HEALTH NET OF WEST MICHIGAN: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH NET OF WEST MICHIGAN (EIN 38-3609504)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-07-24
- IRS object ID
- 201912059349300031
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-07-24T13:19:05-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382088116 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRICKLEY DELONG PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 999 | AddressLine1Txt |
| City | MUSKEGON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 494430999 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383609504 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH NET OF WEST MICHIGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 6167268204 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 CENTURY AVE SW SUITE 210 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAUREEN KIRKWOOD | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6167268204 | PhoneNum |
| Signature | 2019-06-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIC P VANDOP | PreparerPersonNm |
| PTIN | P01868437 | PTIN |
| Phone | 2317265800 | PhoneNum |
| Preparation | 2019-07-17 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.85.144.154 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-07-24 | IPDt |
| IP Tm | 13:19:05 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6E0AD71D1499088567E8F7902B25779DF9D90A0C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B1ED8D685B2842DED7630387E797887F5BDF233C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MAUREEN KIRKWOOD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 CENTURY AVE SW SUITE 210 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,635,639 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHNETWM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF CHILDREN AND ADULTS, PARTICULARLY VULNERABLE POPULATIONS, THROUGH EDUCATION AND CONNECTIONS TO HEALTH CARE AND SUPPORT SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 38 | TotalEmployeeCnt |
| Total Volunteers | 89 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,343,032 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,482,242 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,171,092 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $826,744 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,672 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,767 | CYInvestmentIncomeAmt |
| PY Other Revenue | $47,815 | PYOtherRevenueAmt |
| CY Other Revenue | $15,041 | CYOtherRevenueAmt |
| PY Total Revenue | $2,591,611 | PYTotalRevenueAmt |
| CY Total Revenue | $2,346,794 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $826,455 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $230,475 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,633,921 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,494,915 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $20,313 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $709,718 | PYOtherExpensesAmt |
| CY Other Expenses | $615,870 | CYOtherExpensesAmt |
| PY Total Expenses | $3,170,094 | PYTotalExpensesAmt |
| CY Total Expenses | $2,341,260 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$578,483 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,534 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,934,041 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,890,021 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $179,953 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $137,872 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,754,088 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,752,149 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH OF CHILDREN AND ADULTS, PARTICULARLY VULNERABLE POPULATIONS, THROUGH EDUCATION AND CONNECTIONS TO HEALTH CARE AND SUPPORT SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,239,263 | ExpenseAmt |
| Grant | $101,249 | GrantAmt |
| Revenue | $813,126 | RevenueAmt |
| Desc | CHAP/CLIENT SERVICES: THIS PROGRAM ASSISTS ADULTS AND CHILDREN TO MAINTAIN THEIR HEALTH AND UNDERSTAND HOW TO NAVIGATE THE HEALTHCARE SYSTEM, THUS REDUCING COSTS AND IMPROVING HEALTH OUTCOMES. THE PROGRAM PROVIDES EDUCATIONAL RESOURCES, CASE MANAGEMENT FOR CHRONIC ILLNESSES AND ADDRESSES SOCIAL DETERMINANTS OF HEALTH. CLIENTS SERVED: 5,058 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $462,252 | ExpenseAmt |
| Grant | $129,226 | GrantAmt |
| Revenue | $13,618 | RevenueAmt |
| Desc | OTHER: THROUGH ITS OTHER PROGRAMS, THE ORGANIZATION WORKS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. ACTIVITIES INCLUDE ASSISTING CLIENTS IN NAVIGATING THE HEALTHCARE SYSTEM, WORKING TO REDUCE PEDIATRIC OBESITY AND IMPROVING ACCESS TO AFFORDABLE DENTAL CARE. CLIENTS SERVED: 284 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,701,515 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 38 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRED KOOISTRA | PersonNm |
| Phone | 6165244082 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 CENTURY AVE SW SUITE 210 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| CARL VERBEEK | ||||||
| CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID SMITH | ||||||
| VICE-CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRISTOPHER SLATER | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KEN FAWCETT | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR LARRY ROBSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICKI BENZ | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL REAGAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHANNON WILSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARGO SCHLEWITZ | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD CLANTON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MAUREEN KIRKWOOD | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $89,002 | $0 | $10,572 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $89,002 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $10,572 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,283,724 | GovernmentGrantsAmt |
| All Other Contributions | $198,518 | AllOtherContributionsAmt |
| Total Contributions | $1,482,242 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CHAP PROGRAM | $813,126 | $813,126 |
| OTHER PROGRAMS | $13,618 | $13,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $826,744 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,102 | TotalRevenueColumnAmt |
| Exclusion | $15,102 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $296,510 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $288,845 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,665 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,665 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Total Revenue Column | $15,041 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,041 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $15,041 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,346,794 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $849,450 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $15,102 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,775 | TotalAmt |
| Program Services | $229,775 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700 | TotalAmt |
| Program Services | $700 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,656 | TotalAmt |
| Program Services | $80,393 | ProgramServicesAmt |
| Management And General | $30,147 | ManagementAndGeneralAmt |
| Fundraising | $1,116 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,149,113 | TotalAmt |
| Program Services | $829,236 | ProgramServicesAmt |
| Management And General | $306,204 | ManagementAndGeneralAmt |
| Fundraising | $13,673 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,155 | TotalAmt |
| Program Services | $11,580 | ProgramServicesAmt |
| Management And General | $6,131 | ManagementAndGeneralAmt |
| Fundraising | $444 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,379 | TotalAmt |
| Program Services | $77,020 | ProgramServicesAmt |
| Management And General | $33,107 | ManagementAndGeneralAmt |
| Fundraising | $1,252 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,612 | TotalAmt |
| Program Services | $78,363 | ProgramServicesAmt |
| Management And General | $25,048 | ManagementAndGeneralAmt |
| Fundraising | $1,201 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,688 | TotalAmt |
| Program Services | $1,181 | ProgramServicesAmt |
| Management And General | $2,507 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,750 | TotalAmt |
| Management And General | $15,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,748 | TotalAmt |
| Program Services | $54,818 | ProgramServicesAmt |
| Management And General | $24,921 | ManagementAndGeneralAmt |
| Fundraising | $9 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,550 | TotalAmt |
| Program Services | $21,513 | ProgramServicesAmt |
| Management And General | $26,716 | ManagementAndGeneralAmt |
| Fundraising | $321 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,068 | TotalAmt |
| Program Services | $19,305 | ProgramServicesAmt |
| Management And General | $75,763 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,041 | TotalAmt |
| Program Services | $146,848 | ProgramServicesAmt |
| Management And General | $44,437 | ManagementAndGeneralAmt |
| Fundraising | $1,756 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,921 | TotalAmt |
| Program Services | $7,812 | ProgramServicesAmt |
| Management And General | $1,109 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,925 | TotalAmt |
| Program Services | $13,976 | ProgramServicesAmt |
| Management And General | $5,949 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620 | TotalAmt |
| Management And General | $620 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,348 | TotalAmt |
| Program Services | $23,339 | ProgramServicesAmt |
| Management And General | $8,629 | ManagementAndGeneralAmt |
| Fundraising | $380 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,188 | TotalAmt |
| Program Services | $11,577 | ProgramServicesAmt |
| Management And General | $3,475 | ManagementAndGeneralAmt |
| Fundraising | $136 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CLIENT EXPENSE | $68,163 | $68,163 | ||
| EQUIPMENT AND RENTALS | $34,754 | $25,823 | $8,906 | $25 |
| MISCELLANEOUS | $106 | $93 | $13 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,341,260 | TotalAmt |
| Program Services | $1,701,515 | ProgramServicesAmt |
| Management And General | $619,432 | ManagementAndGeneralAmt |
| Fundraising | $20,313 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,897 | BOYAmt |
| EOY | $68,002 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,014,444 | BOYAmt |
| EOY | $1,333,573 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,042 | BOYAmt |
| EOY | $20,850 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $306,845 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $256,503 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,691 | BOYAmt |
| EOY | $50,342 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $664,967 | BOYAmt |
| EOY | $417,254 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,934,041 | BOYAmt |
| EOY | $1,890,021 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,953 | BOYAmt |
| EOY | $137,872 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,953 | BOYAmt |
| EOY | $137,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $722,727 | BOYAmt |
| EOY | $657,145 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,031,361 | BOYAmt |
| EOY | $1,095,004 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,754,088 | BOYAmt |
| EOY | $1,752,149 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,934,041 | BOYAmt |
| EOY | $1,890,021 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,534 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,704 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$3,769 | InvestmentExpenseAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,127 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,342,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,021,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,343,032 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,482,242 | CurrentTaxYearAmt |
| Total | $5,283,000 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,352,496 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,949,509 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,527,305 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,218,907 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $841,785 | CurrentTaxYearAmt |
| Total | $10,890,002 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,446,623 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,291,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,548,568 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,561,939 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,324,027 | CurrentTaxYearAmt |
| Total | $16,173,002 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $16,173,002 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,097 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,293 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,611 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,672 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,102 | CurrentTaxYearAmt |
| Total | $129,775 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,097 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,293 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,611 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,672 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,102 | CurrentTaxYearAmt |
| Total | $129,775 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,454,720 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,339,138 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,578,179 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,591,611 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,339,129 | CurrentTaxYearAmt |
| Total | $16,302,777 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99200 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99350 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,966 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,582 | DepreciationAmt |
| Book Value | $12,384 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $238,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $200,921 | DepreciationAmt |
| Book Value | $37,958 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $50,342 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,339,321 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,704 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$3,704 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,343,025 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $3,769 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $3,769 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,346,794 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,341,260 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,341,260 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,341,260 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). 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 OR FOUR YEARS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ARBOR CIRCLE CORPORATION | |||||||
| 1115 BALL AVENUE NE | GRAND RAPIDS | MI | 49505 | 383263853 | 501C3 | $15,334 | SERVICE AGREEMENT |
| FAMILY OUTREACH CENTER INC | |||||||
| 1939 SOUTH DIVISION | GRAND RAPIDS | MI | 49507 | 382272711 | 501C3 | $18,584 | SERVICE AGREEMENT |
| HEALTHY HOMES COALITION OF WEST MIC | |||||||
| 1545 BUCHANAN AVE SW SUITE 2 | GRAND RAPIDS | MI | 49507 | 205326650 | 501C3 | $17,616 | SERVICE AGREEMENT |
| CHERRY HEATLH | |||||||
| 100 CHERRY STREET SE | GRAND RAPIDS | MI | 49503 | 382853534 | 501C3 | $43,336 | SERVICE AGREEMENT |
| KENT COUNTY HEALTH DEPARTMENT | |||||||
| 700 FULLER NE | GRAND RAPIDS | MI | 49503 | 386004862 | 501C3 | $25,000 | SERVICE AGREEMENT |
| INGHAM COUNTY HEALTH DEPT | |||||||
| PO BOX 30125 | LANSING | MI | 48909 | 386005629 | 501C3 | $80,926 | SERVICE AGREEMENT |
| MUNSON MEDICAL CENTER | |||||||
| 1150 MEDICAL CAMPUS DRIVE | TRAVERSE CITY | MI | 49684 | 381362830 | 501C3 | $8,100 | SERVICE AGREEMENT |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE I, PAGE 1, PART I, LINE 2 | THE ORGANIZATION HAS A REVIEW WITH EACH AGENCY AND REVIEWS THEIR REPORTED SPENDING UPON THE SERVICES SUPPORTED IN THE GRANT. IN EACH CASE THE AGENCY'S SPENDING ON THE SERVICES IS SIGNIFICANTLY HIGHER THAN THE AMOUNT OF THE GRANT. |
| SCHEDULE I, PAGE 4, PART IV | PART II, COLUMN H: PURPOSE OF GRANT OR ASSISTANCE: SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE ITS TAX EXEMPT MISSION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | HEALTH NET OF WEST MICHIGANS FINANCE COMMITTEE IS RESPONSIBLE FOR REVIEWING AND GIVING INITIAL APPROVAL OF THE IRS FORM 990. THE FINANCE COMMITTEE IS ALSO RESPONSIBLE FOR PRESENTING THE IRS FORM 990 TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST IS 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 CONFLICTS OF INTEREST OR TO NOT ENGAGE IN ANY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR PROPOSES COMPENSATION FOR ALL EMPLOYEES AND CONTRACTORS IN THE FORM OF AN ANNUAL BUDGET AND THE BOARD OF DIRECTORS APPROVES. THE BOARD OF DIRECTORS APPROVES ALL SIGNIFICANT CONTRACTS OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR PROPOSES COMPENSATION FOR ALL EMPLOYEES AND CONTRACTORS IN THE FORM OF AN ANNUAL BUDGET AND THE BOARD OF DIRECTORS APPROVES. THE BOARD OF DIRECTORS APPROVES ALL SIGNIFICANT CONTRACTS OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CONTACT INFORMATION IS PROVIDED ON THE ORGANIZATION'S WEBSITE. |
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