HEALTH NET OF WEST MICHIGAN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: HEALTH NET OF WEST MICHIGAN (EIN 38-3609504)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-06-22
IRS object ID: 201701739349300605
Schema version: 2015v3.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-06-22T08:59:52-05:00	ReturnTs
Tax Period End	2016-09-30	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	316 MORRIS AVE SUITE 500	AddressLine1Txt
City	MUSKEGON	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49440	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	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	2017-06-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EDWARD J ELSNER	PreparerPersonNm
PTIN	P01274204	PTIN
Phone	2317265800	PhoneNum
Preparation	2017-06-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	KENT HEALTH PLAN CORPORATION	BusinessNameLine1Txt

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	$6,835,160	GrossReceiptsAmt
Group Return For Affiliates	0	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	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	40	TotalEmployeeCnt
Total Volunteers	88	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,342,336	PYContributionsGrantsAmt
CY Contributions Grants	$1,021,263	CYContributionsGrantsAmt
PY Program Service Revenue	$1,977,759	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,525,183	CYProgramServiceRevenueAmt
PY Investment Income	-$230,293	PYInvestmentIncomeAmt
CY Investment Income	$29,611	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$2,122	CYOtherRevenueAmt
PY Total Revenue	$3,089,802	PYTotalRevenueAmt
CY Total Revenue	$2,578,179	CYTotalRevenueAmt
PY Grants And Similar Paid	$730,831	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,378,150	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,749,126	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,107,967	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$981,671	PYOtherExpensesAmt
CY Other Expenses	$1,129,382	CYOtherExpensesAmt
PY Total Expenses	$3,461,628	PYTotalExpensesAmt
CY Total Expenses	$4,615,499	CYTotalExpensesAmt
PY Revenues Less Expenses	-$371,826	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,037,320	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,664,416	TotalAssetsBOYAmt
Total Assets EOY	$2,738,541	TotalAssetsEOYAmt
Total Liabilities BOY	$256,325	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$419,184	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,408,091	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,319,357	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	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$605,455	ExpenseAmt
Revenue	$0	RevenueAmt
Desc	WELLNET:WELLNET ADMINISTERS HEALTH CARE BENEFITS TO INDIVIDUALS WHOSE INCOMES ARE 200% OR LESS OF POVERTY AND WHO ARE NOT ELIGIBLE FOR ANY GOVERNMENT SPONSORED HEALTHCARE PROGRAM. THE PROGRAM PROVIDES ACCESS TO BASIC COMMUNITY-BASED HEALTHCARE SERVICES THAT ARE NOT FUNDED BY ANY OTHER MEANS. THE PROGRAM IS FUNDED BY SUPPORT FROM THE COMMUNITY, INCLUDING FUNDS FROM LOCAL HOSPITALS. CLIENTS SERVED: 705	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,327,908	ExpenseAmt
Grant	$1,378,150	GrantAmt
Revenue	$1,156,050	RevenueAmt
Desc	CHAP: THE COMMUNITY HEALTHCARE ACCESS PROGRAM (CHAP) ASSISTS ADULTS AND CHILDREN 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: 3599	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$956,627	ExpenseAmt
Revenue	$369,133	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, PROVIDING HEALTH EDUCATION, WORKING TO REDUCE PEDIATRIC OBESITY AND IMPROVING ACCESS TO AFFORDABLE DENTAL CARE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$3,889,990	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	64	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	40	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TOM GORIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6165244082	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 CENTURY AVE SW STE 210	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 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	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID SMITH
VICE-CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
DR LARRY ROBSON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
CHRISTOPHER SLATER
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
KEN FAWCETT
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
MIKE REAGAN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MICKI BENZ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SHANNON WILSON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MARGO SCHLEWITZ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MAUREEN KIRKWOOD
EXECUTIVE DIRECTOR	40.00		Yes (X)	$93,653	$0	$11,465

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$93,653	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$11,465	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,021,263	AllOtherContributionsAmt
Total Contributions	$1,021,263	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHAP PROGRAM	621610	$1,156,050	$1,156,050
OTHER PROGRAMS	621610	$369,133	$369,133

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,525,183	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,038	TotalRevenueColumnAmt
Exclusion	$59,038	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,227,554	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,256,981	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$29,427	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$29,427	TotalRevenueColumnAmt
Exclusion	-$29,427	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCLLANEOUS REVENUE	Desc
Business	621610	BusinessCd
Total Revenue Column	$2,122	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,122	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,122	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,578,179	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,527,305	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$29,611	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,378,150	TotalAmt
Program Services	$1,378,150	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$119,276	TotalAmt
Program Services	$35,783	ProgramServicesAmt
Management And General	$83,493	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,619,553	TotalAmt
Program Services	$1,293,208	ProgramServicesAmt
Management And General	$326,345	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$369,138	TotalAmt
Program Services	$261,533	ProgramServicesAmt
Management And General	$107,605	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,929	TotalAmt
Program Services	$5,579	ProgramServicesAmt
Management And General	$1,350	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$17,640	TotalAmt
Program Services	$13,936	ProgramServicesAmt
Management And General	$3,704	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$227,082	TotalAmt
Program Services	$103,978	ProgramServicesAmt
Management And General	$123,104	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$260	TotalAmt
Management And General	$260	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$174,705	TotalAmt
Program Services	$144,701	ProgramServicesAmt
Management And General	$30,004	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$78,446	TotalAmt
Program Services	$74,433	ProgramServicesAmt
Management And General	$4,013	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$126,669	TotalAmt
Program Services	$118,428	ProgramServicesAmt
Management And General	$8,241	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,994	TotalAmt
Program Services	$15,639	ProgramServicesAmt
Management And General	$4,355	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$45,593	TotalAmt
Program Services	$33,263	ProgramServicesAmt
Management And General	$12,330	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$51,613	TotalAmt
Program Services	$39,613	ProgramServicesAmt
Management And General	$12,000	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,641	TotalAmt
Program Services	$6,127	ProgramServicesAmt
Management And General	$514	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
HEALTH CARE CLAIMS	$327,899	$327,899
COMMUNICATIONS	$41,874	$34,210	$7,664
MISCELLANEOUS	$4,037	$3,510	$527

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,615,499	TotalAmt
Program Services	$3,889,990	ProgramServicesAmt
Management And General	$725,509	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$165,421	BOYAmt
EOY	$290,890	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,466,258	BOYAmt
EOY	$1,276,789	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$11,686	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$303,430	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$166,337	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$70,283	BOYAmt
EOY	$137,093	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,962,454	BOYAmt
EOY	$1,022,083	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,664,416	BOYAmt
EOY	$2,738,541	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$177,615	BOYAmt
EOY	$355,527	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,710	BOYAmt
EOY	$63,657	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$256,325	BOYAmt
EOY	$419,184	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,357,340	BOYAmt
EOY	$1,384,376	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,050,751	BOYAmt
EOY	$934,981	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,408,091	BOYAmt
EOY	$2,319,357	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,664,416	BOYAmt
EOY	$2,738,541	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$2,037,320	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$150,704	NetUnrlzdGainsLossesInvstAmt
Investment Expense	-$11,682	InvestmentExpenseAmt
Prior Period Adjustments	-$190,436	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	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	$3,500	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$94,127	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,342,336	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,021,263	CurrentTaxYearAmt
Total	$2,461,226	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,169,326	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,079,251	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,352,496	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,949,509	CurrentTaxYearMinus1YearAmt
Total	$18,550,582	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,172,826	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,079,251	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,446,623	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,291,845	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,021,263	CurrentTaxYearAmt
Total	$21,011,808	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$21,011,808	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$40,458	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,701	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,097	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$47,293	CurrentTaxYearMinus1YearAmt
Total	$105,549	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$40,458	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,701	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,097	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$47,293	CurrentTaxYearMinus1YearAmt
Total	$105,549	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,213,284	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,088,952	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,454,720	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,339,138	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,021,263	CurrentTaxYearAmt
Total	$21,117,357	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99500	PublicSupportCY509Pct
Public Support PY509	0.99420	PublicSupportPY509Pct
Investment Income CY	0.00500	InvestmentIncomeCYPct
Investment Income PY	0.00580	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,757	OtherCostOrOtherBasisAmt
Depreciation	$22,160	DepreciationAmt
Book Value	$81,597	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$199,673	OtherCostOrOtherBasisAmt
Depreciation	$144,177	DepreciationAmt
Book Value	$55,496	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$137,093	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	HEALTH CARE CLAIMS PAYABLE & INCURRED BUT NOT REPORTED	Desc
Amt	$63,657	Amt

Field	Value	IRS element (for citing)
Total Liability	$63,657	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,717,201	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$150,704	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$150,704	RevenueNotReportedAmt
Revenue Subtotal	$2,566,497	RevenueSubtotalAmt
Investment Expenses Not Incld	$11,682	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$11,682	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,578,179	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$4,615,499	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$4,615,499	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$4,615,499	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	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	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 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	501(C)(3)	$89,289	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
CATHOLIC CHARITIES WEST MICHIGAN
360 DIVISION SUITE 3A	GRAND RAPIDS	MI	49503	383012473	501(C)(3)	$53,282	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
FAMILY OUTREACH CENTER INC
1919 S DIVISION	GRAND RAPIDS	MI	49507	382272711	501(C)(3)	$147,409	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
ASSN FOR BLIND AND VISUAL
465 CHERRY ST SE	GRAND RAPIDS	MI	49503	383382541	501(C)(3)	$101,161	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
ASTHMA NETWORK OF WEST MICHIGAN
150 JEFFERSON AVE SE SUITE 140	GRAND RAPIDS	MI	49503	383351467	501(C)(3)	$22,059	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
AFRICAN AMERICAN HEALTH INSTITUTE
515 MICHIGAN ST STE 102	GRAND RAPIDS	MI	49503	061658200	501(C)(3)	$189,575	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
THRESHOLDS INC
PO BOX 68327	GRAND RAPIDS	MI	495168327	382063018	501(C)(3)	$31,591	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
BAXTER COMMUNITY CENTER
935 BAXTER SE	GRAND RAPIDS	MI	49506	237076806	501(C)(3)	$51,968	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
HEALTHY HOMES COALITION OF WEST MICHIGAN
1545 BUCHANAN AVE SW SUITE 2	GRAND RAPIDS	MI	49507	205326650	501(C)(3)	$33,536	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
THE SALVATION ARMY
1215 FULTON ST E	GRAND RAPIDS	MI	49503	382700033	501(C)(3)	$55,033	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
SENIOR NEIGHBORS INC
678 FRONT AVE NW 205	GRAND RAPIDS	MI	49504	237195491	501(C)(3)	$34,070	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER GRAND RAPIDS
475 LAKE MICHIGAN DR NW	GRAND RAPIDS	MI	49504	381358058	501(C)(3)	$23,748	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
UNITED METHODIST COMMUNITY HOUSE
904 SHELDON AVE SE	GRAND RAPIDS	MI	49507	381360555	501(C)(3)	$22,648	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
FIRST STEPS KENT
678 FRONT AVE NW 160	GRAND RAPIDS	MI	49504	270640886	501(C)(3)	$70,684	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	THE COMPLETED 990 IS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, 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 BY ALL BOARD MEMBERS AND SENIOR MANAGEMENT AND EACH EMPLOYEE IS REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST OR TO NOT ENGAGE IN ANY.
FORM 990, PART VI, SECTION B, LINE 15	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, PART VI, SECTION C, LINE 18	THE ORGANIZATION'S FORM 1023 AND 990 ARE AVAILABLE UPON REQUEST. CONTACT INFORMATION IS PROVIDED ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART VI, SECTION C, 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. ADDITIONALLY, THE ARTICLES OF NONPROFIT INCORPORATION AND ANNUAL REPORTS ARE AVAILABLE FROM MICHIGAN DEPT OF ENERGY, LABOR & ECONOMIC GROWTH AT WWW.CIS.STATE.MI.US/BCS_CORP/SR_CORP.ASP.
FORM 990, PART XII, LINE 2C	THE ORGANIZATION HAS A FINANCE COMMITTEE THAT OVERSEES THE REVIEW OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR.