2016-08-12T11:21:23-05:00 2015-09-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2014-10-01 383430461 INGHAM HEALTH PLAN CORPORATION INGH 5173363779 3425 BELLE CHASE WAY SUITE 1 LANSING MI 48911 SCOTT LYON PRESIDENT 5173363779 2016-08-12 1 JAMES A MC NEELEY CPA P00364811 5173237500 2014 2016-09-27 15:27:22Z SCOTT LYON 3425 BELLE CHASE WAY SUITE 1 LANSING MI 48911 1891626 0 X WWW.IHPMI.ORG X 1998 MI TO ENSURE ACCESS TO HEALTH CARE FOR LOW-INCOME PERSONS. 15 15 15 15 0 0 30000 257790 13566748 1633836 5336 0 0 0 13602084 1891626 0 0 0 0 118925 602223 0 0 0 10083589 2199566 10202514 2801789 3399570 -910163 13675612 12754884 192186 181621 13483426 12573263 TO ENSURE ACCESS TO HEALTH CARE TO LOW-INCOME PERSONS WITHOUT INSURANCE AND/OR INELIGIBILE FOR OTHER GOVERNMENT PROGRAMS. 0 0 2039354 1633836 PROVIDE BASIC MEDICAL BENEFIT FOR LOW INCOME, UNINSURED PEOPLE WITHOUT ACCESS TO OTHER GOVERNMENT HEALTH CARE PROGRAMS. 2039354 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 15 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MI X X ROBIN REYNOLDS 5173363779 3425 BELLE CHASE WAY SUITE 1 LANSING MI 48911 CRAIG ZEESE BOARD MEMBER 1.00 X 0 0 0 KEN BOWEN BOARD MEMBER 1.00 X 0 0 0 BRUCE BRAGG BOARD MEMBER 1.00 X 0 0 0 DR BARRY SALTMAN BOARD MEMBER 1.00 X 0 0 0 DIANNE MCCORMICK BOARD MEMBER 1.00 X 0 0 0 TOM MEE BOARD MEMBER 1.00 X 0 0 0 KEVIN SHARP BOARD MEMBER 1.00 X 0 0 0 COLETTE SCRIMGER BOARD MEMBER 1.00 X 0 0 0 DR PETER COOKE BOARD MEMBER 1.00 X 0 0 0 KATHY HOLCOMB BOARD MEMBER 1.00 X 0 0 0 VALERIE SMITH BOARD MEMBER 1.00 X 0 0 0 SCOTT LYON PRESIDENT 1.00 X X 0 0 0 DEAN SIENKO VICE PRESIDENT 1.00 X X 0 0 0 MARCUS CHEATHAM TREASURER 1.00 X X 0 0 0 TOM CURTIS SECRETARY 1.00 X X 0 0 0 ROBIN REYNOLDS EXECUTIVE DIRECTOR 40.00 X 119357 0 14160 119357 0 14160 1 0 0 0 PLEXIS HEALTHCARE SYSTEMS 340 OAK STREET ASHLAND OR 97520 HEALTHCARE SYSTEM SOLUTIONS 513109 MID MICHIGAN HEALTH DEPARTMENT 615 N STATE ST SUITE 2 STANTON MI 48888 INDIGENT HEALTH CARE SERVICES & ENROLLME 328589 INGHAM COUNTY HEALTH DEPARTMENT 5303 S CEDAR ST PO BOX 30161 LANSING MI 48909 HEALTH PLAN MANAGEMENT 126353 SENTINEL TECHNOLOGIES 101 S WASHINGTON SQUARE SUITE 900 LANSING MI 48933 INFORMATION TECHNOLOGY SERVICES 120349 LIVINGSTON HEALTH DEPARTMENT 2300 E GRAND RIVER AVE SUITE 102 HOWELL MI 48843 INDIGENT HEALTH CARE SERVICES & ENROLLME 102450 5 257790 257790 HEALTH & PHARMACY SRVC 621300 1633836 1633836 1633836 1891626 1633836 0 0 X 128820 60144 68676 473403 221024 252379 37939 37939 73388 73388 308455 295475 12980 24875 24875 47475 47475 81687 81687 47406 47406 17670 17670 ADMINISTRATIVE SERVICES 532712 532712 MEDICAL CLAIMS 388860 388860 DENTAL SERVICES 257046 257046 OUTREACH & ENROLLMENT 200170 200170 181883 83923 97960 2801789 2039354 762435 0 12834271 11923136 818239 27201 23102 7508 844445 47406 0 797039 13675612 12754884 97186 121621 95000 60000 192186 181621 X 13483426 12573263 13483426 12573263 13675612 12754884 -910163 0 X 0 1 X 1 0 X 30000 257790 287790 18530457 15349815 15501882 13566748 1633836 64582738 18530457 15349815 15501882 13596748 1891626 64870528 0 0 0 64870528 29921 46320 88687 5336 170264 29921 46320 88687 5336 170264 18560378 15396135 15590569 13602084 1891626 65040792 0.99740 0.99750 0.00260 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 844445 47406 797039 797039 CLAIMS INCURRED BUT NOT RECORDED 60000 60000 X 2796689 905063 905063 1891626 0 1891626 5656014 2854225 2854225 2801789 0 2801789 PART X, LINE 2: FEDERAL TAX LAW PROVIDES TAX BENEFITS TO NONPROFIT ORGANIZATIONS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). THE CODE REQUIRES THAT TAX-EXEMPT ORGANIZATIONS MUST COMPLY WITH FEDERAL TAX LAW TO MAINTAIN TAX-EXEMPT STATUS AND AVOID PENALTIES. AS AN EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE THAT HAS BEEN CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION, IHPC IS ONLY SUBJECT TO TAX ON ANY UNRELATED BUSINESS INCOME AS DEFINTED BY SECTION 509(A)(1) OF THE CODE. IHPC HAS NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED SEPTEMBER 30, 2015. ACCORDINGLY, A PROVISION FOR INCOME TAXES HAS NOT BEEN MADE ON FINANCIAL STATEMENTS. THE AMOUNT OF INCOME TAX BENEFIT THAT MAY BE DISALLOWED BY THE INTERNAL REVENUE SERVICE (IRS), IF ANY, CANNOT BE DETERMINED AT THIS TIME ALTHOUGH IHPC EXPECTED SUCH AMOUNTS, IF ANY, TO BE IMMATERIAL. INTEREST AND/OR PENALTIES ON AN AMOUNT OF INCOME TAXES DEEMED UNDERPAID, IF ANY, WILL BE CLASSIFIED AS INCOME TAXES IN THE FINANCIAL STATEMENTS. IHPC HAS NOT RECOGNIZED ANY INTEREST OR PENALTIES PAYABLE IN THE STATEMENT OF FINANCIAL POSITION AS OF SEPTEMBER 30, 2015, OR INTEREST OR PENALTIES EXPENSE IN THE STATEMENT OF ACTIVITIES FOR THE YEAR THAT ENDED. IHPC IS SUBJECT TO IRS AND STATE EXAMINATIONS FOR A PERIOD OF AT LEAST THREE (3) YEARS AFTER THE FORM 990 HAS BEEN FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM 10/1/15 TO 12/31/15 - STMTS ARE FOR 15 MONTHS ENDED 12/31/15 905,063. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM 10/1/15 TO 12/31/15 - STMTS ARE FOR 15 MONTHS ENDED 12/31/15 2,854,225. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS RECEIVED BY THE EXECUTIVE DIRECTOR, WHO REVIEWS THE RETURN FOR ACCURACY. IT IS THEN PASSED ON TO THE PRESIDENT. UPON THE PRESIDENT'S APPROVAL, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS IN ELECTRONIC FORMAT. THE PRESIDENT SIGNS AND FILES THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS PROVIDING AN ANNUAL WRITTEN STATEMENT REGARDING CONFLICTS OR POTENTIAL CONFLICTS. BOARD MEMBERS PROVIDE VERBAL REPORTING TO THE BOARD OF CONFLICTS OR POTENTIAL CONFLICTS THAT MAY ARISE DURING THE YEAR. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE DIRECTOR WITH THE CONFLICT IS ASKED TO LEAVE THE ROOM DURING BOARD MEETINGS FOR FINAL DISCUSSION AND THE FINAL VOTE. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION COMPARES THE SALARY OF THE EXECUTIVE DIRECTOR TO THE SAME POSITION IN OTHER SIMILAR ORGANIZATIONS. A COMPARISON GUIDE ISSUED BY THE MICHIGAN NON PROFIT ASSOCIATION FOR SIMILAR POSITIONS IN THE REGION IS ALSO USED. THE PRESIDENT IS RESPONSIBLE FOR NEGOTIATING THE SALARY OR SALARY ADJUSTMENTS WITH THE EXECUTIVE DIRECTOR. ONCE AGREED, THE EXECUTIVE COMMITTEE MUST APPROVE ANY ADJUSTMENTS TO THE SALARY AND BENEFITS FOR THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 IS ALSO POSTED ANNUALLY ON GUIDESTAR'S WEBSITE. THE 990 IS PUBLIC INFORMATION THROUGH THE MICHIGAN ATTORNEY GENERAL'S OFFICE. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,980. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,980. CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 295,475. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 295,475.