2020-02-11T10:08:52-07:00 2019-09-30 990 2018-10-01 300166828 Care Resources CARE 6169132006 4150 Kalamazoo Ave SE Grand Rapids MI 49508 Tracey McKnight Chief Executive Officer 6169132011 2020-02-12 67.39.251.251 2018 2020-09-23 17:36:50Z X Tracey McKnight 4150 Kalamazoo Ave SE Grand Rapids MI 49508 17487399 0 X www.care-resources.org X 2003 MI Provide comprehensive health care and social services to the indigent and frail elderly who would otherwise qualify for nursing home care under the Medicaid and Medicare program. 5 0 0 0 0 0 7508 12477 16602033 17463973 36807 3289 184511 7660 16830859 17487399 0 0 0 0 8308 6487 0 0 0 17416839 17388356 17425147 17394843 -594288 92556 4859868 6509383 1873883 3430842 2985985 3078541 Care Resources is a PACE (Program of All-Inclusive Care for the Elderly) organization which provides comprehensive care and social services to the indigent and frail elderly who would otherwise qualify for nursing home care under the Medicaid program. 0 0 15676645 17487399 Provide comprehensive health care and social services covering approximately 2,614 member months or approximately, an average of 218 participants per month. Examples of provided services include transportation, care management, social services, day center activities, and supporting housing assistance. 0 0 0 15676645 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 109 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MI X David Tiesenga 6162355035 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 X Paul Karsten Director, Treasurer 2 50 X X 0 244234 16636 Hermina Breuker Director, Chairperson 2 50 X X 0 354845 27781 Sr Maureen Geary Director 2 50 X 0 0 0 Steve Velzen-Haner Director 2 50 X 0 123992 9201 Dr Rakesh Pai Director 2 50 X 0 86063 18500 Tracey McKnight Chief Executive Officer 50 0 X 0 21456 3796 David Tiesenga Chief Financial Officer 2 50 X 0 275304 25130 Thomas Muszynski Chief Operating Officer 50 0 X 0 119946 8499 0 1225840 109543 0 0 1 0 Holland Home 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 staffing, management & housing 6687834 Pinnacle Construction Group 1000 Front St NW Grand Rapids MI 49504 Construction services 3113961 University of Michigan - Metro Health Hospital 5900 Byron Center Ave Wyoming MI 49509 Physician & medical services 1776164 The Lodge at Maple Creek 1900 32nd St SE Grand Rapids MI 49508 Supportive housing services 952759 Railside Assisted Living Center 7955 Byron Center Ave Byron Center MI 49315 Supporting housing services 833166 14 0 0 0 0 0 12477 0 12477 Medicare/Medicaid 621610 17463973 17463973 0 0 0 0 0 0 17463973 3289 0 0 3289 0 0 0 0 0 0 0 0 8067 0 0 0 8067 0 8067 0 0 8067 0 0 0 0 0 0 0 0 0 0 0 Miscellaneous Revenue 621610 -1287 -1287 0 0 Pharmaceutical Rebates 621610 880 880 0 0 0 0 0 0 -407 17487399 17463566 0 11356 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6487 6487 0 0 0 0 0 0 336108 0 336108 0 55212 0 55212 0 26000 0 26000 0 0 0 0 0 0 0 0 0 0 0 6682273 5704934 977339 0 86352 86352 0 0 64643 18737 45906 0 243049 147434 95615 0 0 0 0 0 384764 373455 11309 0 67882 65525 2357 0 0 0 0 0 147738 132169 15569 0 0 0 0 0 0 0 0 0 274139 256574 17565 0 50387 50387 0 0 Housing, Nursing & Medical Services 6299965 6299965 0 0 Medical Supplies & Pharmaceuticals 2477847 2477847 0 0 Dues & Memberships 66233 10587 55646 0 Miscellaneous 125764 46192 79572 0 17394843 15676645 1718198 0 681672 540611 618241 933531 0 0 36087 216126 0 0 0 0 0 0 0 0 97263 115641 5063431 359957 1589605 4703474 1837000 0 0 0 0 0 0 0 0 0 4859868 6509383 1873883 1480842 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1950000 1873883 3430842 X 2985985 3078541 0 0 0 0 2985985 3078541 4859868 6509383 X 92556 0 0 0 0 0 X 0 1 X 1 0 X X 5 Reliance Community Care Partners 382295909 10 1 0 0 Holland Home 381369927 10 1 0 0 University of Michigan - Metro Health Hospital 380593405 3 1 0 0 Pine Rest Christian Mental Health Services 381368360 10 1 0 0 Grand Rapids Dominicans 381360581 10 1 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 200000 200000 0 3911448 124748 3786700 0 0 0 0 0 951983 235209 716774 0 0 0 0 4703474 Loans Payable to Partners 1950000 1950000 17597399 0 110000 0 0 110000 17487399 0 0 0 17487399 17504843 110000 0 0 0 110000 17394843 0 0 0 17394843 X 1 1 0 0 0 0 0 0 0 0 0 Hermina Breuker Director, Chairperson 0 354845 0 0 0 0 0 18500 0 9281 0 382626 0 0 David Tiesenga Chief Financial Officer 0 275304 0 0 0 0 0 18500 0 6630 0 300434 0 0 Paul Karsten Director, Treasurer 0 244234 0 0 0 0 0 16636 0 0 0 260870 Schedule J, Part I, Line 1a The organization provides reimbursement of health club dues to the Chief Financial Officer. Pine Rest Christian Mental Health Services member in organization 59964 behavioral health services 0 Holland Home member in organization 6687834 management services & staffing 0 Reliance Community Care Partners member in organization 125085 claims processing services 0 Grand Rapids Dominicans member in organization 170550 supportive housing 0 University of Michigan - Metro Health Hospital member in organization 1776164 medical care and medical management 0 Schedule L, Part IV Paul Karsten, a director and treasurer of the organization, is a key employee of Pine Rest Christian Mental Health Services. Pine Rest Christian Mental Health Services provides behavioral health services to the participants in the organization. These services are provided at levels and pricing consistent with Pine Rest's other services and patients. See also Schedule R. Hermina Breuker, a director and chair of the organization, is a key employee of Holland Home. Holland Home provides staffing services, facility management services and management services, including human resources, finance, and information services. These services are provided at negotiated and contracted service rates. See also Schedule R. Steve Velzen-Haner, a director of the organization, is a key employee of Reliance Community Care Partners. Reliance Community Care Partners provides contracted claims management and billing services for the organization. See also Schedule R. Sister Maureen Geary, a director of the organization, is a key employee of Grand Rapids Domicans. Grand Rapids Dominicans provides supportive housing services to certain program participants, at pricing levels negotiated with the organization and not exceeding other levels paid and received by the Grand Rapids Domicans for similar services. See also Schedule R. Dr Rakesh Pai is a key employee of University of Michigan - Metro Health Hospital. University of Michigan - Metro Health Hospital provides medical and hospital services for participants, based upon established fee schedules, consistent with pricing offered and settled with other hospital patients. See also Schedule R. Form 990, Part VI, Section A, Line 6 Care Resources is a membership corporation with members, each of which is a tax exempt 501(c)(3) organization and a public charity. Care Resources is also a public charity under Section 501(c)(3) of the IRS Code. Form 990, Part VI, Section B, Line 11b The Form 990 and appropriate schedules are prepared by the organizatoin. The completion of the Form is reported and reviewed with the organization's finance committee. The Form 990 and appropriate schedules are then submitted to the Internal Revenue Service. Form 990, Part VI, Section B, Line 12c On an annual basis each director and principal officer must complete a statement that (1) they have received a copy of the conflict of interest policy; (2) they have read and understand the policy; (3) they have agreed to comply with the policy, and (4) understand that the organization is charitable and in order to maintain its Federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Form 990, Part VI, Section B, Line 15 The organization purchases compensation surveys and establishes the executive compensation around the fiftieth percentile (with some flexibility) of prevailing market rates for similar positions, market trends, and the financial resources of the organization. The organization is committed to balancing fiscal stewardship with a desire to competitively compensate its personnel. Form 990, Part VI, Section C, Line 19 The organization does not generally make its governing documents or Conflict of Interest Policy available to the public; however, such documents would be subject to public inspection if so requested. Additionally, the audited financial statements are available for public inspection, upon request. Form 990, Part VII, Section A, Line 1a The organization, through a contracted services provider (Holland Home), receives the services of its Chief Executive Officer. The current Chief Executive Officer was hired in October 2018. Prior to her appointment, the position was vacant and was being filled by a contracted consultant on an interim basis. The Chief Executive Officer is wholly-dedicated to Care Resources and does not provide services to any other organization. The organization, through a contracted services provider (Holland Home), receives the services of its Chief Financial Officer. The Chief Financial Officer is fractionally-dedicated to Care Resources (less than 10%) and provides services to several other organizations. The organization, through a contracted services provider (Holland Home), receives the services of its Chief Operating Officer. The Chief Operating Officer is wholly-dedicated to Care Resources and does not provide services to any other entity. Form 990, Part IX, Line 11g Other services include contracted services for the following: Occupational Therapy ($229,559); Primary Care ($812,938); Routine Specialist ($184,046); Outpatient Care ($142,206); Recreational Therapy ($176,379); Medical Records ($133,217); Food Services/Dietary Services ($209,041); Physical Therapy ($364,895); Social Work Services ($356,032); Transportation Services ($515,069); Home Care Services ($501,690); Other Center Support Services ($1,579,642); Administration & Management Services ($977,339) and other contracted services ($642,426). Form 990, Part XI, Line 6 Prior to its occupancy of its current facility at 4150 Kalamazoo Ave, the organization received the use of facilities at 1471 Grace St at no rent cost to the organization. The organization is responsible for a portion of utilities and related occupancy costs. The estimated fair value of the use of facilities, which has been made available by a parent organization, Holland Home, is $110,000. The use of these donated facilities ceased in August 2019. Holland Home 2100 Raybrook St SE Grand Rapids MI 49546 381366927 contracted services MI 501(c)(3) 10 Christian Living Services 0 Reliance Community Care Partners 2100 Raybrook St SE Grand Rapids MI 49546 382295909 claims management MI 501(c)(3) 10 Christian Living Services 0 University of Michigan - Metro Health Hospital 5900 Byron Center Ave SW Byron Center MI 49315 380593405 hospital & medical services MI 501(c)(3) 3 N/A 0 Pine Rest Christian Mental Health Services 300 68th Street SE Grand Rapids MI 49548 381638360 behavioral health services MI 501(c)(3) 10 N/A 0 Grand Rapids Dominicans 2025 E Fulton St Grand Rapids MI 49503 381360581 supportive housing MI 501(c)(3) 10 N/A 0 0 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 0 0 Reliance Community Care Partners m 125085 claims processing services established based upon set fee Grand Rapids Dominicans m 170550 supportive housing services provided at agreed upon rates Pine Rest Christian Mental Health Services m 59964 behavioral health services provided at agreed upon rates Reliance Community Care Partners e 390000 loan to organization for improvements to facility University of Michigan - Metro Health Hospital e 390000 loan to organization for improvements to facility Pine Rest Christian Mental Health Services e 390000 guarantee of loan to organization for improvements to facility Holland Home e 390000 loan to organization for improvements to facility Grand Rapids Dominicans e 390000 loan to organization for improvements to facility University of Michigan - Metro Health Hospital m 1776164 medical and hospital services at agreed upon rates Holland Home k 112935 fee for use of facility space Holland Home m 6574899 management, staffing services & supportive housing based on agreed upon and set fees