INGHAM HEALTH PLAN CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: INGHAM HEALTH PLAN CORPORATION (EIN 38-3430461)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-09-26
IRS object ID: 202322699349301207
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-09-26T08:42:34-05:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	382157642	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MANER COSTERISAN PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2425 E GRAND RIVER SUITE 1	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	489123291	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	383430461	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INGHAM HEALTH PLAN CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	INGH	BusinessNameControlTxt
Phone	8662918691	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 30125	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48909	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JANET OLSZEWSKI	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8662918691	PhoneNum
Signature	2023-09-21	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JANET	PersonFirstNm
Person Last	OLSZEWSKI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES A MC NEELEY CPA	PreparerPersonNm
PTIN	P00364811	PTIN
Phone	5173237500	PhoneNum
Preparation	2023-09-22	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JANET OLSZEWSKI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 30125	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48909	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,154,405	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.IHPMI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO ENSURE ACCESS TO HEALTH CARE FOR LOW-INCOME PERSONS.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	7	TotalEmployeeCnt
Total Volunteers	11	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$73,175	PYContributionsGrantsAmt
CY Contributions Grants	$184,305	CYContributionsGrantsAmt
PY Program Service Revenue	$1,540,352	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,688,429	CYProgramServiceRevenueAmt
PY Investment Income	$30,610	PYInvestmentIncomeAmt
CY Investment Income	$31,671	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$1,644,137	PYTotalRevenueAmt
CY Total Revenue	$1,904,405	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$476,323	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$440,956	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,392,086	PYOtherExpensesAmt
CY Other Expenses	$1,394,860	CYOtherExpensesAmt
PY Total Expenses	$1,868,409	PYTotalExpensesAmt
CY Total Expenses	$1,835,816	CYTotalExpensesAmt
PY Revenues Less Expenses	-$224,272	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$68,589	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,542,667	TotalAssetsBOYAmt
Total Assets EOY	$4,521,657	TotalAssetsEOYAmt
Total Liabilities BOY	$100,698	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$128,486	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,441,969	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,393,171	NetAssetsOrFundBalancesEOYAmt
Mission	TO ACT AS A VEHICLE TO PROVIDE ACCESS TO ORGANIZED SYSTEMS OF HEALTH CARE AND IMPROVE THE HEALTH STATUS OF INDIVIDUALS IN THE COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,697,563	ExpenseAmt
Revenue	$1,688,429	RevenueAmt
Desc	PROVIDE A BASIC MEDICAL & DENTAL BENEFIT FOR LOW-INCOME PEOPLE WITHOUT ACCESS TO HEALTH CARE BENEFITS AND SERVICES. PROVIDE COMMUNITY HEALTH WORKER (CHW) SERVICES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH TO IMPROVE THE OVERALL HEALTH STATUS OF INDIVIDUALS. ASTHMA CASE MANAGEMENT REFERRALS, EDUCATION AND HOME VISITS.	Desc
Total Program Service Expenses	$1,697,563	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	59	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	7	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LORI NOYER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8662918691	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 30125	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48909	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
KATHLEEN STIFFLER
DIRECTOR	0.25	Yes (X)	$0	$0	$0
DEAN SIENKO
DIRECTOR	0.25	Yes (X)	$0	$0	$0
DERRELL SLAUGHTER
DIRECTOR	0.25	Yes (X)	$0	$0	$0
THOMAS CURTIS
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SCOTT LYON
DIRECTOR	0.50	Yes (X)	$0	$0	$0
MICHELLE LOUBERT DO
DIRECTOR	0.25	Yes (X)	$0	$0	$0
JOE GARCIA
DIRECTOR	0.25	Yes (X)	$0	$0	$0
NEVIN BRITTAIN
SECRETARY	0.50	Yes (X)	$0	$0	$0	Yes (X)
MATTHEW NOBIS
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
DALE THOMPSON
VICE PRESIDENT	0.50	Yes (X)	$0	$0	$0	Yes (X)
JANET OLSZEWSKI
PRESIDENT	1.00	Yes (X)	$0	$0	$0	Yes (X)
LORI NOYER
EXECUTIVE DIRECTOR	40.00		$103,873	$0	$16,455	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$103,873	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$16,455	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EDWARD W SPARROW HOSPITAL
8175 RELIABLE PARKWAY	CHICAGO	IL	60686	MEDICAL SERVICES	$308,189
DELTA DENTAL
16082 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	DENTAL INSURANCE PROVIDER	$159,314

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$136,390	GovernmentGrantsAmt
All Other Contributions	$47,915	AllOtherContributionsAmt
Total Contributions	$184,305	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	HEALTH & PHARMACY SRVC.	Desc
Business	621300	BusinessCd
Total Revenue Column	$1,688,429	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,688,429	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,688,429	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,671	TotalRevenueColumnAmt
Exclusion	$31,671	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,250,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,250,000	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,904,405	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,688,429	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$31,671	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$120,328	TotalAmt
Program Services	$48,131	ProgramServicesAmt
Management And General	$72,197	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$238,327	TotalAmt
Program Services	$225,367	ProgramServicesAmt
Management And General	$12,960	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,547	TotalAmt
Program Services	$9,043	ProgramServicesAmt
Management And General	$504	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$44,557	TotalAmt
Program Services	$39,411	ProgramServicesAmt
Management And General	$5,146	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$28,197	TotalAmt
Program Services	$21,994	ProgramServicesAmt
Management And General	$6,203	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$32,592	TotalAmt
Program Services	$29,333	ProgramServicesAmt
Management And General	$3,259	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$103	TotalAmt
Management And General	$103	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,273	TotalAmt
Program Services	$993	ProgramServicesAmt
Management And General	$280	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,159	TotalAmt
Program Services	$7,343	ProgramServicesAmt
Management And General	$816	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$111,977	TotalAmt
Program Services	$87,342	ProgramServicesAmt
Management And General	$24,635	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,855	TotalAmt
Program Services	$15,487	ProgramServicesAmt
Management And General	$4,368	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$189	TotalAmt
Program Services	$147	ProgramServicesAmt
Management And General	$42	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,013	TotalAmt
Program Services	$11,710	ProgramServicesAmt
Management And General	$3,303	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SERVICES	$892,703	$892,703
DENTAL SERVICES	$154,441	$154,441
PHARMACY SERVICES	$120,830	$120,830
CLAIMS PROCESSING	$17,558	$17,558

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,167	TotalAmt
Program Services	$15,730	ProgramServicesAmt
Management And General	$4,437	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,835,816	TotalAmt
Program Services	$1,697,563	ProgramServicesAmt
Management And General	$138,253	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,011,511	BOYAmt
EOY	$678,374	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,244,762	BOYAmt
EOY	$3,377,375	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$136,390	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$270,924	BOYAmt
EOY	$277,317	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,470	BOYAmt
EOY	$11,821	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$847,677	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$847,677	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$40,380	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,542,667	BOYAmt
EOY	$4,521,657	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,698	BOYAmt
EOY	$23,106	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,000	BOYAmt
EOY	$105,380	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$100,698	BOYAmt
EOY	$128,486	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,441,969	BOYAmt
EOY	$4,393,171	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,441,969	BOYAmt
EOY	$4,393,171	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,542,667	BOYAmt
EOY	$4,521,657	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$68,589	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$117,387	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$361,943	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$58,696	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$42,080	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$73,175	CurrentTaxYearMinus1YearAmt
Current Tax Year	$184,305	CurrentTaxYearAmt
Total	$720,199	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$361,943	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$58,696	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$42,080	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$73,175	CurrentTaxYearMinus1YearAmt
Current Tax Year	$184,305	CurrentTaxYearAmt
Total	$720,199	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$209,903	SubstantialContributorsTotAmt
Public Support Total170	$510,296	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$61,306	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$75,349	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$54,327	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$30,610	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,671	CurrentTaxYearAmt
Total	$253,263	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$973,462	TotalSupportAmt
Gross Receipts Rltd Activities	$7,792,504	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.52420	PublicSupportCY170Pct
Public Support PY170	0.60730	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$847,677	OtherCostOrOtherBasisAmt
Depreciation	$847,677	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
CLAIMS INCURRED BUT NOT REPORTED	$65,000
OPERATING LEASE LIABILITY	$40,380

Field	Value	IRS element (for citing)
Total Liability	$105,380	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,786,915	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$117,387	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$117,387	RevenueNotReportedAmt
Revenue Subtotal	$1,904,302	RevenueSubtotalAmt
Investment Expenses Not Incld	$103	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$103	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,904,405	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,835,713	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$1,835,713	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$103	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$103	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,835,816	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2	FormAndLineReferenceDesc
Explanation	IN PREPARING FINANCIAL STATEMENTS IN CONFORMITY WITH U.S. GAAP MANAGEMENT IS REQUIRED TO MAKE ESTIMATES AND ASSUMPTIONS THAT AFFECT THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES, THE DISCLOSURE OF CONTINGENT ASSETS AND LIABILITIES AT THE DATE OF THE FINANCIAL STATEMENTS, AND THE REPORTED AMOUNTS OF REVENUES AND EXPENSES DURING THE REPORTING PERIOD. ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES. THE ESTIMATE THAT IS PARTICULARLY SUSCEPTIBLE TO CHANGE IN THE NEAR TERM IS THE ACCRUAL FOR THE MEDICAL CLAIMS (INCURRED BUT NOT REPORTED) IBNR.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS RECEIVED BY THE EXECUTIVE DIRECTOR, WHO REVIEWS THE RETURN FOR ACCURACY. IT IS THEN PASSED ON TO THE PRESIDENT. THE 990 IS ALSO REVIEWED AT A BOARD MEETING. UPON APPROVAL, THE PRESIDENT SIGNS AND FILES THE RETURN AND MAKES A COPY AVAILABLE TO THE BOARD OF DIRECTORS IN ELECTRONIC FORMAT.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS PROVIDE AN ANNUAL WRITTEN STATEMENT REGARDING CONFLICTS OR POTENTIAL CONFLICTS. BOARD MEMBERS PROVIDE VERBAL REPORTING TO THE BOARD OF CONFLICTS OR POTENTIAL CONFLICTS THAT MAY ARISE DURING THE YEAR. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE DIRECTOR WITH THE CONFLICT IS ASKED TO LEAVE THE ROOM DURING BOARD MEETINGS FOR FINAL DISCUSSION AND THE FINAL VOTE. IF THE MEETING IS VIRTUAL, THE DIRECTOR WILL BE SENT TO A WAITING ROOM DURING THE FINAL DISCUSSION AND THE FINAL VOTE.
FORM 990, PART VI, SECTION B, LINE 15A	THE ORGANIZATION COMPARES THE SALARY OF THE EXECUTIVE DIRECTOR TO THE SAME POSITION IN OTHER SIMILAR ORGANIZATIONS. A COMPARISON GUIDE ISSUED BY THE MICHIGAN NONPROFIT ASSOCIATION FOR SIMILAR POSITIONS IN THE REGION IS ALSO USED. THE PRESIDENT IS RESPONSIBLE FOR NEGOTIATING THE SALARY OR SALARY ADJUSTMENTS WITH THE EXECUTIVE DIRECTOR. ONCE AGREED, THE EXECUTIVE COMMITTEE MUST APPROVE ANY ADJUSTMENTS TO THE SALARY AND BENEFITS FOR THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19	ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 IS ALSO POSTED ANNUALLY ON GUIDESTAR'S WEBSITE. THE 990 IS PUBLIC INFORMATION THROUGH THE MICHIGAN ATTORNEY GENERAL'S OFFICE.