Hackley Life Counseling

“Hackley life counseling has contracted with pine rest christian mental health services (pine rest) for the provision of management services. As part of the agreement, pine rest employs the executive director, sandra klein horsman. In calendar year 2014, hackley life counseling paid $50,013 to pine rest for ms. Horsman's services as executive director of hackley life counseling. Hackley life counseling does not know how much ms. Horsman received as wages from pine rest in calendar 2014.”

“The sole member of hackley life counseling is mercy health partners. See line 7 for additional information.”

“Mercy health partners is the sole member of hackley life counseling. Mercy health partners has the right to appoint all persons to the board of directors of hackley life counseling.”

“As sole member, mercy health partners must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Mercy health partners must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents.”

“Hackley life counseling's form 990 was reviewed by management. Management review took place before the form 990 was filed with the internal revenue service.”

“Hackley life counseling has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of hackley life counseling, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of hackley life counseling and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to internal legal counsel and the integrity and compliance officer, from which legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of hackley life counseling (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to hackley life counseling of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of hackley life counseling (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of hackley life counseling. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.”

“Questions 15a and 15b are answered "no" because the compensation for hackley life counseling's officers is established and paid by trinity health, a related organization. In establishing officer compensation, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of the officers of hackley life counseling are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit healthcare organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements.”

“Hackley life counseling is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. Hackley life counseling's governing documents and conflict of interest policy are available upon request.”

“Sandra klein horsman serves as the executive director of hackley life counseling, and is therefore listed as an officer on form 990, part vii. She was on the payroll of hackley life counseling through april 5, 2014. Therefore the compensation reported on part vii is for the period january 1, 2014 through april 5, 2014. After that date, she was employed by pine rest christian mental health services. She continues to serve as the executive director of hackley life counseling under a management agreement between hackley life counseling and pine rest christian mental health services. See also form 990 part vi line 3.”

“Dba: mercy health partners-life counseling dba: mercy health partners-work life services”

“Hackley life counseling's financial statements were included in the fy15 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”

“Www.mercyhealthmuskegon.com/mental-health-services”