Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 45,956,360 | 55,663,393 | 58,195,244 | 64,337,339 | 68,563,293 | 292,715,629 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | 45,956,360 | 55,663,393 | 58,195,244 | 64,337,339 | 68,563,293 | 292,715,629 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | 0 | 0 | 0 | 0 | 0 |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support (Subtract line 7c from line 6.) | 292,715,629 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 45,956,360 | 55,663,393 | 58,195,244 | 64,337,339 | 68,563,293 | 292,715,629 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 52 | 52 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 0 | 0 | 0 | 0 | 52 | 52 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 90,827 | 63,150 | 59,200 | 0 | 95,096 | 308,273 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 46,047,187 | 55,726,543 | 58,254,444 | 64,337,339 | 68,658,441 | 293,023,954 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - MEDICAL DIRECTOR FEES, COLUMN A - 90827.0, COLUMN B - 63150.0, COLUMN C - 59200.0, COLUMN D - , COLUMN E - , COLUMN F - 213177.0; DESCRIPTION - RETAIL SALES REVENUE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 4818.0, COLUMN F - 4818.0; DESCRIPTION - OTHER MISCELLANEOUS REVENUE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 90278.0, COLUMN F - 90278.0; |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a COMMUNITY BENEFIT REPORT | COMMUNITY BENEFIT REPORT FOR THE YEAR ENDED JUNE 30, 2014 THE REPORT ILLUSTRATES THE SIGNIFICANT DEGREE TO WHICH PROMED HEALTHCARE CONTRIBUTED TO THE POSITIVE HEALTH STATUS OF THE COMMUNITIES IT SERVES. AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC NONPROFIT HEALTH SYSTEM, PROMED HEALTHCARE CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES, AND SOCIETY AS A WHOLE. THE GOAL OF PROMED HEALTHCARE IS TO PERPETUATE THE HEALING MISSION OF ASCENSION HEALTH, PROMED HEALTHCARE FURTHERS THIS GOAL THROUGH DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY. OUR CONCERN FOR ALL HUMAN LIFE AND DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. PROMED HEALTHCARE HAS ENGAGED IN THE FOLLOWING ACTIVITIES TO ENSURE THAT OUR MISSION IS ACCOMPLISHED: UNREIMBURSED SERVICES PROVIDED TO THE ELDERLY AND THE POOR: PROMED HEALTHCARE MEDICAL CENTER PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND THE POOR. DURING THE FISCAL YEAR ENDING JUNE 30, 2014, APPROXIMATELY 36.1% OF THE VALUE OF SERVICES RENDERED WAS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 9.4% OF THE SERVICES WERE PROVIDED TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE OR COUNTY GUIDELINES. IN THE SPIRIT OF PRINCIPLES ADOPTED BY ASCENSION HEALTH, PROMED HEALTHCARE HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED, UNDERINSURED, AND THE UNDERSERVED. DURING THE FISCAL YEAR ENDING JUNE 30, 2014 THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED, AND UNDERINSURED TOTALED OVER $7.0 MILLION DOLLARS. PATIENT SERVICES: PROMED HEALTHCARE PROVIDED THE FOLLOWING SPECIALTIES TO THE COMMUNITY -FAMILY PRACTICE -INTERNAL MEDICINE -OBSTETRICS & GYNECOLOGY -PEDIATRICS -RADIOLOGY -RHEUMATOLOGY -BEHAVIORAL HEALTH -NEURO SERVICES -CARDIOLOGY -ORTHOPEDIC DURING THE FISCAL YEAR ENDING JUNE 30, 2014, PROMED HEALTHCARE HAS PROVIDED OVER 529,000 VISITS TO ACTIVE ADULTS AND CHILDREN AS ITS PATIENT BASE IN THE COMMUNITY. IN 2005, BLUE CROSS BLUE SHIELD OF MICHIGAN SELECTED PROMED HEALTHCARE ALONG WITH NINE OTHER PRACTICES IN MICHIGAN, TO SERVE AS A PILOT FOR DEVELOPING AND IMPLEMENTING CARE MANAGEMENT PROGRAMS FOR PATIENTS WITH CHRONIC DISEASES. SINCE THEN, BLUE CARE NETWORK, IBA AND HEALTH PLAN OF MICHIGAN HAVE RECOGNIZED PROMED PRACTICES FOR MEETING WELLNESS PREVENTION GOALS FOR THEIR MEMBERS. COMMUNITY OUTREACH ACTIVITIES: PROMED HEALTHCARE SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. IN ADDITION TO PROVIDING HEALTH CARE SERVICES TO ALL INDIVIDUALS WHO REQUIRE MEDICAL ATTENTION, PROMED HEALTHCARE BELIEVES THAT IT IS ESSENTIAL TO EDUCATE PEOPLE REGARDING THE TYPES OF BEHAVIOR THAT IMPROVE THEIR CHANCES OF LIVING A HEALTHY LIFE. PROMED HEALTHCARE HAS INVESTED AND PARTICIPATED SIGNIFICANTLY IN UNIQUE, TOP QUALITY HEALTH EDUCATION AND MATERIALS TO ACCOMPLISH ITS GOALS. AWARENESS, EDUCATION AND HEALTH PROMOTION PROGRAMS AVAILABLE TO THE COMMUNITY INCLUDE: -WE ALSO PARTICIPATE IN FREE MAMMOGRAMS ON PINK SATURDAYS IN OCTOBER TO INCOME ELIGIBLE WOMEN, AGED 40 AND UP -BORGESS RUN FOR THE HEALTH OF IT FOR RAISING AWARENESS IN THE PREVENTION OF CARDIOVASCULAR COMPLICATIONS -WEIGHT MANAGEMENT AND NUTRITION COUNSELING PROGRAMS AT OUR INTERNAL MEDICINE PRACTICE -DIABETES CARE WITH PREVENTION AND EDUCATION PROGRAMS TO HELP DIABETIC PATIENTS AND THEIR FAMILIES UNDERSTAND AND EFFECTIVELY COPE WITH THE DISEASE. PROMED HEALTHCARE PARTICIPATES FREQUENTLY WITH VOLUNTEER OR CHARITABLE PROGRAMS IN SUPPORT OF ONE OF ASCENSION HEALTH'S MISSIONS-SERVICE OF THE POOR. -PROMED HEALTHCARE PARTICIPATES TO SERVE LUNCHES IN THE MINISTRY WITH THE COMMUNITY, THE ONLY DAYTIME SHELTER IN KALAMAZOO FOR THE HOMELESS, POOR, MENTALLY ILL AND HARD-TO-SERVE ADULTS. -WE ALSO PARTICIPATE WITH THE LOCAL UNITED WAY ORGANIZATIONS TO RAISE FUNDS IN ITS ANNUAL COMMUNITY CAMPAIGN, AS WELL AS FOOD BANKS ACTIVITIES IN THE COMMUNITY. -ON A REGULAR BASIS, PROMED STAFF ORGANIZES AND PARTICIPATES IN FUND RAISING ACTIVITIES SUCH AS THE SUSAN G. KOMEN BREAST CANCER FOUNDATION DENIM DAY, AMERICAN CANCER SOCIETY RELAY FOR LIFE, FRIENDS OF CHILDREN WITH CANCER, AMERICAN HEART ASSOCIATION'S HEART WALK AND WEAR RED DAY. -OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE STAFF DONATIONS TO CHARITABLE PROGRAMS SUCH AS THE GOSPEL MISSION OR DISADVANTAGED FAMILIES, AND HELPING HANDS FUNDS FOR PATIENTS. MEDICAL EDUCATION: PROMED HEALTHCARE BELIEVES THAT, IN ORDER TO PROVIDE THE BEST HEALTH CARE TO THE COMMUNITY, ITS CLINICAL PERSONNEL MUST RECEIVE ONGOING MEDICAL EDUCATION. PROMED HEALTHCARE'S CLINICAL PERSONNEL RECEIVE EDUCATION FROM PROFESSIONAL ORGANIZATIONS AND THE BORGESS HEALTH EDUCATION AND DEVELOPMENT DEPARTMENT IN VARIOUS SERVICE AREAS, WHICH INCLUDE MEN'S AND WOMEN'S HEALTH, DIABETES, PREGNANCY AND CHILDBIRTH, ADOLESCENT MEDICINE, BEHAVIORAL HEALTH, CARDIAC LIFE SUPPORT, CARDIOPULMONARY RESUSCITATION, COMPLIANCE AND SAFETY TRAINING AND EMERGENCY RESPONSE TRAINING. IN SUMMARY, PROMED HEALTHCARE FURTHERS IT CHARITABLE PURPOSES BY PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND ORGANIZATIONS IN THE COMMUNITY. WE PROVIDE ESSENTIAL MEDICAL SERVICES TO THE COMMUNITY, TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO SERVE THE NEEDS OF THE BROADER COMMUNITY, PROVIDE APPROPRIATE CHARITY SERVICES TO THOSE PATIENTS WHO ARE NOT ABLE TO PAY FOR THEIR OWN HEALTHCARE NEEDS, PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR PATIENTS OR CONSTITUENTS, AND PRESENT EDUCATION INFORMATION CLASSES AND ACTIVITIES TO THE COMMUNITY IN ORDER TO IMPROVE ITS OVERALL HEALTH STATUS. |
| Form 990, Part VI, Line 1a GOVERNING BODY | THE PROMED GOVERNING BODY HAS THE SAME VOTING RIGHTS UNLESS THE VOTE INVOLVES MONETARY AMOUNTS AFFECTING THE PORTAGE PHYSICIANS P.C. IF THE VOTE IS REGARDING THIS, THEN THE PORTAGE PHYSICIANS P.C. BOARD MEMBERS DO NOT VOTE. |
| Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS | MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED BORGESS HEALTH ALLIANCE, INC. ENTITY BOARDS. |
| Form 990, Part VI, Line 6 CORPORATE MEMBER | PROMED HEALTHCARE HAS A SINGLE CORPORATE MEMBER, BORGESS HEALTH ALLIANCE, INC. |
| Form 990, Part VI, Line 15 COMPENSATION | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF PROMED HEALTHCARE, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS, PERFORMED BY BORGESS MEDICAL CENTER, A RELATED ORGANIZATION OF PROMED HEALTHCARE, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF COMPENSATION, OTHER OFFICERS OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE EXECUTIVE COMMITTEE MINUTES. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ProMed Healthcare has a single corporate member, Borgess Health Alliance, Inc. who has the ability to elect members to the governing body of ProMed Healthcare. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to ProMed Healthcare's financial information or corporation as a whole are subject to approval by its sole corporate member, Borgess Health Alliance, Inc. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Management, including certain officers, works diligently to complete the form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegate powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Program Revenue - Total Revenue: 563, Related or Exempt Function Revenue: 563, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Record Fees Revenue - Total Revenue: 18, Related or Exempt Function Revenue: 18, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 89697, Related or Exempt Function Revenue: 89697, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Intercompany Transfers - -17649642; |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |