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 (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 219,199 | 34,604 | 23,537 | 15,779 | 25,533 | 318,652 |
| 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 | 219,199 | 34,604 | 23,537 | 15,779 | 25,533 | 318,652 |
| 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. | 318,652 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 219,199 | 34,604 | 23,537 | 15,779 | 25,533 | 318,652 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 31,664 | 49,510 | 34,962 | 80,092 | 100,337 | 296,565 |
| 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. | 615,217 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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...... | ||||||
| 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. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 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.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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): |
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| 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 | ||||
| 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 2015 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-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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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 VI, SECTION A, LINE 4 | THE AMENDED ARTICLES OF INC. ADD A NEW RESIDENT AGENT; CHANGES THE REGISTERED ADDRESS OF THE CORPORATION; ADDS ADDITIONAL INFORMATION TO THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED (ALTHOUGH IT DOES NOT CHANGE OR RESTRICT THAT PURPOSE); DETAILS ARTICLE VII WHICH DESCRIBES CONDITIONS FOR A VOLUNTEER'S POTENTIAL PERSONAL FINANCIAL LIABILITY TO THE CORPORATION; AND DETAILS ARTICLE VIII, THE CONDITIONS UNDER WHICH THE CORPORATION WILL ASSUME LIABILITY FOR ACTS AND OMISSIONS OF A VOLUNTEER. THE BY LAWS WERE RESTATED WITH THE FOLLOWING CHANGES: A.) SOME OR ALL OF THE MEMBERS OF A COMMITTEE, OTHER THAN THE EXECUTIVE COMMITTEE, WHICH SHALL CONSIST SOLELY OF DIRECTORS, MAY CONSIST OF INDIVIDUALS WHO ARE NOT DIRECTORS OF THE CORPORATION, AS PROVIDED IN THE ACTION OR RESOLUTION THAT ESTABLISHES THE COMMITTEE. ANY COMMITTEE OTHER THAN THE EXECUTIVE COMMITTEE MAY NOT EXECUTE THE POWER OR AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION, BUT MAY PERFORM UNDER THE DIRECTION OF THE BOARD OF DIRECTORS THOSE FUNCTIONS DETERMINED FROM TIME TO TIME BY THE BOARD OF DIRECTORS. B.) THE CHIEF EXECUTIVE OFFICER SHALL HAVE THE AUTHORITY TO MAKE ADMINISTRATIVE EXPENDITURES IN THE ORDINARY COURSE OF BUSINESS, TO INCUR INDEBTEDNESS OR OBLIGATIONS IN THE ORDINARY COURSE OF BUSINESS, AND TO MAKE EXPENDITURES AND/OR INCUR INDEBTEDNESS OR OBLIGATIONS OUTSIDE THE ADMINISTRATIVE BUDGET OR INTERNAL SERVICE FUND APPROVED BY THE BOARD OF DIRECTORS, OR OUTSIDE THE ORDINARY COURSE OF BUSINESS, PROVIDED THAT SUCH EXPENDITURES, INDEBTEDNESS, OR OBLIGATIONS DO NOT EXCEED $50,000 PER OCCURRENCE OR $100,000 IN THE AGGREGATE PER FISCAL YEAR, UNLESS PRIOR APPROVAL HAS BEEN GRANTED BY THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE. THE CHIEF EXECUTIVE OFFICER SHALL ALSO HAVE THE AUTHORITY, WITHOUT THE NECESSITY OF ANY ACTION BY THE BOARD, TO SUBMIT PROPOSALS OR APPLICATIONS FOR GRANTS AND CONTRACTS, AND TO MAKE AND EXECUTE GRANTS, CONTRACTS AND PRIVATE AWARDS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND WAYNE STATE UNIVERSITY EACH HAVE THE AUTHORITY TO SELECT TWO DIRECTORS TO REPRESENT EACH ENTITY ON THE BOARD. THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH HAS THE AUTHORITY TO APPOINT SIX DIRECTORS; AT LEAST ONE OF WHICH SHALL REPRESENT LOCAL HEALTH DEPARTMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED IN COOPERATION WITH THE CONTROLLER. AFTER PREPARATION OF THE FORM 990 BY THE ACCOUNTING FIRM SELECTED BY MPHI, THE DRAFT FORM 990 IS PROVIDED TO AND REVIEWED BY THE CONTROLLER. ANY REQUIRED CHANGES AND/OR REVISIONS ARE MADE AND ANY CONCERNS ARE RESOLVED. THE CONTROLLER THEN REVIEWS THE FINALIZED FORM 990 WITH THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER TO BE PRESENTED TO THE AUDIT COMMITTEE MEMBERS FOR THEIR APPROVAL. UPON APPROVAL BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD IN ELECTRONIC FORMAT. THE CFO THEN SIGNS AND FILES THE RETURN. SHOULD THE CFO POSITION EVER BE VACANT AT TIME OF FORM 990 FILING, THE CEO WOULD SIGN THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICTS OF INTEREST ARE REQUIRED TO BE DISCLOSED BY ALL MEMBERS OF THE BOARD OF DIRECTORS. THERE IS AN ANNUAL WRITTEN CONFLICT OF INTEREST STATEMENT DISCLOSURE SIGNED BY ALL BOARD MEMBERS DETAILING AND CERTIFYING THE BOARD MEMBERS REPRESENTATION THAT THE MEMBERS OUTSIDE INTEREST OR WORK AND OTHER OUTSIDE COMMITMENTS, PERSONAL OR OTHERWISE, ARE NOT IN ANY WAY IN CONFLICT WITH THE PERFORMANCE OF THE MEMBER'S OFFICIAL DUTIES OF MPHI AND WOULD NOT DIVERT THEM FROM THEIR DUTY TO FURTHER THE INTEREST OF MPHI. CONFLICTS ARISING DURING THE YEAR ARE DISCLOSED AT THE NEXT BOARD MEETING. ANY DIRECTOR HAVING A CONFLICT OF INTEREST SHALL, DURING THE COURSE OF DISCUSSION ON THE MATTER GIVING RISE TO THE CONFLICT AND AT SUCH TIME DURING THAT DISCUSSION AS IS DETERMINED BY THE PRESIDENT (OR CHAIR OF THE MEETING), RECUSE HIMSELF OR HERSELF FROM FURTHER DISCUSSION OF THE MATTER, AND ALSO FROM A VOTE ON THE MATTER. THE MINUTES REFLECT THE RECUSAL FROM A PORTION OF THE DISCUSSION AND FROM THE VOTE ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL EVALUATION OF THE CHIEF EXECUTIVE OFFICER AND RECOMMENDS TO THE BOARD OF DIRECTORS THE CONTINUATION OF THE CONTRACT AND THE AMOUNT OF COMPENSATION. THE RECOMMENDATION IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES AND ANY RECOMMENDATION OF COMPENSATION IS REQUIRED BY THE BYLAWS OF THE ORGANIZATION TO BE JUST AND REASONABLE. COMPENSATION COMPARISONS ARE MADE USING AVAILABLE COMPENSATION RESOURCE MATERIALS, THE STUDY OF THE FORM 990 OF COMPARABLE ORGANIZATIONS, AND WAGE STUDIES WITH COMPARISONS TO LIKE SIZED ORGANIZATIONS IN SIMILAR GEOGRAPHIC LOCATIONS WITH CONSIDERATION TO REQUIRED AND DESIRED SKILLS, EDUCATION, AND EXPERIENCE. THE BOARD OF DIRECTORS THEN DETERMINES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL ITEMS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO PARTICIPATES ON GUIDESTAR. PRIOR YEAR 990S AND ANNUAL REPORTS ARE AVAILABLE ON MPHI'S WEBSITE AT WWW.MPHI.ORG. |
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