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Nonprofiteer
← MICHIGAN PROFESSIONAL CREDENTIAL VERIFICATION SERVICES INC

Form 990 for tax year 2022

Filed by MICHIGAN PROFESSIONAL CREDENTIAL VERIFICATION SERVICES INC.

Totals

Total revenue
$454,775
Total expenses
$469,853
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$451,329
Investment income
$3,446
Other revenue
$0
Total assets, end of year
$484,817
Total liabilities, end of year
$23,608
Net assets or fund balances, end of year
$461,209
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

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.

  • 2a · Program service revenue: PRIMARY SOURCE VERIFIC

    total $451,329 · related or exempt $451,329

  • 3 · Investment income

    total $3,446 · excluded $3,446

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $174,372

  • 8 · Pension plan contributions

    total $4,502

  • 9 · Other employee benefits

    total $10,385

  • 10 · Payroll taxes

    total $14,374

  • 11c · Fees: accounting

    total $3,700

  • 11g · Fees: other

    total $31,721

  • 12 · Advertising and promotion

    total $454

  • 13 · Office expenses

    total $7,498

  • 16 · Occupancy

    total $20,000

  • 22 · Depreciation, depletion and amortization

    total $2,031

  • 23 · Insurance

    total $18,538

  • 24a · Other expenses: VERIFICATION FEES

    total $176,076

  • 24b · Other expenses: BAD DEBTS

    total $6,202

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $397,421 · end of year $388,097

  • 4 · Accounts receivable

    beginning of year $68,200 · end of year $54,159

  • 9 · Prepaid expenses and deferred charges

    beginning of year $25,573 · end of year $42,392

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

    $192,665

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

    $192,496

  • 10c · Land, buildings and equipment, net

    beginning of year $2,200 · end of year $169

  • 17 · Accounts payable and accrued expenses

    beginning of year $17,107 · end of year $23,608

  • 29 · Capital stock, trust principal or current funds

    beginning of year $59,000 · end of year $59,000

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $375,579 · end of year $417,287

  • 31 · Retained earnings, endowment or other funds

    beginning of year $41,708 · end of year -$15,078

Mission and programs · 2022

Mission

PROVIDES PRIMARY SOURCE CREDENTIAL VERIFICATION FOR HOSPITALS, PHYSICIAN PRACTICES, HEALTH PLANS AND OTHER HEALTH CARE ORGANIZATIONS.

  • PROFESSIONAL CREDENTIAL VERIFICATION PERFORMED FOR VARIOUS HOSPITALS AND RELATED ORGANIZATIONS TO PROMOTE COMPETENCE OF HEALTH CARE PROVIDERS.

As filed on the 2022 return.

Listed in Part VII

  • Mark C Komorowski MD

    PRESIDENT/CHAIR

    Total calculated
    $12,500
    From this org
    $0
    From related orgs
    $12,500
    Other
    $0
    Hours/week
    1 + 1 related

  • John A Waters MD

    TREASURER

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 1 related

  • Thomas M George MD

    SECRETARY

    Total calculated
    $21,032
    From this org
    $0
    From related orgs
    $21,032
    Other
    $0
    Hours/week
    1 + 31 related

  • Paul D Bozyk MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Venkat K Rao MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Brian R Stork MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Benjamin Louagie

    PRESIDENT - PART YEAR

    Total calculated
    $255,516
    From this org
    $0
    From related orgs
    $228,388
    Other
    $27,128
    Hours/week
    1 + 36.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $224,918 related
    Bonus
    $0
    Other
    $0 + $3,470 related
    Deferred
    $0 + $15,944 related
    Nontaxable benefits
    $0 + $11,184 related
    Filer's total
    $0 + $255,516 related

  • Rebecca Blake

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $168,431
    From this org
    $0
    From related orgs
    $135,373
    Other
    $33,058
    Hours/week
    5 + 32.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $131,729 related
    Bonus
    $0
    Other
    $0 + $3,644 related
    Deferred
    $0 + $9,449 related
    Nontaxable benefits
    $0 + $23,609 related
    Filer's total
    $0 + $168,431 related

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • PHYSICIAN HOLDING COMPANY

    C · OVERSEE THE ACTIVITIES OF ALL MSMS SUBSIDIARIES · MI

    Directly controlled by MICHIGAN STATE MEDICAL SOCIETY

Provenance

Return type
form_990
Tax year
2022
Filed
2 October 2024
IRS schema version
2022v5.0
Source object
202422779349300107

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