HEALTH NET OF WEST MICHIGAN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: HEALTH NET OF WEST MICHIGAN (EIN 38-3609504)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-06-18
IRS object ID: 201401699349300320
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-06-18T12:32:00-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	382088116	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRICKLEY DELONG PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 999	AddressLine1
City	MUSKEGON	City
State	MI	State
ZIP Code	494430999	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	383609504	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KENT HEALTH PLAN CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	KENT	NameControl
Phone	6167268204	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	620 CENTURY AVE SW SUITE 210	AddressLine1
City	GRAND RAPIDS	City
State	MI	State
ZIP Code	49503	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES TUINSTRA	Name
Title	PRESIDENT	Title
Phone	6167268204	Phone
Date Signed	2014-06-18	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRENDA K JACOBS	Name
PTIN	P00691360	PTIN
Phone	2317265800	Phone
Date Prepared	2014-06-02	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES TUINSTRA	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	620 CENTURY AVE SW SUITE 210	AddressLine1
City	GRAND RAPIDS	City
State	MI	State
ZIP Code	49503	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	5604426	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KENTHEALTHPLAN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2001	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	KENT HEALTH PLAN CORPORATION (ORGANIZATION) IS A NONPROFIT ORGANIZATION WHOSE PURPOSE IS TO EMPOWER COMMUNITY MEMBERS TO EFFECTIVELY USE THE LOCAL HEALTHCARE SYSTEM AND OTHER RESOURCES BY PROVIDING HEALTH COVERAGE, EDUCATION AND SUPPORT SERVICES TO ELIGIBLE RESIDENTS OF KENT COUNTY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	4	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6172826	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5079251	ProgramServiceRevenueCY
Investment Income Prior Year	38601	InvestmentIncomePriorYear
Investment Income Current Year	9701	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	6211427	TotalRevenuePriorYear
Total Revenue Current Year	5088952	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1177678	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	782781	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	62000	SalariesEtcPriorYear
Salaries Etc Current Year	60000	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4534081	OtherExpensePriorYear
Other Expenses Current Year	4039410	OtherExpensesCurrentYear
Total Expenses Prior Year	5773759	TotalExpensesPriorYear
Total Expenses Current Year	4882191	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	437668	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	206761	RevenuesLessExpensesCY
Total Assets BOY	4785091	TotalAssetsBOY
Total Assets EOY	5071393	TotalAssetsEOY
Total Liabilities BOY	639818	TotalLiabilitiesBOY
Total Liabilities EOY	718834	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4145273	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4352559	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	KENT HEALTH PLAN CORPORATION (ORGANIZATION) IS A NONPROFIT ORGANIZATION WHOSE PURPOSE IS TO EMPOWER COMMUNITY MEMBERS TO EFFECTIVELY USE THE LOCAL HEALTHCARE SYSTEM AND OTHER RESOURCES BY PROVIDING HEALTH COVERAGE, EDUCATION AND SUPPORT SERVICES TO ELIGIBLE RESIDENTS OF KENT COUNTY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2540924	Expense
Revenue	2847794	Revenue
Description	PLAN A ADMINISTERS HEALTHCARE BENEFITS TO RESIDENTS OF KENT COUNTY WHO DO NOT QUALIFY FOR ANY OTHER GOVERNMENT SPONSORED HEALTHCARE PROGRAMS. THE ORGANIZATION CONTRACTS DIRECTLY WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH). BENEFITS UNDER THIS PLAN ARE ESTABLISHED BY MDCH. THE PROGRAM IS FUNDED THROUGH A MONTHLY AMOUNT FOR EACH ELIGIBLE PROGRAM PARTICIPANT, BASED UPON THE BEGINNING-OF-THE-MONTH CENSUS. THE CONTRACT IS SUBJECT TO RENEWAL AND RENEGOTIATION THROUGH SEPTEMBER 30, 2013. APPROXIMATELY 1,700 MEMBERS WERE SERVED EACH MONTH.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1618508	Expense
Grants	710599	Grants
Revenue	2019481	Revenue
Description	PLAN B ADMINISTERS HEALTH CARE BENEFITS TO INDIVIDUALS WHOSE INCOMES ARE 150% 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, MAINLY FROM LOCAL HOSPITALS. APPROXIMATELY 1,500 MEMBERS WERE SERVED EACH MONTH.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	117055	Expense
Grants	48000	Grants
Revenue	96000	Revenue
Description	THE MEDICATION ASSISTANCE PROGRAM PROVIDES COORDINATED ACCESS TO PRESCRIPTION MEDICATIONS FOR KENT COUNTY RESIDENTS WHOSE INCOMES ARE 200% OR LESS OF POVERTY AND WHO ARE NOT ELIGIBLE FOR ANY GOVERNMENT SPONSORED PRESCRIPTION PROGRAM. THE PROGRAM ALSO ASSISTS THE MEMBERS IN UTILIZING PHARMACY ASSISTANCE PROGRAMS PROVIDED BY PHARMACEUTICAL MANUFACTURERS. APPROXIMATELY 440 MEMBERS WERE SERVED EACH MONTH.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	73853	Expense
Grants	24182	Grants
Revenue	115976	Revenue
Description	SHARED CARE OF KENT COUNTY IS AN AFFORDABLE HEALTHCARE OPTION FOR SMALL BUSINESS TO PROVIDE HEALTH CARE COVERAGE TO THEIR EMPLOYEES. THE MONTHLY COST OF SHARED CARE COVERAGE IS SHARED BY ELIGIBLE EMPLOYERS, THEIR ENROLLED EMPLOYEES AND THE ORGANIZATION. APPROXIMATELY 40 MEMBERS WERE SERVED EACH MONTH.THE HOSPITAL SUPPORT REPRESENTS APPROXIMATELY 43% OF THE FUNDING FOR ALL PLANS FOR THE YEAR ENDED SEPTEMBER 30, 2013. THE HOSPITALS RECEIVE DISPROPORTIONATE SHARE (DSH) PROGRAM FUNDS FROM THE FEDERAL GOVERNMENT THROUGH STATE ALLOCATION IN ORDER TO HELP THEM COVER THE COST OF UNCOMPENSATED CARE THEY PROVIDE. IF THE HOSPITALS WERE TO CEASE RECEIVING DSH FUNDS, IT COULD PUT THE PLANS' FUNDING AT RISK.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	73853	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	24182	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	115976	TotalOfOtherProgramServiceRev
Total Program Service Expense	4350340	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	138	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6167268204	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	620 CENTURY AVE SW SUITE 210	AddressLine1
City	GRAND RAPIDS	City
State	MI	State
ZIP Code	49503	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
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
TERRI WEEKLEY
DIRECTOR	1.00	X		0	0	0
ERIN INMAN
SECRETARY	1.00	X	X	0	0	0
MIKE REAGAN
DIRECTOR	1.00	X		0	0	0
LODEWYK ZWARENSTEYN
DIRECTOR	1.00	X		0	0	0
MICHAEL GRANT
DIRECTOR	1.00	X		0	0	0
JAMES TUINSTRA
PRESIDENT	15.00		X	60000	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	60000	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	AH SERVICES INC	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1200 RANSOM	AddressLine1
City	MUSKEGON	City
State	MI	State
ZIP Code	49442	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	CONSULTING, CLAIMS PROCESSING AND ADMINI	DescriptionOfServices
Compensation	308900	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PLAN A PROGRAM FEES	524114	2835559	2835559
HOSPITAL CONTRACT REVE	524114	2183803	2183803
SHARED CARE OF KENT CO	524114	47269	47269
OTHER PROGRAM REVENUES	524114	12620	12620

Field	Value	IRS element (for citing)
Total Program Service Revenue	5079251	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	24309	TotalRevenueColumn
Exclusion	$24,309	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	500866	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	515474	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-14608	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-14608	TotalRevenueColumn
Exclusion	-$14,608	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5088952	TotalRevenueColumn
Related Or Exempt Function Income	5079251	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$9,701	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	782781	Total
Program Services	782781	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	60000	Total
Management And General	60000	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	18487	Total
Management And General	18487	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1726	Total
Management And General	1726	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	242170	Total
Program Services	189059	ProgramServices
Management And General	53111	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4446	Total
Management And General	4446	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	30846	Total
Management And General	30846	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2910	Total
Management And General	2910	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	50413	Total
Management And General	50413	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	6326	Total
Management And General	6326	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3275	Total
Management And General	3275	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10118	Total
Management And General	10118	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	16074	Total
Management And General	16074	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
HEALTH CARE CLAIMS	3191021	3191021
LEASED EMPLOYEE EXPENSE	274130		274130
LEASED EMPLOYEE EXPENSE	159852	159852
MICHIGAN CLAIMS TAX	27593	27593

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	23	Total
Program Services	34	ProgramServices
Management And General	-11	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4882191	Total
Program Services	4350340	ProgramServices
Management And General	531851	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	388	BOY
EOY	2117	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2938249	BOY
EOY	3506487	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	281579	BOY
EOY	624	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	61120	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	52461	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	16086	BOY
EOY	8659	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1548789	BOY
EOY	1553506	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4785091	BOY
EOY	5071393	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	254556	BOY
EOY	58816	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	385262	BOY
EOY	660018	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	639818	BOY
EOY	718834	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4145273	BOY
EOY	4352559	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4145273	BOY
EOY	4352559	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4785091	BOY
EOY	5071393	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	206761	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	525	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	1	AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
FS Audited	0	FSAudited
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	25000	CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years	15000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3500	CurrentTaxYearMinus1Year
Total	43500	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7460990	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7586277	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8496624	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6169326	CurrentTaxYearMinus1Year
Current Tax Year	5079251	CurrentTaxYear
Total	34792468	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7485990	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7586277	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8511624	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6172826	CurrentTaxYearMinus1Year
Current Tax Year	5079251	CurrentTaxYear
Total	34835968	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	34835968	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	41137	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	53322	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	61287	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	40458	CurrentTaxYearMinus1Year
Current Tax Year	9701	CurrentTaxYear
Total	205905	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	41137	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	53322	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	61287	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	40458	CurrentTaxYearMinus1Year
Current Tax Year	9701	CurrentTaxYear
Total	205905	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7527127	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7639599	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8572911	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6213284	CurrentTaxYearMinus1Year
Current Tax Year	5088952	CurrentTaxYear
Total	35041873	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99410	PublicSupportPercentage509
Prior Year Support Percentage	0.99230	PriorYearSupportPercentage
Investment Income Percentage	0.00590	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00770	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17490	OtherCostOrOtherBasis
Depreciation	8831	Depreciation
Book Value	8659	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	43630	OtherCostOrOtherBasis
Depreciation	43630	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8659	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	HEALTH CARE CLAIMS PAYABLE & INCURRED BUT NOT REPORTED	Description
Amount	$660,018	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	660018	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	5087751	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	525	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	525	RevenueNotRptdF990
Revenue Subtotal	5087226	RevenueSubtotal
Investment Expenses Not Included	1726	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	1726	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	5088952	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	4880466	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1	OtherExpensesIncluded
Expenses Not Rptd F990	1	ExpensesNotRptdF990
Expenses Subtotal	4880465	ExpensesSubtotal
Investment Expenses Not Included2	1726	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	1726	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	4882191	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE ORGANIZATION ADOPTED ACCOUNTING STANDARDS CODIFICATION ("ASC") 740-10 AS IT RELATES TO UNCERTAIN TAX POSITIONS. ANY INTEREST AND PENALTIES RECOGNIZED ASSOCIATED WITH A TAX PROVISION ARE CLASSIFIED AS CURRENT IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. 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, 2013.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		ROUNDING 1.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ARBOR CIRCLE CORPORATION
1115 BALL AVENUE	GRAND RAPIDS	MI	49505	383263853	501(C)(3)	148500	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
CATHERINE'S HEALTH CENTER
1211 LAFAYETTE AVE NE	GRAND RAPIDS	MI	49505	203572418	501(C)(3)	20000	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)	28875	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
CHERRY STREET HEALTH SERVICES
3351 CLAYSTONE SUITE 212	GRAND RAPIDS	MI	49546	382853534	501(C)(3)	22439	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)	77584	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
GERONTOLOGY NETWORK
500 CHERRY STREET SE	GRAND RAPIDS	MI	49503	382774701	501(C)(3)	25000	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
KENT COUNTY
300 MONROE AVE NE	GRAND RAPIDS	MI	49503	386004862		385259	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
VISITING NURSE SERVICES OF WESTERN MICHGIAN
1401 CEDAR NE	GRAND RAPIDS	MI	49503	381359195	501(C)(3)	34125	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.
YWCA WEST CENTRAL MICHIGAN
25 SHELDON BLVD SE	GRAND RAPIDS	MI	49503	381359578	501(C)(3)	40000	SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE IT TAX EXEMPT MISSION.

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, 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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE COMPLETED 990 IS REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE, AND THEN PRESENTED TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING.
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 KENT HEALTH PLAN AND THEIR EMPLOYER. ANNUAL CONFLICT OF INTEREST DISCLOSURES ARE REQUIRED BY ALL BOARD MEMBERS AND SENIOR MANAGEMENT AND EACH EMPLOYEE AND CONTRACTOR 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 CONTRACT AMOUNT TO PAY AND THE NUMBER OF HOURS REQUIRED FOR THE SERVICES FO THE PRESIDENT. THE PRESIDENT PROPOSES COMPENSATION FOR ALL EMPLOYEES AND CONTRACTORS AND THE BOARD OF DIRECTORS APPROVES. THE BOARD OF DIRECTORS ALSO REVIEWS AND APPROVES EACH YEAR'S ANNUAL BUSINESS RELATIONSHIPS AND 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 ACCOUNTANT.