HEALTH NET OF WEST MICHIGAN: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HEALTH NET OF WEST MICHIGAN (EIN 38-3609504)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-06-27
IRS object ID
202431799349300018
Schema version
2022v5.0
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)
Return2024-06-27T06:09:44-07:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN412208930PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VREDEVELD HAEFNER LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110302 20TH AVE NWAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383609504EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Health Net of West MichiganBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone6167268204PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 Leonard St NEAddressLine1Txt
CityGrand RapidsCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMaureen KirkwoodPersonNm
Person TitlePresident/CEOPersonTitleTxt
Phone6167268204PhoneNum
Signature2024-02-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMaureenPersonFirstNm
Person LastKirkwoodPersonLastNm
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael J VredeveldPreparerPersonNm
PTINP02353300PTIN
Phone6166488447PhoneNum
Preparation2024-06-27PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMaureen KirkwoodPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 Leonard St NEAddressLine1Txt
CityGrand RapidsCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,539,107GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.healthnetwm.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTo improve the health of children and adults, particularly vulnerable populations, through education and connections to health care and support services.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee53TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,509,742PYContributionsGrantsAmt
CY Contributions Grants$2,748,745CYContributionsGrantsAmt
PY Program Service Revenue$941,901PYProgramServiceRevenueAmt
CY Program Service Revenue$727,852CYProgramServiceRevenueAmt
PY Investment Income-$64,652PYInvestmentIncomeAmt
CY Investment Income$24,951CYInvestmentIncomeAmt
PY Other Revenue$44,984PYOtherRevenueAmt
CY Other Revenue$37,559CYOtherRevenueAmt
PY Total Revenue$3,431,975PYTotalRevenueAmt
CY Total Revenue$3,539,107CYTotalRevenueAmt
PY Grants And Similar Paid$182,941PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,669,284PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,204,942CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$111,988CYTotalFundraisingExpenseAmt
PY Other Expenses$816,935PYOtherExpensesAmt
CY Other Expenses$882,560CYOtherExpensesAmt
PY Total Expenses$3,669,160PYTotalExpensesAmt
CY Total Expenses$4,092,502CYTotalExpensesAmt
PY Revenues Less Expenses-$237,185PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$553,395CYRevenuesLessExpensesAmt
Total Assets BOY$1,883,566TotalAssetsBOYAmt
Total Assets EOY$1,223,710TotalAssetsEOYAmt
Total Liabilities BOY$1,055,949TotalLiabilitiesBOYAmt
Total Liabilities EOY$949,488TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$827,617NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$274,222NetAssetsOrFundBalancesEOYAmt
MissionTo improve the health of children and adults, particularly vulnerable populations, through education and connections to health care and support services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,139,638ExpenseAmt
Grant$149,481GrantAmt
Revenue$673,313RevenueAmt
DescClient Services assists adults and children to maintain their health and understand how to navigate the healthcare, social services, and early childhood systems, thus reducing costs and improving health outcomes. The program provides case management services to help clients identify and navigate resources, identify and overcome barriers, and access appropriate care and medical coverage. The program also provides education and referrals to community agencies and resources. 9,723 clients were served this year.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,051,212ExpenseAmt
Grant$5,000GrantAmt
Revenue$54,539RevenueAmt
DescOther programs - Through its other programs, the Organization works to address the social determinants of health. Activities include partnering with clinical and community service providers to address health-related social needs, and improving access to affordable dental care.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$3,190,850TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee53EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKristi KamPersonNm
Phone6167268204PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 Leonard St NEAddressLine1Txt
CityGrand RapidsCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49505ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Maureen Kirkwood
President/CEO36.00Yes (X)$119,940$0$12,453
Kristi Kam
Director of Finance and Compliance36.00Yes (X)$76,003$0$13,751
Shannon Wilson
Chair1.00Yes (X)$0$0$0Yes (X)
Evelyn Esparza-Gonzalez
Vice Chair1.00Yes (X)$0$0$0Yes (X)
Philip Alt
Treasurer1.00Yes (X)$0$0$0Yes (X)
Kathy Howard
Secretary1.00Yes (X)$0$0$0Yes (X)
Jason Reep
Director1.00$0$0$0Yes (X)
Nirali Bora
Director1.00$0$0$0Yes (X)
Rhae-Ann Booker
Director1.00$0$0$0Yes (X)
Annemarie Valdez
Director1.00$0$0$0Yes (X)
Tricia Baird
Director1.00$0$0$0Yes (X)
Bill Joure
Director1.00$0$0$0Yes (X)
Carl VerBeek
Director1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$195,943TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$26,204TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$2,045,584GovernmentGrantsAmt
All Other Contributions$703,161AllOtherContributionsAmt
Total Contributions$2,748,745TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProgram revenueDesc
Business813219BusinessCd
Total Revenue Column$727,852TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$727,852TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,951TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,951ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescAdministrative feesDesc
Business813219BusinessCd
Total Revenue Column$37,559TotalRevenueColumnAmt
Related Or Exempt Func Income$37,559RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$37,559OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,539,107TotalRevenueColumnAmt
Related Or Exempt Func Income$765,411RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,951ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$195,943TotalAmt
Program Services$151,290ProgramServicesAmt
Management And General$39,034ManagementAndGeneralAmt
Fundraising$5,619FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,500,856TotalAmt
Program Services$1,930,941ProgramServicesAmt
Management And General$498,196ManagementAndGeneralAmt
Fundraising$71,719FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$316,017TotalAmt
Program Services$255,889ProgramServicesAmt
Management And General$53,550ManagementAndGeneralAmt
Fundraising$6,578FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$192,126TotalAmt
Program Services$147,795ProgramServicesAmt
Management And General$38,658ManagementAndGeneralAmt
Fundraising$5,673FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,275TotalAmt
Program Services$4,616ProgramServicesAmt
Management And General$10,659ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$194,023TotalAmt
Program Services$107,018ProgramServicesAmt
Management And General$70,146ManagementAndGeneralAmt
Fundraising$16,859FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,682TotalAmt
Program Services$28,463ProgramServicesAmt
Management And General$6,189ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$121,888TotalAmt
Program Services$92,857ProgramServicesAmt
Management And General$28,475ManagementAndGeneralAmt
Fundraising$556FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$139,966TotalAmt
Program Services$121,709ProgramServicesAmt
Management And General$17,549ManagementAndGeneralAmt
Fundraising$708FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,086TotalAmt
Program Services$18,932ProgramServicesAmt
Management And General$336ManagementAndGeneralAmt
Fundraising$818FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,985TotalAmt
Program Services$15,845ProgramServicesAmt
Management And General$1,894ManagementAndGeneralAmt
Fundraising$1,246FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,411TotalAmt
Program Services$0ProgramServicesAmt
Management And General$7,411ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,358TotalAmt
Program Services$11,334ProgramServicesAmt
Management And General$2,798ManagementAndGeneralAmt
Fundraising$226FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Client expenses$102,226$102,226$0$0
Minor equipment purchases and rentals$44,433$29,664$14,769$0
Contractual services$149,481$149,481$0$0
Miscellaneous$19,746$17,790$0$1,956

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,092,502TotalAmt
Program Services$3,190,850ProgramServicesAmt
Management And General$789,664ManagementAndGeneralAmt
Fundraising$111,988FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$240,538BOYAmt
EOY$185,471EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$829,374BOYAmt
EOY$393,223EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$108,909BOYAmt
EOY$110,451EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,580BOYAmt
EOY$19,230EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,883LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$65,876LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,448BOYAmt
EOY$17,007EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$380,607BOYAmt
EOY$301,588EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$295,110BOYAmt
EOY$196,740EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,883,566BOYAmt
EOY$1,223,710EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$760,089BOYAmt
EOY$733,126EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$750BOYAmt
EOY$750EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$295,110BOYAmt
EOY$215,612EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,055,949BOYAmt
EOY$949,488EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$152,976BOYAmt
EOY-$162,255EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$674,641BOYAmt
EOY$436,477EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$827,617BOYAmt
EOY$274,222EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,883,566BOYAmt
EOY$1,223,710EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$553,395ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,984,961CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,291,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,536,352CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,509,742CurrentTaxYearMinus1YearAmt
Current Tax Year$2,748,745CurrentTaxYearAmt
Total$11,071,677TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$490,539CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$654,594CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,849,248CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$941,901CurrentTaxYearMinus1YearAmt
Current Tax Year$727,852CurrentTaxYearAmt
Total$4,664,134TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,475,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,946,471CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,385,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,451,643CurrentTaxYearMinus1YearAmt
Current Tax Year$3,476,597CurrentTaxYearAmt
Total$15,735,811TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$15,735,811PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,807CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,069CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$24,851CurrentTaxYearAmt
Total$66,430TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,807CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,069CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$24,851CurrentTaxYearAmt
Total$66,430TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$15,802,241TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99580PublicSupportCY509Pct
Public Support PY5090.99610PublicSupportPY509Pct
Investment Income CY0.00420InvestmentIncomeCYPct
Investment Income PY0.00390InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,970OtherCostOrOtherBasisAmt
Depreciation$2,787DepreciationAmt
Book Value$1,183BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,913OtherCostOrOtherBasisAmt
Depreciation$63,089DepreciationAmt
Book Value$15,824BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,007TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRight-of-Use AssetDesc
Book Value$196,740BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$196,740TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLease LiabilityDesc
Amt$215,612Amt
FieldValueIRS element (for citing)
Total Liability$215,612TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,501,548TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$3,501,548RevenueSubtotalAmt
Other Revenues Not Included$37,559OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$37,559RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,539,107TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,054,943TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,054,943ExpensesSubtotalAmt
Other Expenses Not Included$37,559OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$37,559ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,092,502TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt III, Line 4The Organization is a not-for-profit organization exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Generally, income tax returns filed within the last three years remain open and subject to audit by regulatory authorities. The Organization concludes that there are no significant uncertain tax positions requiring recognition in the financial statements.
Pt XI, Line 4bAdministrative expenses for FitKids are included as expense reductions on the financial statements but as a revenue on the Form 990.
Pt XII, Line 4bAdministrative expenses for FitKids are included as expense reductions on the financial statements but as a revenue on the Form 990.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bThe Finance Committee is responsible for reviewing and giving initial approval of the Form 990. The Finance Committee is also responsible for presenting the Form 990 to the Board of Directors for final approval.
Pt VI, Line 12cConflicts of interest are monitored by a review of all financial transactions by top management. Board members are required to recuse themselves from voting on matters that relate to contracts between Health Net and their employer. Annual conflict of interest disclosures are required of all board members and each employee is required to disclose any possible conflict of interest or to not engage in any.
Pt VI, Line 15aThe Board of Directors determines the compensation for the EPresident/CEO.
Pt VI, Line 15bThe President/CEO proposes compensation for all employees and contractors in the form of an annual budget and the Board of Directors approves.

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