Nonprofit · EIN 27-4330555
MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT
Tax-exempt · GRAND RAPIDS, MI 49503
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $1,233,838 | $919,522 | $314,316 | $3,995,393 | $86,694 | $3,908,699 |
| December 31, 2023 | 990 | $1,441,964 | $901,468 | $540,496 | $3,641,006 | $46,623 | $3,594,383 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $732,896
- Membership dues
- $575,833
- Program service revenue
- $327,888
- Investment income
- $173,054
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $175,100
- Other salaries and wages
- $324,573
- Salaries, compensation and benefits (total)
- $596,142
- Professional fundraising fees
- $0
- Legal fees
- $450
- Accounting fees
- $44,729
- Occupancy
- $28,691
- Depreciation
- $2,015
- Program services (functional)
- $396,206
- Management and general (functional)
- $493,509
- Fundraising (functional)
- $29,807
Balance sheet and other
- Total assets, start of year
- $3,641,006
- Total assets, end of year
- $3,995,393
- Total liabilities, end of year
- $86,694
- Net assets, end of year
- $3,908,699
- Land, buildings and equipment
- $7,295
- Net assets without donor restrictions
- $3,908,699
- Gross receipts
- $1,233,838
- Employees
- 4
- Volunteers
- 7
- Year formed
- 2011
- State of legal domicile
- MI
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| THOMAS DAHLBORG | EXECUTIVE DI Officer | 40 | $143,587 | $27,338 |
| SUSAN VOS | PROJECT DIRE Highest-paid employee | 40 | $139,992 | $17,787 |
| PHIL BATY MD | MEDICAL DIRE Trustee or director, Officer | 3 | $37,440 | $0 |
| KEVIN BOHNSACK MD | BOARD CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| MICHAEL VANPUTTEN | TREASURER Trustee or director, Officer | 1 | $0 | $0 |
| GRETCHEN GOLTZ DO | SECRETARY Trustee or director, Officer | 1 | $0 | $0 |
| TALAL KHAN MD | DIRECTOR Trustee or director | 1 | $0 | $0 |
| SCOTT HALSTEAD PHD | DIRECTOR Trustee or director | 1 | $0 | $0 |
| JENNY HOUTTEKIER | DIRECTOR Trustee or director | 1 | $0 | $0 |
| MARC A AFMAN DO | DIRECTOR Trustee or director | 1 | $0 | $0 |
990 for the year ended December 31, 2023: 11 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| THOMAS DAHLBORG | EXECUTIVE DI Officer | 40 | $135,621 | $25,702 |
| SUSAN VOS | PROJECT DIRE Highest-paid employee | – | $135,867 | $15,318 |
| PHIL BATY MD | MEDICAL DIRE Trustee or director, Officer | 3 | $37,440 | $0 |
| KEVIN BOHNSACK MD | BOARD CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| MICHAEL VANPUTTEN | TREASURER Trustee or director, Officer | 1 | $0 | $0 |
| GRETCHEN GOLTZ DO | SECRETARY Trustee or director | 1 | $0 | $0 |
| TALAL KHAN MD | DIRECTOR Trustee or director | 1 | $0 | $0 |
| SCOTT HALSTEAD PHD | DIRECTOR Trustee or director | 1 | $0 | $0 |
| ANG PINHEIRO MD | DIRECTOR Trustee or director | 1 | $0 | $0 |
| KENNETH FAWCETT MD | DIRECTOR Trustee or director | 1 | $0 | $0 |
| BRADLEY CLEGG DO | DIRECTOR Trustee or director | 1 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 233 FULTON ST E STE 20, GRAND RAPIDS, MI 49503-3261
- In care of
- % PAUL PONSTEIN DO
- Principal officer (990 for 2024)
- THOMAS DAHLBORG, 233 EAST FULTON STREET, SUITE 20, GRAND RAPIDS, MI 49503
- Signed the 990
- THOMAS DAHLBORG, EXECUTIVE DIRECTOR
- Phone
- (616) 551-0795
- Website
- WWW.MICCSI.ORG
- Return prepared by
- MONROE SWEERIS & TROMP PC
Mission
THE ORGANIZATION'S MISSION IS TO SUPPORT COMMUNITY-BASED, STAKEHOLDER DRIVEN TRAINING FOR CARE TEAMS INCLUDING PHYSICIANS, CARE MANAGERS, CARE COORDINATORS, MEDICAL ASSISTANTS AND BEHAVIORAL HEALTH SPECIALISTS; FACILITATE TRAINING AND IMPLEMENTATION OF CHRONIC PAIN, SUBSTANCE USE DISORDER, SERIOUS ILLNESS/PALLIATIVE CARE, EXTREME RISK PROTECTION ORDER (ERPO), AND MEDICAL BEHAVIORAL INITIATIVES; AND ENGAGE HEALTH ENTERPRISE STAKEHOLDERS TO ADVANCE SOLUTIONS FOR COMPLEX PATIENTS.
Program accomplishments
- CONDUCTED TRAINING PROGRAMS IN THE AREA OF PATIENT ENGAGEMENT AND SELF- MANAGEMENT, MOTIVATIONAL INTERVIEWING SKILLS, AND TEAM-BASED FOR HEALTH SYSTEMS (NURSES, CARE MANAGERS, CARE COORDINATORS, SOCIAL WORKERS, AND OTHERS) TO IMPROVE CLINICAL, OPERATIONAL AND PATIENT EXPERIENCE RESULTS. TRAININGS ASSISTED TEAMS IN CARING FOR PATIENTS WITH MEDICARE, MEDICAID, AND EMPLOYER-BASED INSURANCE AS WELL AS THE UNINSURED. PROGRAMS WERE OFFERED THROUGHOUT THE STATE OF MICHIGAN TO MEMBER AND NON-MEMBER ORGANIZATIONS ALIKE. PARTNERED TO DEVELOP EXTREME RISK PROTECTION ORDER (ERPO) EDUCATIONAL TRAINING AND RESOURCES.Expenses $150,836 · revenue $180,387
- DEVELOPED AND CONDUCTED A VARIETY OF TRAININGS FOR MULTIDISCIPLINARY TEAMS OF HEALTH CARE PROFESSIONALS (PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, CARE MANAGERS, NURSES, AND SOCIAL WORKERS) IN HEALTH SYSTEMS TO MANAGE PATIENTS WITH CHRONIC PAIN AND SUBSTANCE USE DISORDERS. THESE TRAININGS WERE DIRECTED AT TEAMS CARING FOR PATIENTS WITH MEDICARE, MEDICAID, AND COMMERCIAL INSURANCE AS WELL AS THE UNINSURED.Expenses $166,656 · revenue $163,563
- A.DEVELOPED AND IMPLEMENTED LIVE AND ON-DEMAND TRAININGS FOR HEALTH CARE PROFESSIONALS (PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, CARE MANAGERS, NURSES, AND SOCIAL WORKERS) IN HEALTH SYSTEMS WHO SERVE PATIENTS WITH SERIOUS OR TERMINAL ILLNESSES. THE TRAINING APPROACH IS TO PROVIDE A FRAMEWORK OF CONVERSATION GUIDANCE TO BETTER UNDERSTAND AND HONOR THE PATIENT'S CHOICES, PRIORITIES, GOALS, AND VALUES TO BETTER INFORM THEIR END OF LIFE CARE.Expenses $78,714 · revenue $141,000
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 27-4330555
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2016
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E05)
- Assets (IRS master file)
- $3,995,393
- Income (IRS master file)
- $1,233,838
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $1,233,838 | $919,522 | $3,995,393 | XML |
| 990 | December 2023 | $1,441,964 | $901,468 | $3,641,006 | XML |
| 990 | December 2022 | $1,861,844 | $848,369 | $3,127,490 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 27-4330555).
Questions about MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT
- What is the EIN of MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT?
- The employer identification number (EIN) of MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT is 27-4330555.
- Is MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2016.
- Are donations to MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT?
- The 990 for the year ended December 31, 2024 names THOMAS DAHLBORG.
- Who are the officers and directors of MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT?
- The 990 for the year ended December 31, 2024 lists 10 people; 3 received compensation from the organization, the highest $143,587 (THOMAS DAHLBORG, EXECUTIVE DI).
- How much revenue does MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $1,233,838, expenses of $919,522 and total assets of $3,995,393 at year end.
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