2025-11-04T09:11:20-06:00 2025-06-30 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-07-01 383271450 THE HURLEY CLINICS HURL 8102622160 1125 S LINDEN ROAD 210 FLINT MI 48532 ANNETTE NAPIER OFFICER 8102622160 2025-11-03 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-11-03 2024 2025-03-06 01:10:19Z ANNETTE NAPIER 1125 S LINDEN ROAD 210 FLINT MI 48532 39959496 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 1 167 1 0 0 0 0 32832402 39959496 0 0 0 0 32832402 39959496 0 0 0 0 31701100 38709510 0 0 0 963672 968378 32664772 39677888 167630 281608 12009531 13205157 2362195 3276213 9647336 9928944 NONE 0 0 39333926 39959496 PROVIDING MANAGEMENT OF A COMPREHENSIVE, INTEGRATED CLINICAL PRACTICE AND TO STAFF THE GRADUATE MEDICAL EDUCATION PROGRAMS AT HURLEY MEDICAL CENTER. 39333926 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 4 0 1 167 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 787408 77354 KEITH PONIERS MEMBER 0.10 0.30 X 0 347461 119798 PHILLIP SHALTZ MEMBER 0.10 0.30 X 0 0 0 JAMES BUTERAKOS EXECUTIVE DIRECTOR 10.00 30.00 X 190370 0 17987 ANNETTE NAPIER OFFICER OF NURSING 10.00 30.00 X 0 173160 20748 PATRICK BEER PHYSICIAN 40.00 0.00 X 806175 0 25264 GUL RAJ SACHWANI-DASWANI PHYSICIAN 40.00 0.00 X 681484 0 25264 MARC MOISI PHYSICIAN 40.00 0.00 X 1758682 0 25929 IHAD SAAB PHYSICIAN 40.00 0.00 X 775293 0 521 CHRISTIAN BOWERS PHYSICIAN 40.00 0.00 X 688333 0 14014 4900337 1308029 326879 105 0 1 0 MICHIGAN STATE UNIVERSITY 426 AUDITORIUM ROAD EAST LANSING MI 48824 LEASED EMPLOYEES 375943 DELTA DENTAL OF MICHIGAN 4100 OKEMOS ROAD OKEMOS MI 48864 LEASED EMPLOYEES 102852 2 MANAGEMENT FEES 611430 39959496 39959496 39959496 39959496 39959496 0 0 208357 208357 32210566 32210566 633772 633772 3901900 3901414 486 1754915 1754915 34000 34000 139365 139365 574753 418841 155912 3854 363 3491 9376 9376 PROFESSIONAL DEVELOPMEN 205718 205698 20 ADMINISTRATIVE 1312 1312 39677888 39333926 343962 0 1574396 1630975 10278989 11485371 114146 46811 42000 42000 12009531 13205157 2362195 3276213 2362195 3276213 X 9647336 9928944 9647336 9928944 12009531 13205157 281608 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 1076652 0 682030 0 0 0 0 0 25929 0 1784611 0 0 0 F MICHAEL JAGGI DO CHAIRMAN 0 787408 0 0 0 0 0 0 0 77354 0 864762 0 0 PATRICK BEER PHYSICIAN 346000 0 460175 0 0 0 0 0 25264 0 831439 0 0 0 IHAD SAAB PHYSICIAN 452083 0 323210 0 0 0 0 0 521 0 775814 0 0 0 GUL RAJ SACHWANI-DASWANI PHYSICIAN 475000 0 206484 0 0 0 0 0 25264 0 706748 0 0 0 CHRISTIAN BOWERS PHYSICIAN 668333 0 0 0 20000 0 0 0 14014 0 702347 0 0 0 KEITH PONIERS MEMBER 0 347461 0 0 0 0 0 100763 0 19035 0 467259 0 0 JAMES BUTERAKOS EXECUTIVE DIRECTOR 190370 0 0 0 0 0 0 0 17987 0 208357 0 0 0 ANNETTE NAPIER OFFICER OF NURSING 0 173160 0 0 0 0 0 10927 0 9821 0 193908 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 2167376 ACCRUAL HURLEY PRACTICE MANAGEMENT SERVICES M 227712 ACCRUAL HURLEY MEDICAL CENTER L 36196062 ACCRUAL