WASHTENAW HEALTH PLAN CORPORATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- WASHTENAW HEALTH PLAN CORPORATION (EIN 02-0585175)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-04-22
- IRS object ID
- 201731129349300008
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-22T20:53:40+00:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 461335331 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALTRUIC ADVISORS PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2723 S STATE ST STE 150 | AddressLine1Txt |
| City | ANN ARBOR | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 481046188 | 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 | 020585175 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHTENAW HEALTH PLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WASH | BusinessNameControlTxt |
| Phone | 7345446858 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 TOWNER STREET | AddressLine1Txt |
| City | YPSILANTI | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48198 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLEN RABINOWITZ | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7345443068 | PhoneNum |
| Signature | 2017-04-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RYAN N HAGAN CPA | PreparerPersonNm |
| PTIN | P00293011 | PTIN |
| Phone | 7344763720 | PhoneNum |
| Preparation | 2017-04-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELLEN RABINOWITZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 TOWNER STREET | AddressLine1Txt |
| City | YPSILANTI | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48918 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $750,475 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EWASHTENAW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO ENSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $54,688 | PYContributionsGrantsAmt |
| CY Contributions Grants | $58,560 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,597,133 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $600,000 | CYProgramServiceRevenueAmt |
| PY Investment Income | $78,019 | PYInvestmentIncomeAmt |
| CY Investment Income | $88,780 | CYInvestmentIncomeAmt |
| CY Other Revenue | $3,135 | CYOtherRevenueAmt |
| PY Total Revenue | $1,729,840 | PYTotalRevenueAmt |
| CY Total Revenue | $750,475 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $200,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $108,750 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,543,613 | PYOtherExpensesAmt |
| CY Other Expenses | $1,743,012 | CYOtherExpensesAmt |
| PY Total Expenses | $1,743,613 | PYTotalExpensesAmt |
| CY Total Expenses | $1,851,762 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,773 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,101,287 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,129,211 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,008,414 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $184,482 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $164,972 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,944,729 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,843,442 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ENSURE THE DELIVERY OF BASIC PREVENTIVIE HEALTH CARE TO LOW-INCOME PERSONS WITHOUT INSURANCE AND/OR PERSONS INELIGIBLE FOR OTHER GOVERNMENT PROGRAMS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,155,964 | ExpenseAmt |
| Revenue | $600,000 | RevenueAmt |
| Desc | WASHTENAW HEALTH PLAN - PLAN B: TO PROVIDE HEALTH COVERAGE TO LOW-INCOME WORKING INDIVIDUALS WHO DON'T QUALIFY FOR ANY OTHER GOVERNMENT-SPONSORED HEALTH COVERAGE. AS OF 9/30/16 THERE ARE 1,672 MEMBERS ENROLLED IN PLAN B. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $108,750 | ExpenseAmt |
| Grant | $108,750 | GrantAmt |
| Desc | GRANTS TO LOCAL HEALTH PROGRAMS INCLUDING CORNER HEALTH CENTER, PACKARD COMMUNITY CLINIC AND SHELTER ASSOCIATION HEALTH CLINIC. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,264,714 | 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 | false | 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 | false | 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 | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| Indoor Tanning Services | false | 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 | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLEN RABINOWITZ | PersonNm |
| Phone | 7345446858 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 TOWNER STREET | AddressLine1Txt |
| City | YPSILANTI | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48198 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
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 |
|---|---|---|---|---|---|---|
| ROBERT F GILLETT | ||||||
| PRESIDENT | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TOM CAMPBELL | ||||||
| V/P TREASURE | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL GRISDELA | ||||||
| SECRETARY | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID SHARE MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS BIGGS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT E GUENZEL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GREG DILL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHARO LEDON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEFFREY SANFIELD MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ELLEN RABINOWITZ | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WASHTENAW COUNTY PUBLIC HEALTH | |||||
| 555 TOWNER ST | YPSILANTI | MI | 48198 | HEALTH SERVICES | $547,228 |
| UNIVERSITY OF MI HEALTH SYSTEM | |||||
| 700 KMS PLACE | ANN ARBOR | MI | 48108 | HEALTH SERVICES | $355,167 |
| 4D PHARMACY MANAGEMENT SYSTEMS | |||||
| 2520 INDUSTRIAL ROW DRIVE | TROY | MI | 48084 | HEALTH SERVICES | $165,159 |
| PACKARD HEALTH INC | |||||
| 3174 PACKARD ROAD | ANN ARBOR | MI | 48108 | HEALTH SERVICES | $118,028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $58,560 | AllOtherContributionsAmt |
| Total Contributions | $58,560 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH & PHARMACY SERVICES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $600,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $600,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $600,000 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,780 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,780 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Total Revenue Column | $3,135 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,135 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,135 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $750,475 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $691,915 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,750 | TotalAmt |
| Program Services | $108,750 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,226 | TotalAmt |
| Management And General | $39,226 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,257 | TotalAmt |
| Management And General | $6,257 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,189 | TotalAmt |
| Management And General | $121,189 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,216 | TotalAmt |
| Management And General | $6,216 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HEALTH & PHARMACY SERV | $903,356 | $903,356 | |
| EXECUTIVE SERVICES | $405,493 | $405,493 | |
| ADMINISTRATIVE SERVICES | $246,279 | $246,279 | |
| MISCELLANEOUS | $8,667 | $8,667 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,329 | TotalAmt |
| Program Services | $6,329 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,851,762 | TotalAmt |
| Program Services | $1,264,714 | ProgramServicesAmt |
| Management And General | $587,048 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,681 | BOYAmt |
| EOY | $44,737 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,662 | BOYAmt |
| EOY | $24,893 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,141 | BOYAmt |
| EOY | $134,783 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,047,727 | BOYAmt |
| EOY | $5,804,001 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,129,211 | BOYAmt |
| EOY | $6,008,414 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,482 | BOYAmt |
| EOY | $164,972 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,482 | BOYAmt |
| EOY | $164,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,934,729 | BOYAmt |
| EOY | $5,814,848 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $28,594 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,944,729 | BOYAmt |
| EOY | $5,843,442 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,129,211 | BOYAmt |
| EOY | $6,008,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,101,287 | ReconcilationRevenueExpnssAmt |
| 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 | false | 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 | $15,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,407 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,688 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $58,560 | CurrentTaxYearAmt |
| Total | $216,214 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,794,188 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,117,936 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,646,637 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,596,911 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $600,000 | CurrentTaxYearAmt |
| Total | $30,755,672 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,809,188 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,150,343 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,702,196 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,651,599 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $658,560 | CurrentTaxYearAmt |
| Total | $30,971,886 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $30,971,886 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,697 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,383 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78,019 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,780 | CurrentTaxYearAmt |
| Total | $222,584 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,697 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,383 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78,019 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,780 | CurrentTaxYearAmt |
| Total | $222,584 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $231 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $222 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,135 | CurrentTaxYearAmt |
| Total | $3,820 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,839,116 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,161,164 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,717,695 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,729,840 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $750,475 | CurrentTaxYearAmt |
| Total | $31,198,290 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99270 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99650 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | 3,820 | ExplanationTxt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $750,475 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $750,475 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $750,475 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,851,762 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,851,762 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,851,762 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Business Name Line2RecipientBusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| PACKARD HEALTH | ||||||||
| 3174 PACKARD RD | ANN ARBOR | MI | 48108 | 382269817 | 501C3 | $65,625 | HEALTH SERVICES | |
| SHELTER ASSOCIATION OF | ||||||||
| 312 WEST HURON | ANN ARBOR | MI | 48107 | 382533030 | 501C3 | $30,000 | HEALTH SERVICES | WASHTENAW COUNTY |
| CORNER HEALTH CENTER | ||||||||
| 47 NORTH HURON STREET | YPSILANTI | MI | 48197 | 300393232 | 501C 3 | $13,125 | HEALTH SERVICES | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 4, PART IV | FormAndLineReferenceDesc |
| Explanation | THE PURPOSE OF THE GRANT FUNDING IS TO PROVIDE ADDITIONAL HEALTH CARE SERVICES TO LOW-INCOME UNINSURED COUNTY RESIDENTS. IN THE CASE OF THE NON- PROFIT HEALTH CLINICS, THE FUNDING ALSO ENHANCES THEIR ABILITY TO PROVIDE WHP SERVICES TO WHP MEMBERS. EACH OF THE GRANT RECIPIENTS IS REQUIRED TO REPORT TO ORGANIZATION ON A QUARTERLY BASIS. THE WHP BOARD OF DIRECTORS REVIEWS THE REPORTS ON A REGULAR BASIS. WHP STAFF CONDUCT ANNUAL EVALUATIONS OF THE FUNDED GRANT PROGRAMS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | DRAFT OF FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND MEMBERS OF THE BOARD BEFORE FILING WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY INDICATING ANY CONFLICTS. THE BOARD REVIEWS AND APPROVES THESE STATEMENTS ANNUALLY AT THE SEPTEMBER BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 RETURNS ARE ALSO AVAILABALE TO THE PUBLIC AT WWW.GUIDESTAR.ORG. |
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