2022-11-01T13:28:13-05:00 2021-12-31 990 2021-01-01 900659735 PACE SOUTHEAST MICHIGAN F/K/A CENTER FOR SENIOR INDEPENDENCE PACE 2485569132 21700 NORTHWESTERN HWY STE 900 SOUTHFIELD MI 48075 MARY KUMMER NABER PRESIDENT/CEO 2485569132 2022-11-01 MARY KUMMER NABER 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BRIAN W CARNAGHI 24463 W TEN MILE ROAD SOUTHFIELD MI 48033 125854350 0 X WWW.PACESEMI.ORG X 2011 MI PACE SOUTHEAST MICHIGAN (PACE) IS AN ALTERNATIVE TO NURSING HOME CARE FOR THE FRAIL AND ELDERLY. 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 COMPREHENSIVE MEDICAL AND SUPPORTIVE SERVICES. THE INTERDISCIPLINARY TEAM AT PACE ASSESSES POTENTIAL PARTICIPANTS AND DEVELOPS A PERSON-CENTERED CARE PLAN - CUSTOMIZING SERVICES TO MEET INDIVIDUALS' NEEDS. FREQUENT CONTACTS WITH PARTICIPANTS AND REGULAR REVIEWS OF THE CARE PLAN ENSURE THAT PARTICIPANTS' NEEDS ARE BEING MET. PACE SEEKS TO FORM A PARTNERSHIP WITH THE PARTICIPANT AND CAREGIVERS TO PROMOTE INDEPENDENCE AND QUALITY OF LIFE. 10 9 760 31 0 0 1181916 114626 111764342 124942786 9471 -145110 159387 112772 113115116 125025074 0 0 0 0 34697175 38879515 0 0 0 71400249 86624910 106097424 125504425 7017692 -479351 30503880 30594082 11088135 13169028 19415745 17425054 X PACE 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. 0 0 111283262 124909197 PROVIDE 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. 111283262 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 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 0 0 0 0 1 1955 0 1 760 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFF BURMEISTER 2485569132 21700 NORTHWESTERN HWY STE 900 SOUTHFIELD MI 48075 MARY KUMMER NABER PRESIDENT/TRUSTEE 40.00 0.00 X X 364667 0 26761 BRIAN W CARNAGHI TREASURER/TRUSTEE 1.00 0.00 X X 0 0 0 J DOUGLAS CLARK TRUSTEE 1.00 0.00 X 0 0 0 SUSAN S HAWKINS TRUSTEE 1.00 0.00 X 0 0 0 STEVEN G DOLUNT TRUSTEE 1.00 0.00 X 0 0 0 ROGER L MYERS TRUSTEE- CHAIR 1.00 0.00 X X 0 0 0 DAVID F SHEPHERD TRUSTEE- VICE CHAIR 1.00 0.00 X X 0 0 0 KATRINA R SUMMERSETT RN TRUSTEE 1.00 0.00 X 0 0 0 MANU K MALHOTRA MD TRUSTEE 1.00 0.00 X 0 0 0 BRENDA L LAWRENCE TRUSTEE 1.00 0.00 X 0 0 0 MARJORIE A STATEN JD ASSISTANT SECRETARY 1.00 0.00 X 0 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 1.00 0.00 X 0 0 0 JEFFREY G BURMEISTER C.F.O 40.00 0.00 X 263267 0 27174 RENDA DAWUD PHYSICIAN IN CHARGE 40.00 0.00 X 209622 0 34413 BARUCH KATZ MD PHYSICIAN 40.00 0.00 X 238573 0 30803 RUDOLPH E MENCHL MEDICAL DIRECTOR 40.00 0.00 X 186707 0 14863 SHOAIB A RASHEED PHYSICIAN 40.00 0.00 X 192800 0 29016 DONNA M EMCH VP PARTICIPANT CARE 40.00 0.00 X 178870 0 24827 1634506 0 187857 32 0 1 0 HENRY FORD HEALTH SYSTEM PO BOX 670884 DETROIT MI 48267 MEDICAL SERVICES 29506355 HEALTH ALLIANCE PLAN PO BOX 55000 DEPT 271101 DETROIT MI 48225 HEALTH INSURANCE SERVICES 4067718 HENRY FORD MACOMB HOSPITAL PO BOX 670884 DETROIT MI 482670884 MEDICAL SERVICES 3624560 TABULARASA 228 STRAWBRIDGE DRIVE SUITE 100 MORRESTOWN NJ 08057 CONTRACTED SERVICES AND SOFTWARE 1668834 ENTERPRISE FM TRUST PO BOX 800089 KANSAS CITY MO 64180 VEHICLE LEASES AND MAINTENANCE 1632095 44 114626 114626 PROGRAM SERVICE FEES 623000 124942786 124942786 124942786 1251 1251 682915 829276 -146361 -146361 -146361 MISCELLANEOUS INCOME 900099 112772 112772 112772 125025074 124909197 0 1251 X 368446 350024 18422 287348 272981 14367 30694370 26217797 4476573 975010 834766 140244 4356828 3730148 626680 2197513 1881426 316087 25050 25050 57434818 55824832 1609986 17400 17268 132 7200597 3758281 3442316 848334 58251 790083 558420 1466 556954 354149 336396 17753 140043 74932 65111 989130 382637 606493 1449590 1022424 427166 PHARMACEUTICAL SUPPLIES 15340148 15340148 REPAIRS AND MAINTENANCE 927493 327535 599958 MEDICAL SUPPLIES 574278 548040 26238 EMPLOYEE RECRUITING COS 193961 133582 60379 571499 170328 401171 125504425 111283262 14221163 0 17919287 15980498 2020906 2763794 838615 1433772 12246424 4133759 7206345 8112665 1076038 1076038 1442689 1227315 30503880 30594082 1454336 2057431 9633799 11111597 11088135 13169028 X 19355246 17375895 60499 49159 19415745 17425054 30503880 30594082 X -479351 -1511340 X 0 1 X 0 0 X 144098 140399 701525 1181916 104626 2272564 49192743 62961529 84086228 111923729 125065558 433229787 49336841 63101928 84787753 113105645 125170184 435502351 0 0 0 435502351 49336841 63101928 84787753 113105645 125170184 435502351 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4657887 1195608 3462279 6147170 2938151 3209019 1441367 1441367 8112665 ACCRUED COMPENSATION AND RELATED LIABILITIES 1559325 ACCRUED EXPENSES 9552272 11111597 125735123 710049 710049 125025074 0 125025074 126214474 710049 710049 125504425 0 125504425 PART XI, LINE 2D - OTHER ADJUSTMENTS: SUPPLY REBATES RECLASSIFIED TO EXPENSE 563,688. DISPOSAL OF ASSETS 146,361. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUPPLY REBATES RECORDED AS EXPENSE ON 990 AS REVENUE ON 563,688. AUDITED FINANCIAL STATEMENTS. DISPOSAL OF ASSETS 146,361. 1 X X 0 0 0 0 0 0 0 0 0 MARY KUMMER NABER PRESIDENT/TRUSTEE 283875 0 75600 0 5192 0 8630 0 18131 0 391428 0 0 0 JEFFREY G BURMEISTER C.F.O 222467 0 40800 0 0 0 9043 0 18131 0 290441 0 0 0 BARUCH KATZ MD PHYSICIAN 210549 0 17776 0 10248 0 9108 0 21695 0 269376 0 0 0 RENDA DAWUD PHYSICIAN IN CHARGE 184872 0 14531 0 10219 0 8002 0 26411 0 244035 0 0 0 SHOAIB A RASHEED PHYSICIAN 181646 0 8727 0 2427 0 5746 0 23270 0 221816 0 0 0 DONNA M EMCH VP PARTICIPANT CARE 160859 0 18011 0 0 0 6351 0 18476 0 203697 0 0 0 RUDOLPH E MENCHL MEDICAL DIRECTOR 153494 0 21550 0 11663 0 1740 0 13123 0 201570 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED ON A MEMBERSHIP BASIS. ITS MEMBERS ARE HENRY FORD HEALTH SYSTEM (HF HEALTH) AND PRESBYTERIAN VILLAGES OF MICHIGAN (PVM). FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER (HF HEALTH AND PVM) APPOINTS FIFTY PERCENT OF THE TRUSTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B BASED 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 11B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). THE TAX DEPARTMENT OF HF HEALTH 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 12C IT 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 15 THE 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 18 IT 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 19 IT 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 11G CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 54,472,306. MANAGEMENT AND GENERAL EXPENSES 8,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,480,496. CONSULTANTS: PROGRAM SERVICE EXPENSES 1,352,526. MANAGEMENT AND GENERAL EXPENSES 1,601,796. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,954,322. FORM 990, PART XI, LINE 9: DECREASE IN RESTRICTED NET ASSETS -11,340. CAPITAL DISTRIBUTIONS TO MEMBERS -1,500,000.