2020-05-14T18:38:37-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2018-07-01 465251750 VOANS SENIOR COMMUNITY CARE OF MICHIGAN INC VOAN 9529410305 7485 OFFICE RIDGE CIRCLE EDEN PRAIRIE MN 55344 NANCY GAVIN VP FINANCIAL SERVICES 9529410305 2020-05-06 1 LAWRENCE H MOHR CPA P00447603 6128764500 38.88.188.75 2020-05-06 16:34:14 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 EDB264CAD7F9F6CD2E19D356927987B2A35A11B0 2018 2021-01-29 14:40:06Z X JOSEPH BUDZYNSKI 1660 DUKE STREET ALEXANDRIA VA 22314 16068323 0 1736 X WWW.VOA.ORG X 2014 MN SEE SCHEDULE O 7 5 108 5 0 0 225 201685 15031560 15840878 0 0 70 25760 15031855 16068323 0 0 0 0 4555631 5493115 0 0 0 10414086 10810025 14969717 16303140 62138 -234817 6110081 5079332 9179728 8513457 -3069647 -3434125 X SEE SCHEDULE O 0 0 15728028 15866638 VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC. CURRENTLY ADMINISTERS A PACE PROGRAM IN THE LANSING AREA OF MICHIGAN. PACE PROVIDES SERVICES SUCH AS HEALTHCARE, TRANSPORTATION, MEALS AND SOCIAL INTERACTION FOR LOW-INCOME SENIORS, WITH THE AIM TO ALLOW THEM TO LIVE INDEPENDENTLY WHILE RECEIVING THE CARE THEY NEED. 15728028 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 0 1 5 0 108 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X NANCY GAVIN 6124287840 7485 OFFICE RIDGE CIRCLE EDEN PRAIRIE MN 55344 JOHN THORHAUER CHAIR OF THE BOARD 1.00 X X 0 0 0 MARK STEVENS VICE PRESIDENT & TREASURER 1.00 X X 0 0 0 PATRICK PATTERSON DIRECTOR 1.00 X 0 0 0 JAMES BUTLER DIRECTOR 1.00 X 0 0 0 MARION OWEN DIRECTOR 1.00 X 0 0 0 ROBERT D GIBSON SECRETARY 3.00 40.00 X X 0 270155 61891 THOMAS D TURNBULL PRESIDENT 0.10 1.00 X X 0 45857 747 JOSEPH A BUDZYNSKI ASST. SECRETARY/TREASURER 3.00 40.00 X 0 269182 62971 NANCY A GAVIN ASST. SECRETARY/TREASURER 3.00 40.00 X 0 137745 86476 DEBORAH PERRY ASST. SECRETARY/TREASURER (PART YR) 3.00 40.00 X 0 0 0 FAITH NUTZ ASST. SECRETARY/TREASURER 3.00 40.00 X 0 114887 18629 WAYNE OLSON EVP - HEALTHCARE 3.00 40.00 X 0 252566 79043 JENNIFER L WHITE PHYSICIAN 40.00 0.00 X 172860 0 3957 172860 1090392 313714 1 0 1 0 EW SPARROW HOSPITAL 1215 E MICHIGAN AVE LANSING MI 48912 PHYSICIAN 1598441 BY DAWN'S EARLY LIGHT 1032 WILLOW HWY GRAND LEDGE MI 48837 TEMPORARY HELP 588445 INGHAM COUNTY MCF 3860 DOBIE RD OKEMOS MI 48864 MEDICAL CARE FACILITY & REHAB CENTER 520490 VOLUNTEERS OF AMERICA NATIONAL SERVICES 7485 OFFICE RIDGE CIRCLE EDEN PRAIRIE MN 55344 MANAGEMENT 467365 HOLT SENIOR CARE AND REHAB CENTER 5091 W WILLOUGHBY RD HOLT MI 48842 SKILLED NURSING FACILITY 348055 22 200000 1685 201685 NURSING 623000 15840878 15840878 15840878 OTHER REVENUE 561000 25760 25760 25760 16068323 15866638 0 0 X 4745192 4670574 74618 16537 16537 447921 434490 13431 283465 283465 1000 1000 8847 8847 6501742 6025692 476050 12361 12361 56250 56250 199872 199872 382077 376993 5084 261833 261833 33282 33282 294499 294427 72 381202 377462 3740 98081 97100 981 NURSING SUPPLIES 2144671 2144671 EQUIPMENT EXPENSES 167567 167567 BAD DEBT EXPENSE 98189 98189 REPAIRS & MAINTENANCE 83402 82266 1136 85150 85150 16303140 15728028 575112 0 3321222 2545008 629544 664466 10698 32697 86914 62392 3052122 1293999 2045057 1758123 16646 16646 6110081 5079332 1625804 1781741 644741 0 2404841 1909761 4504342 4821955 9179728 8513457 X -3069647 -3434125 -3069647 -3434125 6110081 5079332 X -234817 -129661 X 0 1 X 1 0 X 650 500 225 201685 203060 170185 4666352 10379680 15031560 15840878 46088655 170185 4667002 10380180 15031785 16042563 46291715 0 0 0 46291715 339 42500 70 25760 68669 170185 4667341 10422680 15031855 16068323 46360384 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2015 AMOUNT: $ 339. 2016 AMOUNT: $ 42,500. 2017 AMOUNT: $ 70. 2018 AMOUNT: $ 25,760. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1987103 669866 1317237 477216 221107 256109 587803 403026 184777 1758123 INTERCOMPANY PAYABLES 596832 CAPITAL LEASE OBLIGATION 165155 DUE TO THIRD PARTY PAYORS 47002 NOTES PAYABLE TO RELATED PARTIES 3179723 DEFERRED RENT 103671 ACCRUED INTEREST PAYABLE 729572 4821955 X 15938662 -129661 -129661 16068323 0 16068323 16303140 0 16303140 0 16303140 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS FOR UNCERTAINTY AND HAS NO UNRECOGNIZED TAX MATTERS THAT ARE REQUIRED TO BE DISCLOSED. THE ORGANIZATION HAD NO INCOME TAX EXPENSE AND THERE WERE NO CASH PAYMENTS FOR INCOME TAXES IN 2019 AND 2018. 0 0 0 0 0 0 0 0 0 ROBERT D GIBSON SECRETARY 0 268124 0 132 0 1899 0 28800 0 33091 0 332046 0 0 JOSEPH A BUDZYNSKI ASST. SECRETARY/TREASURER 0 267051 0 132 0 1999 0 28800 0 34171 0 332153 0 0 NANCY A GAVIN ASST. SECRETARY/TREASURER 0 136521 0 139 0 1085 0 28409 0 58067 0 224221 0 0 WAYNE OLSON EVP - HEALTHCARE 0 250160 0 139 0 2267 0 28442 0 50601 0 331609 0 0 JENNIFER L WHITE PHYSICIAN 172860 0 0 0 0 0 1728 0 2229 0 176817 0 0 0 PART I, LINE 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION, VOLUNTEERS OF AMERICA, INC., TO DETERMINE THE COMPENSATION FOR THE PRESIDENT AND CEO, OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART I AND PART III, LINE 1: ESTABLISHED IN 1896, VOLUNTEERS OF AMERICA IS A NATIONAL, NONPROFIT, FAITH-BASED ORGANIZATION PROVIDING SERVICES SUCH AS HOUSING AND HEALTHCARE TO MORE THAN 2 MILLION PEOPLE IN OVER 400 COMMUNITIES EACH YEAR. IN SUPPORT OF THAT MISSION, VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC. WAS ORGANIZED AND IS OPERATED TO ENGAGE IN, ADVANCE, SUPPORT, PROMOTE, AND ADMINISTER HEALTH AND HEALTH-RELATED SERVICES AND SUPPORTIVE SERVICES TO SENIORS AND DISABLED INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 2 ROBERT GIBSON, THOMAS TURNBULL, JOSEPH BUDZYNSKI, NANCY GAVIN, DEBORAH PERRY, FAITH NUTZ, AND WAYNE OLSON HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER BECAUSE THEY SERVE AS DIRECTORS, OFFICERS, AND/OR KEY EMPLOYEES OF VOLUNTEERS OF AMERICA INC., VOLUNTEERS OF AMERICA NATIONAL SERVICES, AND/OR THEIR RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 VOANS PACE HOLDING COMPANY, INGHAM COUNTY MEDICAL CARE FACILITY AND UNITED METHODIST RETIREMENT COMMUNITIES, INC. ARE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A VOA NATIONAL SERVICES HAS THE RIGHT TO ELECT OR APPOINT DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B VOA NATIONAL SERVICES APPROVES AMENDMENTS TO THE ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD HAS 5 DAYS TO REVIEW AND GIVE COMMENTS ON THE RETURN. AFTER THE COMMENT PERIOD, ANY CHANGES WILL BE MADE TO THE RETURN. THE BOARD OF DIRECTORS IS THEN PROVIDED A COMPLETE COPY OF THE FINAL RETURN UPON FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE POLICY AND DISCLOSURE FORM ARE DISTRIBUTED AND COLLECTED ANNUALLY, AND INDIVIDUALS ARE REQUIRED TO UPDATE THE DISCLOSURE FORM THROUGHOUT THE YEAR IN THE EVENT POTENTIAL CONFLICTS ARISE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS AND MAY REQUIRE SAID OFFICER, DIRECTOR AND KEY EMPLOYEE TO RECUSE FROM PARTICIPATION TO AVOID A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S PRESIDENT AND CEO IS NOT COMPENSATED BY THE ORGANIZATION BUT IS COMPENSATED BY A RELATED ORGANIZATION, VOLUNTEERS OF AMERICA, INC. VOLUNTEERS OF AMERICA'S PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND CEO, OFFICERS, AND KEY EMPLOYEES INCLUDES REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE FORMED OF INDEPENDENT MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE CONDUCTS A MARKET COMPENSATION ANALYSIS REVIEW EVERY YEAR AND REPORTS THEIR CONCLUSIONS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OUTPATIENT SERVICES: PROGRAM SERVICE EXPENSES 979,190. TOTAL EXPENSES 979,190. CONSULTING: PROGRAM SERVICE EXPENSES 680,766. TOTAL EXPENSES 680,766. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 176,962. TOTAL EXPENSES 176,962. INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 2,664,201. TOTAL EXPENSES 2,664,201. NURSING: PROGRAM SERVICE EXPENSES 961,990. TOTAL EXPENSES 961,990. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 10,442. TOTAL EXPENSES 10,442. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 542,856. TOTAL EXPENSES 542,856. MANAGEMENT: MANAGEMENT AND GENERAL EXPENSES 476,050. TOTAL EXPENSES 476,050. PURCHASED SERVICES FROM VOA AFFILIATES: PROGRAM SERVICE EXPENSES 9,285. TOTAL EXPENSES 9,285. FORM 990, PART XI, LINE 9: LOSS ON REFINANCING -129,661. 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