2016-11-02T14:54:22-05:00 2015-12-31 383635706 REHMANN ROBSON LLC 555 BRIARWOOD CIRCLE 300 ANN ARBOR MI 48108 990 2015-01-01 382469007 HOPE MEDICAL CLINIC INC HOPE 7344842989 PO BOX 980311 YPSILANTI MI 481980311 JAMES GAJEWSKI CURRENT EXECUTIVE DIRECTOR 7344842989 2016-10-27 1 KATHLEEN M UNDERHILL CPA P00589677 7347612005 2016-10-27 2015 2017-02-10 21:41:12Z JAMES GAJEWSKI PO BOX 980311 YPSILANTI MI 481980311 2868513 0 X WWW.THEHOPECLINIC.ORG X 1987 MI HOPE MEDICAL CLINIC, INC. OPERATES A FREE MEDICAL AND DENTAL CLINIC FOR THE UNINSURED, A FOOD BANK, AND OTHER SOCIAL SERVICE PROGRAMS AIMED AT HELPING THOSE IN NEED. 12 12 49 100 0 0 2658935 2189564 0 0 95853 59806 11126 146 2765914 2249516 687978 645566 0 0 1240516 1183733 0 0 136479 862218 861098 2790712 2690397 -24798 -440881 5801950 5160375 198251 75755 5603699 5084620 X HOPE IS A NON-PROFIT, INTER-DENOMINATIONAL, CHRISTIAN MEDICAL, DENTAL AND SOCIAL SERVICE ORGANIZATION. HOPE'S GOAL IS TO PROVIDE COMPASSIONATE AND PRACTICAL HELP, MINISTERING TO THE WHOLE PERSON WITH DIGNITY AND RESPECT. THIS INCLUDES PROVIDING COMPREHENSIVE HEALTH CARE FOR THE MEDICALLY INDIGENT AND A RANGE OF OTHER SERVICES AIMED EITHER AT MEETING BASIC NEEDS OR EQUIPPING PEOPLE WITH THE TOOLS NEEDED TO IMPROVE THE QUALITY OF THEIR LIVES AND/OR TO BECOME SELF-SUFFICIENT. VOLUNTEER-BASED, HOPE PROVIDES AN AVENUE FOR CHRISTIANS TO SERVE THOSE IN NEED. 0 0 736275 THE MEDICAL CLINIC OPERATES EIGHT CLINICS PER WEEK, AND HAD 3,539 PATIENT VISITS IN 2015, WITH PATIENTS WHO WERE WITHOUT MEDICAL INSURANCE. THE CLINIC IS STAFFED PRIMARILY WITH VOLUNTEERS. DONATED SERVICES TOTALING $725,120 ARE NOT INCLUDED IN EXPENSES. 507399 DENTAL CLINIC OPERATES FIVE DAYS A WEEK WITH TWO STAFF DENTISTS AT FULL TIME. IN 2015, THE DENTAL CLINIC HAD 4,027 PATIENT VISITS. THE CLINIC OFFERS BASIC PREVENTATIVE AND RESTORATIVE CARE. DONATED SERVICES TOTALING $218,756 ARE NOT INCLUDED IN EXPENSES. 813257 645566 859 THE FOOD BANK DISTRIBUTED 321,031 POUNDS OF FOOD FOR 8,608 REQUESTS. THE FOOD PROGRAM ALSO SERVED 5,945 HOT MEALS TO THE HUNGRY AND HOMELESS ON SATURDAY AND SUNDAY EVENINGS THROUGHOUT THE YEAR. THE FOOD AND DIRECT ASSISTANCE PROGRAM PROVIDED 12,147 PERSONAL AND HOUSEHOLD ITEMS FOR 3,953 REQUESTS. THE PROGRAM ALSO PROVIDED FINANCIAL ASSISTANCE FOR 320 REQUESTS. 41805 OTHER MINISTRIES - PROVIDE SUPPORT TO HOPE INTERNATIONAL, AN UNRELATED 501(C)(3) ORGANIZATION. 132987 WAYNE MEDICAL CLINIC OPERATES THREE CLINICS PER WEEK AND HAD 881 PATIENT VISITS IN 2015 WITH PATIENTS WHO ARE WITHOUT MEDICAL INSURANCE. THE CLINIC IS STAFFED PRIMARILY WITH VOLUNTEERS. DONATED SERVICES TOTALING $116,318 ARE NOT INCLUDED IN EXPENSES. 91332 SOCIAL WORK PROVIDED 457 INDIVIDUALS WITH DIRECT ASSISTANCE, 653 PEOPLE WERE ASSISTED IN SIGNING UP FOR BENEFIT PROGRAMS AND 158 RECEIVED MENTAL HEALTH AND HEALTH EDUCATION COUNSELING. 266124 2323055 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 5 0 1 49 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X X JAMES GAJEWSKI EXECUTIVE DIRECTOR 7344842989 518 HARRIET ST YPSILANTI MI 48197 GRETA BUCK PRESIDENT 6.00 X X 0 0 0 ANDY ARIZALA TREASURER 2.00 X X 0 0 0 DOROTHY ELLIOTT RN SECRETARY 1.00 X X 0 0 0 TERRY OWENS VICE PRESIDENT 1.00 X X 0 0 0 JENNIFER BAIRD DIRECTOR 1.00 X 0 0 0 KATHY WEBER DIRECTOR 1.00 X 0 0 0 IRL DULING DIRECTOR 1.00 X 0 0 0 REV VICTORIA JAMES DIRECTOR 1.00 X 0 0 0 ANDY FRENCH DIRECTOR 1.00 X 0 0 0 CATHERINE ROBINSON DIRECTOR 1.00 X 0 0 0 CHERYL CHENAULT-SHUMAKE DIRECTOR 1.00 X 0 0 0 KEVIN SLOAN DDS DIRECTOR 1.00 X 0 0 0 MATTHEW HUDSON EXECUTIVE DIRECTOR THRU 12/31/15 40.00 X 66302 0 5890 66302 0 5890 0 0 0 0 0 107203 104405 1977956 973954 2189564 43570 43570 5500 0 5500 5500 5500 518513 83857 489461 96673 29052 -12816 16236 16236 26650 104405 32863 -6213 -6213 MISCELLANEOUS 900099 859 859 859 2249516 859 0 59093 645566 645566 72192 21658 25268 25266 934129 800701 83982 49446 112567 92823 17988 1756 64845 56489 3995 4361 22954 22954 4848 4848 26898 23678 3220 32965 17382 6623 8960 125917 99105 16499 10313 11980 6499 5481 171351 151628 19723 11709 9056 2653 DONATED SUPPLIES 321898 284424 1702 35772 VOLUNTEER SERVICES 50775 50380 395 PROGRAM SUPPLIES 49604 48427 1177 MISCELLANEOUS 15925 4365 10955 605 14274 10874 3400 2690397 2323055 230863 136479 251863 79228 119072 351 199905 124018 4791583 1233884 3674502 3557699 1387788 1321701 66820 62378 102000 15000 5801950 5160375 115521 75755 82730 0 198251 75755 X 3918448 3593572 1623751 1429548 61500 61500 5603699 5084620 5801950 5160375 -440881 -78198 0 X X 0 1 X 1 0 X 2349655 2508129 2118525 2658935 2189564 11824808 2349655 2508129 2118525 2658935 2189564 11824808 521030 11303778 68043 57522 53139 59995 49070 287769 55386 28375 49189 26222 27509 186681 12299258 221081 0.91910 0.90350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1454608 -5681 60000 4848 1384079 1431837 87671 60000 4900 1454608 1391774 104882 60035 4784 1431837 1316164 136835 55150 6075 1391774 1340852 30659 49282 6065 1316164 0.04000 0.96000 1 0 266976 266976 4075769 917964 3157805 448838 315920 132918 3557699 X 3226664 -78198 1060194 -4848 977148 2249516 0 2249516 3745743 1060194 1060194 2685549 4848 4848 2690397 PART V, LINE 4: TO EMPLOY A FULL-TIME DENTIST AT HOPE MEDICAL CLINIC INC.'S DENTAL CLINIC AND TO PROVIDE SUPPORT FOR ITS CHARITABLE PURPOSES. PART X, LINE 2: HOPE HAS EVALUATED ITS INCOME TAX FILING POSITIONS FOR THE TAX YEARS 2012 THROUGH 2015, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION AS OF DECEMBER 31, 2015. HOPE CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. HOPE DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS ("UTB") (E.G. TAX DEDUCTIONS, EXCLUSIONS, OR CREDITS CLAIMED OR EXPECTED TO BE CLAIMED) TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. HOPE DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES RELATED TO UTBS AT DECEMBER 31, 2015 AND 2014, AND ARE NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES NETTED WITH REVENUES ON FINANCIAL STATEMENTS -4,848. EVENING OF HOPE - DINNER/AUCTION 104470 85970 18500 26648 HOOPLA - SPRING BANQUET 26585 18435 8150 6215 131055 104405 26650 32863 32863 -6213 1 FOOD FOR LOW-INCOME FAMILIES 8608 600328 FMV PROVIDED 321,031 POUNDS OF FOOD, FILLING 8,608 REQUESTS FOR GROCERIES DURING 2015. HOT MEALS FOR HOMELESS INDIVIDUALS AND FAMILIES 5945 4815 FMV COOKED AND SERVED HOT MEALS EVERY SATURDAY AND SUNDAY - PROVIDED A TOTAL OF 5,945 MEALS DURING 2015. PERSONAL AND HOUSEHOLD ITEMS, SUCH AS TOILETRIES, SCHOOL SUPPLIES, BABY CARE, ETC. FOR LOW-INCOME FAMILIES. 3954 33119 FMV PROVIDED 12,147 HOUSEHOLD ITEMS, FILLING 3,953 REQUESTS DURING 2015. ASSISTANCE TO LOW-INCOME FAMILIES TO AVOID EVICTION PROCEEDINGS 1 100 ASSISTANCE TO LOW-INCOME FAMILIES TO AVOID UTILITY SHUT-OFF 11 641 ASSISTANCE TO LOW-INCOME FAMILIES FOR GASOLINE VOUCHERS 38 360 BUS TOKENS FOR LOW-INCOME INDIVIDUALS 120 180 PRESCRIPTIONS FOR LOW-INCOME INDIVIDUALS IN EMERGENCY SITUATIONS 8 800 ASSISTANCE TO LOW-INCOME FAMILIES FOR FUNERAL EXPENSES 9 557 OTHER EMERGENCY NEEDS FOR LOW-INCOME FAMILIES, SUCH AS STATE ID CARDS, COURT FEES, STORAGE UNIT RENTALS, ETC. 133 4666 TRGCGLOVER - 10/10/16 01:42PM WORKSHEET SCHEDULE I PART I, LINE 2: APPLICANTS FOR CASH AND NONCASH ASSISTANCE ARE SCREENED TO ENSURE THERE IS A NEED FOR THE ASSISTANCE. ADDITIONALLY, THE CHECKS ARE MADE PAYABLE TO THE VENDOR AND NOT THE INDIVIDUAL SEEKING THE ASSISTANCE. WHEN POSSIBLE, CHECKS ARE MAILED DIRECTLY TO THE VENDOR. HOPE ALSO CHECKS THE ENDORSEMENT OF THE CHECKS WHEN THEY RECEIVE THEIR BANK STATEMENTS TO ENSURE THAT THEY WERE INDEED CASHED BY THE VENDOR. GROCERIES AND FOOD/MEALS ARE DISTRIBUTED ON-SITE FOLLOWING THE GRANTING OF THE APPROPRIATE APPROVAL. X 4596 THRIFT SHOP VALUE X 2 10145 STOCK MARKET VALUE X 616192 FMV X 307249 FMV X AUCTION ITEMS 130 35772 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND FINANCE MANAGER THEN EMAILED TO THE BOARD FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, BOARD MEMBERS, OFFICERS AND STAFF ARE REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE WAYS AND MEANS COMMITTEE, WHICH ALSO SERVES AS THE FINANCE COMMITTEE, MAKES A RECOMMENDATION TO THE FULL BOARD REGARDING THE SALARY OF THE EXECUTIVE DIRECTOR AFTER THEY HAVE REVIEWED SALARIES OF OTHER EXECUTIVE DIRECTORS IN THIS AREA FROM AGENCIES OF SIMILAR SIZE, AND AFTER A PERFORMANCE EVALUATION OF THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR DOES THE SAME FOR OTHER KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE C: THERE HAVE BEEN NO CHANGES IN THE OVERSIGHT PROCESS OR SELECTION PROCESS OF THE INDEPENDENT AUDITOR SINCE THE PRIOR YEAR.