2024-08-05T09:23:12-05:00 2023-09-30 382492570 DOEREN MAYHEW 305 WEST BIG BEAVER ROAD TROY MI 48084 990 2022-10-01 431969008 CNS HEALTHCARE CNSH 2487454900 24230 KARIM BOULEVARD 100 NOVI MI 48375 DANIEL R WAGNER CHIEF FINANCIAL OFFICER 2487454900 2024-08-02 1 0 PATRICK D FUELLING CPA P00530005 2482443000 2024-07-23 2022 2024-08-08 14:25:15Z DANIEL R WAGNER 24230 KARIM BOULEVARD 100 NOVI MI 48375 43662217 0 X WWW.CNSHEALTHCARE.ORG X 2002 MI PROVIDE COMPREHENSIVE PSYCHOSOCIAL RECOVERY SERVICES TO INDIVIDUALS WITH MENTAL ILLNESS. 19 19 478 0 0 0 6415106 1115520 38797956 38257086 152287 277499 1271937 3470556 46637286 43120661 0 0 0 0 33678490 37054415 0 0 0 8855932 9902212 42534422 46956627 4102864 -3835966 22983324 18625041 9928696 8924668 13054628 9700373 X PROVIDING ESSENTIAL SERVICES AND SUPPORTS TO THOSE AFFECTED BY MENTAL ILLNESS, SUBSTANCE ABUSE, INTELLECTUAL / DEVELOPMENTAL DISABILITIES, AND EMOTIONAL DISORDERS.COMMITTED TO ADVANCING INTEGRATED MENTAL AND PHYSICAL HEALTHCARE AND ELIMINATING STIGMA THROUGH ADVOCACY, EDUCATION, AND COMMUNITY OUTREACH. WE EMPOWER ALL CHILDREN AND ADULTS SERVED TO BECOME ACTIVE AND PRODUCTIVE MEMBERS OF THEIR COMMUNITIES. 0 0 20652907 21452445 TARGETED CASE MANAGEMENT - PROVIDE AN INTEGRATED APPROACH TO ASSIST PERSONS IN DESIGNING AND IMPLEMENTING MENTAL HEALTH SERVICES AND SUPPORTS THAT ARE GOAL ORIENTED AND INDIVIDUALIZED. 1788324 1857556 CLUBHOUSES AND DROP-IN CENTERS - PROVIDES DIRECTLY AND THROUGH SUBCONTRACTORS, LOCATIONS WHERE INDIVIDUALS CAN ACTIVELY PARTICIPATE IN PROGRAMS DESIGNED TO PROMOTE ACCEPTANCE, ENHANCED SOCIALIZATION AND PERSONAL AND PRE-VOCATIONAL SKILL DEVELOPMENT. 2512771 2610048 ASSERTIVE COMMUNITY TREATMENT (ACT) - COMMUNITY-BASED MENTAL HEALTH SERVICES FOR INDIVIDUALS EXPERIENCING SERIOUS MENTAL ILLNESS. THE ILLNESS MAY INTERFERE WITH A PERSON'S ABILITY TO LIVE IN THE COMMUNITY, ATTEND APPOINTMENTS WITH CLINICS OR HOSPITALS AND MANAGE MENTAL HEALTH SYMPTOMS. THE MISSION OF ACT IS TO HELP PEOPLE BECOME INDEPENDENT AND INTEGRATE INTO THE COMMUNITY AS THEY EXPERIENCE RECOVERY. 14953381 15532272 14953381 15532272 39907383 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 147 0 1 478 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MI X DANIEL WAGNER CFO MICHAEL GARRETT 2488711425 24230 KARIM BOULEVARD SUITE 100 NOVI MI 48375 BENJAMIN ANDERSON DIRECTOR 5.00 X 0 0 0 DAVID PATTERSON MEMBER-AT-LARGE HR COMMITTE CHAIR 5.00 X 1050 0 0 DIANE BOSTIC-ROBINSON PROGRAMS COMMITTEE CHAIR 5.00 X 0 0 0 HOLBERT MAXEY DIRECTOR 5.00 X 975 0 0 JEFFREY PERRY TREASURER 5.00 X X 975 0 0 LUCY PAYNE SECRETARY 5.00 X X 1725 0 0 MARK WILLIAM FOSS DIRECTOR 5.00 X 1725 0 0 MATTIE MCKINNEY-HATCHETT DIRECTOR 5.00 X 1275 0 0 MICHAEL MATTEI DIRECTOR 5.00 X 0 0 0 RITA TURNER BOARD CHAIR 5.00 X X 1575 0 0 RONALD BORNGESSER VICE-CHAIR 5.00 X X 1350 0 0 SARAH SPICER DIRECTOR 5.00 X 1125 0 0 JONATHAN WONG DIRECTOR 5.00 X 300 0 0 WILLIAM BUCHTEE DIRECTOR 5.00 X 375 0 0 LAILA SIROUKANE DIRECTOR 5.00 X 0 0 0 LISA STURGIS DIRECTOR 5.00 X 0 0 0 RODNEY TOLBERT DIRECTOR 5.00 X 0 0 0 SANDRA WARE DIRECTOR 5.00 X 0 0 0 JOSE YBARRA DIRECTOR 5.00 X 0 0 0 ANTHONY JACKSON FACILITIES DIRECTOR 40.00 X 99752 0 16469 CANDANCE S MORRISSEY DIRECTOR OF CLINIC OPERATIONS 40.00 X 114479 0 33247 CATHERINE C SPINNEY PROGRAM DIRECTOR 40.00 X 100892 0 39258 CHERYL MADEJA DIRECTOR OF TQM 40.00 X 102586 0 16473 CYNTHIA M HILL-JACKSON DIRECTOR OF TRAINING & ED 40.00 X 115523 0 32543 DANIEL R WAGNER CHEIF FINANCIAL OFFICER 40.00 X 199235 0 41569 DARNELL BOYNTON CHIEF CORPORATE COMPLIANCE & GENERAL COUNSEL 40.00 X 192512 0 34876 JENNIFER SHUMAKER PROGRAM DIRECTOR 40.00 X 109892 0 39096 MARCYNE JOHNSON CHIEF CLINICAL OFFICER 40.00 X 190728 0 19886 MICHAEL GARRETT PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X 366607 0 42156 MICHELE REID-HARRIS CHIEF MEDICAL OFFICER 40.00 X 319458 0 33647 NANCY M GANDELOT CHIEF MARKETING & OUTREACH OFFICER 40.00 X 183898 0 18598 ROBERT WARMACK III PROGRAM DIRECTOR 40.00 X 105882 0 3909 ROBIN K SPIVEY CHEIF HR OFFICER 40.00 X 196513 0 16047 KATHERINE GROVES DIRECTOR OF IT & CUSTOMER CARE 40.00 X 122925 0 39624 MARIA LORIA HUMAN RESOURCES DIRECTOR 40.00 X 103865 0 16347 MYA MASON CHIEF OF STAFF 40.00 X 81550 0 30487 ABDUL ZAHURULLAH PSYCHIATRIST 40.00 X 287605 0 18186 SARAH SCANTAMBURLO PHYSICIAN ASSISTANT 40.00 X 156126 0 40605 SUSAN LINT-PIRTLE PHYSICIAN ASSISTANT 40.00 X 135498 0 33259 PIRTLE JEFFREY PHYSICIAN ASSISTANT 40.00 X 134499 0 6779 STEWART MICHAEL PHYSICIAN ASSISTANT 40.00 X 130598 0 37275 3563073 0 610336 20 0 1 0 MOHAMMED YOUSUF MD 1395 CHAPIN AVENUE BIRMINGHAM MI 480095167 CLIENT SERVICES 287598 DOEREN MAYHEW 305 W BIG BEAVER ROAD SUITE 200 TROY MI 48084 ACCOUNTING SERVICES 275870 M & B CONSTRUCTION LLC 3155 W BIG BEAVER RD SUITE 106A TROY MI 48084 CONSTRUCTION SERVICES 263675 CLARENCE E PHILLIPS ASCEND FOUNDATION 2350 FRANKLIN RD SUITE 210 BLOOMFIELD TWP MI 48302 CLIENT SERVICES 197706 DB SECURITY INC 8100 SUZANNE DETROIT MI 48234 SECURITY SERVICES 192679 6 427969 687551 1115520 OPERATING CONTRACTS 624100 37453178 37453178 THIRD PARTY REVENUE 624100 803908 803908 38257086 203653 203653 324489 49168 275321 275321 275321 427742 138492 460181 32207 -32439 106285 73846 73846 MISCELLANEOUS INCOME 621400 3195235 3195235 3195235 43120661 41452321 0 552820 4499774 4190966 308808 24637738 22988139 1649599 679083 640647 38436 5317076 4881332 435744 1920744 1782072 138672 56055 11510 44545 117915 109755 8160 2270961 1105161 1165800 314298 180210 134088 1810447 504879 1305568 141148 140733 415 259033 196447 62586 134055 449 133606 780735 360183 420552 318659 174138 144521 EQUIPMENT AND MAINTENAN 1547406 840454 706952 SUBCONTRACTED CARE PROV 557000 557000 VEHICLE EXPENSES 417530 351690 65840 CLIENT CONTINGENCY 296522 227848 68674 880448 663770 216678 46956627 39907383 7049244 0 8480830 3444612 132393 189552 2199675 1344190 1195452 1034283 11472898 4667408 7141315 6805490 3833659 4306475 0 1500439 22983324 18625041 7143514 5024247 2785182 2331907 0 1568514 9928696 8924668 X 13054628 9700373 13054628 9700373 22983324 18625041 -3835966 481501 210 0 X X 0 1 X 1 0 X 1848230 5231771 6308388 6415106 1115520 20919015 23779067 22519197 28202463 38797956 38257086 151555769 25627297 27750968 34510851 45213062 39372606 172474784 0 0 0 172474784 98972 118720 181828 151299 203653 754472 98972 118720 181828 151299 203653 754472 15307 26071 24152 203260 0 268790 326649 310032 341230 1068677 3195235 5241823 26068225 28205791 35058061 46636298 42771494 178739869 0.96490 0.98070 0.00420 0.00440 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANOUS INCOME - 2018 AMOUNT: $ 326,649. 2019 AMOUNT: $ 310,032. 2020 AMOUNT: $ 341,230. 2021 AMOUNT: $ 1,068,677. 2022 AMOUNT: $ 3,195,235. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 780015 780015 5731590 1446335 4285255 3553928 1844766 1709162 1407365 1376307 31058 6805490 RIGHT-OF-USE ASSET, OPERATING LEASE 1500439 1500439 LEASE LIABILITY- OPERATING 1568514 1568514 X 43651330 481501 481501 43169829 -49168 -49168 43120661 47005794 0 47005794 -49168 -49168 46956626 PART X, LINE 2: THE ORGANIZATION HAS BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE ("IRS") AS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. ADDITIONALLY, THE ORGANIZATION HAS BEEN CLASSIFIED BY THE IRS AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE ORGANIZATION'S MANAGEMENT IS NOT AWARE OF ANY UNRECOGNIZED TAX BENEFITS AS OF SEPTEMBER 30, 2022. THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE ORGANIZATION'S OPEN AUDIT PERIODS ARE ITS TAX YEARS OF 2019-2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -49,168. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -49,168. X X X 0 0 0 0 0 0 0 0 0 MICHAEL GARRETT PRESIDENT & CHIEF EXECUTIVE OFFICER 321607 0 45000 0 0 0 5400 0 36756 0 408763 0 0 0 MICHELE REID-HARRIS CHIEF MEDICAL OFFICER 285849 0 33609 0 0 0 5400 0 28247 0 353105 0 0 0 ABDUL ZAHURULLAH PSYCHIATRIST 266960 0 20645 0 0 0 5400 0 12786 0 305791 0 0 0 DANIEL R WAGNER CHEIF FINANCIAL OFFICER 177035 0 22200 0 0 0 5400 0 36169 0 240804 0 0 0 DARNELL BOYNTON CHIEF CORPORATE COMPLIANCE & GENERAL 172712 0 19800 0 0 0 5400 0 29476 0 227388 0 0 0 ROBIN K SPIVEY CHEIF HR OFFICER 174913 0 21600 0 0 0 2700 0 13347 0 212560 0 0 0 MARCYNE JOHNSON CHIEF CLINICAL OFFICER 171478 0 19250 0 0 0 5400 0 14486 0 210614 0 0 0 NANCY M GANDELOT CHIEF MARKETING & OUTREACH OFFICER 163498 0 20400 0 0 0 5400 0 13198 0 202496 0 0 0 SARAH SCANTAMBURLO PHYSICIAN ASSISTANT 144473 0 11653 0 0 0 5400 0 35205 0 196731 0 0 0 SUSAN LINT-PIRTLE PHYSICIAN ASSISTANT 129068 0 6430 0 0 0 5400 0 27859 0 168757 0 0 0 STEWART MICHAEL PHYSICIAN ASSISTANT 124356 0 6242 0 0 0 2685 0 34590 0 167873 0 0 0 KATHERINE GROVES DIRECTOR OF IT & CUSTOMER CARE 107325 0 15600 0 0 0 4789 0 34835 0 162549 0 0 0 PART I, LINE 1A NOT APPLICABLE-ORGANIZATION DID NOT PROVIDE ANY OF THE ABOVE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE MANAGER AND CFO REVIEW A DRAFT COPY OF THE FORM 990. ANY NECESSARY CORRECTIONS ARE MADE AND THEN SENT TO THE PRESIDENT & CEO FOR APPROVAL TO SEND TO IRS. THE CFO WILL THEN ELECTRONICALLY SIGN THE 990. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ALL EMPLOYEES ARE REQUIRED TO SIGN THAT THEY HAVE READ AND DISCLOSED ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE PRESIDENT AND CEO. THE CEO AND HR REVIEW OFFICERS AND/OR KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CNS HEALTH FOUNDATION 2900 CONNER BLDG A DETROIT MI 48215 383429140 RECEIVE AND ADMINISTER FUNDS FOR THE BENEFIT OF CNS HEALTHCARE. MI 501(C)(3) LINE 12A, I CNS HEALTHCARE 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0