2015-08-11T07:51:42-05:00 2014-09-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2013-10-01 020618685 BAY HEALTH PLAN CORPORATION BAYH 8102327740 1200 WASHINGTON AVE BAY CITY MI 48708 RICK DRYZGA PRESIDENT 8102327740 2015-08-04 1 JAMES A MC NEELEY CPA P00364811 5173237500 2013 2016-02-25 16:41:14Z RICK DRYZGA 1200 WASHINGTON AVE BAY CITY MI 48708 1543345 0 X WWW.COMMUNITYHEALTHPLANS.ORG X 2001 MI TO ENSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS. 8 8 0 8 0 0 20000 1245 1686597 1540359 1823 1741 0 0 1708420 1543345 0 0 0 0 0 0 0 0 0 1693339 1509556 1693339 1509556 15081 33789 2148397 1849742 414755 82311 1733642 1767431 TO ENSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS WITHOUT INSURANCE AND/OR INELIGIBLE FOR OTHER GOVERNMENT PROGRAMS. 0 0 1103119 1540359 TO PROVIDE DIRECT MEDICAL SERVICES FOR LOW-INCOME, UNINSURED PEOPLE WITHOUT ACCESS TO OTHER GOVERNMENT HEALTH CARE PROGRAMS. AN AVERAGE OF 1,807 PEOPLE RECEIVED MEDICAL SERVICES UNDER THE PLAN DURING THE FIRST 6 MONTHS OF THE PLAN YEAR. 1103119 1 0 0 0 0 0 0 0 0 0 0 0 0 1 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 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X LINDA HAMACHER 8102327740 1600 NORTH MICHIGAN AVE STE 215 SAGINAW MI 48602 X DONNA STUART DIRECTOR 1.00 X 0 0 0 DR ANGELA SCHULTZ DIRECTOR 1.00 X 0 0 0 JOYCE HARDY DIRECTOR 1.00 X 0 0 0 JOEL STRASZ DIRECTOR 1.00 X 0 0 0 STEVE SCANNELL DIRECTOR 1.00 X 0 0 0 KIM BEJCEK DIRECTOR 1.00 X 0 0 0 RICK DRYZGA PRESIDENT 1.00 X X 0 0 0 KENNETH R STREETER SECRETARY/TREASURER 1.00 X X 0 0 0 LINDA HAMACHER EXECUTIVE DIRECTOR 10.00 X 0 0 0 0 0 0 0 0 0 0 BAY COUNTY TREASURER 515 CENTER AVE BAY CITY MI 48708 PLAN ADMINISTRATION 394832 SAGINAW HEALTH PLAN 1600 N MICHIGAN AVE SUITE 506 SAGINAW MI 48602 ADMINISTRATIVE SERVICES 128263 HEALTH MANAGEMENT ASSOCIATES 120 N WASHINGTON SQUARE LANSING MI 48933 CONSULTING 118571 HEALTH PLUS OPTIONS INC PO BOX 1700 FLINT MI 48501 PLAN ADMINISTRATION & CLAIMS PROCESSING 107269 4 1245 1245 HEALTH & PHARMACY SVCS 621300 1540359 1540359 1540359 1741 1741 1543345 1540359 0 1741 8888 8888 15126 15126 86146 86146 108143 108143 6045 1070 4975 HEALTH & PHARMACY SVCS 634167 609289 24878 LOCAL HEALTH SERIVCE 386062 386062 ADMINISTRATIVE SERVICES 252670 94389 158281 DENTAL 12309 12309 1509556 1103119 406437 0 100 100 2065416 1669400 48153 3575 3950 79306 128139 2148397 1849742 237755 34811 177000 47500 414755 82311 X 1733642 1767431 1733642 1767431 2148397 1849742 33789 0 X X 0 1 X 1 0 X 5000 20000 49398 74398 2081211 2236898 1667535 1686597 1492206 9164447 2081211 2236898 1672535 1706597 1541604 9238845 0 0 0 9238845 3719 3588 2458 1823 1741 13329 3719 3588 2458 1823 1741 13329 2084930 2240486 1674993 1708420 1543345 9252174 0.99860 0.99820 0.00140 0.00180 X 0 DEPOSITS WITH HEALTHPLUS 128139 128139 CLAIMS INCURRED BUT NOT REPORTED 47500 47500 X 1543345 0 1543345 0 1543345 1509556 0 1509556 0 1509556 PART X, LINE 2: THE BAY HEALTH PLAN HAS EVALUATED THE PROVISION OF ASC TOPIC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE EVALUATION WAS PERFORMED FOR THE YEARS 2011 THROUGH 2014, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION AT YEAR END. THE ORGANIZATION CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE BAY HEALTH PLAN'S FINANCIAL STATEMENTS. THE BAY HEALTH 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 INCREASE OR DECREASE IN THE NEXT TWELVE MONTHS. THE BAY HEALTH PLAN DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES RELATED TO UTBS AT YEAR END, AND IT IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS RECEIVED BY THE ORGANIZATION'S PRESIDENT WHO REVIEWS THE RETURN FOR ACCURACY. UPON THE PRESIDENT'S APPROVAL, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS. AFTER ANY CONCERNS PRESENTED BY THE BOARD ARE ADDRESSED, THE PRESIDENT SIGNS AND FILES THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST AND TO NOTIFY THE BOARD OF ANY CONFLICTS THAT MAY ARISE THROUGHOUT THE YEAR. EACH BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST DOCUMENT ANNUALLY. 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 XI, LINE 2C BAY HEALTH PLAN CORPORATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.