2016-05-11T14:26:46-05:00 2015-09-30 382088116 BRICKLEY DELONG PC PO BOX 999 MUSKEGON MI 494430999 990 2014-10-01 383609504 HEALTH NET OF WEST MICHIGAN HEAL 6167268204 620 CENTURY AVE SW SUITE 210 GRAND RAPIDS MI 49503 MAUREEN KIRKWOOD EXECUTIVE DIRECTOR 6167268204 2016-05-02 1 EDWARD J ELSNER P01274204 2317265800 2016-05-02 2014 2016-08-17 19:52:53Z KENT HEALTH PLAN CORPORATION MAUREEN KIRKWOOD 620 CENTURY AVE SW SUITE 210 GRAND RAPIDS MI 49503 7850040 0 X WWW.HEALTHNETWM.ORG X 2001 MI TO IMPROVE THE HEALTH OF CHILDREN AND ADULTS, PARTICULARLY VULNERABLE POPULATIONS, THROUGH EDUCATION AND CONNECTIONS TO HEALTH CARE AND SUPPORT SERVICES. 8 8 33 62 0 0 84687 1342336 5361936 1977759 8097 -230293 0 0 5454720 3089802 1219626 730831 0 0 1017020 1749126 0 0 0 2790715 981671 5027361 3461628 427359 -371826 5043301 4664416 263384 256325 4779917 4408091 TO IMPROVE THE HEALTH OF CHILDREN AND ADULTS, PARTICULARLY VULNERABLE POPULATIONS, THROUGH EDUCATION AND CONNECTIONS TO HEALTH CARE AND SUPPORT SERVICES. 0 0 850013 417227 985728 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. 1073928 313604 684294 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. 543172 0 307737 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. 2467113 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 119 0 1 33 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MI X ERIC BROWN AND DAVE HEALY (HEART OF WEST MICHIGAN UNITED WAY) 6164596281 118 COMMERCE AVE SW GRAND RAPIDS MI 49503 CARL VERBEEK CHAIR 1.00 X X 0 0 0 DAVID SMITH VICE-CHAIR 1.00 X X 0 0 0 DR LARRY ROBSON DIRECTOR 1.00 X 0 0 0 MARGO SCHLEWITZ TREASURER 1.00 X X 0 0 0 ERIN INMAN SECRETARY 1.00 X X 0 0 0 MIKE REAGAN DIRECTOR 1.00 X 0 0 0 MICHAEL GRANT DIRECTOR 1.00 X 0 0 0 SHANNON WILSON DIRECTOR 1.00 X 0 0 0 JAMES TUINSTRA EXECUTIVE DIRECTOR 15.00 X 40300 0 0 MAUREEN KIRKWOOD EXECUTIVE DIRECTOR 40.00 X 73942 21040 10139 114242 21040 10139 0 0 0 1 0 1342336 1342336 WELLNET PROGRAM 524114 985728 985728 CHAP PROGRAM 524114 684294 684294 OTHER PROGRAMS 524114 307737 307737 1977759 47293 47293 4482652 4760238 -277586 -277586 -277586 3089802 1977759 0 -230293 730831 730831 123044 123044 1293394 808284 485110 332688 243044 89644 10381 5313 5068 23375 16370 7005 12224 12224 292492 162903 129589 1205 360 845 100500 70814 29686 88019 68150 19869 98892 76119 22773 15904 10331 5573 31867 13740 18127 37620 21653 15967 26523 15266 11257 HEALTH CARE CLAIMS 210756 210756 COMMUNICATIONS 28492 11954 16538 MISCELLANEOUS 3421 1225 2196 3461628 2467113 994515 0 3122336 165421 267693 1466258 185007 114724 97191 70283 1556081 2962454 5043301 4664416 167292 177615 96092 78710 263384 256325 X 4660151 3357340 119766 1050751 4779917 4408091 5043301 4664416 -371826 0 X X 0 1 X 1 0 X 15000 3500 94127 1342336 1454963 8496624 6169326 5079251 5352496 1949509 27047206 8511624 6172826 5079251 5446623 3291845 28502169 0 0 0 28502169 61287 40458 9701 8097 47293 166836 61287 40458 9701 8097 47293 166836 8572911 6213284 5088952 5454720 3339138 28669005 0.99420 0.99480 0.00580 0.00520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25202 17490 7712 159805 97234 62571 70283 HEALTH CARE CLAIMS PAYABLE & INCURRED BUT NOT REPORTED 78710 78710 X 3077578 0 3077578 12224 12224 3089802 3449404 0 3449404 12224 12224 3461628 PART X, LINE 2: 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. 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. 1 ARBOR CIRCLE CORPORATION 1115 BALL AVENUE NE GRAND RAPIDS MI 49505 383263853 501(C)(3) 145101 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) 6313 SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION. CHERRY STREET HEALTH SERVICES 100 CHERRY ST SE GRAND RAPIDS MI 49503 382853534 501(C)(3) 152894 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) 188542 SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION. KENT COUNTY 300 MONROE AVE NE GRAND RAPIDS MI 49503 386004862 12885 SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION. VISITING NURSE SERVICES OF WESTERN MICHGIAN 1401 CEDAR NE GRAND RAPIDS MI 49503 381359195 501(C)(3) 46146 SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION. ABVI 465 CHERRY ST SE GRAND RAPIDS MI 49503 383382541 501(C)(3) 31131 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) 26884 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) 63030 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) 12266 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) 5864 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) 7240 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) 13039 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) 10477 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) 5659 SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION. PART I, LINE 2: 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. 0 0 0 0 0 0 0 0 0 MAUREEN KIRKWOOD EXECUTIVE DIRECTOR 73942 21040 0 0 0 0 0 0 7708 2431 81650 23471 0 0 SCH. J, PART II: IN 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. FORM 990, PART VI, SECTION B, LINE 11 THE 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 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.