2022-01-14T14:56:16-06:00 2021-08-31 382706146 YEO & YEO PC 1450 EISENHOWER PLACE ANN ARBOR MI 481083283 990 2020-09-01 382269817 PACKARD HEALTH INC PACK 7349711073 5200 VENTURE PARK DRIVE ANN ARBOR MI 48108 RAYMOND RION EXECUTIVE DIRECTOR 7349711073 2021-12-09 true RAYMOND RION 999009999 BRIAN R DIXON P01321580 7347691331 2022-01-14 2020 2022-09-23 18:48:47Z RAYMOND RION 5200 VENTURE PARK DRIVE ANN ARBOR MI 48108 14016924 false X WWW.PACKARDHEALTH.ORG X 1973 MI TO PROVIDE THE BEST POSSIBLE CARE TO OUR PATIENTS AND COMMUNITY, INCLUDING PEOPLE WHOSE ECONOMIC, SOCIAL OR CULTURAL CONDITIONS MIGHT OTHERWISE PREVENT THEM FROM ACCESSING HEALTH CARE. 15 14 126 22 0 7818174 6117036 7066404 7888187 7461 9737 272 1964 14892311 14016924 0 0 5952132 6272791 14500 0 399862 2937229 3394012 8903861 9666803 5988450 4350121 12624380 17218631 2759576 2972233 9864804 14246398 TO PROVIDE THE BEST POSSIBLE CARE TO OUR PATIENTS AND COMMUNITY, INCLUDING PEOPLE WHOSE ECONOMIC, SOCIAL OR CULTURAL CONDITIONS MIGHT OTHERWISE PREVENT THEM FROM ACCESSING HEALTH CARE. false false 7447715 7888187 PRIMARY HEALTH SERVICES, INCLUDING MENTAL HEALTH CARE AND HEALTH PROMOTION TO PATIENTS IN THE WASHTENAW COUNTY AREA. 7447715 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 3 0 126 true false false false false false false false false false false false false X 15 14 false false false false false false false true true false false true true true true true true true true false MI X TODD MONTRIEF 7349711073 5200 VENTURE PARK DRIVE ANN ARBOR MI 48108 X RAYMOND RION EXECUTIVE DI 40.00 X X 234256 0 17702 DR ANKOOR SONI CHIEF MEDICA 40.00 X 185668 0 13942 DR HOLLY ROSS COMPLIANCE O 40.00 X 137907 0 7795 TODD MONTRIEF CFO 40.00 X 100814 0 22315 GARY BOREN CHAIR 1.00 X X 0 0 0 SHARON MOORE VICE CHAIR 1.00 X X 0 0 0 THOMAS BIGGS TREASURER 1.00 X X 0 0 0 NORA MALOY SECRETARY 1.00 X X 0 0 0 MARGARET CALARCO TRUSTEE 1.00 X 0 0 0 CHUCK HOFFMAN TRUSTEE 1.00 X 0 0 0 DUANE NEWLAND TRUSTEE 1.00 X 0 0 0 RANA SMITH TRUSTEE 1.00 X 0 0 0 EDD SNYDER TRUSTEE 1.00 X 0 0 0 DOUG STRONG TRUSTEE 1.00 X 0 0 0 DEBORAH VANDENBROEK TRUSTEE 1.00 X 0 0 0 BRYAN WAGONER TRUSTEE 1.00 X 0 0 0 BRANDI EKPIKEN TRUSTEE 1.00 X 0 0 0 PAULA LANTZ TRUSTEE 1.00 X 0 0 0 LINDSEY KOTAGAL PHYSICIAN 40.00 X 189829 0 9872 RONALD ROMERO PHYSICIAN 40.00 X 145187 0 24909 RAVI VADLAMUDI PHYSICIAN 40.00 X 205726 0 28176 ELIZABETH ORLOWSKI BH PROGRAM M 40.00 X 104842 0 24376 1304229 149087 8 false true false O'NEAL CONSTRUCTION INC 525 W WILLIAM ANN ARBOR MI 48103 CONSTR. MGMT 1430246 340BASICS 311 ARSENAL STREET WATERTOWN MA 02472 340B SERVICES 316260 ATHENAHEALTH INC 315 MADISON AVE STE 1804 NEW YORK NY 10017 BILLING AND AR 299912 WASHTENAW COUNTY COMMUNITY MENTAL HEALTH 555 TOWNER STREET YPSILANTI MI 48198 BEHAVIOR HEALTH 149628 ROBERTSON MORRISON INC 4721 RUNWAY BLVD ANN ARBOR MI 48108 HEATING/ COOL. 125415 5 2574736 3542300 526943 6117036 PATIENT FEES 624100 5829592 5829592 CONTRACT SERVICE FEES 624100 1549398 1549398 CAPITATION FEES 624100 509197 509197 7888187 8262 8262 1475 1475 1475 1475 OTHER 624100 1964 1964 1964 14016924 7888187 11701 588725 220932 341171 26622 4652824 3505038 950674 197112 85723 68403 13790 3530 608130 450852 130632 26646 337389 241317 81642 14430 138755 79680 59075 911102 889752 21350 131630 11149 120481 130273 75560 52108 2605 341905 273388 65254 3263 30242 29074 1121 47 111716 88256 19550 3910 24878 14311 10567 MEDICAL SUPPLIES 1268207 1268207 OTHER 91312 74848 16464 DUES, LICENSES & SUBSCRIP 81418 61064 20354 INTEREST 71762 71762 60812 35271 24325 1216 9666803 7447715 1819226 399862 66457 138692 3781276 5502501 1213588 588399 850548 1082928 157035 316790 9144450 576013 6332050 8568437 223426 1020884 12624380 17218631 615576 831800 40000 2144000 2100433 2759576 2972233 X 8436508 13517159 1428296 729239 9864804 14246398 12624380 17218631 4350121 31473 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1310809 1310809 5381782 399493 4982289 223675 109878 113797 119740 66642 53098 2108444 2108444 8568437 14048397 31473 31473 14016924 14016924 9666803 9666803 9666803 X X false false false false false false false false false RAYMOND RION EXECUTIVE DIRECTOR 234256 9370 8332 251958 DR ANKOOR SONI CHIEF MEDICAL OFFICE 180268 5400 6039 7903 199610 LINDSEY KOTAGAL PHYSICIAN 186054 3775 7591 2281 199701 RONALD ROMERO PHYSICIAN 140962 4225 4355 20554 170096 RAVI VADLAMUDI PHYSICIAN 199826 5900 8229 19947 233902 X 10 94612 X 1855 432331 false true false FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS REVIEWED BY THE CFO AND TREASURER IN DETAIL, THE 990 IS ALSO PROVIDED TO THE EXECUTIVE DIRECTOR AND BOARD PRIOR TO FILING FOR REVIEW. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD REVISITS THE CONFLICTS OF INTEREST POLICY ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR BASED ON PERFORMANCE AND OTHER FACTORS. FORM 990, PAGE 6, PART VI, LINE 15B THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION FOR OFFICERS & KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST.