Hackley Life Counseling

“Hackley life counseling (hlc) 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 2015, hlc paid $137,848 to pine rest for management & counseling services. Hlc does not know how much ms. Horsman received as wages from pine rest in calendar 2015.”

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

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

“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.”

“Prior to filing, the form 990 for hlc is reviewed by management. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.”

“Hlc 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 hlc, 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 hlc 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 hlc (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to hlc of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of hlc (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 hlc. 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 certain officers and key management officials of hlc is established by trinity health, a related organization. In establishing officers 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 hlc 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.”

“Hlc 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. Hlc's governing documents and conflict of interest policy are available upon request.”

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

“Hlc's financial statements were included in the fy16 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”

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