt047973
IRS990/TotalVolunteersCnt04
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0544912
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0381654
IRS990/TotReportableCompRltdOrgAmt01180465
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0232347
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0224046
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine104000 WELLNESS DRIVE
IRS990/USAddress/City0MIDLAND
IRS990/USAddress/State0MI
IRS990/USAddress/ZIPCode048670
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0WWW.MIDMICHIGAN.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/PersonNm0FRANCINE M PADGETT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SR. VP & TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum09898393181
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-03-29
ReturnHeader/Filer/BusinessName/BusinessNameLine10ALPENA DIALYSIS SERVICES INC
ReturnHeader/Filer/BusinessNameControlTxt0ALPE
ReturnHeader/Filer/EIN0383331341
ReturnHeader/Filer/PhoneNum09898393181
ReturnHeader/Filer/USAddress/AddressLine10300 E WARWICK DR
ReturnHeader/Filer/USAddress/City0ALMA
ReturnHeader/Filer/USAddress/State0MI
ReturnHeader/Filer/USAddress/ZIPCode048801
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0383133790
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10ANDREWS HOOPER PAVLIK PLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine105300 GRATIOT RD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0SAGINAW
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0486386035
ReturnHeader/PreparerPersonGrp/PhoneNum09894975300
ReturnHeader/PreparerPersonGrp/PreparationDt02015-03-29
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LAURA M EBEL
ReturnHeader/ReturnTs02015-03-31T15:20:32-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-07-01
ReturnHeader/TaxPeriodEndDt02014-06-30
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings