Saginaw Health Plan: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
Saginaw Health Plan (EIN 02-0618677)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-11
IRS object ID
201512239349300711
Schema version
2013v4.0
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)
Return2015-08-11T07:52:07-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382157642PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MANER COSTERISAN PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12425 E GRAND RIVER SUITE 1AddressLine1
CityLANSINGCity
StateMIState
ZIP Code489123291ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020618677EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAGINAW HEALTH PLANBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSAGIBusinessNameControlTxt
Phone9897557583PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 N MICHIGAN AVE NO 215AddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA HAMACHERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9897557583PhoneNum
Signature2015-08-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES A MC NEELEY CPAPreparerPersonNm
PTINP00364811PTIN
Phone5173237500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDA HAMACHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 N MICHIGAN AVE NO 215AddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,033,782GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAGINAWHEALTHPLAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO ENSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$81,295PYContributionsGrantsAmt
CY Contributions Grants$41,245CYContributionsGrantsAmt
PY Program Service Revenue$3,400,547PYProgramServiceRevenueAmt
CY Program Service Revenue$2,988,521CYProgramServiceRevenueAmt
PY Investment Income$2,775PYInvestmentIncomeAmt
CY Investment Income$4,016CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,484,617PYTotalRevenueAmt
CY Total Revenue$3,033,782CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,785,857PYOtherExpensesAmt
CY Other Expenses$3,143,727CYOtherExpensesAmt
PY Total Expenses$3,785,857PYTotalExpensesAmt
CY Total Expenses$3,143,727CYTotalExpensesAmt
PY Revenues Less Expenses-$301,240PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$109,945CYRevenuesLessExpensesAmt
Total Assets BOY$3,180,089TotalAssetsBOYAmt
Total Assets EOY$2,806,789TotalAssetsEOYAmt
Total Liabilities BOY$482,473TotalLiabilitiesBOYAmt
Total Liabilities EOY$226,662TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,697,616NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,580,127NetAssetsOrFundBalancesEOYAmt
MissionTO ENSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS WITHOUT INSURANCE AND/OR INELIGIBLE FOR OTHER GOVERNMENT PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,569,992ExpenseAmt
Revenue$2,988,521RevenueAmt
DescTO PROVIDE DIRECT MEDICAL SERVICES FOR LOW-INCOME, UNINSURED PEOPLE WITHOUT ACCESS TO OTHER GOVERNMENT HEALTH CARE PROGRAMS. AN AVERAGE OF 4,125 PEOPLE RECEIVED MEDICAL SERVICES UNDER THE PLAN DURING THE FIRST 6 MONTHS OF THE PLAN YEAR.Desc
Total Program Service Expenses$2,569,992TotalProgramServiceExpensesAmt
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 Equipment0ReportLandBuildingEquipmentInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLINDA HAMACHERPersonNm
Phone9897557583PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 N MICHIGAN AVE STE 506AddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KEVIN ALBOSTA
BOARD MEMBER1.00Yes (X)$0$0$0
TERRI ORTEGA
BOARD MEMBER1.00Yes (X)$0$0$0
DR ANGELA SCHULTZ
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN MCKELLLAR
BOARD MEMBER1.00Yes (X)$0$0$0
GINA BUTCHER
BOARD MEMBER1.00Yes (X)$0$0$0
DR TOBY LONG
BOARD MEMBER1.00Yes (X)$0$0$0
DAVE YOUNG
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
KOREN REAMAN
TREASURER1.00Yes (X)$0$0$0Yes (X)
KENNETH R STREETER
SECRETARY1.00Yes (X)$0$0$0Yes (X)
LINDA HAMACHER
EXECUTIVE DIRECTOR3.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SAGINAW COUNTY HEALTH DEPT
111 S MICHIGAN AVESAGINAWMI48602MEDICAL SERVICES$421,727
HEALTH PLUS OPTIONS INC
PO BOX 1700FLINTMI48501HEALTH PLAN MGMT$242,017
HEALTH MANAGEMENT ASSOCIATES
120 N WASHINGTON SQUARELANSINGMI48933CONSULTING & MANAGEMENT$122,931
OLMSTEAD ASSOCIATES
432 N SAGINAW ST SUITE 901FLINTMI48502ADVERTISING & GRAPHIC DESIGN$112,137
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$41,245AllOtherContributionsAmt
Total Contributions$41,245TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTH & PHARMACY SERVDesc
Business621300BusinessCd
Total Revenue Column$2,988,521TotalRevenueColumnAmt
Related Or Exempt Func Income$2,988,521RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,988,521TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,016TotalRevenueColumnAmt
Exclusion$4,016ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,033,782TotalRevenueColumnAmt
Related Or Exempt Func Income$2,988,521RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,016ExclusionAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,944TotalAmt
Management And General$30,944ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$58,069TotalAmt
Management And General$58,069ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$116,175TotalAmt
Management And General$116,175ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,817TotalAmt
Program Services$5,067ProgramServicesAmt
Management And General$5,750ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SERVICES$1,056,863$1,056,863
PHARMACY SERVICES$717,767$694,233$23,534
ADMINISTRATIVE FEES$560,549$221,286$339,263
LOCAL HEALTH SERVICES$502,124$502,124

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,419TotalAmt
Program Services$90,419ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,143,727TotalAmt
Program Services$2,569,992ProgramServicesAmt
Management And General$573,735ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,898,658BOYAmt
EOY$2,637,768EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$139,993BOYAmt
EOY$88,153EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$250BOYAmt
EOY$4,606EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$140,988BOYAmt
EOY$76,262EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,180,089BOYAmt
EOY$2,806,789EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$248,973BOYAmt
EOY$112,862EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$233,500BOYAmt
EOY$113,800EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$482,473BOYAmt
EOY$226,662EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,697,616BOYAmt
EOY$2,580,127EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,697,616BOYAmt
EOY$2,580,127EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,180,089BOYAmt
EOY$2,806,789EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$109,945ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$7,544NetUnrlzdGainsLossesInvstAmt
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 Minus2 Years$100,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,295CurrentTaxYearMinus1YearAmt
Current Tax Year$89,398CurrentTaxYearAmt
Total$270,693TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,585,666CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,647,242CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,282,115CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,400,547CurrentTaxYearMinus1YearAmt
Current Tax Year$2,940,368CurrentTaxYearAmt
Total$18,855,938TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,585,666CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,647,242CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,382,115CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,481,842CurrentTaxYearMinus1YearAmt
Current Tax Year$3,029,766CurrentTaxYearAmt
Total$19,126,631TotalAmt

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$19,126,631PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,951CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,902CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,773CurrentTaxYearMinus1YearAmt
Current Tax Year$4,016CurrentTaxYearAmt
Total$16,552TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,951CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,902CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,773CurrentTaxYearMinus1YearAmt
Current Tax Year$4,016CurrentTaxYearAmt
Total$16,552TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,587,617CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,650,144CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,387,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,484,615CurrentTaxYearMinus1YearAmt
Current Tax Year$3,033,782CurrentTaxYearAmt
Total$19,143,183TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99910PublicSupportCY509Pct
Public Support PY5090.99920PublicSupportPY509Pct
Investment Income CY0.00090InvestmentIncomeCYPct
Investment Income PY0.00080InvestmentIncomePYPct
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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCLAIMS INCURRED BUT NOT REPORTEDDesc
Amt$113,800Amt
FieldValueIRS element (for citing)
Total Liability$113,800TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,033,782TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,033,782RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,033,782TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,143,727TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,143,727ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,143,727TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS EVALUATED THE PROVISIONS 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 ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION 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 ORGANIZATION DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST OR 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS RECEIVED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR WHO REVIEWS THE RETURN FOR ACCURACY. UPON THE EXECUTIVE DIRECTOR'S APPROVAL, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS IN ELECTRONIC FORMAT. AFTER ANY CONCERNS PRESENTED BY THE BOARD ARE ADDRESSED, THE EXECUTIVE DIRECTOR SIGNS AND FILES THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONLFICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. ANY POTENTIAL CONFLICTS ARE REPORTED TO THE BOARD OF DIRECTORS IN WRITING.
FORM 990, PART VI, SECTION C, LINE 19ALL 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 2CSAGINAW 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.

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