2020-08-14T08:11:21-05:00 2019-09-30 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2018-10-01 382172765 HEGIRA HEALTH INC HEGI 7344584601 37450 SCHOOLCRAFT ROAD NO 110 LIVONIA MI 48150 ROBERT DAVIDGE CHIEF FINANCIAL OFFICER 7344584601 2020-08-12 1 TINA M PETERS P00904574 2483522500 2020-08-12 199.33.77.183 2020-08-12 12:49:27 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 88BB8417C17E4C1C3BDD6C18F80F35263914D73F 2018 2020-09-23 17:36:50Z HEGIRA PROGRAMS INC EDWARD L FORRY 37450 SCHOOLCRAFT ROAD NO 110 LIVONIA MI 48150 27417843 0 X WWW.HEGIRAHEALTH.ORG X 1977 MI PROVISION OF COMPREHENSIVE MENTAL HEALTH, SUBSTANCE USE DISORDER, AND PRIMARY HEALTH TREATMENT SERVICES TO RESIDENTS OF WESTERN WAYNE COUNTY. 6 6 647 0 0 0 657407 294027 26590871 27123816 0 0 0 0 27248278 27417843 0 0 0 0 18316860 19529553 0 0 0 9951186 10246491 28268046 29776044 -1019768 -2358201 8612686 6779622 1916916 2442053 6695770 4337569 DEDICATED TO ACHIEVING WELLNESS FIRST, THROUGH OUR TEAM'S COMMITMENT TO EXCELLENCE IN SERVICE THAT EMBRACES ALL PEOPLE AND DOES SO WITH INTEGRITY AND RESOLVE. 0 0 24357077 27123816 HEALTH CARE - SUBSTANCE USE DISORDER SERVICES: RESIDENTIAL AND OUT-PATIENT CARE INCLUDING PSYCHIATRIC/PHYSICAL EXAMS; INDIVIDUAL, GROUP & FAMILY THERAPY AND EDUCATION; HEALTH CARE - MENTAL HEALTH SERVICES: OUTPATIENT INCLUDING PSYCHIATRIC EVALUATIONS, MEDICATION SERVICES, INDIVIDUAL, GROUP AND FAMILY THERAPY, CASE MANAGEMENT, AND CRISIS STABILIZATION AND AFTERCARE; AND HEALTH CARE - PRIMARY HEALTH SERVICES INCLUDING PHYSICAL EXAMS, HEALTH SCREENING, AFTERCARE AND SPECIALTY CARE REFERRALS. 24357077 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 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 1 1 0 0 1 112 0 1 647 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 1 0 0 0 MI X ROBERT DAVIDGE CHIEF FINANCIAL OFFICER 7344584601 37450 SCHOOLCRAFT ROAD SUITE 110 LIVONIA MI 48150 PATRICK O'NEIL CHAIRPERSON 2.00 2.00 X X 0 0 0 CHARLES CHASE SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 JOAN KOVACS DIRECTOR 1.00 1.00 X 0 0 0 JOAN BONGARD DIRECTOR 1.00 1.00 X 0 0 0 MASLINE HORTON DIRECTOR 1.00 1.00 X 0 0 0 IBRAHAM AHMED DIRECTOR 1.00 1.00 X 0 0 0 EDWARD L FORRY PRESIDENT/CEO 40.00 0.00 X 218764 0 35943 CAROL ZUNIGA EXECUTIVE DIRECTOR 40.00 0.00 X 199602 0 35493 ROBERT DAVIDGE CHIEF FINANCIAL OFFICER 40.00 0.00 X 167952 0 35713 PG VIJAYAKUMARAN SENIOR PSYCHIATRIST 40.00 0.00 X 252370 0 38406 TABASSUM KAHKASHAN PSYCHIATRIST 19.00 0.00 X 148389 0 0 EDWARD LAMSEN PSYCHIATRIST/PHYSICIAN 40.00 0.00 X 238665 0 12098 LISA HINCHMAN PSYCHIATRIST 40.00 0.00 X 203090 0 24601 GIANINA CRISTU NURSE PRACTITIONER 40.00 0.00 X 141984 0 31034 1570816 0 213288 10 0 1 0 NEIGHBORHOOD SERVICE ORG 882 OAKMAN DETROIT MI 48238 BEHAVIORAL HEALTH SERVICES 1147876 NORTHEAST GUIDANCE CENTER 2900 CONNOR DETROIT MI 48215 BEHAVIORAL HEALTH SERVICES 765259 NETSMART TECHNOLOGIES INC 3500 SUNRISE HIGHWAY GREAT RIVER NY 11739 IT SERVICES 692399 BABU VADLAMUDI MD 30075 BRISTOL LANE BINGHAM FARMS MI 48025 PSYCHIATRIC SERVICES 565926 STALLWORTH AFC PO BOX 07250 DETROIT MI 48207 SPECIALIZED HOME SERVICES 415075 12 159223 134804 294027 PATIENT SERVICE 624100 27123816 27123816 27123816 27417843 27123816 0 0 X 662985 662985 15135892 12894296 2241596 3730676 3101386 629290 185 185 60927 60927 53900 53900 5315422 4432427 882995 728663 517513 211150 1659392 1391188 268204 251401 237253 14148 231953 158081 73872 643062 514057 129005 PATIENT CARE 960641 939183 21458 TRAINING 125665 52148 73517 EQUIPMENT RENTAL 58230 39967 18263 MAINTENANCE AND REPAIRS 48161 35583 12578 108889 43995 64894 29776044 24357077 5418967 0 6328732 4894711 784725 404508 450499 496935 295869 288886 3895488 3200941 751901 694547 960 35 8612686 6779622 1896666 2035024 20250 12250 0 394779 1916916 2442053 X 6695770 4337569 6695770 4337569 8612686 6779622 -2358201 0 X X 0 1 X 0 0 X 634545 296214 391050 657407 294027 2273243 18756889 21810288 27661591 26564583 27123816 121917167 19391434 22106502 28052641 27221990 27417843 124190410 0 0 0 124190410 19391434 22106502 28052641 27221990 27417843 124190410 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1324800 929228 395572 2570688 2271713 298975 694547 DUE TO DWMHA 394779 394779 X 0 0 X 0 0 0 0 0 0 0 0 0 EDWARD L FORRY PRESIDENT/CEO 213264 0 5500 0 0 0 10205 0 25738 0 254707 0 0 0 CAROL ZUNIGA EXECUTIVE DIRECTOR 193602 0 6000 0 0 0 9872 0 25621 0 235095 0 0 0 ROBERT DAVIDGE CHIEF FINANCIAL OFFICER 163152 0 4800 0 0 0 8378 0 27335 0 203665 0 0 0 PG VIJAYAKUMARAN SENIOR PSYCHIATRIST 252370 0 0 0 0 0 12722 0 25684 0 290776 0 0 0 EDWARD LAMSEN PSYCHIATRIST/PHYSICIAN 238665 0 0 0 0 0 11740 0 358 0 250763 0 0 0 LISA HINCHMAN PSYCHIATRIST 203090 0 0 0 0 0 3097 0 21504 0 227691 0 0 0 GIANINA CRISTU NURSE PRACTITIONER 141984 0 0 0 0 0 7131 0 23903 0 173018 0 0 0 PART I, LINE 1A THE CEO RECEIVES A GROSS-UP PAYMENT FOR THE EXECUTIVE DISABILITY POLICY WHICH IS INCLUDED AS TAXABLE INCOME TO HIM ON HIS W-2. THE CFO AND EXECUTIVE DIRECTOR RECEIVE TRAVEL ALLOWANCES AND THE EXECUTIVE DIRECTOR RECEIVES A CELL PHONE ALLOWANCE WHICH INCLUDE GROSS-UP PAYMENTS. ALL OF THESE PAYMENTS ARE TREATED AS TAXABLE COMPENSATION FOR THE INDIVIDUAL. PART I, LINE 1B THE EXECUTIVE DISABILITY POLICY IS PAID FOR BY THE ORGANIZATION, THEREFORE THE DOCUMENTATION IS ALREADY ON FILE. THERE IS NOT A WRITTEN POLICY. THE PAYMENTS ARE BASED ON FIXED ALLOWANCES, NOT EXPENSES INCURRED, THEREFORE, SUBSTANTIATION IS NOT REQUIRED. FORM 990, PART I, ITEM C DBA: COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES DBA: C.O.P.E. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO PRIOR TO FILING. ANY QUESTIONS OR CONCERNS WOULD BE ADDRESSED WITH PLANTE & MORAN, PLLC. IF NECESSARY, THE CFO WOULD ADDRESS ISSUES WITH THE CEO AND/OR BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C POTENTIAL CONFLICTS OF INTEREST ARE EVALUATED BY EITHER THE BOARD OF DIRECTORS OR APPROPRIATE ADMINISTRATIVE STAFF. AS DEEMED APPROPRIATE, CORRECTIVE ACTIONS ARE TAKEN, UP TO AND INCLUDING SUSPENSION OR TERMINATION OF THE BOARD MEMBER OR EMPLOYMENT RELATIONSHIP IF THE CONFLICT IS NOT ADEQUATELY RESOLVED. FORM 990, PART VI, SECTION B, LINE 15 ON A PERIODIC BASIS THE CEO WILL OBTAIN COMPARABILITY DATA WHICH WILL BE REVIEWED WITH THE BOARD OF DIRECTORS. THIS IS NOT PART OF A FORMAL POLICY, NOR DONE ON A SCHEDULED BASIS. THE LAST COMPENSATION REVIEW TOOK PLACE IN 2016. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL INFORMATION IS AVAILABLE THROUGH THE FORM 990. THE ORGANIZATION DOES NOT ROUTINELY MAKE THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS AVAILABLE AND WOULD EVALUATE REQUESTS FOR SUCH INFORMATION ON AN INDIVIDUAL BASIS. FORM 990, PART IX, LINE 11G CONTRACTUAL STAFF: PROGRAM SERVICE EXPENSES 4,293,061. MANAGEMENT AND GENERAL EXPENSES 859,457. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,152,518. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 139,366. MANAGEMENT AND GENERAL EXPENSES 23,538. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 162,904. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DOES NOT HAVE AN APPOINTED AUDIT COMMITTEE. HOWEVER, THE BOARD OF DIRECTORS IS CHARGED WITH GOVERNING THE ORGANIZATION, INCLUDING AUDIT-RELATED FUNCTIONS. AFFILIATED MANAGEMENT GROUP INC 1375 INKSTER RD INKSTER MI 48141 382558895 TO ASSIST NFP ORG'S ACQUIRE FACILITIES, GOODS, SERVICES & SUPPLIES MI 501(C)3 LINE 12B, II HEGIRA HEALTH INC 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 AFFILIATED MANAGEMENT GROUP INC K 1568443 FMV AFFILIATED MANAGEMENT GROUP INC P 88636 FMV