PALADIN COMMUNITY CORPORATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PALADIN COMMUNITY CORPORATION (EIN 20-1452547)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201202289349301175
- Schema version
- 2010v3.4
- Note
- A later return for the same period supersedes this one.
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T09:24:02-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 755 W BIG BEAVER SUITE 2300 | 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 | 2010-10-01 | 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 | AddressLine1 |
| City | MT CLEMENS | City |
| State | MI | State |
| ZIP Code | 48043 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DARLENE VASI | Name |
| Title | CFO | Title |
| Phone | 2486891340 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2482443000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 12330051 | 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 | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | 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 | 10673365 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12304516 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 47845 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25535 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 40 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10721250 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12330051 | 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 | 12815342 | OtherExpensePriorYear |
| Other Expenses Current Year | 13561418 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12815342 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13561418 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2094092 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1231367 | RevenuesLessExpensesCY |
| Total Assets BOY | 8841990 | TotalAssetsBOY |
| Total Assets EOY | 6674104 | TotalAssetsEOY |
| Total Liabilities BOY | 1270343 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 333824 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7571647 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6340280 | 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 | 6356362 | Expense |
| Revenue | 7249493 | Revenue |
| Description | ADULT BENEFIT WAIVER PROGRAM | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2466883 | Expense |
| Revenue | 1890062 | Revenue |
| Description | MACOMB COUNTY HEALTH PROGRAMS | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3036348 | Expense |
| Revenue | 2326372 | Revenue |
| Description | "B" PROGRAM | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1094515 | Expense |
| Revenue | 838589 | Revenue |
| Description | ONE/THIRD SHARE PROGRAM AND OTHER PROGRAM SERVICES | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1094515 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 838589 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 12954108 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | 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 | 48098 | 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 | OfficerOfficer |
|---|---|---|---|---|---|---|
| THE HONORABLE JOSEPH BOEDEKER | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| THOMAS KALKOFEN | ||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| DAVID DIEGEL | ||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | |
| ANGELO NICHOLAS | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |
| PETER PROVENZANO | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BARBARA ROSSMANN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DARLENE VASI | ||||||
| CFO | 40.00 | 0 | 0 | 0 | X | |
| 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 SCHAEFER ROAD | DEARBORN | MI | 48126 | HEALTH SERVICES | 7784170 |
| COUNTY OF MACOMB | |||||
| 10 NORTH MAIN | MT CLEMENS | MI | 48043 | HEALTH SERVICES | 2466364 |
| MYCARE HEALTH CENTER | |||||
| 18 MARKET STREET | MT CLEMENS | MI | 48043 | HEALTH SERVICES | 952760 |
| MEDLOGISTICS INC | |||||
| 33796 CAPITOL | LIVONIA | MI | 48150 | HEALTH MANAGEMENT SERVICES | 940614 |
| MACOMB BLUE | |||||
| 18 MARKET STREET SUITE B | MT CLEMENS | MI | 48043 | HEALTH SERVICES | 721878 |
| 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 |
|---|---|---|---|
| ADULT BENEFITS WAIVER | 624100 | 7249493 | 7249493 |
| ICH-BASED DSH PAYMENTS | 624100 | 5055023 | 5055023 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12304516 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25535 | TotalRevenueColumn |
| Exclusion | $25,535 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12330051 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12304516 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $25,535 | 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 | 807 | Total |
| Management And General | 807 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33519 | Total |
| Management And General | 33519 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Management And General | 10000 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5098 | Total |
| Management And General | 5098 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21918 | Total |
| Program Services | 2251 | ProgramServices |
| Management And General | 19667 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104046 | Total |
| Program Services | 99672 | ProgramServices |
| Management And General | 4374 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31936 | Total |
| Management And General | 31936 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2819 | Total |
| Management And General | 2819 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287 | Total |
| Management And General | 287 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13078 | Total |
| Management And General | 13078 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PHYSICIAN'S SERVICES | 9197810 | 9197810 |
| MACOMB COUNTY HEALTH PR | 2466883 | 2466883 |
| MEMBER INSURANCE PREMIU | 721878 | 721878 |
| DHS SERVICE CONTRACT | 360000 | 360000 |
| DIRECT CARE EXPENSES | 105614 | 105614 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11725 | Total |
| Management And General | 11725 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13561418 | Total |
| Program Services | 12954108 | ProgramServices |
| Management And General | 607310 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5124291 | BOY |
| EOY | 1903038 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 11491 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132571 | BOY |
| EOY | 71113 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 99915 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13435 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7385 | BOY |
| EOY | 86480 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3577743 | BOY |
| EOY | 4601982 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8841990 | BOY |
| EOY | 6674104 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 970278 | BOY |
| EOY | 33740 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300065 | BOY |
| EOY | 300084 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1270343 | BOY |
| EOY | 333824 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7571647 | BOY |
| EOY | 6340280 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7571647 | BOY |
| EOY | 6340280 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8841990 | BOY |
| EOY | 6674104 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1231367 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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 | 10098928 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9841278 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10227427 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10673365 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12304516 | CurrentTaxYear |
| Total | 53145514 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10098928 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9841278 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10227427 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10673365 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12304516 | CurrentTaxYear |
| Total | 53145514 | 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 | 53145514 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 455374 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 417408 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 64521 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47845 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25535 | CurrentTaxYear |
| Total | 1010683 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 455374 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 417408 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 64521 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47845 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25535 | CurrentTaxYear |
| Total | 1010683 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7674 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 214 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus1 Year | 40 | CurrentTaxYearMinus1Year |
| Total | 7928 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10561976 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10258900 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10291948 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10721250 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12330051 | CurrentTaxYear |
| Total | 54164125 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98120 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97500 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01870 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02490 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: OTHER INCOME LOCATED ON SCHEDULE A, PART III, SECTION B, LINE 12 IS MISCELLANEOUS REVENUE. | GeneralExplanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 79957 | OtherCostOrOtherBasis |
| Depreciation | 667 | Depreciation |
| Book Value | 79290 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18522 | OtherCostOrOtherBasis |
| Depreciation | 11332 | Depreciation |
| Book Value | 7190 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1436 | OtherCostOrOtherBasis |
| Depreciation | 1436 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 86480 | 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 | 12330051 | TotalRevenue |
| Total Expenses | 13561418 | TotalExpenses |
| Excess Or Deficit For Year | -1231367 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -1231367 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12330051 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 12330051 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12330051 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13561418 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 13561418 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 13561418 | TotalExpensesPerForm990 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MACOMB HEALTH PLAN ENGAGED MEDLOGISTICS TO PERFORM ADMINISTRATIVE AND MANAGEMENT SERVICES RELATING TO THE ADULT BENEFITS WAIVER PROGRAM. | |
| 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. | |
| 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 B, LINE 12C | |
| THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 |