2022-04-14T13:38:15-07:00 2021-12-31 990 2021-01-01 382295909 Reliance Community Care Partners RELI 6162355015 2100 Raybrook St SE Grand Rapids MI 49546 Troy Vugteveen President & Chief Executive Officer 6162355007 2022-04-15 1 11 0 AAL2 X 2021 2022-09-23 18:48:47Z Troy Vugteveen 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 33006946 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. 11 10 79 0 0 0 28189324 31850815 880777 1054958 89366 82058 10823 19115 29170290 33006946 0 0 0 0 4179639 4433102 0 0 0 23730959 25800787 27910598 30233889 1259692 2773057 11743251 14709780 5111369 5304841 6631882 9404939 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 339796 148083 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. 1657475 1515161 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. 25167638 26070071 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. 919079 0 906875 Other programs, including claims processing services and other administrative services. 919079 0 906875 28083988 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 1 126 0 79 1 0 0 0 0 0 0 0 0 X 11 10 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 Hermina Breuker President/CEO, Director 0 50 X X X 0 442257 27467 David Tiesenga Chief Strategy Officer 0 50 X X 0 290927 24258 Troy Vugteveen Chief Operating Officer 0 50 X 0 207268 0 Adam Kinder Chief Financial Officer 0 50 X X 0 188036 0 Steve Velzen-Haner Executive Director 50 0 X X 148110 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 148110 1128488 51725 1 0 1 1 Holland Home 2100 Raybrook St SE Grand Rapids MI 49546 mngmt fees, facility svcs & rent 2099639 M & Y Care LLC 7125 Orchard Lake Rd West Bloomfield MI 48322 home care services 1110888 GT Financial 113 N Monroe St Sturgis MI 49091 home care services 811548 National Home Care Service LLC 6910 South Cedar St Lansing MI 48911 Home care services 800439 CLM Enterprises Inc 1971 E Beltline Ave NE ste 216 Grand Rapids MI 49525 home care services 799331 55 0 0 0 0 31850444 371 0 31850815 Claims Processing 561000 441945 441945 0 0 Consultation Services 621610 464930 464930 0 0 Psych Clinic 621990 148083 148083 0 0 0 0 0 0 1054958 82058 0 0 82058 0 0 0 0 0 0 0 0 0 0 0 0 0 Miscellaneous Revenue 900099 19115 19115 0 0 0 0 0 0 19115 33006946 1074073 0 82058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3662250 3527133 135117 0 76664 73836 2828 0 423319 407701 15618 0 270869 260875 9994 0 0 0 0 0 10000 0 10000 0 28368 0 28368 0 0 0 0 0 0 0 0 0 0 0 161513 105663 55850 0 33545 33545 0 0 71622 18587 53035 0 209015 57040 151975 0 0 0 0 0 244033 244033 0 0 12229 11877 352 0 0 0 0 0 18079 17468 611 0 0 0 0 0 0 0 0 0 250929 137393 113536 0 134828 0 134828 0 Purchased Services 24520537 23090735 1429802 0 Bad Debt 40 40 0 0 Dues & Memberships 4644 999 3645 0 Miscellaneous 91465 87123 4342 0 9940 9940 0 0 30233889 28083988 2149901 0 4985095 5100769 828888 4278938 0 0 867875 861972 0 0 0 0 2821352 2500000 990 0 18023 1368 1857122 1155974 752003 701148 0 0 0 0 3702 3702 0 0 1465323 1261883 11743251 14709780 3436474 2746380 0 0 209572 1296578 0 0 0 0 0 0 0 0 0 0 1465323 1261883 5111369 5304841 X 6631882 9404939 0 0 6631882 9404939 11743251 14709780 2773057 0 0 0 0 0 X 0 1 X 1 1 1 X 21984767 21970296 24098608 27720741 31853221 127627633 0 0 0 0 1592765 548377 588008 880777 1054958 4664885 23577532 22518673 24686616 28601518 32908179 132292518 132292518 6731 45595 77731 89366 82058 301481 6731 45595 77731 89366 82058 301481 478 1 10264 11675 29632 52050 23584741 22564269 24774611 28702559 33019869 132646049 0.99733 0.99789 0.00227 0.00190 X 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 171536 219385 1466201 0 984438 481763 0 0 0 0 701148 Right of Use Asset 1261883 1261883 0 Operating Lease Liability 1261883 1261883 33006946 0 0 0 0 0 33006946 0 0 0 33006946 30233889 0 0 0 0 0 30233889 0 0 0 30233889 X X X X 0 0 0 0 0 0 0 0 0 Hermina Breuker President/CEO, Director 0 392180 0 50077 0 0 0 19500 0 7967 0 469724 0 0 David Tiesenga Chief Strategy Officer 0 276220 0 14707 0 0 0 19500 0 4758 0 315185 0 0 Adam Kinder Chief Financial Officer 0 176329 0 11707 0 0 0 0 0 0 0 188036 0 0 Troy Vugteveen Chief Operating Officer 0 202374 0 4891 0 0 0 0 0 0 0 207265 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 around the fiftieth percentile (with some flexibility) of prevailing market rates for similar positions, market trends, and the financial resources 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 health management MI N/A Canopy360 2100 Raybrook St SE Suite 300 Grand Rapids MI 49534 health management MI N/A 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 Holland Home m 1160176 set fee for management services Holland Home o 238943 amount per lease agreement Holland Home p 908579 reimbursement for expenses Holland Home s 75000 payment of interest on note payable Care Resources l 121960 payment for claims processing services Care Resources s 324561 payment of principal and interest on note payable Faith Hospice n 16612 rent charged based on lease agreement 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.