2016-02-26T16:45:24-06:00 2015-09-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2014-10-01 020585175 WASHTENAW HEALTH PLAN WASH 7345446858 555 TOWNER YPSILANTI MI 48917 ELLEN RABINOWITZ EXECUTIVE DIRECTOR 7345446858 2016-02-25 1 JAMES A MC NEELEY CPA P00364811 5173237500 2014 2016-08-17 19:52:53Z ELLEN RABINOWITZ 555 TOWNER YPSILANTI MI 48917 1729840 0 X WWW.EWASHTENAW.ORG X 2001 MI TO ENSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS. 10 10 0 10 0 0 55559 54688 8646753 1597133 15383 78019 0 0 8717695 1729840 335000 200000 0 0 0 0 0 0 0 6702254 1543613 7037254 1743613 1680441 -13773 7552243 7129211 593741 184482 6958502 6944729 TO ENSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS WITHOUT INSURANCE AND/OR PERSONS INELIGIBLE FOR OTHER GOVERNMENT PROGRAMS. 0 0 1000460 1596911 PLAN B: TO PROVIDE LOW-INCOME WORKING INDIVIDUALS WHO DON'T QUALIFY FOR ANY OTHER GOVERNMENT-SPONSORED HEALTH COVERAGE PROGRAMS. AT 9/30/15 THERE ARE 1,454 MEMBERS ENROLLED. 200000 200000 GRANTS TO LOCAL HEALTH PROGRAMS INCLUDING CORNER HEALTH CENTER, PACKARD COMMUNITY CLINIC, SHELTER ASSOCIATION HEALTH CLINIC, BARRIER BUSTER DENTAL EMERGENCY FUND, FLINN FOUNDATION, LIVINGSTON COUNTY HEALTH DEPARTMENT, WHI CARE NAVIGATION PROJECT, WHI DENTAL PROJECT, AND WHI BLUE CROSS COMPLETE. 1200460 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 41 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X X ELLEN RABINOWITZ 7345446858 555 TOWNER STREET YPSILANTI MI 48197 X JEFFREY SANFIELD MD DIRECTOR 1.00 X 0 0 0 VERNA MCDANIEL DIRECTOR 1.00 X 0 0 0 ROBERT E GUENZEL DIRECTOR 1.00 X 0 0 0 ROBERT LAVERTY DIRECTOR (10/1/14-5/1/15) 1.00 X 0 0 0 CHARO LEDON DIRECTOR 1.00 X 0 0 0 DAVID SHARE DIRECTOR 1.00 X 0 0 0 THOMAS BIGGS DIRECTOR 1.00 X 0 0 0 ROBERT F GILLETT PRESIDENT 1.50 X X 0 0 0 TOM CAMPBELL V.P./TREASURER 1.50 X X 0 0 0 ROBIN DAMSCHRODER SECRETARY 1.00 X X 0 0 0 ELLEN RABINOWITZ EXECUTIVE DIRECTOR 40.00 X 0 0 0 0 0 0 5 0 0 0 WASHTENAW COUNTY PUBLIC HEALTH 555 TOWNER ST YPSILANTI MI 48198 HEALTH SERVICES 827320 UNIVERSITY OF MICHIGAN HEALTH SYSTEM 700 KMS PLACE ANN ARBOR MI 48108 HEALTH SERVICES 333636 PACKARD HEALTH INC 3174 PACKARD RD ANN ARBOR MI 48108 HEALTH SERVICES 128428 4D PHARMACY MANAGEMENT SYSTEMS INC 2520 INDUSTRIAL ROW DRIVE TROY MI 48084 HEALTH SERVICES 117910 JP FARLEY CORPORATION 29055 CLEMENS RD NORTH RIDGEVILLE OH 44039 HEALTH SERVICES 109261 5 54688 54688 HEALTH & PHARMACY SVS 621300 1596911 1596911 222 222 1597133 78019 78019 1729840 1596911 0 78241 200000 200000 42749 42749 1642 1642 33364 33364 5822 5822 HEALTH & PHARMACY SVS 678964 678964 EXECUTIVE SERVICES 452277 452277 ADMINISTRATIVE SERVICES 315414 315414 MISCELLANEOUS 7299 7299 6082 6082 1743613 1200460 543153 0 175548 51681 18687 24662 4794 5141 7328214 7047727 25000 0 7552243 7129211 572966 184482 20775 0 593741 184482 X 6891500 6934729 67002 10000 6958502 6944729 7552243 7129211 -13773 0 X 0 1 X 1 0 X 25000 15000 32407 55559 54688 182654 10481449 10794188 9117936 8646637 1596911 40637121 10506449 10809188 9150343 8702196 1651599 40819775 0 0 0 40819775 10476 29697 10705 15383 78019 144280 10476 29697 10705 15383 78019 144280 231 116 116 222 685 10516925 10839116 9161164 8717695 1729840 40964740 0.99650 0.99840 0.00350 0.00160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INVESTMENTS 7047727 F 7047727 X 1786842 57002 57002 1729840 0 1729840 1743613 0 1743613 0 1743613 PART X, LINE 2: THE PLAN ANALYZES ITS INCOME TAX FILING POSITIONS IN THE FEDERAL AND STATE JURISDICTIONS WHERE IT IS REQUIRED TO FILE INCOME TAX RETURNS, AS WELL AS OPEN TAX YEARS IN THESE JURISDICTIONS, TO IDENTIFY POTENTIAL UNCERTAIN TAX POSITIONS. THE PLAN TREATS INTEREST AND PENALTIES ATTRIBUTABLE TO INCOME TAXES, AND RELFECTS ANY CHARGES FOR SUCH, TO THE EXTENT THEY ARISE, AS A COMPONENT OF ITS MANAGMENET AND GENERAL EXPENSES. THE PLAN HAS EVALUATED ITS INCOME TAX FILING POSITIONS FOR FISCAL YEARS 2011 THROUGH 2015, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION AS OF SEPTEMBER 30, 2015. THE PLAN CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITITION IN THE PLAN'S FINANCIAL STATEMENTS. THE PLAN DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS ("UTB") (E.G. TAX DEDUCTIONS, EXCLUSIONS, OR CREDITS CLAIMED OR EXPECTED TO BE CLAIMED) TO SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. THE PLAN DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES RELATED TO UTB AT SEPTEMBER 30, 2015, AND IT IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS SATISFIED BY PERFORMANCE 57,002. 1 PACKARD HEALTH 3174 PACKARD RD ANN ARBOR MI 48108 382269817 501(C)(3) 87500 HEALTH SERVICES SHELTER ASSOCIATION OF WASHTENAW COUNTY 312 WEST HURON ANN ARBOR MI 48107 382533030 501(C)(3) 45000 HEALTH SERVICES CORNER HEALTH CENTER 47 NORTH HURON STREET YPSILANTI MI 48197 382329742 501(C)(3) 17500 HEALTH SERVICES MICHIGAN COMMUNITY DENTAL CLINICS INC ONE WATER ST SUITE 200 BOYNE CITY MI 49712 300393232 501(C)(3) 50000 HEALTH SERVICES PART I, LINE 2: 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 THE WHP 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. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS RECEIVED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR WHO REVIEWS THE RETURN FOR ACCURACY. UPON THE EXECUTIVE DIRECTOR'S REVIEW, THE 990 IS MADE AVAILABLE TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN ELECTRONIC FORMAT FOR FURTHER REVIEW. UPON THE EXECUTIVE COMMITTEE'S REVIEW, THE 990 IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS. AFTER ANY CONCERNS PRESENTED BY THE BOARD ARE ADDRESSED, THE EXECUTIVE DIRECTOR SIGNS AND FILES THE RETURN. FORM 990, PART VI, SECTION B, 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, 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.