2020-01-27T14:45:25-06:00 2019-08-31 382706146 YEO & YEO PC 1450 EISENHOWER PLACE ANN ARBOR MI 481083283 990 2018-09-01 382269817 PACKARD HEALTH INC PACK 7349711073 3174 PACKARD ROAD ANN ARBOR MI 48108 DR RAYMOND RION EXECUTIVE DIRECTOR 7349711073 2020-01-17 true BRIAN R DIXON P01321580 7347691331 2020-01-27 70.34.166.254 2020-01-27 14:45:25 CS P 8671651BE8EF7FFDEF062089206F12EC2768330A 7484E3CD3963469E41B121541E5DE620EF83E074 2018 2020-04-17 16:48:07Z DR RAYMOND RION 3174 PACKARD ROAD ANN ARBOR MI 48108 9043917 false X WWW.PACKARDHEALTH.ORG X 1973 MI TO PROVIDE THE BEST POSSIBLE CARE TO OUR PATIENTS AND COMMUNITY, INCLUDING PEOPLE WHOSE ECONOMIC, SOCIAL OR CULTURAL CONDITIONS MIGHT OTHERWISE PREVENT THEM FROM ACCESSING HEALTH CARE. 14 14 89 23 0 553223 1576124 6738025 7423188 3212 3983 54794 40622 7349254 9043917 0 0 4645754 5248190 45550 233222 2180190 2520912 6825944 7814652 523310 1229265 3299535 4564541 664116 697418 2635419 3867123 TO PROVIDE THE BEST POSSIBLE CARE TO OUR PATIENTS AND COMMUNITY, INCLUDING PEOPLE WHOSE ECONOMIC, SOCIAL OR CULTURAL CONDITIONS MIGHT OTHERWISE PREVENT THEM FROM ACCESSING HEALTH CARE. false false 6256029 7463810 PRIMARY HEALTH SERVICES, INCLUDING MENTAL HEALTH CARE AND HEALTH PROMOTION TO PATIENTS IN THE WASHTENAW COUNTY AREA. 6256029 true true false false false false false false false false true false false false true false true false false false false false false true false false false false false true false false false false false false false false true false false false false false false false false true 3 0 false 89 true false false false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true true false MI X MARK JACOBY 7349264934 3174 PACKARD RD ANN ARBOR MI 48108 X DR RAYMOND RION EXECUTIVE DI 40.00 X 219796 0 16804 MARK JACOBY CFO 40.00 X 98687 0 16477 SHANNON CAMPBELL OPERATIONS D 40.00 X 103077 0 4270 DR HOLLY ROSS MEDICAL DIRE 40.00 X 128610 0 7228 DR ANKOOR SONI MEDICAL DIRE 40.00 X 165646 0 13250 GARY BOREN CHAIR 1.00 X X 0 0 0 SHARON MOORE VICE CHAIR 1.00 X X 0 0 0 THOMAS BIGGS TREASURER 1.00 X X 0 0 0 BARBARA CAMPBELL TRUSTEE 1.00 X 0 0 0 JPAUL DIXON TRUSTEE 1.00 X 0 0 0 CHUCK HOFFMAN TRUSTEE 1.00 X 0 0 0 PAULA LANTZ TRUSTEE 1.00 X 0 0 0 NORA MALOY TRUSTEE 1.00 X 0 0 0 DUANE NEWLAND TRUSTEE 1.00 X 0 0 0 ELLEN RABINOWITZ TRUSTEE 1.00 X 0 0 0 EDD SNYDER TRUSTEE 1.00 X 0 0 0 DOUG STRONG TRUSTEE 1.00 X 0 0 0 DEBORAH VANDENBROEK TRUSTEE 1.00 X 0 0 0 BRYAN WAGONER TRUSTEE 1.00 X 0 0 0 LINDSEY KOTAGAL PHYSICIAN 40.00 X 159022 0 8890 RONALD ROMERO PHYSICIAN 40.00 X 126192 0 17096 RAVI VADLAMUDI PHYSICIAN 40.00 X 173091 0 23060 ELIZABETH ORLOWSKI NURSE PRACTI 40.00 X 114764 0 16232 1288885 123307 8 false true false 1112360 463764 251843 1576124 PATIENT FEES 624100 5793385 5793385 CONTRACT SERVICE FEES 624100 1517461 1517461 CAPITATION FEES 624100 112342 112342 7423188 3983 3983 OTHER 624100 40622 40622 40622 9043917 7463810 3983 X 760038 310093 449945 3747801 3212545 471793 63463 53868 52701 1167 352210 291663 55088 5459 334273 263055 66451 4767 205164 96365 108799 45550 45550 891415 871750 19665 48210 48210 131361 52535 52554 26272 229846 127649 68131 34066 56900 56033 578 289 52083 42709 7812 1562 124510 118875 5635 MEDICAL SUPPLIES 692577 692577 DUES, LICENSES & SUBSCRIP 55160 55160 OTHER 21600 7484 14116 REPAIRS & MAINTENANCE 12086 4835 4834 2417 7814652 6256029 1325401 233222 3742 3742 1492337 3004596 1205596 1011992 88884 81989 751421 405281 398221 346140 110755 116082 3299535 4564541 351695 384607 14497 14887 297924 297924 664116 697418 X 2635419 3867123 2635419 3867123 3299535 4564541 1229265 2439 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15000 15000 449203 290472 158731 223675 73525 150150 63543 41284 22259 346140 MEDICARE SETTLEMENT COST 297924 297924 9046356 2439 2439 9043917 9043917 7814652 7814652 7814652 X true RICHNER & RICHNER 117 N FIRST STREET SUITE 10 ANN ARBOR MI 48104 CAMPAIGN false 45550 -45550 45550 -45550 MI X X false false false false false false false false false DR RAYMOND RION EXECUTIVE DIRECTOR 216296 3500 8792 8012 236600 DR ANKOOR SONI MEDICAL DIRECTOR 165646 5834 7416 178896 LINDSEY KOTAGAL PHYSICIAN 159022 6361 2529 167912 RAVI VADLAMUDI PHYSICIAN 173091 6924 16136 196151 X 900 251843 PRICES VERIFIED ONLINE false true false FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS REVIEWED BY THE CFO AND TREASURER IN DETAIL, THE 990 IS ALSO PROVIDED TO THE EXECUTIVE DIRECTOR AND BOARD PRIOR TO FILING FOR REVIEW. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD REVISITS THE CONFLICTS OF INTEREST POLICY ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR BASED ON PERFORMANCE AND OTHER FACTORS. FORM 990, PAGE 6, PART VI, LINE 15B THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION FOR OFFICERS & KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES 871,750 19,665 0