PACE SOUTHEAST MICHIGAN: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PACE SOUTHEAST MICHIGAN (EIN 90-0659735)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-10
- IRS object ID
- 202313149349304021
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-10T13:40:17-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900659735 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACE SOUTHEAST MICHIGAN | BusinessNameLine1Txt |
| Business Name Line2 | F/K/A CENTER FOR SENIOR INDEPENDENCE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PACE | BusinessNameControlTxt |
| Phone | 2485569132 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21700 NORTHWESTERN HWY STE 900 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48075 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY KUMMER NABER | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 2485569132 | PhoneNum |
| Signature | 2023-11-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | KUMMER NABER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN W CARNAGHI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24463 W TEN MILE ROAD | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $151,770,535 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PACESEMI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PACE SOUTHEAST MICHIGAN (PACE) IS AN ALTERNATIVE TO NURSING HOME CARE FOR THE FRAIL AND ELDERLY. THE GOAL IS TO HELP INDIVIDUALS REMAIN INDEPENDENT IN THEIR OWN HOMES AND COMMUNITIES AND TO PROVIDE RESPITE AND ASSISTANCE TO FAMILY CAREGIVERS. PACE IS A PROGRAM WHICH PROVIDES COMPREHENSIVE MEDICAL AND SUPPORTIVE SERVICES. THE INTERDISCIPLINARY TEAM AT PACE ASSESSES POTENTIAL PARTICIPANTS AND DEVELOPS A PERSON-CENTERED CARE PLAN - CUSTOMIZING SERVICES TO MEET INDIVIDUALS' NEEDS. FREQUENT CONTACTS WITH PARTICIPANTS AND REGULAR REVIEWS OF THE CARE PLAN ENSURE THAT PARTICIPANTS' NEEDS ARE BEING MET. PACE SEEKS TO FORM A PARTNERSHIP WITH THE PARTICIPANT AND CAREGIVERS TO PROMOTE INDEPENDENCE AND QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 910 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $114,626 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,558,659 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $124,942,786 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $145,317,298 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$145,110 | PYInvestmentIncomeAmt |
| CY Investment Income | $24,159 | CYInvestmentIncomeAmt |
| PY Other Revenue | $112,772 | PYOtherRevenueAmt |
| CY Other Revenue | $870,419 | CYOtherRevenueAmt |
| PY Total Revenue | $125,025,074 | PYTotalRevenueAmt |
| CY Total Revenue | $151,770,535 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,879,515 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,944,009 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $86,624,910 | PYOtherExpensesAmt |
| CY Other Expenses | $102,080,457 | CYOtherExpensesAmt |
| PY Total Expenses | $125,504,425 | PYTotalExpensesAmt |
| CY Total Expenses | $147,024,466 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$479,351 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,746,069 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,594,082 | TotalAssetsBOYAmt |
| Total Assets EOY | $65,863,489 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,169,028 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,710,603 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,425,054 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,152,886 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PACE SOUTHEAST MICHIGAN PROVIDES AN ALTERNATIVE TO NURSING HOME CARE FOR FRAIL, ELDERLY PEOPLE. BY BRINGING TOGETHER ALL THE CARE NEEDED, PARTICIPANTS ARE ABLE TO REMAIN INDEPENDENT IN THEIR OWN HOMES AND COMMUNITIES. PATIENTS AND THEIR CAREGIVERS ALSO ARE PROVIDED RESPITE CARE. THE COMPREHENSIVE CARE, BOTH MEDICAL AND SOCIAL ARE PROVIDED AT THE CENTER AND THE ELDER'S HOME, AS WELL AS IN THE HOSPITAL OR NURSING HOME, WHEN NECESSARY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $128,975,933 | ExpenseAmt |
| Revenue | $146,187,717 | RevenueAmt |
| Desc | PROVIDE COMPREHENSIVE CARE TO THE FRAIL ELDERLY POPULATION UNDER PACE (THE PROGRAM FOR ALL INCLUSIVE CARE). PROVIDE EDUCATION TO THE COMMUNITY ON CARE FOR THE FRAIL ELDERLY POPULATION. | Desc |
| Total Program Service Expenses | $128,975,933 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 689 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 910 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFF BURMEISTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2485569132 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21700 NORTHWESTERN HWY STE 900 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48075 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARY KUMMER NABER | |||||||||
| PRESIDENT/TRUSTEE | 40.00 | 0.00 | Yes (X) | Yes (X) | $315,908 | $0 | $28,683 | ||
| BRIAN W CARNAGHI | |||||||||
| TREASURER/TRUSTEE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROGER L MYERS | |||||||||
| TRUSTEE- CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID F SHEPHERD | |||||||||
| TRUSTEE- VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| J DOUGLAS CLARK | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN S HAWKINS | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| N CHARLES ANDERSON | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KATRINA R SUMMERSETT RN | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MANU K MALHOTRA MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRENDA L LAWRENCE | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARJORIE A STATEN JD | |||||||||
| ASSISTANT SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE JOHNSON TIDJANI ESQ | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY G BURMEISTER | |||||||||
| C.F.O | 40.00 | 0.00 | $235,885 | $0 | $34,698 | Yes (X) | |||
| ELLEN ROTBLATT MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $246,117 | $0 | $11,234 | Yes (X) | |||
| GEROHNDA L RUSHTON DO | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $221,202 | $0 | $15,678 | Yes (X) | |||
| AMY KATZ | |||||||||
| VP STRATEGIC GROWTH, | 40.00 | 0.00 | $168,402 | $0 | $31,234 | Yes (X) | |||
| SHOAIB A RASHEED DO | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $203,597 | $0 | $30,442 | Yes (X) | |||
| DONNA M EMCH | |||||||||
| VP PARTICIPANT CARE | 40.00 | 0.00 | $176,884 | $0 | $26,526 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,567,995 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $178,495 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 42 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HENRY FORD HEALTH SYSTEM | |||||
| PO BOX 670884 | DETROIT | MI | 48267 | MEDICAL SERVICES | $32,219,757 |
| HEALTH ALLIANCE PLAN | |||||
| PO BOX 55000 DEPT 271101 | DETROIT | MI | 48225 | HEALTH INSURANCE SERVICES | $4,503,982 |
| HENRY FORD MACOMB HOSPITAL | |||||
| PO BOX 670884 | DETROIT | MI | 482670884 | MEDICAL SERVICES | $3,161,092 |
| TABULARASA | |||||
| 228 STRAWBRIDGE DRIVE SUITE 100 | MORRESTOWN | NJ | 08057 | CONTRACTED SERVICES AND SOFTWARE | $2,936,547 |
| CARING HEARTS ASSISTED LIVING | |||||
| 15565 NORTHLAND DRIVE W STE 406W | SOUTHFIELD | MI | 48075 | ASSISTED LIVING SERVICES | $2,708,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,121,131 | GovernmentGrantsAmt |
| All Other Contributions | $437,528 | AllOtherContributionsAmt |
| Total Contributions | $5,558,659 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE FEES | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $145,317,298 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $145,317,298 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $145,317,298 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,159 | TotalRevenueColumnAmt |
| Exclusion | $24,159 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $870,419 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $870,419 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $870,419 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,770,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $146,187,717 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,159 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,591 | TotalAmt |
| Program Services | $327,361 | ProgramServicesAmt |
| Management And General | $17,230 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,583 | TotalAmt |
| Program Services | $257,054 | ProgramServicesAmt |
| Management And General | $13,529 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,339,447 | TotalAmt |
| Program Services | $30,489,861 | ProgramServicesAmt |
| Management And General | $5,849,586 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,014,730 | TotalAmt |
| Program Services | $853,262 | ProgramServicesAmt |
| Management And General | $161,468 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,356,755 | TotalAmt |
| Program Services | $3,663,493 | ProgramServicesAmt |
| Management And General | $693,262 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,617,903 | TotalAmt |
| Program Services | $2,201,333 | ProgramServicesAmt |
| Management And General | $416,570 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,900 | TotalAmt |
| Management And General | $46,900 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,094,618 | TotalAmt |
| Program Services | $66,398,212 | ProgramServicesAmt |
| Management And General | $1,696,406 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,280 | TotalAmt |
| Program Services | $11,280 | ProgramServicesAmt |
| Management And General | $2,000 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,696,062 | TotalAmt |
| Program Services | $4,269,074 | ProgramServicesAmt |
| Management And General | $4,426,988 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,462 | TotalAmt |
| Program Services | $83,877 | ProgramServicesAmt |
| Management And General | $1,029,585 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,741 | TotalAmt |
| Management And General | $728,741 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,871 | TotalAmt |
| Program Services | $388,086 | ProgramServicesAmt |
| Management And General | $37,785 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,375 | TotalAmt |
| Program Services | $116,382 | ProgramServicesAmt |
| Management And General | $85,993 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,096,912 | TotalAmt |
| Program Services | $347,685 | ProgramServicesAmt |
| Management And General | $749,227 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,710,887 | TotalAmt |
| Program Services | $1,210,243 | ProgramServicesAmt |
| Management And General | $500,644 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICAL SUPPLIES | $16,741,202 | $16,741,202 | |
| REPAIRS AND MAINTENANCE | $1,074,953 | $320,607 | $754,346 |
| MEDICAL SUPPLIES | $923,209 | $901,636 | $21,573 |
| UNCOMPENSATED SERVICES | $403,601 | $403,601 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,384 | TotalAmt |
| Program Services | $395,285 | ProgramServicesAmt |
| Management And General | $413,099 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,024,466 | TotalAmt |
| Program Services | $128,975,933 | ProgramServicesAmt |
| Management And General | $18,048,533 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,980,498 | BOYAmt |
| EOY | $23,250,836 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,763,794 | BOYAmt |
| EOY | $1,561,634 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,433,772 | BOYAmt |
| EOY | $1,233,968 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,152,046 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,230,671 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,112,665 | BOYAmt |
| EOY | $8,921,375 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,076,038 | BOYAmt |
| EOY | $1,076,038 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,227,315 | BOYAmt |
| EOY | $29,819,638 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,594,082 | BOYAmt |
| EOY | $65,863,489 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,057,431 | BOYAmt |
| EOY | $2,513,207 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,111,597 | BOYAmt |
| EOY | $43,197,396 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,169,028 | BOYAmt |
| EOY | $45,710,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,375,895 | BOYAmt |
| EOY | $20,110,464 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,159 | BOYAmt |
| EOY | $42,422 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,425,054 | BOYAmt |
| EOY | $20,152,886 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,594,082 | BOYAmt |
| EOY | $65,863,489 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,746,069 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,018,237 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $140,399 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $701,525 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,181,916 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $104,626 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,558,659 | CurrentTaxYearAmt |
| Total | $7,687,125 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,961,529 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,086,228 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $111,923,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $125,065,558 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,187,717 | CurrentTaxYearAmt |
| Total | $430,224,761 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,101,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,787,753 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $113,105,645 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $125,170,184 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,746,376 | CurrentTaxYearAmt |
| Total | $437,911,886 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $437,911,886 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,101,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,787,753 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $113,105,645 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $125,170,184 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,746,376 | CurrentTaxYearAmt |
| Total | $437,911,886 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,098,698 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,565,924 | DepreciationAmt |
| Book Value | $4,532,774 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,003,073 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,664,747 | DepreciationAmt |
| Book Value | $4,338,326 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,275 | OtherCostOrOtherBasisAmt |
| Book Value | $50,275 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,921,375 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT OF USE ASSETS | Desc |
| Book Value | $29,819,638 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $29,819,638 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED COMPENSATION AND RELATED LIABILITIES | $2,654,753 |
| ACCRUED EXPENSES | $11,408,850 |
| S/T LEASE LIABILITY | $4,179,394 |
| L/T LEASE LIABILITY | $24,954,399 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,197,396 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $153,202,181 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,431,646 | OtherRevenueAmt |
| Revenue Not Reported | $1,431,646 | RevenueNotReportedAmt |
| Revenue Subtotal | $151,770,535 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $151,770,535 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $148,456,112 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,431,646 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,431,646 | ExpensesNotReportedAmt |
| Expenses Subtotal | $147,024,466 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $147,024,466 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SUPPLY REBATES RECLASSIFIED TO EXPENSE 1,431,646. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SUPPLY REBATES RECORDED AS EXPENSE ON 990 AS REVENUE ON 1,431,646. AUDITED FINANCIAL STATEMENTS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY KUMMER NABER | ||||||||||||||
| PRESIDENT/TRUSTEE | $308,600 | $0 | $4,452 | $0 | $2,856 | $0 | $9,473 | $0 | $19,210 | $0 | $344,591 | $0 | $0 | $0 |
| JEFFREY G BURMEISTER | ||||||||||||||
| C.F.O | $231,683 | $0 | $4,202 | $0 | $0 | $0 | $9,665 | $0 | $25,033 | $0 | $270,583 | $0 | $0 | $0 |
| ELLEN ROTBLATT MD | ||||||||||||||
| PHYSICIAN | $243,225 | $0 | $700 | $0 | $2,192 | $0 | $4,933 | $0 | $6,301 | $0 | $257,351 | $0 | $0 | $0 |
| GEROHNDA L RUSHTON DO | ||||||||||||||
| PHYSICIAN | $213,896 | $0 | $2,156 | $0 | $5,150 | $0 | $5,866 | $0 | $9,812 | $0 | $236,880 | $0 | $0 | $0 |
| SHOAIB A RASHEED DO | ||||||||||||||
| PHYSICIAN | $186,513 | $0 | $4,469 | $0 | $12,615 | $0 | $6,166 | $0 | $24,276 | $0 | $234,039 | $0 | $0 | $0 |
| DONNA M EMCH | ||||||||||||||
| VP PARTICIPANT CARE | $169,085 | $0 | $4,399 | $0 | $3,400 | $0 | $7,088 | $0 | $19,438 | $0 | $203,410 | $0 | $0 | $0 |
| AMY KATZ | ||||||||||||||
| VP STRATEGIC GROWTH, | $164,003 | $0 | $4,399 | $0 | $0 | $0 | $5,170 | $0 | $26,064 | $0 | $199,636 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS ORGANIZED ON A MEMBERSHIP BASIS. ITS MEMBERS ARE HENRY FORD HEALTH SYSTEM (HF HEALTH) AND PRESBYTERIAN VILLAGES OF MICHIGAN (PVM). |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH MEMBER (HF HEALTH AND PVM) APPOINTS FIFTY PERCENT OF THE TRUSTEES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE TWO MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). THE TAX DEPARTMENT OF HF HEALTH PREPARES THE ORGANIZATION'S FORM 990. BEFORE THE FORM 990 IS FILED, A COPY FOR REVIEW WILL BE PROVIDED TO THE TRUSTEES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE POLICY OF THE ORGANIZATION TO PREVENT CONFLICTS OF INTEREST IN THE WORKPLACE. INDIVIDUALS SUBJECT TO THIS POLICY SHALL UPON HIRE AND ANNUALLY THEREAFTER, COMPLETE AND SIGN A COI DISCLOSURE STATEMENT AND NOTIFY COMPLIANCE OFFICER OF ANY CHANGES TO THE INFORMATION IN THE STATEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD CHAIR AND VICE CHAIR OF THE ORGANIZATION ARE CHARGED WITH APPROVAL OF THE COMPENSATION AND BENEFIT PROGRAMS FOR THE CEO, CFO AND OTHER TOP MANAGEMENT OFFICIAL. THE PROCESS INCLUDES UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTHCARE ORGANIZATIONS. FOR OTHER EMPLOYEES, THE ORGANIZATION HAS AN INTERNAL COMPENSATION COMMITTEE CONSISTING OF THE CEO, CFO AND DIRECTOR OF HUMAN RESOURCES. THEY ARE CHARGED WITH APPROVAL OF THE COMPENSATION AND BENEFIT PROGRAMS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE AND UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS TAX DOCUMENTS AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. |
| FORM 990, PART IX, LINE 11G | CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 63,785,849. MANAGEMENT AND GENERAL EXPENSES 1,602. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,787,451. CONSULTANTS: PROGRAM SERVICE EXPENSES 2,612,363. MANAGEMENT AND GENERAL EXPENSES 1,694,804. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,307,167. |
| FORM 990, PART XI, LINE 9: | DECREASE IN RESTRICTED NET ASSETS -6,737. CAPITAL DISTRIBUTIONS TO MEMBERS -2,011,500. |
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