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Nonprofiteer
← PACKARD HEALTH INC

Form 990 for tax year 2022

Filed by PACKARD HEALTH INC.

Totals

Total revenue
$12,601,647
Total expenses
$12,570,870
Contributions and grants received
$3,955,787
Grants paid
$0
Program service revenue
$8,554,470
Investment income
$91,220
Other revenue
$170
Total assets, end of year
$18,440,917
Total liabilities, end of year
$3,254,462
Net assets or fund balances, end of year
$15,186,455
Program services expenses (Part IX)
$9,297,152
Management and general expenses
$3,042,681
Fundraising expenses
$231,037
Program service expenses (Part III)
$9,297,152

Program services were 74.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $2,452,497

  • 1f · All other contributions, gifts and grants

    $1,503,290

  • 1g · Noncash contributions included above

    $516,492

  • 2a · Program service revenue: PATIENT FEES

    total $6,014,787 · related or exempt $6,014,787

  • 2b · Program service revenue: CONTRACT SERVICE FEES

    total $2,063,972 · related or exempt $2,063,972

  • 2c · Program service revenue: CAPITATION FEES

    total $337,200 · related or exempt $337,200

  • 2d · Program service revenue: PHARMACY

    total $138,511 · related or exempt $138,511

  • 3 · Investment income

    total $91,220 · excluded $91,220

  • 11a · Other revenue: OTHER

    total $170 · excluded $170

  • 11e · Other revenue, total

    $170

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $918,979 · program services $374,486 · management and general $544,493

  • 7 · Other salaries and wages

    total $6,036,055 · program services $4,686,623 · management and general $1,228,511 · fundraising $120,921

  • 8 · Pension plan contributions

    total $110,570 · program services $91,498 · management and general $16,573 · fundraising $2,499

  • 9 · Other employee benefits

    total $896,465 · program services $679,687 · management and general $199,993 · fundraising $16,785

  • 10 · Payroll taxes

    total $513,487 · program services $376,134 · management and general $128,311 · fundraising $9,042

  • 11c · Fees: accounting

    total $140,270 · management and general $140,270

  • 11g · Fees: other

    total $1,274,253 · program services $784,462 · management and general $489,791

  • 12 · Advertising and promotion

    total $75,163 · fundraising $75,163

  • 13 · Office expenses

    total $159,776 · program services $142,200 · management and general $15,978 · fundraising $1,598

  • 16 · Occupancy

    total $400,327 · program services $379,894 · management and general $18,621 · fundraising $1,812

  • 17 · Travel

    total $62,266 · program services $56,128 · management and general $6,138

  • 22 · Depreciation, depletion and amortization

    total $236,171 · program services $210,192 · management and general $23,617 · fundraising $2,362

  • 23 · Insurance

    total $28,374 · management and general $28,374

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,343,951 · program services $1,343,951

  • 24b · Other expenses: DUES, LICENSES & SUBSCRIP

    total $107,248 · program services $88,512 · management and general $18,736

  • 24c · Other expenses: INTEREST

    total $94,887 · management and general $94,887

  • 24d · Other expenses: OTHER

    total $87,142 · program services $39,725 · management and general $47,417

  • 24e · All other expenses

    total $85,486 · program services $43,660 · management and general $40,971 · fundraising $855

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $65,679 · end of year $4,067

  • 2 · Savings and temporary cash investments

    beginning of year $6,340,400 · end of year $1,057,462

  • 3 · Pledges and grants receivable

    beginning of year $380,605 · end of year $195,328

  • 4 · Accounts receivable

    beginning of year $1,451,038 · end of year $1,346,311

  • 8 · Inventories for sale or use

    end of year $125,434

  • 9 · Prepaid expenses and deferred charges

    beginning of year $237,063 · end of year $197,349

  • 10a · Land, buildings and equipment: cost or other basis

    $9,698,377

  • 10b · Land, buildings and equipment: accumulated depreciation

    $707,323

  • 10c · Land, buildings and equipment, net

    beginning of year $8,268,984 · end of year $8,991,054

  • 11 · Investments: publicly traded securities

    beginning of year $1,025,657 · end of year $5,904,367

  • 15 · Other assets

    end of year $619,545

  • 17 · Accounts payable and accrued expenses

    beginning of year $637,496 · end of year $617,225

  • 19 · Deferred revenue

    beginning of year $50,000 · end of year $50,000

  • 23 · Secured mortgages and notes payable

    beginning of year $2,031,901 · end of year $1,960,313

  • 25 · Other liabilities

    end of year $626,924

  • 27 · Net assets without donor restrictions

    beginning of year $14,467,892 · end of year $14,704,108

  • 28 · Net assets with donor restrictions

    beginning of year $582,137 · end of year $482,347

Mission and programs · 2022

Mission

TO PROVIDE THE BEST POSSIBLE CARE TO OUR PATIENTS AND COMMUNITY, INCLUDING PEOPLE WHOSE ECONOMIC, SOCIAL OR CULTURAL CONDITIONS MIGHT OTHERWISE PREVENT THEM FROM ACCESSING HEALTH CARE.

  • PRIMARY HEALTH SERVICES, INCLUDING MENTAL HEALTH CARE AND HEALTH PROMOTION TO PATIENTS IN THE WASHTENAW COUNTY AREA.

    Expenses $9,297,152 · Revenue $8,554,470

As filed on the 2022 return.

Listed in Part VII

  • Raymond Rion

    EXECUTIVE DI

    Total calculated
    $294,850
    From this org
    $273,915
    From related orgs
    $0
    Other
    $20,935
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $273,915
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,973
    Nontaxable benefits
    $9,962
    Filer's total
    $294,850
  • Dr Ankoor Soni

    MEDICAL DIRE

    Total calculated
    $214,486
    From this org
    $200,147
    From related orgs
    $0
    Other
    $14,339
    Hours/week
    33.6

    Schedule J breakdown matched by us

    Base
    $200,147
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,428
    Nontaxable benefits
    $7,911
    Filer's total
    $214,486
  • Todd Montrief

    CFO

    Total calculated
    $128,948
    From this org
    $104,220
    From related orgs
    $0
    Other
    $24,728
    Hours/week
    40
  • Neil B Kirst

    CHIEF MEDICA

    Total calculated
    $244,800
    From this org
    $220,824
    From related orgs
    $0
    Other
    $23,976
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,824
    Bonus
    not reported
    Other
    not reported
    Deferred
    $3,078
    Nontaxable benefits
    $20,898
    Filer's total
    $244,800
  • Rana Smith

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Deborah Vandenbroek

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Thomas Biggs

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Nora Maloy PhD

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Gary Boren

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Margaret Calarco

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Chuck Hoffman

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Sharon Moore

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • EdD Snyder

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Doug Strong

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Bryan Wagoner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Molly Welch-Marahar

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Paula Lantz

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Juan Marquez MD MPH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Ruth Cassidy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Ravi Vadlamudi

    PHYSICIAN

    Total calculated
    $243,469
    From this org
    $217,547
    From related orgs
    $0
    Other
    $25,922
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $217,547
    Bonus
    not reported
    Other
    not reported
    Deferred
    $5,627
    Nontaxable benefits
    $20,295
    Filer's total
    $243,469
  • Lindsey Kotagal

    PHYSICIAN

    Total calculated
    $221,863
    From this org
    $211,290
    From related orgs
    $0
    Other
    $10,573
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,290
    Bonus
    not reported
    Other
    not reported
    Deferred
    $8,449
    Nontaxable benefits
    $2,124
    Filer's total
    $221,863
  • Ronald Romero

    PHYSICIAN

    Total calculated
    $187,009
    From this org
    $159,721
    From related orgs
    $0
    Other
    $27,288
    Hours/week
    30.8

    Schedule J breakdown matched by us

    Base
    $159,721
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,391
    Nontaxable benefits
    $20,897
    Filer's total
    $187,009
  • Daniel Oram

    PHYSICIAN

    Total calculated
    $180,628
    From this org
    $153,804
    From related orgs
    $0
    Other
    $26,824
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $153,804
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,015
    Nontaxable benefits
    $20,809
    Filer's total
    $180,628
  • Holly Ross

    COMPLIANCE O

    Total calculated
    $178,427
    From this org
    $151,472
    From related orgs
    $0
    Other
    $26,955
    Hours/week
    26

    Schedule J breakdown matched by us

    Base
    $151,472
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,057
    Nontaxable benefits
    $20,898
    Filer's total
    $178,427

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
28 March 2024
IRS schema version
2022v5.0
Source object
202420909349300702

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