NORTHERN HEALTH PLAN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: NORTHERN HEALTH PLAN (EIN 20-1477015)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-13
IRS object ID: 201432259349300918
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-13T09:04:47-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	382157642	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MANER COSTERISAN PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2425 E GRAND RIVER SUITE 1	AddressLine1
City	LANSING	City
State	MI	State
ZIP Code	489123291	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	201477015	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORTHERN HEALTH PLAN	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	2315477627	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 W GARFIELD	AddressLine1
City	CHARLEVOIX	City
State	MI	State
ZIP Code	49720	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BRUCE MILLER	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	2315477627	Phone
Date Signed	2014-08-04	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JAMES A MC NEELEY CPA	Name
PTIN	P00364811	PTIN
Phone	5173237500	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	BRUCE MILLER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	220 W GARFIELD	AddressLine1
City	CHARLEVOIX	City
State	MI	State
ZIP Code	49720	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4231179	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.COMMUNITYHEALTHPLANS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2001	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE MEDICAL SERVICES TO INDIGENT RESIDENTS OF NORTHERN MICHIGAN.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	13	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	24	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3996752	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4231155	ProgramServiceRevenueCY
Investment Income Prior Year	1786	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	3998538	TotalRevenuePriorYear
Total Revenue Current Year	4231179	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3793409	OtherExpensePriorYear
Other Expenses Current Year	3776467	OtherExpensesCurrentYear
Total Expenses Prior Year	3793409	TotalExpensesPriorYear
Total Expenses Current Year	3776467	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	205129	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	454712	RevenuesLessExpensesCY
Total Assets BOY	2999713	TotalAssetsBOY
Total Assets EOY	3803948	TotalAssetsEOY
Total Liabilities BOY	640743	TotalLiabilitiesBOY
Total Liabilities EOY	990266	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2358970	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2813682	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3624371	Expense
Revenue	4231155	Revenue
Description	TO PROVIDE DIRECT MEDICAL SERVICES FOR LOW-INCOME, UNINSURED PEOPLE WITHOUT ACCESS TO OTHER GOVERNMENT HEALTH CARE PROGRAMS. AS OF SEPTEMBER 30, 2013, A TOTAL OF 3,443 PEOPLE ARE RECEIVING MEDICAL SERVICES UNDER THE PLAN.	Description
Total Program Service Expense	3624371	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	0	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	BRUCE MILLER	NamePerson
Telephone Number	2315477627	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	220 W GARFIELD	AddressLine1
City	CHARLEVOIX	City
State	MI	State
ZIP Code	49720	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
MARTA OLSON OCT-AUG
BOARD MEMBER	0.50	X	0	0	0
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
LARRY LOSINSKI
BOARD MEMBER	0.50	X	0	0	0
LYN JENKS
BOARD MEMBER	0.50	X	0	0	0
DAVID BELLAMY
BOARD MEMBER	0.50	X	0	0	0
FRED HARRIS
BOARD MEMBER	0.50	X	0	0	0
ROBERT COURTOIS
BOARD MEMBER	0.50	X	0	0	0
JOHN BRUNING
PRESIDENT	2.00	X	0	0	0	X
RICHARD WAKULAT
SECRETARY	1.00	X	0	0	0	X
LINDA YAROCH
TREASURER	1.00	X	0	0	0	X
BRUCE MILLER
EXECUTIVE DIRECTOR	20.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NORTHWEST MICHIGAN COMMUNITY
220 W GARFIELD	CHARLEVOIX	MI	49726	MEDICAL SERVICES	493283
4D PHARMACY MANAGEMENT SYSTEMS INC
2520 INDUSTRIAL ROW DRIVE	TROY	MI	48084	PHARMACY SERVICES	396153
HEALTH ADVANTAGE
G-3245 BEECHER ROAD SUITE 200	FLINT	MI	48532	PLAN ADMINISTRATION AND CLAIMS PROCESSIN	253490
DISTRICT HEALTH DEPARTMENT #4
825 S HURON ST	CHEBOYGAN	MI	49721	MEDICAL SERVICES	198357
ALCONA CITIZENS FOR HEALTH INC
PO BOX 655	ALPENA	MI	49707	MEDICAL SERVICES	164848

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
All Other Contributions	24	AllOtherContributions
Total Contributions	24	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	MEDICAL PROGRAMS	Description
Business Code	621300	BusinessCode
Total Revenue Column	4231155	TotalRevenueColumn
Related Or Exempt Function Income	4231155	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	4231155	TotalProgramServiceRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4231179	TotalRevenueColumn
Related Or Exempt Function Income	4231155	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	25088	Total
Management And General	25088	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1284635	Total
Program Services	1283485	ProgramServices
Management And General	1150	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7876	Total
Management And General	7876	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SERVICES	1721174	1721174
ADMIN. SERVICES/SUPPORT	374325	258351	115974
PHARMACY CLAIMS	331212	331212
ENROLLMENT AND OUTREACH	22742	22742

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9415	Total
Program Services	7407	ProgramServices
Management And General	2008	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3776467	Total
Program Services	3624371	ProgramServices
Management And General	152096	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1032628	BOY
EOY	2247144	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4593	BOY
EOY	4593	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1962492	BOY
EOY	1552211	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2999713	BOY
EOY	3803948	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	177044	BOY
EOY	701796	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	463699	BOY
EOY	288470	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	640743	BOY
EOY	990266	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2358970	BOY
EOY	2813682	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2358970	BOY
EOY	2813682	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2999713	BOY
EOY	3803948	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	454712	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	14370	CurrentTaxYearMinus2Years
Current Tax Year	24	CurrentTaxYear
Total	14394	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4134015	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3839040	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4377682	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3996752	CurrentTaxYearMinus1Year
Current Tax Year	4231155	CurrentTaxYear
Total	20578644	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4134015	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3839040	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4392052	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3996752	CurrentTaxYearMinus1Year
Current Tax Year	4231179	CurrentTaxYear
Total	20593038	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	20593038	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5298	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3339	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	514	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1786	CurrentTaxYearMinus1Year
Total	10937	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5298	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3339	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	514	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1786	CurrentTaxYearMinus1Year
Total	10937	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4139313	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3842379	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4392566	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3998538	CurrentTaxYearMinus1Year
Current Tax Year	4231179	CurrentTaxYear
Total	20603975	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99950	PublicSupportPercentage509
Prior Year Support Percentage	0.99690	PriorYearSupportPercentage
Investment Income Percentage	0.00050	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00310	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	0	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	HOSPITAL PAYMENTS RECEIVABLE	Description
Book Value	1552211	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1552211	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
CLAIMS INCURRED BUT NOT REPORTED	$240,000
RISK SHARE PAYABLE	$48,470

Field	Value	IRS element (for citing)
Total Of Amounts	288470	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	4231179	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	4231179	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	4231179	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3776467	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	3776467	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	3776467	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X, LINE 2:	ReturnReference
Explanation	THE PLAN IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE FINANCIAL STATEMENTS REFLECT NO PROVISION OR LIABILITY FOR FEDERAL INCOME TAXES. IN ADDITION, THE PLAN HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED SEPTEMBER 30, 2013. THE PLAN'S FEDERAL TAX RETURNS FOR THE YEARS 2010, 2011 AND 2012 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THE RETURNS WERE FILED.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,150. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,283,485. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,283,485.	OTHER FEES
FORM 990, PART XI, LINE 2C	NORTHERN HEALTH PLAN HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.