| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (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) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") | 1,283,554 | 37,556 | 242,730 | 363,730 | 319,370 | 2,246,940 |
| 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 | 61,847,953 | 65,872,763 | 73,430,572 | 79,107,044 | 86,366,227 | 366,624,559 |
| 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 | 63,131,507 | 65,910,319 | 73,673,302 | 79,470,774 | 86,685,597 | 368,871,499 |
| 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.) | 368,871,499 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6 | 63,131,507 | 65,910,319 | 73,673,302 | 79,470,774 | 86,685,597 | 368,871,499 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | 222 | 146 | 51,249 | 10 | 5,185 | 56,812 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 | ||||||
| c | Add lines 10a and 10b | 222 | 146 | 51,249 | 10 | 5,185 | 56,812 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 429 | 429 | ||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 9,330 | 10,639 | 6,410 | 8,325 | 4,080 | 38,784 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 63,141,059 | 65,921,104 | 73,730,961 | 79,479,538 | 86,694,862 | 368,967,524 |
| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6Total annual distributions. Add lines 1 through 5. | 6 | |
|
7
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
7 | |
| 8 Distributable amount for 2025 from Section C, line 6 | 8 | |
| 9 Line 7 amount divided by Line 8 amount | 9 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2025 |
(iii) Distributable Amount for 2025 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2025 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2025 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2025: | ||||
| a From 2020....... | ||||
| b From 2021....... | ||||
| c From 2022....... | ||||
| d From 2023....... | ||||
| e From 2024....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2025 distributable amount | ||||
|
i
Carryover from 2020 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2025 from Section D, line 6: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2025 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2025, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2025. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2026. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2021..... | ||||
| b Excess from 2022..... | ||||
| c Excess from 2023..... | ||||
| d Excess from 2024..... | ||||
| e Excess from 2025..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART III, LINE 12 | INCOME FROM FUNDRAISING EVENTS 38,784 |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | AS OF MAY 17, 2019, MEDSTAR, INC. IS JOINTLY OWNED BY MCLAREN HEALTH CARE CORPORATION, HENRY FORD HEALTH SYSTEM, AND ASCENSION MICHIGAN (33.3 PERCENT OWNED BY EACH ENTITY). EACH OWN 20,000 SHARES OF COMMON STOCK. MHCC OWNS 20,000 SHARES OF CLASS A, HFHS OWNS 20,000 SHARES OF CLASS B, AND AM OWNS 20,000 SHARES OF CLASS C. THE BOARD OF DIRECTORS MUST BE 9 IN TOTAL, 3 EACH ELECTED BY OWNERS OF THE THREE CLASSES OF STOCK. |
| FORM 990, PAGE 6, PART VI, LINE 7A | ONE THIRD OF THE DIRECTORS WILL BE ELECTED AT THE ANNUAL MEETING OF THE SHAREHOLDERS BY HOLDERS OF CLASS A COMMON STOCK. ONE THIRD OF THE DIRECTORS WILL BE ELECTED AT THE ANNUAL MEETING OF THE SHAREHOLDERS BY HOLDERS OF THE CLASS B COMMON STOCK. ONE THIRD OF THE DIRECTORS WILL BE ELECTED AT THE ANNUAL MEETING OF THE SHAREHOLDERS BY HOLDERS OF THE CLASS C COMMON STOCK. AT LEAST ONE OF THE DIRECTORS ELECTED BY EACH CLASS OF SHAREHOLDER SHALL BE REPRESENTATIVE OF THE COMMUNITIES SERVED BY THE CORPORATION AND SUCH DIRECTOR CANNOT BE AN EMPLOYEE OF THE SHAREHOLDER. |
| FORM 990, PAGE 6, PART VI, LINE 7B | (A) AMEND, ADOPT, ALTER OR REPEAL THE ARTICLES OF THE INCORPORATION, CERTIFICATE OF INCORPORATION, OR BYLAWS, OR ANY OTHER ACTION WHICH WOULD CHANGE THE RELATIVE RIGHTS OF THE SHAREHOLDERS OF THE CORPORATION WITH RESPECT TO THOSE RESERVED RESPONSIBILITIES OR WITH RESPECT TO ANY DISTRIBUTIONS FROM THE CORPORATION OR ITS SUBSIDIARIES, INCLUDING THOSE UPON DISSOLUTION. (B) ADOPT ANY STRATEGIC OR ANNUAL OPERATING PLAN (INCLUDING OPERATING OR CAPITAL BUDGETS), OR APPROVAL OF ANY EXPENDITURES ABOVE 150,000 NOT INCLUDED WITHIN AN APPROVED PLAN OR BUDGET, OTHER THAN PURSUANT TO SUBSECTION (F) BELOW. (C) ENCUMBER, OR GRANT A LIEN ON ASSETS OF THE CORPORATION OR ITS SUBSIDIARIES. (D) INCUR, ASSUME OR GUARANTEE ANY LONG-TERM INDEBTNESS OR OTHER BORROWINGS, INCLUDING ANY CAPITAL LEASES, OR ANY SHORT-TERM INDEBTNESS OTHER THAN SHORT-TERM INDEBTNESS NOT IN EXCESS OF 100,000 AND NOT BY ITS TERMS TO BE OUTSTANDING FOR MORE THAN SIXTY (60) DAYS. (E) EXCHANGE, ABANDON OR OTHERWISE DISPOSE OF FIXED ASSETS BY MEANS OF SALE, LEASE OR ANY OTHER VOLUNTARY OR INVOLUNTARY CONVEYANCE OR TRANSFER OF TITLE, WICH IN THE AGGREGATE IN ANY FISCAL YEAR OF THE CORPORATION AND ITS SUBSIDIARIES EXCEEDS 250,000, EXCEPT AS SPECIFICALLY IDENTIFIED IN A BUDGED APPROVED PURSUANT TO THE PROVISIONS OF SECTION 2.2 PARAGRAPH 2 OF THE CORPORATE BYLAWS. (F) INVEST IN ANY ENTITY, CAPITAL STOCK OR ANY ACQUISITION OF FIXED ASSETS BY MEANS OF PURCHASE, LEASE OR IN ANY OTHER MANNER RESULTING IN EXPENDITURES BY THE CORPORATION AND ITS SUBSIDIARIES WHICH IN THE AGGREGATE IN ANY FISCAL YEAR EXCEEDS 250,000, EXCEPT AS SPECIFICALLY IDENTIFIED IN A BUDGET APPROVED PURSUANT TO THE PROVISIONS OF SECTION 2.2, PARAGRAPH 2 OF THE CORPORATE BYLAWS. (G) AUTHORIZE, TRANSFER OR ISSUE SHARES OF CAPITAL STOCK OF THE CORPORATION OR ANY SUBSIDIARY, OR AUTHORIZE ANY OTHER TYPE OF SECURITY HAVING AN EQUITY INTEREST OR VOTING RIGHTS IN THE CORPORATION OR ANY SUBSIDIARY, OR AUTHORIZE ANY CHANGE IN THE MEMBERSHIP OF ANY SUBSIDIARY OR THE CORPORATION. (H) INSTITUTE BY THE CORPORATION OR ANY SUBSIDIARY A VOLUNTARY PROCEEDING SEEKING PROTECTION UNDER FEDERAL OR STATE BANKRUPTCY, INSOLVENCY OR OTHER SIMILAR LAWS. (I) SELL, LEASE, EXCHANGE, TRANSFER OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION OR ANY SUBSIDIARY, OR MERGE OR CONSOLIDATE THE CORPORATION OR ANY SUBSIDIARY WITH ANOTHER ENTITY. (J) DISSOLVE OR REORGANIZE THE CORPORATION OR ANY SUBSIDIARY. (K) EXERCISE ANY POWERS, AUTHORITY OR RESPONSIBILITY REQUIRED BY SECTION 2.2, PARAGRAPH 2 TO BE RESERVED TO THE CORPORATION BY THE ARTICLES OF INCORPORATION, CERTIFICATE OF INCORPORATION OR EQUIVALENT ORGANIZATIONAL DOCUMENTS OF ENTITIES OTHER THAN IN CORPORATE FORM OF ANY SUBSIDIARY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE CEO. THE BOARD OF DIRECTORS IS PROVIDED WITH A COPY OF THE RETURN BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ORGANIZATION POLICY 113 COVERS DISCUSSION OF CONFLICTS WITH EXTERNAL AGENCIES; ALSO POLICIES 104 (COMPLIANCE PLAN) AND 105 (CODE OF CONDUCT) COVER RELATED TOPICS. OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AS THEY OCCUR, AT LEAST ANNUALLY. THIS IS MONITORED THROUGH DISCUSSIONS WITH BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. INDIVIDUALS WITH A CONFLICT OF INTEREST WOULD BE RESTRICTED FROM SPEAKING OR VOTING ON A POTENTIAL ISSUE. WHEN HIRING NEW EMPLOYEES, THE ORGANIZATION HAS CONTRACTED WITH A THIRD-PARTY INVESTIGATIVE AGENCY TO VERIFY EMPLOYMENT INFORMATION TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. INDIVIDUALS ARE RESTRICTED FROM WORKING AT OR FOR A COMPETITOR IN THE SAME SERVICE AREA/MARKET. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO HAS AN EMPLOYMENT CONTRACT, WHICH IS ANNUALLY APPROVED BY THE BOARD OF DIRECTORS. CEO COMPENSATION IS ALSO DETERMINED BY A COMBINATION OF A REVIEW OF PEER FORM 990S (REVIEWED ANNUALLY) AND A COMPENSATION SURVEY. IN 2018 GALLAGHER INC. WAS HIRED TO CONDUCT THE SALARY SURVEY FOR THE CEO, REPORT, AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE BOARD. AS A RESULT, A NEW CONTRACT WAS DEVELOPED AND IMPLEMENTED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE REMAINDER OF THE MANAGEMENT TEAM SETS ANNUAL GOALS AND THEY ARE EVALUATED BY THE CEO. ANNUAL REVIEWS ARE COMPLETED ON EACH MEMBER OF THE MANAGEMENT TEAM WITH EVALUATION AND DISCUSSION, MAINTAINED IN THEIR RESPECTIVE PERSONNEL FILES, AS TO THE COMPLETION OF EACH INDIVIDUAL'S ATTAINMENT OF GOALS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLIICY, AND FINANCIAL STATEMENTS HAVE NOT BEEN MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | PROVISION FOR BAD DEBT -12,029,830 FUNDRAISING EXPENSES 17,899 FUNDRAISING EXPENSES -17,899 PROVISION FOR BAD DEBT 12,029,830 |
| Software ID: | |
| Software Version: |