PALADIN COMMUNITY CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PALADIN COMMUNITY CORPORATION (EIN 20-1452547)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-14
IRS object ID: 201302269349302090
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-14T12:46:39-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	382492570	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DOEREN MAYHEW	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	305 WEST BIG BEAVER ROAD	AddressLine1
City	TROY	City
State	MI	State
ZIP Code	48084	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	201452547	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MACOMB HEALTH PLAN	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MACO	NameControl
Phone	2486891340	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18 MARKET STREET NO B	AddressLine1
City	MT CLEMENS	City
State	MI	State
ZIP Code	48043	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PETER PROVENZANO	Name
Title	TREASURER	Title
Phone	2486891340	Phone
Date Signed	2013-08-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00530005	PTIN
Phone	2482443000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOSEPH BOEDEKER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	18 MARKET STREET	AddressLine1
City	MT CLEMENS	City
State	MI	State
ZIP Code	48043	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	9078450	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MACOMBHEALTHPLAN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2004	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	CREATE A SYSTEM FOR PROVIDING OR ARRANGING HEALTH CARE SERVICES IN A COST EFFECTIVE MANNER FOR INDIVIDUALS WHO ARE UNINSURED OR UNDER INSURED.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	7	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	12304516	ProgramServiceRevenuePriorYear
Program Service Revenue CY	9055585	ProgramServiceRevenueCY
Investment Income Prior Year	25535	InvestmentIncomePriorYear
Investment Income Current Year	22865	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	12330051	TotalRevenuePriorYear
Total Revenue Current Year	9078450	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	13561418	OtherExpensePriorYear
Other Expenses Current Year	10661958	OtherExpensesCurrentYear
Total Expenses Prior Year	13561418	TotalExpensesPriorYear
Total Expenses Current Year	10661958	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1231367	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1583508	RevenuesLessExpensesCY
Total Assets BOY	6674104	TotalAssetsBOY
Total Assets EOY	5864363	TotalAssetsEOY
Total Liabilities BOY	333824	TotalLiabilitiesBOY
Total Liabilities EOY	1083218	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	6340280	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4781145	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	CREATE A SYSTEM FOR PROVIDING OR ARRANGING HEALTH CARE SERVICES IN A COST EFFECTIVE MANNER FOR INDIVIDUALS WHO ARE UNINSURED OR UNDER INSURED.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	4995976	Expense
Revenue	4000562	Revenue
Description	ADULT BENEFIT WAIVER PROGRAM	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1884628	Expense
Revenue	1885171	Revenue
Description	MACOMB COUNTY HEALTH PROGRAMS	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1911780	Expense
Revenue	1912331	Revenue
Description	"B" PROGRAM	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	1257158	Expense
Revenue	1257521	Revenue
Description	ONE/THIRD SHARE PROGRAM AND OTHER PROGRAM SERVICES	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1257158	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	1257521	TotalOfOtherProgramServiceRev
Total Program Service Expense	10049542	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	2	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DARLENE S VASI	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2486891340	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1942 HOPEDALE	AddressLine1
City	TROY	City
State	MI	State
ZIP Code	48085	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
THE HONORABLE JOSEPH BOEDEKER
PRESIDENT	2.00	X	0	0	0
THOMAS KALKOFEN
VICE PRESIDENT	2.00	X	0	0	0
DAVID DIEGEL
DIRECTOR	2.00	X	0	0	0
ANGELO NICHOLAS
SECRETARY	2.00	X	0	0	0
PETER PROVENZANO
TREASURER	2.00	X	0	0	0
BARBARA ROSSMANN
DIRECTOR	2.00	X	0	0	0
DAMON SORENSON
DIRECTOR	2.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MIDWEST HEALTH AKM INC
5050 SCHAEFFER ROAD	DEARBORN	MI	48126	HEALTH SERVICES	4965911
MYCARE HEALTH CENTER
18 MARKET STREET SUITE C	MT CLEMENS	MI	48043	HEALTH SERVICES	2246084
COUNTY OF MACOMB
10 NORTH MAIN	MT CLEMENS	MI	48043	HEALTH SERVICES	1910622
MEDLOGISTICS INC
33796 CAPITOL	LIVONIA	MI	48150	HEALTH MANAGEMENT SERVICES	611968
BLUE CARE NETWORK
PO BOX 33608	DETROIT	MI	482325608	HEALTH SERVICES	460154

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ICA-BASED DSH PAYMENTS	624100	5055023	5055023
ADULT BENEFITS WAIVER	624100	4000562	4000562

Field	Value	IRS element (for citing)
Total Program Service Revenue	9055585	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	22865	TotalRevenueColumn
Exclusion	$22,865	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9078450	TotalRevenueColumn
Related Or Exempt Function Income	9055585	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$22,865	ExclusionAmount

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	474000	Total
Management And General	474000	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4862	Total
Management And General	4862	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	25351	Total
Management And General	25351	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	246	Total
Management And General	246	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	38557	Total
Program Services	1315	ProgramServices
Management And General	37242	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	41286	Total
Program Services	29482	ProgramServices
Management And General	11804	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	25995	Total
Management And General	25995	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	701	Total
Management And General	701	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2988	Total
Management And General	2988	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12796	Total
Management And General	12796	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
PHYSICIAN'S SERVICES	6774991	6774991
MACOMB COUNTY HEALTH PR	1884628	1884628
MEMBER INSURANCE PREMIU	460154	460154
BREAST AND CERVICAL CAN	365004	365004

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	550399	Total
Program Services	533968	ProgramServices
Management And General	16431	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10661958	Total
Program Services	10049542	ProgramServices
Management And General	612416	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1903038	BOY
EOY	1035381	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11491	BOY
EOY	78186	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	71113	BOY
EOY	18081	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	81393	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4136	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	86480	BOY
EOY	77257	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4601982	BOY
EOY	4655458	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6674104	BOY
EOY	5864363	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	33740	BOY
EOY	783134	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	300084	BOY
EOY	300084	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	333824	BOY
EOY	1083218	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6340280	BOY
EOY	4781145	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6340280	BOY
EOY	4781145	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6674104	BOY
EOY	5864363	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-1583508	ReconcilationRevenueExpenses
Reconcilation Other Changes	24373	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9841278	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10227427	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10673365	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12304516	CurrentTaxYearMinus1Year
Current Tax Year	9055585	CurrentTaxYear
Total	52102171	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9841278	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10227427	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10673365	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12304516	CurrentTaxYearMinus1Year
Current Tax Year	9055585	CurrentTaxYear
Total	52102171	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	52102171	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	417408	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	64521	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	47845	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25535	CurrentTaxYearMinus1Year
Current Tax Year	22865	CurrentTaxYear
Total	578174	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	417408	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	64521	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	47845	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25535	CurrentTaxYearMinus1Year
Current Tax Year	22865	CurrentTaxYear
Total	578174	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	214	CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years	40	CurrentTaxYearMinus2Years
Total	254	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10258900	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10291948	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10721250	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12330051	CurrentTaxYearMinus1Year
Current Tax Year	9078450	CurrentTaxYear
Total	52680599	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98900	PublicSupportPercentage509
Prior Year Support Percentage	0.98120	PriorYearSupportPercentage
Investment Income Percentage	0.01100	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01870	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	79957	OtherCostOrOtherBasis
Depreciation	2907	Depreciation
Book Value	77050	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1436	OtherCostOrOtherBasis
Depreciation	1229	Depreciation
Book Value	207	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	77257	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	REQUIRED RESERVES	Description
Amount	$300,084	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	300084	TotalOfAmounts
Total Revenue	9078450	TotalRevenue
Total Expenses	10661958	TotalExpenses
Excess Or Deficit For Year	-1583508	ExcessOrDeficitForYear
Prior Period Adjustments	24373	PriorPeriodAdjustments
Total Adjustments	24373	TotalAdjustments
Excess Or Deficit Per FS	-1559135	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	9078450	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	9078450	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	9078450	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10661958	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	10661958	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	10661958	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3	MACOMB HEALTH PLAN ENGAGED MEDLOGISTICS TO PERFORM ADMINISTRATIVE AND MANAGEMENT SERVICES RELATING TO ALL SERVICES RENDERED BY MACOMB HEALTH PLAN.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE 990 IS PRESENTED TO THE BOARD OF DIRECTORS AT A BOARD MEETING AS AN ACTION ITEM. IT IS REVIEWED, OPEN FOR COMMENTS AND THEN FILED.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY EACH BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY CONFLICT. DURING THE YEAR BOARD MEMBERS ARE ENCOURAGED TO DISCLOSE ANY NEW CONFLICT OF INTEREST THAT MAY ARISE.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:	PRIOR PERIOD ADJUSTMENTS: 24,373.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	WE HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. OUR PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.