HEALTH NET OF WEST MICHIGAN: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HEALTH NET OF WEST MICHIGAN (EIN 38-3609504)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-11
IRS object ID
201641329349303214
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-05-11T14:26:46-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382088116PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BRICKLEY DELONG PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 999AddressLine1Txt
CityMUSKEGONCityNm
State AbbreviationMIStateAbbreviationCd
ZIP494430999ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383609504EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH NET OF WEST MICHIGANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone6167268204PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1620 CENTURY AVE SW SUITE 210AddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49503ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMAUREEN KIRKWOODPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6167268204PhoneNum
Signature2016-05-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD J ELSNERPreparerPersonNm
PTINP01274204PTIN
Phone2317265800PhoneNum
Preparation2016-05-02PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KENT HEALTH PLAN CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMAUREEN KIRKWOODPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1620 CENTURY AVE SW SUITE 210AddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49503ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,850,040GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALTHNETWM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF CHILDREN AND ADULTS, PARTICULARLY VULNERABLE POPULATIONS, THROUGH EDUCATION AND CONNECTIONS TO HEALTH CARE AND SUPPORT SERVICES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee33TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$84,687PYContributionsGrantsAmt
CY Contributions Grants$1,342,336CYContributionsGrantsAmt
PY Program Service Revenue$5,361,936PYProgramServiceRevenueAmt
CY Program Service Revenue$1,977,759CYProgramServiceRevenueAmt
PY Investment Income$8,097PYInvestmentIncomeAmt
CY Investment Income-$230,293CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,454,720PYTotalRevenueAmt
CY Total Revenue$3,089,802CYTotalRevenueAmt
PY Grants And Similar Paid$1,219,626PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$730,831CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,017,020PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,749,126CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,790,715PYOtherExpensesAmt
CY Other Expenses$981,671CYOtherExpensesAmt
PY Total Expenses$5,027,361PYTotalExpensesAmt
CY Total Expenses$3,461,628CYTotalExpensesAmt
PY Revenues Less Expenses$427,359PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$371,826CYRevenuesLessExpensesAmt
Total Assets BOY$5,043,301TotalAssetsBOYAmt
Total Assets EOY$4,664,416TotalAssetsEOYAmt
Total Liabilities BOY$263,384TotalLiabilitiesBOYAmt
Total Liabilities EOY$256,325TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,779,917NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,408,091NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF CHILDREN AND ADULTS, PARTICULARLY VULNERABLE POPULATIONS, THROUGH EDUCATION AND CONNECTIONS TO HEALTH CARE AND SUPPORT SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$850,013ExpenseAmt
Grant$417,227GrantAmt
Revenue$985,728RevenueAmt
DescWELLNET: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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,073,928ExpenseAmt
Grant$313,604GrantAmt
Revenue$684,294RevenueAmt
DescCHAP: 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$543,172ExpenseAmt
Grant$0GrantAmt
Revenue$307,737RevenueAmt
DescOTHER: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
FieldValueIRS element (for citing)
Total Program Service Expenses$2,467,113TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document119IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee33EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ERIC BROWN AND DAVE HEALY (HEART OF WEST MICHIGAN UNITED WAY)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6164596281PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1118 COMMERCE AVE SWAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49503ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CARL VERBEEK
CHAIR1.00Yes (X)Yes (X)$0$0$0
DAVID SMITH
VICE-CHAIR1.00Yes (X)Yes (X)$0$0$0
DR LARRY ROBSON
DIRECTOR1.00Yes (X)$0$0$0
MARGO SCHLEWITZ
TREASURER1.00Yes (X)Yes (X)$0$0$0
ERIN INMAN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MIKE REAGAN
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL GRANT
DIRECTOR1.00Yes (X)$0$0$0
SHANNON WILSON
DIRECTOR1.00Yes (X)$0$0$0
JAMES TUINSTRA
EXECUTIVE DIRECTOR15.00Yes (X)$40,300$0$0
MAUREEN KIRKWOOD
EXECUTIVE DIRECTOR40.00Yes (X)$73,942$21,040$10,139
FieldValueIRS element (for citing)
Total Reportable Comp From Org$114,242TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$21,040TotReportableCompRltdOrgAmt
Total Other Compensation$10,139TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,342,336AllOtherContributionsAmt
Total Contributions$1,342,336TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WELLNET PROGRAM524114$985,728$985,728
CHAP PROGRAM524114$684,294$684,294
OTHER PROGRAMS524114$307,737$307,737
FieldValueIRS element (for citing)
Total Program Service Revenue$1,977,759TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,293TotalRevenueColumnAmt
Exclusion$47,293ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,482,652SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,760,238SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$277,586SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$277,586TotalRevenueColumnAmt
Exclusion-$277,586ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,089,802TotalRevenueColumnAmt
Related Or Exempt Func Income$1,977,759RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$230,293ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$730,831TotalAmt
Program Services$730,831ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$123,044TotalAmt
Management And General$123,044ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,293,394TotalAmt
Program Services$808,284ProgramServicesAmt
Management And General$485,110ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$332,688TotalAmt
Program Services$243,044ProgramServicesAmt
Management And General$89,644ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,381TotalAmt
Program Services$5,313ProgramServicesAmt
Management And General$5,068ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,375TotalAmt
Program Services$16,370ProgramServicesAmt
Management And General$7,005ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,224TotalAmt
Management And General$12,224ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$292,492TotalAmt
Program Services$162,903ProgramServicesAmt
Management And General$129,589ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,205TotalAmt
Program Services$360ProgramServicesAmt
Management And General$845ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$100,500TotalAmt
Program Services$70,814ProgramServicesAmt
Management And General$29,686ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$88,019TotalAmt
Program Services$68,150ProgramServicesAmt
Management And General$19,869ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$98,892TotalAmt
Program Services$76,119ProgramServicesAmt
Management And General$22,773ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,904TotalAmt
Program Services$10,331ProgramServicesAmt
Management And General$5,573ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$31,867TotalAmt
Program Services$13,740ProgramServicesAmt
Management And General$18,127ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,620TotalAmt
Program Services$21,653ProgramServicesAmt
Management And General$15,967ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$26,523TotalAmt
Program Services$15,266ProgramServicesAmt
Management And General$11,257ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HEALTH CARE CLAIMS$210,756$210,756
COMMUNICATIONS$28,492$11,954$16,538
MISCELLANEOUS$3,421$1,225$2,196

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,461,628TotalAmt
Program Services$2,467,113ProgramServicesAmt
Management And General$994,515ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,122,336BOYAmt
EOY$165,421EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$267,693BOYAmt
EOY$1,466,258EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$185,007LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$114,724LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$97,191BOYAmt
EOY$70,283EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,556,081BOYAmt
EOY$2,962,454EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,043,301BOYAmt
EOY$4,664,416EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$167,292BOYAmt
EOY$177,615EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,092BOYAmt
EOY$78,710EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$263,384BOYAmt
EOY$256,325EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,660,151BOYAmt
EOY$3,357,340EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$119,766BOYAmt
EOY$1,050,751EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,779,917BOYAmt
EOY$4,408,091EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,043,301BOYAmt
EOY$4,664,416EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$371,826ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$94,127CurrentTaxYearMinus1YearAmt
Current Tax Year$1,342,336CurrentTaxYearAmt
Total$1,454,963TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,496,624CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,169,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,079,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,352,496CurrentTaxYearMinus1YearAmt
Current Tax Year$1,949,509CurrentTaxYearAmt
Total$27,047,206TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,511,624CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,172,826CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,079,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,446,623CurrentTaxYearMinus1YearAmt
Current Tax Year$3,291,845CurrentTaxYearAmt
Total$28,502,169TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$28,502,169PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,287CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,701CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,097CurrentTaxYearMinus1YearAmt
Current Tax Year$47,293CurrentTaxYearAmt
Total$166,836TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,287CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,701CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,097CurrentTaxYearMinus1YearAmt
Current Tax Year$47,293CurrentTaxYearAmt
Total$166,836TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,572,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,213,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,088,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,454,720CurrentTaxYearMinus1YearAmt
Current Tax Year$3,339,138CurrentTaxYearAmt
Total$28,669,005TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99420PublicSupportCY509Pct
Public Support PY5090.99480PublicSupportPY509Pct
Investment Income CY0.00580InvestmentIncomeCYPct
Investment Income PY0.00520InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,202OtherCostOrOtherBasisAmt
Depreciation$17,490DepreciationAmt
Book Value$7,712BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,805OtherCostOrOtherBasisAmt
Depreciation$97,234DepreciationAmt
Book Value$62,571BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$70,283TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescHEALTH CARE CLAIMS PAYABLE & INCURRED BUT NOT REPORTEDDesc
Amt$78,710Amt
FieldValueIRS element (for citing)
Total Liability$78,710TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,077,578TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,077,578RevenueSubtotalAmt
Investment Expenses Not Incld$12,224InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$12,224RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,089,802TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,449,404TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,449,404ExpensesSubtotalAmt
Investment Expenses Not Incld2$12,224InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$12,224ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,461,628TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS IT BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEAR ENDED SEPTEMBER 30, 2015.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ARBOR CIRCLE CORPORATION
1115 BALL AVENUE NEGRAND RAPIDSMI49505383263853501(C)(3)$145,101SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
CATHOLIC CHARITIES WEST MICHIGAN
360 DIVISION SUITE 3AGRAND RAPIDSMI49503383012473501(C)(3)$6,313SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
CHERRY STREET HEALTH SERVICES
100 CHERRY ST SEGRAND RAPIDSMI49503382853534501(C)(3)$152,894SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
FAMILY OUTREACH CENTER INC
1919 S DIVISIONGRAND RAPIDSMI49507382272711501(C)(3)$188,542SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
KENT COUNTY
300 MONROE AVE NEGRAND RAPIDSMI49503386004862$12,885SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION.
VISITING NURSE SERVICES OF WESTERN MICHGIAN
1401 CEDAR NEGRAND RAPIDSMI49503381359195501(C)(3)$46,146SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
ABVI
465 CHERRY ST SEGRAND RAPIDSMI49503383382541501(C)(3)$31,131SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
ASTHMA NETWORK OF WEST MICHIGAN
150 JEFFERSON AVE SE SUITE 140GRAND RAPIDSMI49503383351467501(C)(3)$26,884SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
AFRICAN AMERICAN HEALTH INSTITUTE
515 MICHIGAN ST STE 102GRAND RAPIDSMI49503061658200501(C)(3)$63,030SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
THRESHOLDS INC
PO BOX 68327GRAND RAPIDSMI495168327382063018501(C)(3)$12,266SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
BAXTER COMMUNITY CENTER
935 BAXTER SEGRAND RAPIDSMI49506237076806501(C)(3)$5,864SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
HEALTHY HOMES COALITION OF WEST MICHIGAN
1545 BUCHANAN AVE SW SUITE 2GRAND RAPIDSMI49507205326650501(C)(3)$7,240SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
THE SALVATION ARMY
1215 FULTON ST EGRAND RAPIDSMI49503382700033501(C)(3)$13,039SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
SENIOR NEIGHBORS INC
678 FRONT AVE NW 205GRAND RAPIDSMI49504237195491501(C)(3)$10,477SERVICE 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 NWGRAND RAPIDSMI49504381358058501(C)(3)$5,659SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMAUREEN KIRKWOODPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$73,942BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$21,040CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$7,708NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$2,431NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$81,650TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$23,471TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH. J, PART II:FormAndLineReferenceDesc
ExplanationIN 2014, MAUREEN KIRKWOOD RECEIVED COMPENSATION OF $21,040 AND BENEFITS OF $2,431 FROM UNITED WAY FOR SERVICES PROVIDED TO HEALTH NET OF WEST MICHIGAN.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE COMPLETED 990 WILL BE REVIEWED BY MANAGEMENT AND PRESENTED TO THE EXECUTIVE COMMITTEE FOR APPROVAL PRIOR TO FILING. IT WILL BE PRESENTED TO THE ENTIRE BOARD OF DIRECTORS AS INFORMATION.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT 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 15THE 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 18THE 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 19THE 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 2CTHE ORGANIZATION HAS A FINANCE COMMITTEE THAT OVERSEES THE REVIEW OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR.

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