PACE SOUTHEAST MICHIGAN: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PACE SOUTHEAST MICHIGAN (EIN 90-0659735)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-09-22
IRS object ID
202042669349300944
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2020-09-22T13:35:19-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900659735EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PACE SOUTHEAST MICHIGANBusinessNameLine1Txt
Business Name Line2F/K/A CENTER FOR SENIOR INDEPENDENCEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPACEBusinessNameControlTxt
Phone2485569132PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line124463 W TEN MILE ROADAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY KUMMER NABERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone2485569132PhoneNum
Signature2020-09-22SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address150.198.64.200IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-09-22IPDt
IP Tm13:35:14IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id4D7818B4378CD12CB7018F8280EB59C545A2623BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN W CARNAGHIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124463 W TEN MILE ROADAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48033ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$84,875,871GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PACESEMI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPACE SOUTHEAST MICHIGAN (PACE) IS AN ALTERNATIVE TO NURSING HOME CARE FOR THE FRAIL AND ELDERLY PEOPLE. 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 A COMPREHENSIVE MEDICAL AND SUPPORTIVE SERVICES. THE INTERDISCIPLINARY TEAM AT PACE ASSESSES POTENTIAL PARTICIPANTS AND DEVELOPS A PERSON-CENTERED CARE PLAN - CUSTOMIZING SERVICES TO MEET NDIVIDUALS' NEEDS. FREQUENT CONTACTS WITH PARTICIPANTS AND REGULAR REVIEWS OF THE CARE PLAN ENSURE THAT THE 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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee609TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$207,432PYContributionsGrantsAmt
CY Contributions Grants$701,525CYContributionsGrantsAmt
PY Program Service Revenue$62,957,566PYProgramServiceRevenueAmt
CY Program Service Revenue$84,092,971CYProgramServiceRevenueAmt
PY Investment Income$47,387PYInvestmentIncomeAmt
CY Investment Income$74,632CYInvestmentIncomeAmt
PY Other Revenue$3,963PYOtherRevenueAmt
CY Other Revenue$6,743CYOtherRevenueAmt
PY Total Revenue$63,216,348PYTotalRevenueAmt
CY Total Revenue$84,875,871CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,516,317PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,570,894CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$39,820,223PYOtherExpensesAmt
CY Other Expenses$56,570,780CYOtherExpensesAmt
PY Total Expenses$61,336,540PYTotalExpensesAmt
CY Total Expenses$84,141,674CYTotalExpensesAmt
PY Revenues Less Expenses$1,879,808PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$734,197CYRevenuesLessExpensesAmt
Total Assets BOY$17,146,483TotalAssetsBOYAmt
Total Assets EOY$21,353,311TotalAssetsEOYAmt
Total Liabilities BOY$5,454,598TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,005,619TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,691,885NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,347,692NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPACE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$74,290,673ExpenseAmt
Revenue$84,102,513RevenueAmt
DescPROVIDE 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$74,290,673TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document481IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee609EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFF BURMEISTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2485569132PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line124463 W TEN MILE ROADAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48033ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
MARY KUMMER NABER
PRESIDENT/TRUSTEE40.000.00Yes (X)Yes (X)$298,923$0$24,594
JEFFREY G BURMEISTER
C.F.O40.000.00$209,070$0$12,151Yes (X)
MARJORIE A STATEN JD
ASSISTANT SECRETARY1.000.00Yes (X)$0$0$0
BRIAN W CARNAGHI
TREASURER/TRUSTEE1.000.00Yes (X)Yes (X)$0$0$0
SUSAN S HAWKINS
TRUSTEE1.000.00Yes (X)$0$0$0
STEVEN G DOLUNT
TRUSTEE1.000.00Yes (X)$0$0$0
ROGER L MYERS
TRUSTEE- CHAIR1.000.00Yes (X)Yes (X)$0$0$0
DAVID F SHEPHERD
TRUSTEE1.000.00Yes (X)$0$0$0
KATRINA R SUMMERSETT RN
TRUSTEE1.000.00Yes (X)$0$0$0
MANU K MALHOTRA MD
TRUSTEE- VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
BRENDA L LAWRENCE
TRUSTEE1.000.00Yes (X)$0$0$0
MICHELLE JOHNSON TIDJANI ESQ
SECRETARY1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$507,993TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$36,745TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HENRY FORD HEALTH SYSTEM
PO BOX 670884DETROITMI48267MEDICAL SERVICES$21,781,796
HEALTH ALLIANCE PLAN
PO BOX 55000 DEPT 271101DETROITMI48225HEALTH INSURANCE SERVICES$2,928,270
FOUNTAIN BLEU HEALTH & REHABILITATION
25440 5 MILE RD STE 100REDFORDMI48239MEDICAL SERVICES$1,676,455
HARRY & JEANNETTE WEINBERG GREEN HOUSES
26200 LAHSER RD STE 300SOUTHFIELDMI48033ASSISTED LIVING SERVICES$1,431,764
RHEMA REDFORD VILLAGE OPERATING LLC
25800 NORTWESTERN HWYSOUTHFIELDMI48075ASSISTED LIVING SERVICES$1,306,557
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K48CntrctRcvdGreaterThan100KCnt
All Other Contributions$701,525AllOtherContributionsAmt
Total Contributions$701,525TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE FEESDesc
Business623000BusinessCd
Total Revenue Column$84,092,971TotalRevenueColumnAmt
Related Or Exempt Func Income$84,092,971RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$84,092,971TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,833TotalRevenueColumnAmt
Exclusion$71,833ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,799OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,799OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,799TotalRevenueColumnAmt
Related Or Exempt Func Income$2,799RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$6,743TotalRevenueColumnAmt
Related Or Exempt Func Income$6,743RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,743OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,875,871TotalRevenueColumnAmt
Related Or Exempt Func Income$84,102,513RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$71,833ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$323,517TotalAmt
Program Services$307,341ProgramServicesAmt
Management And General$16,176ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$221,221TotalAmt
Program Services$210,160ProgramServicesAmt
Management And General$11,061ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,677,996TotalAmt
Program Services$18,522,336ProgramServicesAmt
Management And General$3,155,660ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$690,733TotalAmt
Program Services$591,802ProgramServicesAmt
Management And General$98,931ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,013,379TotalAmt
Program Services$2,581,782ProgramServicesAmt
Management And General$431,597ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,644,048TotalAmt
Program Services$1,408,576ProgramServicesAmt
Management And General$235,472ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,855TotalAmt
Management And General$4,855ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,600TotalAmt
Management And General$43,600ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$37,158,423TotalAmt
Program Services$36,294,252ProgramServicesAmt
Management And General$864,171ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,977TotalAmt
Program Services$13,040ProgramServicesAmt
Management And General$937ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,998,952TotalAmt
Program Services$2,772,811ProgramServicesAmt
Management And General$2,226,141ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$723,488TotalAmt
Program Services$27,728ProgramServicesAmt
Management And General$695,760ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$406,889TotalAmt
Management And General$406,889ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$270,097TotalAmt
Program Services$253,190ProgramServicesAmt
Management And General$16,907ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$61,665TotalAmt
Program Services$32,619ProgramServicesAmt
Management And General$29,046ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$926,339TotalAmt
Program Services$366,962ProgramServicesAmt
Management And General$559,377ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$594,752TotalAmt
Program Services$376,282ProgramServicesAmt
Management And General$218,470ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL SUPPLIES$9,660,730$9,639,627$21,103
REPAIRS AND MAINTENANCE$518,461$208,138$310,323
MEDICAL SUPPLIES$441,646$427,542$14,104
BAD DEBT$266,231$0$266,231

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$480,675TotalAmt
Program Services$256,485ProgramServicesAmt
Management And General$224,190ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$84,141,674TotalAmt
Program Services$74,290,673ProgramServicesAmt
Management And General$9,851,001ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,133,938BOYAmt
EOY$9,507,507EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,143,820BOYAmt
EOY$2,071,879EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$745,720BOYAmt
EOY$576,757EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,098,727LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,951,559LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,013,476BOYAmt
EOY$6,147,168EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,222,133BOYAmt
EOY$1,087,253EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,887,396BOYAmt
EOY$1,962,747EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,146,483BOYAmt
EOY$21,353,311EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$682,055BOYAmt
EOY$1,484,332EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,772,543BOYAmt
EOY$6,521,287EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,454,598BOYAmt
EOY$8,005,619EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,691,885BOYAmt
EOY$12,337,554EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$1,010,138EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,691,885BOYAmt
EOY$13,347,692EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,146,483BOYAmt
EOY$21,353,311EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$734,197ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$921,610OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,899CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$144,098CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$140,399CurrentTaxYearMinus1YearAmt
Current Tax Year$701,525CurrentTaxYearAmt
Total$1,059,127TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,247,352CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,200,650CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,192,743CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,961,529CurrentTaxYearMinus1YearAmt
Current Tax Year$84,086,228CurrentTaxYearAmt
Total$260,688,502TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,247,558CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,273,549CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,336,841CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,101,928CurrentTaxYearMinus1YearAmt
Current Tax Year$84,787,753CurrentTaxYearAmt
Total$261,747,629TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$261,747,629PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,247,558CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,273,549CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,336,841CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,101,928CurrentTaxYearMinus1YearAmt
Current Tax Year$84,787,753CurrentTaxYearAmt
Total$261,747,629TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,225,975OtherCostOrOtherBasisAmt
Depreciation$588,242DepreciationAmt
Book Value$3,637,733BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,406,327OtherCostOrOtherBasisAmt
Depreciation$2,363,317DepreciationAmt
Book Value$2,043,010BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$466,425OtherCostOrOtherBasisAmt
Book Value$466,425BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,147,168TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
PREPAID OPERATING LEASE$1,662,747
LONG-TERM OTHER RECEIVABLES$300,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,962,747TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED COMPENSATION AND RELATED LIABILITIES$1,057,789
ACCRUED EXPENSES$5,463,498
FieldValueIRS element (for citing)
Total Liability$6,521,287TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$85,574,831TotalRevEtcAuditedFinclStmtAmt
Other Revenue$698,960OtherRevenueAmt
Revenue Not Reported$698,960RevenueNotReportedAmt
Revenue Subtotal$84,875,871RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$84,875,871TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$84,840,634TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$698,960OtherExpensesIncludedAmt
Expenses Not Reported$698,960ExpensesNotReportedAmt
Expenses Subtotal$84,141,674ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$84,141,674TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:SUPPLY REBATES RECLASSIFIED TO EXPENSE 698,960.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SUPPLY REBATES RECORDED AS EXPENSE ON 990 AS REVENUE ON 698,960. AUDITED FINANCIAL STATEMENTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY KUMMER NABER
PRESIDENT/TRUSTEE$227,637$0$68,425$0$2,861$0$7,019$0$17,575$0$323,517$0$0$0
JEFFREY G BURMEISTER
C.F.O$172,286$0$36,179$0$605$0$6,941$0$5,210$0$221,221$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS ORGANIZED ON A MEMBERSHIP BASIS. ITS MEMBERS ARE HENRY FORD HEALTH SYSTEM (HFHS) AND PRESBYTERIAN VILLAGES OF MICHIGAN (PVM).
FORM 990, PART VI, SECTION A, LINE 7AEACH MEMBER (HFHS AND PVM) APPOINTS FIFTY PERCENT OF THE TRUSTEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BBASED 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 11BTHE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS). THE TAX DEPARTMENT OF HFHS 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 12CIT 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 15THE 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 18IT 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 19IT 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 11GCONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 36,294,252. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,294,252. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 864,171. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 864,171.
FORM 990, PART XI, LINE 9:INCREASE IN RESTRICTED NET ASSETS 921,610.

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