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INGHAM HEALTH PLAN CORPORATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
INGHAM HEALTH PLAN CORPORATION (EIN 38-3430461)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-08
IRS object ID
201903129349301800
Schema version
2018v3.1
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)
Return2019-11-08T10:49:19-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Phone5173363778PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN SHARPPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5173363778PhoneNum
Signature2019-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES A MC NEELEY CPAPreparerPersonNm
PTINP00364811PTIN
Phone5173237500PhoneNum
Preparation2019-11-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.163.63.50IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-06IPDt
IP Tm07:42:25IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBA550EB1EBC69377B94F5CAF6711C30322C00B6CAtSubmissionCreationDeviceId
At Submission Filing Device IdDA69EA2F89267A81AB7B1F1D3E8692CBA32AC137AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN SHARPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13425 BELLE CHASE WAY SUITE 1AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48911ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,528,398GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$369,111PYContributionsGrantsAmt
CY Contributions Grants$361,943CYContributionsGrantsAmt
PY Program Service Revenue$1,137,249PYProgramServiceRevenueAmt
CY Program Service Revenue$1,339,604CYProgramServiceRevenueAmt
PY Investment Income$35,716PYInvestmentIncomeAmt
CY Investment Income$76,851CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,542,076PYTotalRevenueAmt
CY Total Revenue$1,778,398CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$629,989CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$938,020PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$623,527CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,075,966PYOtherExpensesAmt
CY Other Expenses$2,102,933CYOtherExpensesAmt
PY Total Expenses$3,013,986PYTotalExpensesAmt
CY Total Expenses$3,356,449CYTotalExpensesAmt
PY Revenues Less Expenses-$1,471,910PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,578,051CYRevenuesLessExpensesAmt
Total Assets BOY$7,123,678TotalAssetsBOYAmt
Total Assets EOY$5,506,605TotalAssetsEOYAmt
Total Liabilities BOY$116,787TotalLiabilitiesBOYAmt
Total Liabilities EOY$93,310TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,006,891NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,413,295NetAssetsOrFundBalancesEOYAmt
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$3,066,942ExpenseAmt
Grant$629,989GrantAmt
Revenue$1,339,604RevenueAmt
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. PROVIDE A COORDINATED SOFTWARE INFRASTRUCTURE TO ASSIST OTHER CHW PROGRAMS TO MAINTAIN DATA.Desc
Total Program Service Expenses$3,066,942TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document66IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee12EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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)
Phone5173363778PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
NEVIN BRITTAIN
BOARD MEMBER (12/01/18-12/31/18)0.25Yes (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 MEMBER (6/01/18-12/31/18)0.25Yes (X)$0$0$0
SCOTT LYON
BOARD MEMBER0.50Yes (X)$0$0$0
BARB MONROE
BOARD MEMBER (12/01/18-12/31/18)0.25Yes (X)$0$0$0
DEB NOLAN
BOARD MEMBER0.25Yes (X)$0$0$0
DALE THOMPSON
BOARD MEMBER (12/01/18-12/31/18)0.50Yes (X)$0$0$0
MARCUS CHEATHAM
BOARD MEMBER (01/01/18-09/01/18)0.25Yes (X)$0$0$0
COLETTE SCRIMGER
BOARD MEMBER (01/01/18-05/30/18)0.25Yes (X)$0$0$0
DOUGLAS PATERSON
BOARD MEMBER (01/01/18-05/30/18)0.25Yes (X)$0$0$0
KATHY HOLCOMB
BOARD MEMBER (01/01/18-05/30/18)0.25Yes (X)$0$0$0
JANET OLSZEWSKI
SECRETARY0.50Yes (X)$0$0$0Yes (X)
BRUCE BRAGG
TREASURER0.75Yes (X)$0$0$0Yes (X)
KEVIN SHARP
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
LORI NOYER
EXECUTIVE DIRECTOR40.00$89,246$0$17,688Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$89,246TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,688TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EDWARD W SPARROW HOSPITAL
8175 RELIABLE PARKWAYCHICAGOIL60686MEDICAL SERVICES$291,120
DELTA DENTAL
16082 COLLECTION CENTER DRIVECHICAGOIL60693DENTAL INSURANCE PROVIDER$242,553
COUNTY OF INGHAM
PO BOX 30161LANSINGMI48909MEDICAL SERVICES$161,844
MCLAREN GREATER LANSING
PO BOX 775429CHICAGOIL60677MEDICAL SERVICES$119,825
WELLNESS INX LLC
913 W HOLMES RD SUITE 275LANSINGMI48910BEHAVIORAL HEALTH GRANT$109,518
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$361,943AllOtherContributionsAmt
Total Contributions$361,943TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTH & PHARMACY SRVC.Desc
Business621300BusinessCd
Total Revenue Column$1,339,604TotalRevenueColumnAmt
Related Or Exempt Func Income$1,339,604RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,339,604TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,851TotalRevenueColumnAmt
Exclusion$76,851ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,750,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,750,000SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,778,398TotalRevenueColumnAmt
Related Or Exempt Func Income$1,339,604RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$76,851ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$629,989TotalAmt
Program Services$629,989ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$106,914TotalAmt
Program Services$106,914ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$516,613TotalAmt
Program Services$271,306ProgramServicesAmt
Management And General$245,307ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,663TotalAmt
Program Services$34,663ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$146,252TotalAmt
Program Services$146,252ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,362TotalAmt
Program Services$6,445ProgramServicesAmt
Management And General$4,917ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$229,654TotalAmt
Program Services$229,654ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$64,872TotalAmt
Program Services$40,986ProgramServicesAmt
Management And General$23,886ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$166,222TotalAmt
Program Services$166,222ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,535TotalAmt
Program Services$5,293ProgramServicesAmt
Management And General$8,242ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SERVICES$990,288$990,288
DENTAL SERVICES$234,562$234,562
PHARMACY SERVICES$166,378$166,378
MISCELLANEOUS EXPENSE$25,222$18,067$7,155

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,923TotalAmt
Program Services$19,923ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,356,449TotalAmt
Program Services$3,066,942ProgramServicesAmt
Management And General$289,507ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$792,928EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,651,049BOYAmt
EOY$4,450,052EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$265,198BOYAmt
EOY$227,276EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,307BOYAmt
EOY$12,447EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$847,676LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$823,774LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$190,124BOYAmt
EOY$23,902EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,123,678BOYAmt
EOY$5,506,605EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,710BOYAmt
EOY$33,310EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$17,077BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$60,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,787BOYAmt
EOY$93,310EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,006,891BOYAmt
EOY$5,413,295EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,006,891BOYAmt
EOY$5,413,295EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,123,678BOYAmt
EOY$5,506,605EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,578,051ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$15,545NetUnrlzdGainsLossesInvstAmt
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$257,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$101,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$312,604CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$369,111CurrentTaxYearMinus1YearAmt
Current Tax Year$361,943CurrentTaxYearAmt
Total$1,402,793TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$257,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$101,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$312,604CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$369,111CurrentTaxYearMinus1YearAmt
Current Tax Year$361,943CurrentTaxYearAmt
Total$1,402,793TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,402,793PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$9,764CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$104,841CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,716CurrentTaxYearMinus1YearAmt
Current Tax Year$61,306CurrentTaxYearAmt
Total$211,627TotalAmt
FieldValueIRS element (for citing)
Total Support$1,614,420TotalSupportAmt
Gross Receipts Rltd Activities$5,803,198GrossReceiptsRltdActivitiesAmt
Public Support CY1700.86890PublicSupportCY170Pct
Public Support PY1700.87310PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$847,676OtherCostOrOtherBasisAmt
Depreciation$823,774DepreciationAmt
Book Value$23,902BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,902TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCLAIMS INCURRED BUT NOT REPORTEDDesc
Amt$60,000Amt
FieldValueIRS element (for citing)
Total Liability$60,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,762,853TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$15,545NetUnrealizedGainsInvstAmt
Revenue Not Reported-$15,545RevenueNotReportedAmt
Revenue Subtotal$1,778,398RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,778,398TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,356,449TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,356,449ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,356,449TotalExpensesPerForm990Amt

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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MID-MICHIGAN DISTRICT HEALTH DEPARTMENTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N STATE STREET SUITE 2AddressLine1Txt
CitySTANTONCityNm
State AbbreviationMIStateAbbreviationCd
ZIP488889702ZIPCd
FieldValueIRS element (for citing)
Recipient EIN381808049RecipientEIN
IRC SectionGOVERNMENTAL ENTITYIRCSectionDesc
Cash Grant$629,989CashGrantAmt
Purpose Of GrantCOMMUNITY HEALTH WORKER PROGRAMPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationINGHAM HEALTH PLAN CORPORATION MAINTAINS FORMAL DOCUMENTATION STATING THAT THE MID-MICHIGAN DISTRICT BOARD OF HEALTH APPROVED RESTRICTION OF THE FUNDS FOR THE MID-MICHIGAN PATHWAYS PROGRAM, WHICH WAS CREATED FOR THE PURPOSE OF DEVELOPING AND IMPLEMENTING HOME VISITING COMMUNITY HEALTH WORKER SERVICES.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.