2023-09-26T10:07:15-04:00 2022-12-31 382706146 YEO & YEO PC PO BOX 3275 SAGINAW MI 48605 990 2022-01-01 383014011 HACKLEY COMMUNITY CARE CENTER INC HACK 2317371335 2700 BAKER STREET MUSKEGON HEIGHTS MI 49444 VALERIE BLONDIN CFO 2317371335 2023-09-21 true VALERIE BLONDIN 999009999 false JESSICA A ROLFE P01319510 9897939830 2023-09-21 2022 2023-04-26 12:10:37Z VALERIE BLONDIN 2700 BAKER STREET MUSKEGON HEIGHTS MI 49444 34879177 false X WWW.HACKLEYCOMMUNITYCARE.ORG X 1992 MI TO SUPPORT AND PROMOTE OUR PATIENTS TOTAL HEALTH WITH QUALITY, INTEGRITY, RESPECT AND COMPASSION. 12 12 353 21 0 9032492 6221451 23987943 28549317 11698 43274 50834 65135 33082967 34879177 0 0 19723383 20665714 0 0 9196372 10655310 28919755 31321024 4163212 3558153 17841631 24065321 5943897 8046119 11897734 16019202 TO SUPPORT AND PROMOTE OUR PATIENTS TOTAL HEALTH WITH QUALITY, INTEGRITY, RESPECT AND COMPASSION. false false 24429021 28549317 THE FEDERALLY QUALIFIED HEALTH CENTER PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL, AND OTHER HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY. 24429021 true true false false false false false false false false true false false true 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 54 0 353 true false false false false false false false false false false false false X 12 12 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 BYRON VARNADO PHYSICIAN 40.00 X 227914 0 22252 LINDA GARZELLONI FORMER CEO 40.00 X 239738 0 7903 JENNIFER HULTMAN PHYSICIAN 40.00 X 218669 0 21023 JOSHUA JOSHUA DENTAL QUALI 40.00 X 216866 0 11110 NIDIA MIEDEMA PHYSICIAN 40.00 X 202040 0 23414 VALERIE BLONDIN CFO 40.00 X 192157 0 22006 TYSON LAHTI PHYSICIAN 40.00 X 185598 0 21147 LESLIE KINGSLEY CMO 40.00 X 202123 0 4250 MARCO TATANGELO PHYSICIAN 40.00 X 181728 0 22788 TAWNA VALLANCE CMOO 40.00 X 187595 0 5638 ASHLEY DOWDELL CSCO 40.00 X 136795 0 16439 KAREN HAYSLIP CHRO 40.00 X 133517 0 9475 MICHAEL WEESSIES PARTIAL YEAR CEO 40.00 X 130027 0 11841 MARYANNE KOWALSKI CBHO 40.00 X 115227 0 25641 MICHAEL BRECHT TREASURER 1.00 X X 0 0 0 STEPHANIE CATHEY VICE CHAIR 1.00 X X 0 0 0 GARY LUKKARI DDS DIRECTOR 1.00 X 0 0 0 SHAUNA HUNTER DIRECTOR 1.00 X 0 0 0 JAVIER MARTINEZ DIRECTOR 1.00 X 0 0 0 DARIUS MITCHELL DIRECTOR 1.00 X 0 0 0 CHERYL NEBEDUM BOARD CHAIR 1.00 X X 0 0 0 EVA PENA DIRECTOR 1.00 X 0 0 0 SARAH RINSEMA-SYBENGA DIRECTOR 1.00 X 0 0 0 CHRISTOPHER SANDFORD DIRECTOR 1.00 X 0 0 0 HAROLD SANTO DIRECTOR 1.00 X 0 0 0 KIM SIMS DIRECTOR 1.00 X 0 0 0 2569994 224927 32 false true false TRIDONN DEVELOPMENT 1838 RUDDIMAN DRIVE NORTH MUSKEGON MI 49445 RENT 477965 PINECREEK JANITORIAL 4190 SAHARA RAVENNA MI 49451 JANITORIAL 227100 TRINITY DENTAL PO BOX 4940 MUSKEGON MI 49444 LAB SERVICES 177138 3 4048085 2173366 268213 6221451 PATIENT REVENUES 621400 27642512 27642512 INCENTIVE PAYMENTS 621400 795910 795910 PREMIUM REVENUE 621400 110895 110895 28549317 43274 43274 16783 16783 16783 16783 MISCELLANEOUS 900099 48352 48352 48352 34879177 28597669 60057 1668346 339972 1328374 15572726 12092434 3480292 278678 234166 44512 1854687 1400734 453953 1291277 936151 355126 37021 37021 51500 51500 540597 369069 171528 234037 234037 335226 304511 30715 1201031 1131894 69137 1578856 1273038 305818 60019 39849 20170 96757 71819 24938 132258 132258 723299 660335 62964 60817 15857 44960 PHARMACY 2265128 2265128 340B EXPENSES 1371417 1371417 CLINCAL SUPPLIES 1150012 1150012 MINOR EQUIPMENT 200328 92252 108076 617007 446346 170661 31321024 24429021 6892003 0 3485 3550 8003121 9980846 1059095 1093347 2798265 2858131 270540 269056 479661 706446 11390637 5961240 5137011 5429397 563315 90453 74277 3086956 17841631 24065321 2511078 2471882 2682909 2380000 749910 3194237 5943897 8046119 X 11891930 16013398 5804 5804 11897734 16019202 17841631 24065321 3558153 563315 X false true X true true true X 3890472 4343944 6483229 9032492 6221451 29971588 17205764 18428550 16908163 24023934 28597669 105164080 21096236 22772494 23391392 33056426 34819120 135135668 135135668 93900 173480 56214 26541 60057 410192 93900 173480 56214 26541 60057 410192 21590 24369 22338 35991 48352 152640 21211726 22970343 23469944 33118958 34927529 135698500 0.99590 0.99610 0.00000 0.00000 X PART III, LINE 12 OTHER REVENUE 152,640 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3677314 160261 3517053 3167345 2704844 462501 3678348 2806176 872172 606845 289959 316886 5168612 RIGHT OF USE ASSET - OPERATING LEASE 2831087 RIGHT OF USE ASSET - FINANCE LEASE 255869 3086956 OPERATING LEASE OBLIGATION 2837116 FINANCE LEASE OBLIGATION 257993 THIRD PARTY COST SETTLEMENT PAYABLE 99128 3194237 36143321 563315 700829 1264144 34879177 34879177 32021853 700829 700829 31321024 31321024 X X X X false false false false false false false false false BYRON VARNADO PHYSICIAN 227289 625 4320 17932 250166 LINDA GARZELLONI FORMER CEO 239498 240 7903 247641 JENNIFER HULTMAN PHYSICIAN 216744 1925 3120 17903 239692 JOSHUA JOSHUA DENTAL QUALITY LEAD 216563 303 1248 9862 227976 NIDIA MIEDEMA PHYSICIAN 201035 1005 4320 19094 225454 VALERIE BLONDIN CFO 190617 1540 3744 18262 214163 TYSON LAHTI PHYSICIAN 183873 1725 2957 18190 206745 LESLIE KINGSLEY CMO 200606 1517 3120 1130 206373 MARCO TATANGELO PHYSICIAN 180843 885 3280 19508 204516 TAWNA VALLANCE CMOO 185939 1656 3280 2358 193233 ASHLEY DOWDELL CSCO 135495 1300 16439 153234 X 1 268213 false false false FORM 990, PAGE 6, PART VI, LINE 11B FINANCE DIRECTOR, 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.