2019-08-28T13:23:39-05:00 2018-12-31 382706146 YEO & YEO PC PO BOX 3275 SAGINAW MI 48605 990 2018-01-01 383014011 HACKLEY COMMUNITY CARE CENTER INC HACK 2317371335 2700 BAKER STREET MUSKEGON HEIGHTS MI 49444 LINDA JUAREZ CEO 2317371335 2019-08-02 true BRIAN R DIXON P01321580 9897939830 2019-08-26 70.34.166.253 2019-08-28 13:23:39 CD P 7484E3CD3963469E41B121541E5DE620EF83E074 7E555B4B5C18D62A240C71F7003D0F88008881B6 2018 2019-02-21 02:37:17Z LINDA JUAREZ 2700 BAKER STREET MUSKEGON HEIGHTS MI 49444 21211726 false X WWW.HACKLEYCOMMUNITYCARE.ORG X 1992 MI TO SUPPORT AND PROMOTE OUR PATIENTS TOTAL HEALTH WITH QUALITY, INTEGRITY, RESPECT AND COMPASSION. 13 13 245 19 0 4061315 3890472 17421792 17133490 12634 93900 10500 93864 21506241 21211726 0 0 13989377 14466959 0 0 6997222 6742478 20986599 21209437 519642 2289 10050290 11047902 2362698 3358021 7687592 7689881 TO SUPPORT AND PROMOTE OUR PATIENTS TOTAL HEALTH WITH QUALITY, INTEGRITY, RESPECT AND COMPASSION. false false 17339593 17205764 THE FEDERALLY QUALIFIED HEALTH CENTER PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL, AND OTHER HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY. 17339593 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 43 0 245 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false MI X VALERIE BLONDIN 2317336657 255 SEMINOLE SUITE 201A MUSKEGON HEIGHTS MI 49444 JEFFREY ALEXANDER TREASURER 2.00 X X 0 0 0 MALVERN BOLDEN DIRECTOR 2.00 X 0 0 0 STEPHANIE CATHEY VICE CHAIR 2.00 X X 0 0 0 GARY LUKKARI DIRECTOR 2.00 X 0 0 0 JAVIER MARTINEZ DIRECTOR 2.00 X 0 0 0 CHRIS MCGUIGAN SECRETARY 2.00 X X 0 0 0 CHERYL NEBEDUM CHAIR 2.00 X X 0 0 0 SARAH RINSEMA-SYBENGA DIRECTOR 2.00 X 0 0 0 CHRISTOPHER SANDFORD DIRECTOR 2.00 X 0 0 0 HAROLD SANTO DIRECTOR 2.00 X 0 0 0 DIANNE VARNADO DIRECTOR 2.00 X 0 0 0 SHAUNA HUNTER DIRECTOR 2.00 X 0 0 0 RILLASTINE WILKINS DIRECTOR 2.00 X 0 0 0 LINDA JUAREZ CEO 40.00 X 265135 0 42714 VALERIE BLONDIN CFO 40.00 X 155245 0 25210 SHERI WEGLARZ COO 40.00 X 150872 0 12195 DANIELLE KOESTNER CHO 21.00 X 118555 0 133 KAREN HAYSLIP CHRO 40.00 X 102994 0 14156 JENNIFER HULTMAN PHYSICIAN 40.00 X 208232 0 17713 JOSHUA JOSHUA DENTIST 40.00 X 185382 0 8605 TYSON LAHTI PHYSICIAN 40.00 X 185284 0 17491 NIDIA MIEDEMA PHYSICIAN 35.00 X 184169 0 21341 LESLIE KINGSLEY PHYSICIAN 36.00 X 147662 0 26051 1703530 185609 25 false true false PINECREEK JANITORIAL 4190 SAHARA RAVENNA MI 49451 JANITORIAL 167320 1 3808382 82090 360581 3890472 PATIENT REVENUES 621400 16187342 16187342 SIM PMPM REVENUE 621400 475989 475989 INCENTIVE PAYMENTS 621400 378509 378509 PREMIUM REVENUE 621400 91650 91650 17133490 93900 93900 MISCELLANEOUS 900099 72274 72274 INSURANCE PROCEEDS 900099 21590 21590 93864 21211726 17205764 115490 804136 32384 771752 11183595 9239902 1943693 168360 136344 32016 1407337 1123916 283421 903531 703082 200449 16788 16788 51157 51157 321643 274777 46866 105988 105988 262642 212450 50192 641881 601039 40842 1061029 878171 182858 85300 56552 28748 91577 66228 25349 14977 14977 498528 470142 28386 28339 6570 21769 PHARMACY COGS 1433244 1433244 CLINCAL SUPPLIES 1319790 1319790 340B EXPENSES 322676 322676 MINOR EQUIPMENT 115601 86934 28667 371318 269404 101914 21209437 17339593 3869844 0 2515 2515 5272293 6285032 600969 669408 1357210 1557010 264218 191351 341748 459955 5677909 3853135 2149350 1824774 61987 57857 10050290 11047902 1231856 1366650 427168 335920 703674 1655451 2362698 3358021 X 7676604 7677278 10988 12603 7687592 7689881 10050290 11047902 2289 X false true X true true true X 1999377 3333786 3808516 4061315 3890472 17093466 15944375 18149946 18005804 17421792 17205764 86727681 26475 13980 40455 17943752 21510207 21828300 21483107 21096236 103861602 103861602 642 -38 2397 12634 93900 109535 642 -38 2397 12634 93900 109535 18503 10781 32958 10500 21590 94332 17962897 21520950 21863655 21506241 21211726 104065469 0.99800 0.99880 0.00000 0.00000 X PART III, LINE 12 OTHER REVENUE 94,332 3035704 1913423 1122281 2627205 1939712 687493 15000 15000 1824774 THIRD PARTY COST SETTLEMENT PAYABLE 1655451 1655451 21682596 470870 470870 21211726 21211726 21680307 470870 470870 21209437 21209437 X X X X false true false false false false false false false LINDA JUAREZ CEO 265135 22420 20294 307849 VALERIE BLONDIN CFO 155245 2246 22964 180455 SHERI WEGLARZ COO 150872 3920 8275 163067 JENNIFER HULTMAN PHYSICIAN 208232 2808 14905 225945 JOSHUA JOSHUA DENTIST 185382 8605 193987 TYSON LAHTI PHYSICIAN 185284 2141 15350 202775 NIDIA MIEDEMA PHYSICIAN 184169 3920 17421 205510 LESLIE KINGSLEY PHYSICIAN 147662 2880 23171 173713 SCHEDULE J, PAGE 1, PART I, LINE 4 LINDA JUAREZ 0 18,500 0 X 1 360581 false false false FORM 990, PAGE 6, PART VI, LINE 11B ACCOUNTING MANAGER, FINANCE COMMITTEE AND CFO PERFORM A DETAILED REVIEW OF 990 AND FULL BOARD REVIEWS 990 PRIOR TO SUBMISSION. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENT SIGNED ANNUALLY BY BOARD MEMBERS AND MANAGEMENT. FORM 990, PAGE 6, PART VI, LINE 15A CEO COMPENSATION IS REVIEWED BY A BOARD COMMITTEE AND INCLUDES COMPARISON TO OTHER RELATED FQHC'S IN THE AREA. FORM 990, PAGE 6, PART VI, LINE 15B OTHER OFFICER COMPENSATION IS REVIEWED BY CEO USING STANDARD PERFORMANCE REVIEW FORMS AND INFORMATION FROM OUTSIDE SOURCES INCLUDING COMPARABLE COMPENSATION RANGES OF SIMILAR ORGANIZATIONS. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND 990 ARE MADE AVAILABLE TO PUBLIC UPON REQUEST.