2020-04-10T21:45:38-07:00 2019-12-31 990 2019-01-01 382295909 Reliance Community Care Partners RELI 6169569440 2100 Raybrook St SE Grand Rapids MI 49546 Hermina Breuker President & Chief Executive Officer 6162355005 2020-04-13 207.242.239.202 2019 2021-01-29 14:40:06Z Hermina Breuker 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 24774611 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 75 0 0 0 21970296 24098608 548377 588008 45595 77731 1 10264 22564269 24774611 0 0 0 0 4010561 4035618 0 0 0 17877852 20638659 21888413 24674277 675856 100334 7782239 9996243 2510383 4624053 5271856 5372190 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 396515 97742 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. 1991818 1867000 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. 20739338 21728488 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. 0 0 0 23127671 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 1 114 0 1 75 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 David Tiesenga 6162355035 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 Hermina Breuker President/CEO, Director 0 50 X X 0 351670 27840 Susan Vogel-Vanderson Chairperson, Director 0 2 X X 0 0 0 Mary Ursul Vice-Chairperson 0 2 X X 0 0 0 Mark Eriks Secretary, Director 0 2 X X 0 0 0 Gary Malburg Treasurer, Director 0 2 X X 0 0 0 Paul Farr Director 0 2 X 0 0 0 Sister Myra Bergman Director (termed 6/2019) 0 2 X X 0 0 0 Jean Nagelkirk Director 0 2 X 0 0 0 Sam Watson Director 0 2 X 0 0 0 Luis Tomatis Director 0 2 X 0 0 0 James Tuinstra Director 0 2 X 0 0 0 Carl VerBeek Director 0 2 X 0 0 0 David Knibbe Director 0 2 X 0 0 0 Nick Thole Director 0 2 X 0 0 0 Nelson Sanchez Director 0 2 X 0 0 0 David Tiesenga Chief Financial Officer 0 50 X 0 283286 25602 Steve Velzen-Haner Executive Director 50 0 X 127702 0 10913 127702 634956 64355 1 1 1 0 Holland Home 2100 Raybrook St SE Grand Rapids MI 49546 mngmt fees, facility svcs & rent 1698617 GT Financial 113 N Monroe St Sturgis MI 49091 home care services 1101452 M & Y Care LLC 7125 Orchard Lake Rd West Bloomfield MI 48322 home care services 990499 CLM Enterprises Inc 1971 E Beltline Ave NE ste 216 Grand Rapids MI 49525 home care services 890995 Elders Helpers 500 Cherry Street SE Grand Rapids MI 49503 home care services 653676 47 0 0 0 0 24098608 0 0 24098608 Health Management 621610 0 0 0 0 Claims Processing 561000 332211 332211 0 0 Consultation Services 621610 158055 158055 0 0 Behavioral Health Case Management 621990 97742 97742 0 0 0 0 0 0 588008 77731 0 0 77731 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Miscellaneous Revenue 900099 10264 10264 0 0 0 0 0 0 10264 24774611 598272 0 77731 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3310361 3182659 127702 0 66942 64360 2582 0 411491 395617 15874 0 246824 237302 9522 0 0 0 0 0 116907 0 116907 0 26500 0 26500 0 0 0 0 0 0 0 0 0 0 0 200208 147381 52827 0 37868 37868 0 0 79256 21716 57540 0 234967 174561 60406 0 0 0 0 0 243746 243746 0 0 126481 119220 7261 0 0 0 0 0 9993 1982 8011 0 0 0 0 0 0 0 0 0 195751 195751 0 0 100405 0 100405 0 Purhcased Services 19103775 18148219 955556 0 Bad Debt 556 556 0 0 Dues & Memberships 9901 5331 4570 0 152345 151402 943 0 24674277 23127671 1546606 0 2638709 3118730 1091400 733046 0 0 420899 604013 0 0 0 0 2500000 2890000 8990 1000 57236 63617 1667583 743486 1061303 924097 0 3702 0 0 3702 0 0 0 0 1658038 7782239 9996243 2444619 2870251 0 0 65764 95764 0 0 0 0 0 0 0 0 0 0 0 1658038 2510383 4624053 X 5271856 5372190 0 0 5271856 5372190 7782239 9996243 100334 0 0 0 0 0 X 0 1 X 1 0 X 23387526 20301141 21984767 21970296 24098608 111742338 0 0 0 0 0 0 877102 905887 1592765 548377 588008 4512139 24264628 21207028 23577532 22518673 24686616 116254477 116254477 9174 9725 6731 45595 77731 148956 9174 9725 6731 45595 77731 148956 91 3543 478 1 10264 14377 24273893 21220296 23584741 22564269 24774611 116417810 0.99860 0.999 0.00128 0.001 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 85581 305340 1276662 0 657905 618757 0 0 0 0 924097 Right of Use Asset 1658038 1658038 Operating Lease Liability 1658038 1658038 24774611 0 0 0 0 0 24774611 0 0 0 24774611 24674277 0 0 0 0 0 24674277 0 0 0 24674277 X 1 1 X X X X 0 0 0 0 0 0 0 0 0 Hermina Breuker President/CEO, Director 0 346521 0 5149 0 0 0 19000 0 8840 0 379510 0 0 David Tiesenga Chief Financial Officer 0 275794 0 7492 0 0 0 19000 0 6602 0 308888 0 0 Schedule J, Part I, Line 1a The organization provides reimbursement of health club dues to the Chief Financial Officer. 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 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 understand the policy, (3) they have agreed to comply with the policy, and (4) understands that 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 Facility Management Services 2100 Raybrook ST SE Suite 300 Grand Rapids MI 49546 Grounds Maintenance MI N/A 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 1 1 Holland Home m 955556 set fee for management services Holland Home o 234301 amounts per lease agreement Holland Home p 443543 reimbursement for expenses Care Resources l 122462 payment for claims processing services Faith Hospice n 9439 rent charges based on lease agreement Holland Home s 75000 payment of interest on note receivable Care Resources r 390000 advance via note payable Care Resources s 10353 payment of interest on note payable Schedule R, Part I Facility Management Services of Holland Home, LLC is not an exempt organization; however, it is a wholly owned subsidiary of Holland Home, generating unrelated business income for the benefit of Holland Home. Holland Home files a Form 990-T on an annual basis, reporting any unrelated business income related to Facility Management Services of Holland Home. Holland Home is a wholly owned subsidiary of Christian Living Services. EHCO Group, LLC (dba Tandem365) 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 a 20% membership interest. The entity was formed in 2015 and has not had substantive activity since inception.