2015-08-11T07:51:54-05:00 2014-09-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2013-10-01 383625439 GENESEE HEALTH PLAN GENE 8102327740 2171 S LINDEN RD FLINT MI 48532 LINDA HAMACHER EXECUTIVE DIRECTOR/PRESIDENT/CEO 8102327740 2015-08-04 1 JAMES A MC NEELEY CPA P00364811 5173237500 2013 2016-02-25 16:41:14Z X LINDA HAMACHER 2171 S LINDEN RD FLINT MI 48532 25703858 0 X HTTP://WWW.GENESEEHEALTHPLAN.ORG/ X 2001 MI TO PROVIDE HEALTH CARE COVERAGE FOR LOW-INCOME, UNINSURED RESIDENTS OF GENESEE COUNTY. 13 12 29 12 0 0 508250 291697 29265163 25306928 0 63720 0 41513 29773413 25703858 105075 27030 0 0 973035 1365340 0 0 0 22225058 17865245 23303168 19257615 6470245 6446243 12518628 17490827 2324886 850842 10193742 16639985 TO PROVIDE HEALTH CARE COVERAGE FOR LOW-INCOME, UNINSURED RESIDENTS OF GENESEE COUNTY WHO ARE NOT ELIGIBLE FOR MAINSTREAM MEDICAL ASSISTANCE PROGRAMS. 0 0 6628693 27030 21819121 SERVES LOW-INCOME, UNINSURED GENESEE COUNTY RESIDENTS WHO ARE NOT ELIGIBLE FOR OTHER PUBLICLY FUNDED INSURANCE PROGRAMS SUCH AS MEDICAID AND MEDICARE, AND WHO HAVE INCOMES UP TO 175% OF THE FEDERAL POVERTY LEVEL. THE PROGRAM COVERS PRIMARY CARE SERVICES AND OTHER MEDICALLY NECESSARY SERVICES INCLUDING SPECIALTY CARE, DIAGNOSTIC SERVICES AND PRESCRIPTION DRUGS. DURING THE YEAR, THE PLAN HAD AN AVERAGE ENROLLMENT OF 14,078 PEOPLE RECEIVING MEDICAL SERIVICES. 10211186 3529320 PROVIDES HEALTH CARE COVERAGE FOR STATE OF MICHIGAN ADULT BENEFIT WAIVER PROGRAM PARTICIPANTS FOR UNINSURED ADULTS. THE PROGRAM COVERS BASIC OUTPATIENT HEALTH CARE SERVICES INCLUDING PHYSICIAN, DIAGNOSTIC, PRESCRIPTION DRUGS, EMERGENCY ROOM AND AMBULANCE SERVICES. AN AVERAGE OF 4,487 PEOPLE RECEIVED MEDICAL SERVICES UNDER THE PLAN DURING THE FIRST 6 MONTHS OF THE PLAN YEAR. 16839879 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 1 29 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MI X X LINDA HAMACHER 8102327740 2171 S LINDEN RD FLINT MI 48532 JEAN CONYERS DIRECTOR 1.00 X 0 0 0 MICHAEL JAGGI DO DIRECTOR 1.00 X 0 0 0 E YVONNE LEWIS DIRECTOR 1.00 X 0 0 0 DANIEL DULIN PSYD DIRECTOR 1.00 X 0 0 0 MARK VALACAK MPH DIRECTOR 1.00 X 0 0 0 DEBORAH CHERRY DIRECTOR 1.00 X 0 0 0 KAY M DOERR DIRECTOR 1.00 X 0 0 0 NATHAN KOPEK DO DIRECTOR 1.00 X 0 0 0 DR DAVID GORDON DIRECTOR 1.00 X 0 0 0 NANCY HAYWOOD TREASURER 1.00 X X 0 0 0 JOSEPH LEONARD RPH SECRETARY 1.00 X X 0 0 0 RICK WYLES BOARD CHAIR/PRESIDENT 1.00 X X 0 0 0 LINDA HAMACHER EXEC DIRECTOR/DIRECTOR 10.00 X X 6250 0 0 6250 0 0 0 0 0 0 HEALTHPLUS OPTIONS INC PO BOX 1700 FLINT MI 48501 3RD PARTY ADMIN. 1738122 MCLAREN REGIONAL MEDICAL CENTER 401 S BALLENGER HIGHWAY FLINT MI 48532 HEALTH SERVICES 672000 UNIVERSITY OF MICHIGAN - FLINT 303 E KEARSLEY ST FLINT MI 48502 HEALTH SERVICES 293502 BLUE CROSS BLUE SHIELD MICHIGAN PO BOX 674416 DETROIT MI 48267 EMPLOYEE HEALTH INSURANCE 273337 HEALTH MANAGEMENT ASSOCIATES ONE MICHIGAN AVE BLDG 120 N WASHING LANSING MI 48933 SYSTEMS/DATA MGMT 256019 8 291697 291697 HEALTH SERVICES 621300 25082214 25082214 HEALTHY MICHIGAN CONTRACT 621300 224714 224714 25306928 63720 63720 OTHER INCOME 900099 41513 41513 41513 25703858 25348441 0 63720 27030 27030 6250 6250 966825 966825 392265 392265 28464 28464 39375 39375 179224 179224 172690 172690 4125 4125 24561 24561 HEALTH SERVICES 9012438 9012438 DIRECT PROVIDER PAYMENT 6343763 6343763 HEALTHPLUS ADMIN SERVIC 1456648 1456648 SUPPORT SERVICES 602536 602536 1421 1421 19257615 16839879 2417736 0 11720586 17003780 171473 125861 39494 19309 150027 13505 13772 136522 573303 205355 12518628 17490827 969886 292842 1355000 558000 2324886 850842 X 10193742 16639985 10193742 16639985 12518628 17490827 6446243 0 X X 0 1 X 1 0 X 673786 587479 549363 508250 291697 2610575 20445761 22175460 18112923 28415609 25348441 114498194 5352062 5098204 3495924 849554 14795744 26471609 27861143 22158210 29773413 25640138 131904513 0 0 0 131904513 24200 9590 16492 63720 114002 24200 9590 16492 63720 114002 26495809 27870733 22174702 29773413 25703858 132018515 0.99910 0.99880 0.00090 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 72396 2968 69428 77631 10537 67094 136522 CLAIMS INCURRED BUT NOT REPORTED 558000 558000 X 25703858 0 25703858 0 25703858 19257615 0 19257615 0 19257615 PART X, LINE 2: THE PLAN IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE PLAN ANALYZES ITS FILING POSITIONS IN THE FEDERAL AND STATE JURISDICTIONS WHERE IT IS REQUIRED TO FILE INCOME TAX RETURNS, AS WELL AS ALL OPEN TAX YEARS IN THESE JURISDICTIONS. THE PLAN ALSO TREATS INTEREST AND PENALTIES ATTRIBUTABLE TO INCOME TAXES, AND REFLECTS ANY CHARGES FOR SUCH, TO THE EXTENT THEY ARISE, AS A COMPONENT OF ITS MANAGEMENT AND GENERAL EXPENSES. THE PLAN HAS EVALUATED IT'S INCOME TAX FILING POSITIONS FOR THE YEARS 2010 THROUGH 2014, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION AS OF SEPTEMBER 30, 2014. THE PLAN CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION 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 12 MONTHS. THE PLAN DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST PENALTIES RELATED TO UTBS AT SEPTEMBER 30, 2014 OR 2013, AND IT IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. 0 SPECIAL NEEDS VISION CLINIC 3660 SOUTHFIELD DRIVE SAGINAW MI 48601 382415591 501(C)(3) 4500 TO PROVIDE EYE EXAMS AND CONSULTS FOR LOW INCOME COUNTY RESIDENTS. CENTER FOR CIVIL JUSTICE 320 SOUTH WASHINGTON 2ND FLOOR SAGINAW MI 48607 381859780 501(C)(3) 22530 TO PROVIDE LEGAL HELP WHEN MEDICAID COVERAGE OR OTHER SERVICES ARE DENIED OR DELAYED. FORM 990, PART VI, SECTION B, LINE 11 ANNUALLY, THE GENESEE HEALTH PLAN OPERATIONS AND EXECUTIVE COMMITTEE WILL REVIEW THE TAX FORM 990, PREPARED BY THE CONTRACTED CERTIFIED PUBLIC ACCOUNTANT. UPON THEIR APPROVAL, THE 990 WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS WITH A REPORT FROM THE OPERATIONS AND EXECUTIVE COMMITTEE. 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 INTERESTED PERSON IS REQUIRED TO DISCLOSE ON THE ORGANIZATION'S ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST, AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15A INDEPENDENT PERSONS REVIEW COMPARISON DATA FROM SIMILAR ORGANIZATION'S OF PERSONS HOLDING SIMILAR POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 IS ALSO POSTED ANNUALLY ON GUIDESTAR'S WEBSITE. FORM 990, PART XI, LINE 2C GENESEE HEALTH PLAN 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.