PALADIN COMMUNITY CORPORATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: PALADIN COMMUNITY CORPORATION (EIN 20-1452547)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201132279349304173
Schema version: 2009v1.7
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	2011-08-15T16:01:05-05:00	Timestamp
Tax Period End Date	2010-09-30	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	2009-10-01	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	5867839355	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 S Vasi	Name
Title	cfo	Title
Phone	5867839355	Phone
Date Signed	2011-08-15	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	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	darlene vasi	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	10721250	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	TO CREATE A SYSTEM FOR PROVIDING OR ARRANGING HEALTH CARE SERVICES IN A COST EFFECTIVE MANNER FOR PERSONS UNABLE TO PAY FOR SUCH HEALTH CARE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	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 Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10227427	ProgramServiceRevenuePriorYear
Program Service Revenue CY	10673365	ProgramServiceRevenueCY
Investment Income Prior Year	64521	InvestmentIncomePriorYear
Investment Income Current Year	47845	InvestmentIncomeCurrentYear
Other Revenue Current Year	40	OtherRevenueCurrentYear
Total Revenue Prior Year	10291948	TotalRevenuePriorYear
Total Revenue Current Year	10721250	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	10526391	OtherExpensePriorYear
Other Expenses Current Year	12815342	OtherExpensesCurrentYear
Total Expenses Prior Year	10526391	TotalExpensesPriorYear
Total Expenses Current Year	12815342	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-234443	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-2094092	RevenuesLessExpensesCY
Total Assets BOY	10223366	TotalAssetsBOY
Total Assets EOY	8841990	TotalAssetsEOY
Total Liabilities BOY	557627	TotalLiabilitiesBOY
Total Liabilities EOY	1270343	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	9665739	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	7571647	NetAssetsOrFundBalancesEOY
Mission Description	to provide quality health care to individuals who are uninsured or under insured.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	4886376	Expense
Revenue	2013852	Revenue
Description	ADULT BENEFIT WAIVER PROGRAM	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2713495	Expense
Revenue	1118329	Revenue
Description	macomb county health programs	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2562946	Expense
Revenue	1056283	Revenue
Description	"b" program	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	2102597	Expense
Revenue	866556	Revenue
Description	one/third share program and other program services	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	2102597	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	866556	TotalOfOtherProgramServiceRev
Total Program Service Expense	12265414	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
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
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	3139193527	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
THE HONORABLE JOSEPH BOEDEKER
PRESIDENT	1.50	X	0	0	0
THOMAS KALKOFEN
VICE PRESIDENT	1.50	X	0	0	0
DAVID DIEGEL
TREASURER	2.00	X	0	0	0
DONNA KOPINSKI
DIRECTOR	1.50	X	0	0	0
ANGELO NICHOLAS
SECRETARY	1.50	X	0	0	0
SUSAN DOHERTY
DIRECTOR	1.50	X	0	0	0
BARBARA ROSSMANN
DIRECTOR	1.50	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 SCHAEFER ROAD	DEARBORN	MI	48126	HEALTH SERVICES	7219918
COUNTY OF MACOMB
10 NORTH MAIN	MT CLEMENS	MI	48043	HEALTH SERVICES	2713495
CUSTOMER SERVICE SOLUTIONS
25600 KELLY ROAD	ROSEVILLE	MI	48066	HEALTH computer SERVICES	1426901
MEDLOGISTICS INC
32540 SCHOOLCRAFT ROAD STE 210	LIVONIA	MI	48226	HEALTH management SERVICES	870776
mycare health center
18 market street	mt clemens	MI	48043	health serVICES	500000

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	5618345	5618345
ICH-BASED DSH PAYMENTS	624100	5055020	5055020

Field	Value	IRS element (for citing)
Total Program Service Revenue	10673365	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	47845	TotalRevenueColumn
Exclusion	$47,845	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	miscellaneous income	Description
Business Code	624100	BusinessCode
Total Revenue Column	40	TotalRevenueColumn
Related Or Exempt Function Income	40	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	40	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10721250	TotalRevenueColumn
Related Or Exempt Function Income	10673405	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$47,845	ExclusionAmount

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	7941	Total
Management And General	7941	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11347	Total
Management And General	11347	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	283	Total
Management And General	283	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	18937	Total
Program Services	3324	ProgramServices
Management And General	15613	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	114859	Total
Program Services	113247	ProgramServices
Management And General	1612	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	14635	Total
Management And General	14635	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1772	Total
Management And General	1772	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	874	Total
Management And General	874	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12544	Total
Management And General	12544	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHYSICIAN'S SERVICES	7219918	7219918
MACOMB COUNTY HEALTH PR	2713495	2713495
MEMBER INSURANCE PREMIU	1313654	1313654
FQAC expense	505000	505000
MANAGEMENT FEE	474000		474000

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	406083	Total
Program Services	396776	ProgramServices
Management And General	9307	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	12815342	Total
Program Services	12265414	ProgramServices
Management And General	549928	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6541432	BOY
EOY	5124291	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	109697	BOY
EOY	132571	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	19958	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	12573	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	862	BOY
EOY	7385	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	3571375	BOY
EOY	3577743	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10223366	BOY
EOY	8841990	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	257627	BOY
EOY	970278	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	300000	BOY
EOY	300065	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	557627	BOY
EOY	1270343	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9665739	BOY
EOY	7571647	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9665739	BOY
EOY	7571647	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10223366	BOY
EOY	8841990	EOY

Field	Value	IRS element (for citing)
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	9561280	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10098928	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9841278	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10227427	CurrentTaxYearMinus1Year
Current Tax Year	10673365	CurrentTaxYear
Total	50402278	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9561280	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10098928	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9841278	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10227427	CurrentTaxYearMinus1Year
Current Tax Year	10673365	CurrentTaxYear
Total	50402278	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	50402278	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	300667	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	455374	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	417408	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	64521	CurrentTaxYearMinus1Year
Current Tax Year	47845	CurrentTaxYear
Total	1285815	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	300667	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	455374	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	417408	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	64521	CurrentTaxYearMinus1Year
Current Tax Year	47845	CurrentTaxYear
Total	1285815	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	7674	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	214	CurrentTaxYearMinus2Years
Current Tax Year	40	CurrentTaxYear
Total	7928	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9861947	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10561976	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10258900	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10291948	CurrentTaxYearMinus1Year
Current Tax Year	10721250	CurrentTaxYear
Total	51696021	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97500	PublicSupportPercentage509
Prior Year Support Percentage	0.97350	PriorYearSupportPercentage
Investment Income Percentage	0.02490	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.02630	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	Schedule A, Part II, Line 12, Explanation of Other Income: Miscellaneous Revenue	GeneralExplanation

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18522	OtherCostOrOtherBasis
Depreciation	11711	Depreciation
Book Value	6811	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1436	OtherCostOrOtherBasis
Depreciation	862	Depreciation
Book Value	574	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7385	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	REQUIRED RESERVES	Description
Amount	$300,065	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	300065	TotalOfAmounts
Total Revenue	10721250	TotalRevenue
Total Expenses	12815342	TotalExpenses
Excess Or Deficit For Year	-2094092	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	-2094092	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	10721250	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	10721250	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	10721250	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	12815342	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	12815342	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	12815342	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation
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 form 990 will be reviewed by the board of directors prior to filing.
Form 990, Part VI, Section B, line 12c	annual conflict of interest statements are reviewed, signed, and filed by each board member. should their status change, a new form is completed.
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.