PACE SOUTHEAST MICHIGAN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PACE SOUTHEAST MICHIGAN (EIN 90-0659735)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-10-31
IRS object ID
201903049349301860
Schema version
2018v3.1
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)
Return2019-10-31T14:35:43-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

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)
PersonBRIAN W CARNAGHIPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2485569132PhoneNum
Signature2019-10-31SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address150.198.64.200IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-31IPDt
IP Tm15:32:13IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAB1DB372B0367D7F6A967A544E38B425EA745858AtSubmissionCreationDeviceId
At Submission Filing Device Id6A8D99C253AD97DAB86B5D513343FA457C071D3BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$63,216,348GrossReceiptsAmt
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 Employee497TotalEmployeeCnt
Total Volunteers26TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$144,098PYContributionsGrantsAmt
CY Contributions Grants$207,432CYContributionsGrantsAmt
PY Program Service Revenue$49,192,030PYProgramServiceRevenueAmt
CY Program Service Revenue$62,957,566CYProgramServiceRevenueAmt
PY Investment Income$17,630PYInvestmentIncomeAmt
CY Investment Income$47,387CYInvestmentIncomeAmt
PY Other Revenue$713PYOtherRevenueAmt
CY Other Revenue$3,963CYOtherRevenueAmt
PY Total Revenue$49,354,471PYTotalRevenueAmt
CY Total Revenue$63,216,348CYTotalRevenueAmt
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$15,594,374PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,516,317CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,384,700PYOtherExpensesAmt
CY Other Expenses$39,820,223CYOtherExpensesAmt
PY Total Expenses$46,979,074PYTotalExpensesAmt
CY Total Expenses$61,336,540CYTotalExpensesAmt
PY Revenues Less Expenses$2,375,397PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,879,808CYRevenuesLessExpensesAmt
Total Assets BOY$14,177,107TotalAssetsBOYAmt
Total Assets EOY$17,146,483TotalAssetsEOYAmt
Total Liabilities BOY$3,839,764TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,454,598TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,337,343NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,691,885NetAssetsOrFundBalancesEOYAmt
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$52,202,312ExpenseAmt
Revenue$62,965,032RevenueAmt
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$52,202,312TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document362IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee497EmployeeCnt
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 Policy0WhistleblowerPolicyInd
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
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
MARY KUMMER NABER
PRESIDENT/TRUSTEE40.000.00Yes (X)Yes (X)$272,165$0$27,492
BRENDA L LAWRENCE
TRUSTEE1.000.00Yes (X)$0$0$0
ANNMARIE ERICKSON
ASSISTANT SECRETARY(THRU 6/2018)0.000.00Yes (X)$0$0$0
MICHELLE JOHNSON TIDJANI ESQ
SECRETARY1.000.00Yes (X)$0$0$0
JEFFREY G BURMEISTER
C.F.O40.000.00$184,938$0$9,578Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$457,103TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$37,070TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
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$15,089,709
HEALTH ALLIANCE PLAN
PO BOX 55000 DEPRT 271101DETROITMI48225HEALTH INSURANCE SERVICES$2,390,778
HARRY & JEANNETTE WEINBERG GREEN HOUSES
26200 LAHSER RD STE 300SOUTHFIELDMI48033ASSISTED LIVING SERVICES$1,274,906
ADVANTAGE LIVING CENTER REDFORD
25330 W 6 MILE RDREDFORDMI48240ASSISTED LIVING SERVICES$1,209,927
RHEMA REDFORD VILLAGE OPERATING LLC
25330 W 6 MILE RDREDFORDMI48240ASSISTED LIVING SERVICES$1,121,487
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K38CntrctRcvdGreaterThan100KCnt
All Other Contributions$207,432AllOtherContributionsAmt
Total Contributions$207,432TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE FEESDesc
Business623000BusinessCd
Total Revenue Column$62,957,566TotalRevenueColumnAmt
Related Or Exempt Func Income$62,957,566RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$62,957,566TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,884TotalRevenueColumnAmt
Exclusion$43,884ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$3,503OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$3,503OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,503TotalRevenueColumnAmt
Related Or Exempt Func Income$3,503RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$3,963TotalRevenueColumnAmt
Related Or Exempt Func Income$3,963RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,963OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,216,348TotalRevenueColumnAmt
Related Or Exempt Func Income$62,965,032RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$43,884ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$299,657TotalAmt
Program Services$284,674ProgramServicesAmt
Management And General$14,983ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$194,516TotalAmt
Program Services$184,790ProgramServicesAmt
Management And General$9,726ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,824,316TotalAmt
Program Services$13,968,083ProgramServicesAmt
Management And General$2,856,233ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$474,670TotalAmt
Program Services$395,709ProgramServicesAmt
Management And General$78,961ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,463,773TotalAmt
Program Services$2,053,923ProgramServicesAmt
Management And General$409,850ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,259,385TotalAmt
Program Services$1,049,885ProgramServicesAmt
Management And General$209,500ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,850TotalAmt
Management And General$2,850ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,165TotalAmt
Management And General$38,165ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,585,151TotalAmt
Program Services$23,868,929ProgramServicesAmt
Management And General$716,222ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,628TotalAmt
Program Services$25,225ProgramServicesAmt
Management And General$403ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,630,026TotalAmt
Program Services$1,990,378ProgramServicesAmt
Management And General$1,639,648ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$470,015TotalAmt
Program Services$7,655ProgramServicesAmt
Management And General$462,360ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$367,062TotalAmt
Program Services$93ProgramServicesAmt
Management And General$366,969ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$252,153TotalAmt
Program Services$234,228ProgramServicesAmt
Management And General$17,925ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$80,329TotalAmt
Program Services$59,596ProgramServicesAmt
Management And General$20,733ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$792,380TotalAmt
Program Services$345,310ProgramServicesAmt
Management And General$447,070ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$391,769TotalAmt
Program Services$194,301ProgramServicesAmt
Management And General$197,468ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL SUPPLIES$6,889,373$6,889,373$0
BAD DEBT$1,204,226$19,692$1,184,534
REPAIRS AND MAINTENANCE$479,919$212,937$266,982
MEDICAL SUPPLIES$320,748$316,076$4,672

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$290,429TotalAmt
Program Services$101,455ProgramServicesAmt
Management And General$188,974ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$61,336,540TotalAmt
Program Services$52,202,312ProgramServicesAmt
Management And General$9,134,228ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,580,619BOYAmt
EOY$5,133,938EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$770,761BOYAmt
EOY$2,143,820EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$263,378BOYAmt
EOY$745,720EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,190,933LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,177,457LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,088,788BOYAmt
EOY$6,013,476EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,357,013BOYAmt
EOY$1,222,133EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,116,548BOYAmt
EOY$1,887,396EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,177,107BOYAmt
EOY$17,146,483EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$500,289BOYAmt
EOY$682,055EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,339,475BOYAmt
EOY$4,772,543EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,839,764BOYAmt
EOY$5,454,598EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,337,343BOYAmt
EOY$11,691,885EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,337,343BOYAmt
EOY$11,691,885EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,177,107BOYAmt
EOY$17,146,483EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,879,808ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$525,266OtherChangesInNetAssetsAmt
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$57,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,899CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$144,098CurrentTaxYearMinus1YearAmt
Current Tax Year$140,399CurrentTaxYearAmt
Total$415,060TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,941,133CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,247,352CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,200,650CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,192,743CurrentTaxYearMinus1YearAmt
Current Tax Year$62,961,529CurrentTaxYearAmt
Total$199,543,407TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,998,591CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,247,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,273,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,336,841CurrentTaxYearMinus1YearAmt
Current Tax Year$63,101,928CurrentTaxYearAmt
Total$199,958,467TotalAmt

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$199,958,467PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,998,591CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,247,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,273,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,336,841CurrentTaxYearMinus1YearAmt
Current Tax Year$63,101,928CurrentTaxYearAmt
Total$199,958,467TotalAmt
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 D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,491,149OtherCostOrOtherBasisAmt
Depreciation$308,373DepreciationAmt
Book Value$2,182,776BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,991,257OtherCostOrOtherBasisAmt
Depreciation$1,869,084DepreciationAmt
Book Value$2,122,173BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,708,527OtherCostOrOtherBasisAmt
Book Value$1,708,527BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,013,476TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescPREPAID OPERATING LEASEDesc
Book Value$1,887,396BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,887,396TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED COMPENSATION AND RELATED LIABILITIES$1,102,027
ACCRUED EXPENSES$3,670,516
FieldValueIRS element (for citing)
Total Liability$4,772,543TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$63,758,005TotalRevEtcAuditedFinclStmtAmt
Other Revenue$541,657OtherRevenueAmt
Revenue Not Reported$541,657RevenueNotReportedAmt
Revenue Subtotal$63,216,348RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$63,216,348TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$61,878,196TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$541,656OtherExpensesIncludedAmt
Expenses Not Reported$541,656ExpensesNotReportedAmt
Expenses Subtotal$61,336,540ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$61,336,540TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:SUPPLY REBATES RECLASSIFIED TO EXPENSE 541,657.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SUPPLY REBATES RECORDED AS EXPENSE ON 990 AS REVENUE ON 541,656. 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$202,421$0$63,942$0$5,802$0$6,201$0$21,291$0$299,657$0$0$0
JEFFREY G BURMEISTER
C.F.O$157,050$0$27,888$0$0$0$6,292$0$3,286$0$194,516$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 13: THE ORGANIZATION HAD AN INFORMAL WHISTLEBLOWER POLICY IN PLACE BUT IT WAS NOT FORMALLY APPROVED BY ITS BOARD UNTIL AFTER 2018.
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 23,335,052. MANAGEMENT AND GENERAL EXPENSES 139. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,335,191. CONSULTANTS: PROGRAM SERVICE EXPENSES 533,877. MANAGEMENT AND GENERAL EXPENSES 716,083. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,249,960.
FORM 990, PART XI, LINE 9:DECREASE IN RESTRICTED NET ASSETS -25,266. CAPITAL DISTRIBUTIONS TO MEMBERS -500,000.

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