2017-11-13T11:05:46-06:00 2016-12-31 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2016-01-01 383430461 INGHAM HEALTH PLAN CORPORATION INGH 5173363779 3425 BELLE CHASE WAY SUITE 1 LANSING MI 48911 SCOTT LYON PRESIDENT 5173363779 2017-11-09 1 JAMES A MC NEELEY CPA P00364811 5173237500 216.163.63.50 2017-11-09 15:14:15 ES P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 CF5D9917F835C009D68467FACEDA9429487CB71A 2016 2017-02-10 21:41:12Z SCOTT LYON 3425 BELLE CHASE WAY SUITE 1 LANSING MI 48911 1316000 0 X WWW.IHPMI.ORG X 1998 MI TO ENSURE ACCESS TO HEALTH CARE FOR LOW-INCOME PERSONS. 12 12 17 13 0 0 101345 312604 793954 898555 9763 104841 0 0 905062 1316000 0 0 0 0 118504 1005355 0 0 0 2735720 2455945 2854224 3461300 -1949162 -2145300 10892646 8602784 268545 123983 10624101 8478801 TO ACT AS A VEHICLE TO PROVIDE ACCESS TO ORGANIZED SYSTEMS OF HEALTH CARE AND IMPROVE THE HEALTH STATUS OF INDIVIDUALS IN THE COMMUNITY. 0 0 2919396 898555 PROVIDE 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. 2919396 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 42 0 1 17 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MI X ROBIN REYNOLDS 5173363779 3425 BELLE CHASE WAY SUITE 1 LANSING MI 48911 CRAIG ZEESE BOARD MEMBER (01/2016-05/2016) 1.00 X 0 0 0 DR BARRY SALTMAN BOARD MEMBER (01/2016-05/2016) 1.00 X 0 0 0 VALERIE SMITH BOARD MEMBER (01/2016-05/2016) 1.00 X 0 0 0 DOUGLAS PATERSON BOARD MEMBER 1.00 X 0 0 0 DEB NOLAN BOARD MEMBER 1.00 X 0 0 0 JEFF DONAHUE BOARD MEMBER 1.00 X 0 0 0 BRUCE BRAGG BOARD MEMBER 1.00 X 0 0 0 TOM MEE BOARD MEMBER 1.00 X 0 0 0 COLETTE SCRIMGER BOARD MEMBER 1.00 X 0 0 0 DR PETER COOKE BOARD MEMBER 1.00 X 0 0 0 KATHY HOLCOMB BOARD MEMBER 1.00 X 0 0 0 JANET OLSZEWSKI SECRETARY 1.00 X X 0 0 0 MARCUS CHEATHAM TREASURER 1.00 X X 0 0 0 DEAN SIENKO VICE PRESIDENT (01/2016-05/2016) 1.00 X X 0 0 0 KEVIN SHARP VICE PRESIDENT (05/2016-12/2016) 1.00 X X 0 0 0 SCOTT LYON PRESIDENT 1.00 X X 0 0 0 ROBIN REYNOLDS EXECUTIVE DIRECTOR 40.00 X 113872 0 14018 113872 0 14018 1 0 0 0 DELTA DENTAL 16082 COLLECTION CENTER DRIVE CHICAGO IL 60693 DENTAL INSURANCE PROVIDER 349746 MID MICHIGAN DISTRICT HEALTH DEPARTMENT 615 N STATE ST SUITE 2 STANTON MI 48888 INDIGENT HEALTH CARE SRVC & ENROLLMENT 190000 HMS-ESSETTE PO BOX 27151 NEW YORK NY 100877151 INFORMATION TECHNOLOGY SERVICES 140060 PLEXIS HEALTHCARE SYSTEMS 340 OAK STREET ASHLAND OR 97520 HEALTHCARE SYSTEM SOLUTIONS 129945 4 312604 312604 HEALTH & PHARMACY SRVC 621300 898555 898555 898555 104841 104841 1316000 898555 0 104841 127890 59712 68178 877465 722989 154476 18324 18324 59066 59066 247890 247243 647 17321 8493 8828 384491 277779 106712 75000 54519 20481 271176 198731 72445 16603 16603 MEDICAL CLAIMS 630558 630558 DENTAL SERVICES 335447 335447 PROVIDER CAPACITY BUILD 155817 155817 PHARMACY SERVICES 126327 126327 117925 101781 16144 3461300 2919396 541904 0 9282878 7937306 873001 189460 4291 14718 847676 386376 732476 461300 10892646 8602784 218545 73983 50000 50000 268545 123983 X 10624101 8478801 10624101 8478801 10892646 8602784 -2145300 0 X 0 1 X 1 0 X 30000 257790 101345 312604 701739 15501882 13566748 1633836 793954 898555 32394975 15501882 13596748 1891626 895299 1211159 33096714 0 0 0 33096714 88687 5336 9764 104841 208628 88687 5336 9764 104841 208628 15590569 13602084 1891626 905063 1316000 33305342 0.99370 0.99680 0.00630 0.00320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 847676 386376 461300 461300 CLAIMS INCURRED BUT NOT REPORTED 50000 50000 1316000 0 1316000 0 1316000 3461300 0 3461300 0 3461300 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. 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 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. 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 NON PROFIT 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.