2024-10-03T07:08:38-05:00 2023-11-30 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2022-12-01 383091023 MICHIGAN PROFESSIONAL CREDENTIAL VERIFICATION SERVICES INC MICH 5173365782 1305 ABBOT ROAD EAST LANSING MI 48823 LAUCHLIN MACGREGOR CFO 5173365782 2024-10-02 1 1 DAVID LOWENTHAL P00378651 2483757100 2024-09-12 2022 2024-10-15 13:58:12Z PCVS REBECCA BLAKE 1305 ABBOT ROAD EAST LANSING MI 48823 454775 0 X WWW.PCVS.NET X 1992 MI PROVIDES PRIMARY SOURCE CREDENTIAL VERIFICATION FOR HOSPITALS, PHYSICIAN PRACTICES, HEALTH PLANS AND OTHER HEALTH CARE ORGANIZATIONS. 6 6 3 5 0 0 0 0 421641 451329 1004 3446 0 0 422645 454775 0 0 0 0 170062 203633 0 0 0 210875 266220 380937 469853 41708 -15078 493394 484817 17107 23608 476287 461209 PROVIDES PRIMARY SOURCE CREDENTIAL VERIFICATION FOR HOSPITALS, PHYSICIAN PRACTICES, HEALTH PLANS AND OTHER HEALTH CARE ORGANIZATIONS. 0 0 PROFESSIONAL CREDENTIAL VERIFICATION PERFORMED FOR VARIOUS HOSPITALS AND RELATED ORGANIZATIONS TO PROMOTE COMPETENCE OF HEALTH CARE PROVIDERS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 0 0 1 5 0 1 3 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X LAUCHLIN MACGREGOR CPA 5173365782 120 W SAGINAW EAST LANSING MI 48823 MARK C KOMOROWSKI MD PRESIDENT/CHAIR 1.00 1.00 X X 0 12500 0 JOHN A WATERS MD TREASURER 1.00 1.00 X X 0 2500 0 THOMAS M GEORGE MD SECRETARY 1.00 31.00 X X 0 21032 0 PAUL D BOZYK MD BOARD MEMBER 1.00 1.00 X 0 0 0 VENKAT K RAO MD BOARD MEMBER 1.00 0.00 X 0 0 0 BRIAN R STORK MD BOARD MEMBER 1.00 1.00 X 0 0 0 BENJAMIN LOUAGIE PRESIDENT - PART YEAR 1.00 36.50 X X 0 228388 27128 REBECCA BLAKE CHIEF EXECUTIVE OFFICER 5.00 32.50 X 0 135373 33058 0 399793 60186 0 0 1 0 0 PRIMARY SOURCE VERIFIC 541900 451329 451329 451329 3446 3446 454775 451329 0 3446 174372 4502 10385 14374 3700 31721 454 7498 20000 2031 18538 VERIFICATION FEES 176076 BAD DEBTS 6202 469853 397421 388097 68200 54159 25573 42392 192665 192496 2200 169 493394 484817 17107 23608 17107 23608 X 59000 59000 375579 417287 41708 -15078 476287 461209 493394 484817 -15078 0 X 0 1 X 1 0 192665 192496 169 169 X PART X, LINE 2: PROFESSIONAL CREDENTIAL VERIFICATION SERVICES IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(6). NET INCOME FROM ACTIVITIES UNRELATED TO THEIR TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION. TAXES ON UNRELATED BUSINESS INCOME ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. AS OF NOVEMBER 30, 2023 AND 2022, PCVS'S UNRECOGNIZED TAX BENEFITS WERE NOT SIGNIFICANT. THERE WERE NO SIGNIFICANT PENALTIES OR INTEREST RECOGNIZED DURING THE YEAR OR ACCRUED AT YEAR END. 0 0 0 BENJAMIN LOUAGIE PRESIDENT - PART YEAR 0 224918 0 0 0 3470 0 15944 0 11184 0 255516 0 0 REBECCA BLAKE CHIEF EXECUTIVE OFFICER 0 131729 0 0 0 3644 0 9449 0 23609 0 168431 0 0 FORM 990, PART VI, SECTION A, LINE 6 PHYSICIAN HOLDING COMPANY OWNS 100 PERCENT OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE STOCKHOLDERS HAVE FULL AUTHORITY TO ELECT OR APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANNUALLY ANY POTENTIAL CONFLICTS OF INTEREST. THE BOARD, IN ITS DISCRETION, WILL DETERMINE IF A BOARD MEMBER IS ALLOWED TO VOTE ON A MATTER IN WHICH THE MEMBER HAS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. MICHIGAN STATE MEDICAL SOCIETY 120 W SAGINAW EAST LANSING MI 48823 380830717 TO PROMOTE HEALTH CARE ENVIRONMENT IN MICHIGAN MI 501(C)(6) N/A 0 PHYSICIAN HOLDING COMPANY 120 W SAGINAW EAST LANSING MI 48823 382969258 OVERSEE THE ACTIVITIES OF ALL MSMS SUBSIDIARIES MI MICHIGAN STATE MEDICAL SOCIETY C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0