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INGHAM HEALTH PLAN CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
INGHAM HEALTH PLAN CORPORATION (EIN 38-3430461)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202023169349302582
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-11T13:23:59-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382157642PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MANER COSTERISAN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12425 E GRAND RIVER SUITE 1AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP489123291ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383430461EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INGHAM HEALTH PLAN CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINGHBusinessNameControlTxt
Phone8662918691PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 30125AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48909ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANET OLSZEWSKIPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8662918691PhoneNum
Signature2020-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES A MC NEELEY CPAPreparerPersonNm
PTINP00364811PTIN
Phone5173237500PhoneNum
Preparation2020-11-03PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.163.63.50IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-03IPDt
IP Tm06:33:56IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerJANET OLSZEWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 30125AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48909ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,366,191GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IHPMI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO ENSURE ACCESS TO HEALTH CARE FOR LOW-INCOME PERSONS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$361,943PYContributionsGrantsAmt
CY Contributions Grants$58,696CYContributionsGrantsAmt
PY Program Service Revenue$1,339,604PYProgramServiceRevenueAmt
CY Program Service Revenue$1,655,433CYProgramServiceRevenueAmt
PY Investment Income$76,851PYInvestmentIncomeAmt
CY Investment Income$75,349CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,778,398PYTotalRevenueAmt
CY Total Revenue$1,789,478CYTotalRevenueAmt
PY Grants And Similar Paid$629,989PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$623,527PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$489,545CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,102,933PYOtherExpensesAmt
CY Other Expenses$1,817,259CYOtherExpensesAmt
PY Total Expenses$3,356,449PYTotalExpensesAmt
CY Total Expenses$2,306,804CYTotalExpensesAmt
PY Revenues Less Expenses-$1,578,051PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$517,326CYRevenuesLessExpensesAmt
Total Assets BOY$5,506,605TotalAssetsBOYAmt
Total Assets EOY$5,053,434TotalAssetsEOYAmt
Total Liabilities BOY$93,310TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,187TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,413,295NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,945,247NetAssetsOrFundBalancesEOYAmt
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,154,078ExpenseAmt
Revenue$1,655,433RevenueAmt
DescPROVIDE A BASIC MEDICAL 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$2,154,078TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LORI NOYERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8662918691PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13425 BELLE CHASE WAY SUITE 1AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48911ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SCOTT LYON
BOARD MEMBER0.50Yes (X)$0$0$0
BARB MONROE
BOARD MEMBER0.25Yes (X)$0$0$0
NEVIN BRITTAIN
BOARD MEMBER0.25Yes (X)$0$0$0
FARHAN BHATTI MD
BOARD MEMBER0.25Yes (X)$0$0$0
JOE GARCIA
BOARD MEMBER0.25Yes (X)$0$0$0
ELDON LIGGON
BOARD MEMBER0.25Yes (X)$0$0$0
EMILY STIVERS
BOARD MEMBER0.25Yes (X)$0$0$0
JANET OLSZEWSKI
SECRETARY0.50Yes (X)$0$0$0Yes (X)
BRUCE BRAGG
TREASURER0.50Yes (X)$0$0$0Yes (X)
DALE THOMPSON
VICE PRESIDENT0.50Yes (X)$0$0$0Yes (X)
KEVIN SHARP
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
LORI NOYER
EXECUTIVE DIRECTOR40.00$95,264$0$18,954Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$95,264TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$18,954TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EDWARD W SPARROW HOSPITAL
8175 RELIABLE PARKWAYCHICAGOIL60686MEDICAL SERVICES$340,960
DELTA DENTAL
16082 COLLECTION CENTER DRIVECHICAGOIL60693DENTAL INSURANCE PROVIDER$298,539
COUNTY OF INGHAM
PO BOX 30161LANSINGMI48909MEDICAL SERVICES$170,959
MCLAREN GREATER LANSING
PO BOX 775429CHICAGOIL60677MEDICAL SERVICES$132,438
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$58,696AllOtherContributionsAmt
Total Contributions$58,696TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTH & PHARMACY SRVC.Desc
Business621300BusinessCd
Total Revenue Column$1,655,433TotalRevenueColumnAmt
Related Or Exempt Func Income$1,655,433RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,655,433TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,349TotalRevenueColumnAmt
Exclusion$75,349ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,576,713SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,576,713SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,789,478TotalRevenueColumnAmt
Related Or Exempt Func Income$1,655,433RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$75,349ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$114,218TotalAmt
Program Services$45,687ProgramServicesAmt
Management And General$68,531ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$304,360TotalAmt
Program Services$273,601ProgramServicesAmt
Management And General$30,759ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$70,967TotalAmt
Program Services$62,557ProgramServicesAmt
Management And General$8,410ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,419TotalAmt
Program Services$3,077ProgramServicesAmt
Management And General$342ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,852TotalAmt
Program Services$30,467ProgramServicesAmt
Management And General$3,385ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,453TotalAmt
Management And General$1,453ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$395TotalAmt
Program Services$308ProgramServicesAmt
Management And General$87ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,294TotalAmt
Program Services$10,979ProgramServicesAmt
Management And General$1,315ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$114,669TotalAmt
Program Services$89,442ProgramServicesAmt
Management And General$25,227ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,519TotalAmt
Program Services$16,004ProgramServicesAmt
Management And General$4,515ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,682TotalAmt
Program Services$3,255ProgramServicesAmt
Management And General$427ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,949TotalAmt
Program Services$13,220ProgramServicesAmt
Management And General$3,729ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,749TotalAmt
Program Services$12,284ProgramServicesAmt
Management And General$3,465ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SERVICES$1,099,013$1,099,013
DENTAL SERVICES$292,822$292,822
PHARMACY SERVICES$179,586$179,586
CLAIMS PROCESSING$17,944$17,944

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,913TotalAmt
Program Services$3,832ProgramServicesAmt
Management And General$1,081ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,306,804TotalAmt
Program Services$2,154,078ProgramServicesAmt
Management And General$152,726ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$792,928BOYAmt
EOY$1,010,092EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,450,052BOYAmt
EOY$3,999,343EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$227,276BOYAmt
EOY$24,499EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,447BOYAmt
EOY$12,547EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$847,676LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$840,723LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,902BOYAmt
EOY$6,953EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,506,605BOYAmt
EOY$5,053,434EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,310BOYAmt
EOY$28,187EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,000BOYAmt
EOY$80,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,310BOYAmt
EOY$108,187EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,413,295BOYAmt
EOY$4,945,247EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,413,295BOYAmt
EOY$4,945,247EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,506,605BOYAmt
EOY$5,053,434EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$517,326ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$49,278NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,345CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$312,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$369,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$361,943CurrentTaxYearMinus1YearAmt
Current Tax Year$58,696CurrentTaxYearAmt
Total$1,203,699TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,345CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$312,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$369,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$361,943CurrentTaxYearMinus1YearAmt
Current Tax Year$58,696CurrentTaxYearAmt
Total$1,203,699TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,203,699PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,764CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$104,841CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,716CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,306CurrentTaxYearMinus1YearAmt
Current Tax Year$75,349CurrentTaxYearAmt
Total$286,976TotalAmt
FieldValueIRS element (for citing)
Total Support$1,490,675TotalSupportAmt
Gross Receipts Rltd Activities$5,824,793GrossReceiptsRltdActivitiesAmt
Public Support CY1700.80750PublicSupportCY170Pct
Public Support PY1700.86890PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$847,676OtherCostOrOtherBasisAmt
Depreciation$840,723DepreciationAmt
Book Value$6,953BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,953TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCLAIMS INCURRED BUT NOT REPORTEDDesc
Amt$80,000Amt
FieldValueIRS element (for citing)
Total Liability$80,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,837,303TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$49,278NetUnrealizedGainsInvstAmt
Revenue Not Reported$49,278RevenueNotReportedAmt
Revenue Subtotal$1,788,025RevenueSubtotalAmt
Investment Expenses Not Incld$1,453InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$1,453RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,789,478TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,305,351TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,305,351ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,453InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$1,453ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,306,804TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2FormAndLineReferenceDesc
ExplanationIN PREPARING FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, 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 IBNR (INCURRED BUT NOT REPORTED) RELATED TO MEDICAL CLAIMS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS RECEIVED BY THE EXECUTIVE DIRECTOR, WHO REVIEWS THE RETURN FOR ACCURACY. IT IS THEN PASSED ON TO THE PRESIDENT. UPON THE PRESIDENT'S APPROVAL, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS IN ELECTRONIC FORMAT. AFTER ANY CONCERNS PRESENTED BY THE BOARD ARE ADDRESSED, THE PRESIDENT SIGNS AND FILES THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CBOARD 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.
FORM 990, PART VI, SECTION B, LINE 15ATHE 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 19ALL 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.