2023-03-30T11:36:54-07:00 2022-12-31 990 2022-01-01 382295909 Reliance Community Care Partners RELI 6162355015 2100 Raybrook St SE Grand Rapids MI 49546 Troy Vugteveen President & Chief Executive Officer 6162355007 2023-03-30 1 1 11 0 AAL2 2022 2023-04-26 12:10:37Z Troy Vugteveen 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 34483998 0 X www.relianceccp.org X 1980 MI To provide care management services to elderly citizens and programs designed to reduce healthcare cost and improve healthcare quality. 14 13 89 0 0 0 31850815 33016459 1054958 1250823 82058 188368 19115 28348 33006946 34483998 0 0 0 0 4433102 5025418 0 0 0 25800787 26643636 30233889 31669054 2773057 2814944 14709780 16150522 5304841 4553606 9404939 11596916 In fulfilling God's calling to serve others, the organization will provide care management assistance to elderly citizens and programs designed to reduce health care cost and improve health care quality (1) with love and compassion, (2) with commitment to excellence, and (3) follow Christ's teachings and example in all the organization does. 0 0 391961 237769 Behavioral Health Services: Provide case management services for individuals living in Kent County with aging-related behavior health issues, severe mental illness and/or a co-occurring substance abuse. 1795293 1689592 0 Kent County Senior Millage: Care management and home support designed to find, set in motion and manage a variety of homecare and other services needed by frail, elderly and/or disabled persons aged 60+, meeting residency requirements (Kent County) and income and asset eligibility requirements. 26961438 30562601 0 MI Choice Medicaid Waiver: Funded through the Michigan Department of Health and Human Services to provide in-home and community-based services to frail, elderly or physically disabled adults who would otherwise require nursing home care. For those who would prefer to stay in their own home, the MI Choice Waiver staff help explain long-term options and arrange for the healthcare services needed. 500633 1013054 Other programs, including claims processing services and other administrative services. 500633 0 1013054 29649325 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 1 135 0 89 1 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X Adam Kinder 6162355015 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 Troy Vugteveen CEO & President 0 50 X X X 0 321781 0 David Tiesenga Chief Strategy Officer 0 32 X X 0 255554 20500 Adam Kinder Chief Financial Officer 0 50 X X 0 214317 0 Steve Velzen-Haner Executive Director 50 0 X X 150815 0 0 Mary Ursul Chairperson, Director 0 2 X X 0 0 0 Nelson Sanchez Vice Chair, Secretary, Director 0 2 X X 0 0 0 Gary Malburg Treasurer, Director 0 2 X X 0 0 0 Sam Watson Director 0 2 X 0 0 0 Nick Thole Director 0 2 X 0 0 0 Paul Farr Director 0 2 X 0 0 0 David Knibbe Director 0 2 X 0 0 0 Mark Johnson Director 0 2 X 0 0 0 Jean Nagelkirk Director 0 2 X 0 0 0 Susan Vogel-Vanderson Director 0 2 X 0 0 0 Carlos Hidalgo Director 0 2 X 0 0 0 Gilbert Segovia Director 0 2 X 0 0 0 David Smith Director 0 2 X 0 0 0 150815 791652 20500 1 0 1 1 Holland Home 2100 Raybrook St SE Grand Rapids MI 49546 mngmt fees, facility svcs & rent 2316659 M & Y Care LLC 7125 Orchard Lake Rd West Bloomfield MI 48322 home care services 1003016 Martel & Company 845 Oakridge Rd Muskegon MI 49441 Homecare 963259 GT Financial 113 N Monroe St Sturgis MI 49091 home care services 775395 West Michigan Homecare 3167 Blairview Pkwy SE Suite 201 Grand Rapids MI 49512 Homecare 766278 64 0 0 0 0 33009408 7051 0 33016459 Claims Processing 561000 461513 461513 0 0 Consultation Services 621610 551541 551541 0 0 Psych Clinic 621990 237769 237769 0 0 0 0 0 0 1250823 188368 0 0 188368 0 0 0 0 0 0 0 0 0 0 0 0 0 28348 28348 0 0 28348 34483998 1279171 0 188368 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4166269 3974306 191963 0 83115 79285 3830 0 471881 450139 21742 0 304153 290139 14014 0 0 0 0 0 10000 0 10000 0 32850 0 32850 0 0 0 0 0 0 0 7129 0 7129 0 168463 101346 67117 0 34261 34261 0 0 63546 19888 43658 0 377410 214286 163124 0 0 0 0 0 252163 252163 0 0 80524 78865 1659 0 0 0 0 0 20069 17124 2945 0 0 0 0 0 0 0 0 0 218716 137393 81323 0 145595 0 145595 0 Purchased Services 25118989 23875489 1243500 0 Bad Debt 3995 3995 0 0 Dues & Memberships 8001 5972 2029 0 101925 114674 -12749 0 31669054 29649325 2019729 0 5100769 4365685 4278938 57303 0 0 861972 579856 0 0 0 0 2500000 2500000 0 -2333 1368 89107 1908403 1374689 701148 533714 0 6976193 0 0 3702 3702 0 0 1261883 1047295 14709780 16150522 2746380 2437278 0 0 1296578 1069033 0 0 0 0 0 0 0 0 0 0 1261883 1047295 5304841 4553606 X 9404939 11596916 0 0 9404939 11596916 14709780 16150522 2814944 -622967 0 0 0 0 X 0 1 X 1 1 1 X 21970296 24098608 27720741 31853221 33016459 138659325 0 0 0 0 0 0 548377 588008 880777 1054958 1250823 4322943 22518673 24686616 28601518 32908179 34267282 142982268 142982268 45595 77731 89366 82058 188368 483118 45595 77731 89366 82058 188368 483118 1 10264 11675 29632 28348 79920 22564269 24774611 28702559 33019869 34483998 143545306 0.99608 0.99733 0.00337 0.00227 X Schedule A, Part III, Line 12 Schedule A, Part III, Line 12 - Amount represents miscellaneous income, not directly assigned or related to a specific program, including miscellaneous rentals, rebates, etc 0 0 0 0 0 0 0 390921 0 211424 179497 1517482 0 1163265 354217 0 0 0 0 533714 Right of Use Asset 1047295 1047295 0 Right of Use Asset 1047295 1047295 33849941 -622967 0 0 0 -622967 34472908 11090 0 11090 34483998 31657964 0 0 0 0 0 31657964 11090 0 11090 31669054 0 0 0 0 0 0 0 0 0 Troy Vugteveen Chief Operating Officer 0 318190 0 3591 0 0 0 0 0 0 0 321781 0 0 David Tiesenga Chief Strategy Officer 0 240928 0 14627 0 0 0 20500 0 5635 0 281690 0 0 Adam Kinder Chief Financial Officer 0 201170 0 13147 0 0 0 0 0 0 0 214317 0 0 Steve Velzen-Haner Executive Director 128311 0 22504 0 0 0 0 0 0 0 150815 0 0 0 Form 990, Part VI, Section A, Line 6 Pursuant to its Articles of Incorporation, as amended, the organization is organized on a membership basis. Form 990, Part VI, Section A, Line 7b Pursuant to its Bylaws, as amended, the corporation shall consist of one class, and the only member of the corporation shall be Christian Living Services, a Michigan nonprofit corporation. The power to adopt, amend and repeal the Bylaws of the corporation and, except as provided in the Bylaws, to elect all members of the Board of Directors of the corporation is reserved exclusively to the member. The Bylaws may require approval by the member for specified actions of the board of directors. Form 990, Part VI, Section B, Line 11b The Form and appropriate Schedules are prepared by the organization. A draft of the form is reported to the organization's Finance Committee, which is given the opportunity to review the form, prior to its submission to the Internal Revenue Service. Upon confirmation of review, the form is subsequently submitted and filed with the Internal Revenue Service. Form 990, Part VI, Section B, Line 12c On an annual basis each director, principal officer, and member of a committee with board delegated powers must complete a statement that (1) they have received a copy of the Conflict of Interest Policy, (2) they have read and understood the policy, (3) they have agreed to comply with the policy, and (4) understands the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Form 990, Part VI, Section B, Line 15 The organization purchases compensation surveys and establishes the executive compensation The organization purchases compensation surveys and establishes the executive compensation of the organization. The organization is committed to balancing fiscal stewardship with a desire to competitively compensate its personnel. Executive compensation is reviewed within the compensation committee of the Board of Directors. Form 990, Part VI, Section C, Line 19 The organization does not generally make its governing documents or Conflict of Interest Policy available to the public; however, such documents would be subject to public inspection if so requested. A summary of the annual audited financial statements is made available each year within a quarterly publication of Holland Home called "New Horizons." This publication is made available to residents and key stakeholders. Christian Living Services 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 261126816 Admin Services MI 501(c)(3) 12b N/A 0 Holland Home 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 381366927 IL/AL/SNF Care MI 501(c)(3) 10 Christian Living Services 0 Faith Hospice 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 383062893 Hospice Care MI 501(c)(3) 12b Christian Living Services 0 Rehab Dimensions 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 383337881 Rehabilitation Services MI 501(c)(3) 12b Christian Living Services 0 Trillium Institute 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 471295260 Education Services MI 501(c)(3) 12b Christian Living Services 0 Helpers of Holland Home 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 271062997 In-Home Services MI 501(c)(3) 12b Christian Living Services 0 Atrio Home Health 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 382660300 Home Health Care MI 501(c)(3) 12b Christian Living Services 0 Atrio Home Care 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 813166606 In-Home Services MI 501(c)(3) 10 Christian Living Services 0 Atrio Home Health Lakeshore 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 814839696 Home Health Care MI 501(c)(3) 12b Atrio Home Care 0 Holland Home Foundation 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 382663466 Mission Fundraising MI 501(c)(3) 7 Holland Home 0 Care Resources 4150 Kalamazoo Ave SE Grand Rapids MI 49507 300166828 PACE Services MI 501(c)(3) 12b N/A 0 EHCO Group LLC 2100 Raybrook St SE Suite 300 Grand Rapids MI 49534 464304654 health management MI N/A Canopy360 2100 Raybrook St SE Suite 300 Grand Rapids MI 49534 473820411 health management MI N/A Emunah Muskegon LLC 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 property development MI Christian Living Services Related 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 Holland Home m 1239769 Set fee for management services Holland Home p 1004523 Reimbursement of expenses Holland Home k 257380 Amount per lease agreement. Care Resources l 149495 Payment for claims processing services. Faith Hospice j 17000 Rent per lease agreement Holland Home s 75000 Payment of interest on note payable. Holland Home q 13065 Reimbursement of expenses. Schedule R, Part I EHCO Group, LLC (dba Tandem 365) is not an exempt organization. Holland Home, a wholly-owned subsidiary of Christian Living Services, maintains a 20% membership interest. The organization is a collaborative partnership between five organizations focused on managing health care costs of a specific pool of individuals, based upon contracting with health insurers and health care providers. Canopy360, LLC is not an exempt organization. The organization maintains of 20% membership interest. The entity was formed in 2015 and has not had substantive activity since inception. Emunah Muskegon, LLC is not an exempt organization. Christian Living Services maintains a 100% membership interest. The entity was formed in 2022 for the purpose of holding property for future development.