2024-11-13T07:54:54-06:00 2024-06-30 381357951 PLANTE & MORAN PLLC 4444 W BRISTOL ROAD SUITE 360 FLINT MI 48507 990 2023-07-01 383271450 THE HURLEY CLINICS HURL 8102622160 1125 S LINDEN ROAD 210 FLINT MI 48532 ANNETTE NAPIER OFFICER 8102622160 2024-11-12 1 1 DAVID LOWENTHAL P00378651 8107675350 2024-11-06 2023 2024-10-15 13:58:12Z ANNETTE NAPIER 1125 S LINDEN ROAD 210 FLINT MI 48532 32832402 0 X N/A X 1995 MI PROVIDING MANAGEMENT OF A COMPREHENSIVE, INTEGRATED CLINICAL PRACTICE AND TO STAFF THE GRADUATE MEDICAL EDUCATION PROGRAMS AT HURLEY MEDICAL CENTER. 3 1 157 1 0 0 0 0 29990162 32832402 30 0 0 0 29990192 32832402 0 0 0 0 29019666 31701100 0 0 0 713973 963672 29733639 32664772 256553 167630 11278886 12009531 1799180 2362195 9479706 9647336 NONE 0 0 32324161 32832402 PROVIDING MANAGEMENT OF A COMPREHENSIVE, INTEGRATED CLINICAL PRACTICE AND TO STAFF THE GRADUATE MEDICAL EDUCATION PROGRAMS AT HURLEY MEDICAL CENTER. 32324161 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 3 0 1 157 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 1 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 MI X BRANDON KNOLL 8102622160 1125 S LINDEN ROAD SUITE 210 FLINT MI 48532 F MICHAEL JAGGI DO CHAIRMAN 0.10 0.30 X X 0 769330 72579 KEITH PONIERS MEMBER 0.10 0.30 X 0 327794 112905 PHILLIP SHALTZ MEMBER 0.10 0.30 X 0 0 0 JAMES BUTERAKOS EXECUTIVE DIRECTOR 10.00 30.00 X 190917 0 17728 ANNETTE NAPIER OFFICER OF NURSING 10.00 30.00 X 0 168877 17395 PATRICK BEER PHYSICIAN 40.00 0.00 X 621268 0 21714 GUL RAJ SACHWANI-DASWANI PHYSICIAN 40.00 0.00 X 636643 0 24208 MARC MOISI PHYSICIAN 40.00 0.00 X 1461191 0 12712 IHAB SAAB PHYSICIAN 40.00 0.00 X 608353 0 535 KRISTOFFER WONG PHYSICIAN 40.00 0.00 X 610976 0 22652 4129348 1266001 302428 88 0 1 0 0 MANAGEMENT FEES 611430 32832402 32832402 32832402 32832402 32832402 0 0 190917 190917 26237800 26237800 557296 557296 3274404 3272446 1958 1440683 1440683 34000 34000 111824 111824 560917 405005 155912 4908 357 4551 7773 7773 PROFESSIONAL DEVELOPMEN 219687 219657 30 ADMINISTRATIVE 23766 23766 BANK SERVICE CHARGES 797 797 32664772 32324161 340611 0 340872 1574396 10816659 10278989 79355 114146 42000 42000 11278886 12009531 1799180 2362195 1799180 2362195 X 9479706 9647336 9479706 9647336 11278886 12009531 167630 0 X 0 1 X 0 0 X X 2 HURLEY MEDICAL CENTER - CITY OF FLINT 386005601 6 1 0 0 HURLEY HEALTH SERVICES 383271451 10 1 0 0 2 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1: HURLEY MEDICAL CENTER IS IDENTIFIED BY NAME AND THE OTHER ORGANIZATIONS RECEIVING SUPPORT ARE ALL DESIGNATED BY CLASS AND ARE 501(C)(3) ORGANIZATIONS. THE ORGANIZATION PROVIDES FINANCIAL SUPPORT TO ORGANIZATIONS WHICH CARRY OUT THE MISSION OF HURLEY MEDICAL CENTER. PART IV, SECTION A, LINE 2: HURLEY HOSPITAL DOESN'T HAVE AN IRS DETERMINATION LETTER AS THEY ARE A GOVERNMENTAL HOSPITAL WHICH IS AKIN TO A SECTION 5091A ORGANIZATION 0 0 0 0 0 0 0 1 0 MARC MOISI PHYSICIAN 1183833 0 277358 0 0 0 12712 0 0 0 1473903 0 0 0 F MICHAEL JAGGI DO CHAIRMAN 0 769330 0 0 0 0 0 0 0 72579 0 841909 0 0 GUL RAJ SACHWANI-DASWANI PHYSICIAN 452917 0 183726 0 0 0 24208 0 0 0 660851 0 0 0 PATRICK BEER PHYSICIAN 335833 0 285435 0 0 0 21714 0 0 0 642982 0 0 0 KRISTOFFER WONG PHYSICIAN 378750 0 232226 0 0 0 22652 0 0 0 633628 0 0 0 IHAB SAAB PHYSICIAN 391083 0 217270 0 0 0 535 0 0 0 608888 0 0 0 KEITH PONIERS MEMBER 0 327794 0 0 0 0 0 95060 0 17845 0 440699 0 0 JAMES BUTERAKOS EXECUTIVE DIRECTOR 190917 0 0 0 0 0 0 0 17728 0 208645 0 0 0 ANNETTE NAPIER OFFICER OF NURSING 0 168877 0 0 0 0 0 7599 0 9796 0 186272 0 0 PART I, LINE 7 PHYSICIAN INCENTIVES ARE BASED ON THE COLLECTIONS OF THEIR OWN PROFESSIONAL FEES RECEIVED THROUGH RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 F. MICHAEL JAGGI D.O., DIRECTOR IS EMPLOYED BY AN ORGANIZATION WITH WHICH ANOTHER DIRECTOR, KEITH PONIERS, IS ASSOCIATED AS AN OFFICER. FORM 990, PART VI, SECTION A, LINE 6 HURLEY HEALTH SERVICES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A HURLEY HEALTH SERVICES IS ABLE TO ELECT 2 OF THE 3 BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A COMMITTEE WILL REVIEW AND APPROVE THE 990 PRIOR TO FILING WITH THE IRS. THE COMMITTEE WILL REPORT BACK TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURE FORM IS COMPLETED ANNUALLY BY THE BOARD AND REVIEWED BY MANAGEMENT. IF A CONFLICT WERE TO ARISE, THAT MEMBER WOULD ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE ALWAYS AVAILABLE TO THE PUBLIC UPON REQUEST. HURLEY HEALTH SERVICES 1125 S LINDEN ROAD SUITE 210 FLINT MI 48532 383271451 PROVIDE HEALTH SERVICES MI 501(C)3 LINE 12A, I HURLEY MEDICAL CENTER 0 HURLEY MEDICAL CENTER ONE HURLEY PLAZA FLINT MI 48503 386005601 PROVIDE HEALTH SERVICES MI 115 N/A 0 H CORPORATION OF MID-MICHIGAN DBA HURLEY PRACTICE MGMT SRVCS 1125 S LINDEN STE 210 FLINT MI 48532 383271446 MANAGEMENT COMPANY MI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 HURLEY HEALTH SERVICES L 1892762 ACCRUAL HURLEY PRACTICE MANAGEMENT SERVICES M 227712 ACCRUAL HURLEY MEDICAL CENTER L 30753442 ACCRUAL