2016-08-12T08:42:07-05:00 2015-09-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2014-10-01 201477015 NORTHERN HEALTH PLAN NORT 2315477627 220 W GARFIELD CHARLEVOIX MI 49720 BRUCE MILLER EXECUTIVE DIRECTOR 2315477627 2016-08-09 1 JAMES A MC NEELEY CPA P00364811 5173237500 2014 2016-12-15 16:53:06Z BRUCE MILLER 220 W GARFIELD CHARLEVOIX MI 49720 539766 0 X WWW.COMMUNITYHEALTHPLANS.ORG X 2001 MI TO PROVIDE MEDICAL SERVICES TO INDIGENT RESIDENTS OF NORTHERN MICHIGAN. 10 10 0 10 0 0 0 489346 2843036 50420 -982 0 0 0 2842054 539766 0 0 0 0 0 0 0 0 0 2519984 549217 2519984 549217 322070 -9451 3198480 3163454 62728 37153 3135752 3126301 THE PLAN PROVIDES MEDICAL SERVICES TO INDIGENT RESIDENTS OF THE NORTHERN PORTION ON MICHIGAN'S LOWER PENINSULA WHO ARE NOT COVERED BY A GOVERNMENTAL HEALTH PROGRAM OR HEALTH INSURANCE. 0 0 489693 50420 TO PROVIDE DIRECT MEDICAL SERVICES FOR LOW-INCOME, UNINSURED PEOPLE WITHOUT ACCESS TO OTHER GOVERNMENT HEALTH CARE PROGRAMS. 489693 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X X ANDREA PIERCE 2315477627 220 W GARFIELD CHARLEVOIX MI 49720 X CHRISTINE BAUMGARDNER BOARD MEMBER 0.50 X 0 0 0 JOHN MCVEETY BOARD MEMBER 0.50 X 0 0 0 CAROL SHAFTO BOARD MEMBER 0.50 X 0 0 0 MYRNA HOLLAND BOARD MEMBER 0.50 X 0 0 0 DAVID BELLAMY BOARD MEMBER 0.50 X 0 0 0 ROBERT COURTOIS BOARD MEMBER 0.50 X 0 0 0 JOHN BRUNING PRESIDENT 2.00 X X 0 0 0 LYN JENKS SECRETARY 1.00 X X 0 0 0 LINDA YAROCH TREASURER 1.00 X X 0 0 0 BRUCE MILLER EXECUTIVE DIRECTOR 20.00 X 0 0 0 0 0 0 0 0 0 0 DISTRICT HEALTH DEPARTMENT #4 825 S HURON ST CHEBOYGAN MI 49721 MEDICAL SERVICES 181342 1 489346 489346 MEDICAL PROGRAMS 621300 50420 50420 50420 539766 50420 0 0 14959 14959 10633 10633 GRANTS 309648 309648 PURCHASED SERVICES 118484 118484 OTHER SERVICES 59174 59174 ADMIN. SERVICES/SUPPORT 33932 33932 2387 2387 549217 489693 59524 0 2896121 3158316 44573 0 257786 5138 3198480 3163454 12769 37153 49959 0 62728 37153 X 3135752 3126301 3135752 3126301 3198480 3163454 -9451 0 X X 1 X 0 1 0 X 14370 24 489346 503740 4377682 3996752 4231155 2843036 50420 15499045 4392052 3996752 4231179 2843036 539766 16002785 0 0 0 16002785 514 1786 2300 514 1786 2300 4392566 3998538 4231179 2843036 539766 16005085 0.99990 0.99970 0.00010 0.00030 X 0 X PART X, LINE 2: IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD PRESIDENT FOR ACCURACY. UPON APPROVAL, THE 990 IS ALSO MADE AVAILABLE TO THE BOARD OF DIRECTORS IN ELECTRONIC FORMAT. AFTER ANY CONCERNS PRESENTED BY THE BOARD ARE ADDRESSED, THE EXECUTIVE DIRECTOR SIGNS AND FILES THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENT IS GIVEN ANNUALLY TO BOARD MEMBERS WHO SIGN A WRITTEN STATEMENT ACKNOWLEDGING THAT THEY HAVE RECEIVED, UNDERSTAND AND AGREE TO ADHERE TO THE POLICY. THERE IS ALSO AN ETHICS COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS. BOARD MEMBERS AND CONTRACTED EMPLOYEES RECEIVE INFORMATION ON HOW TO REPORT POTENTIAL VIOLATIONS OF ETHICAL BEHAVIOR TO THIS COMMITTEE. 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. FORM 990, PART XII, LINE 2C: NORTHERN HEALTH PLAN HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.