2014-08-14T15:03:57-05:00 2013-09-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2012-10-01 383625439 GENESEE HEALTH PLAN GENE 8102327740 G-3169 BEECHER ROAD NO 204 FLINT MI 485323644 LINDA HAMACHER 8102327740 2014-08-11 1 JAMES A MC NEELEY CPA P00364811 5173237500 2012 2015-11-30 17:44:51Z LINDA HAMACHER G-3169 BEECHER ROAD NO 204 FLINT MI 485323644 29773413 0 X HTTP://WWW.GENESEEHEALTHPLAN.ORG/ X 2001 MI TO PROVIDE HEALTH CARE COVERAGE FOR LOW-INCOME, UNINSURED RESIDENTS OF GENESEE COUNTY. 12 12 19 12 0 0 549363 508250 21608847 29265163 16492 0 0 0 22174702 29773413 120000 105075 0 0 798359 973035 0 0 0 21636177 22225058 22554536 23303168 -379834 6470245 5111897 12518628 1388400 2324886 3723497 10193742 TO PROVIDE HEALTH CARE COVERAGE FOR LOW-INCOME, UNINSURED RESIDENTS OF GENESEE COUNTY WHO ARE NOT ELIGIBLE FOR MAINSTREAM MEDICAL ASSISTANCE PROGRAMS. 0 0 15153682 105075 24672125 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. AS OF 9/30/13, PLAN B HAD 21,020 MEMBERS ENROLLED. 6482034 4593038 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. AS OF 9/30/13, PLAN A HAD 5,076 MEMBERS ENROLLED. 21635716 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 24 0 1 19 1 0 0 0 0 0 0 0 0 0 0 X 12 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 G-3169 BEECHER RD STE 204 FLINT MI 48532 JEAN CONYERS 1.00 X 0 0 0 MICHAEL JAGGI DO 1.00 X 0 0 0 E YVONNE LEWIS 1.00 X 0 0 0 DANIEL DULIN PSYD 1.00 X 0 0 0 NANCY HAYWOOD 1.00 X 0 0 0 RICK WYLES 1.00 X 0 0 0 KAY M DOERR 1.00 X 0 0 0 NATHAN KOPEK DO 1.00 X 0 0 0 DR DAVID GORDON 1.00 X 0 0 0 MARK VALACAK MPH 1.00 X 0 0 0 DEB CHERRY 1.00 X X 0 0 0 JOSEPH LEONARD RPH 1.00 X X 0 0 0 LINDA HAMACHER 1.00 X X 25000 0 0 25000 0 0 0 0 0 0 HEALTHPLUS OPTIONS INC PO BOX 1700 FLINT MI 48501 3RD PARTY ADMIN. 1865448 HURLEY MEDICAL 1 HURLEY PLAZA FLINT MI 48503 HEALTH SERVICES 912000 GENESYS HEALTH ONE GENESYS PARKWAY GRAND BLANC MI 48439 HEALTH SERVICES 816000 UNIVERSITY OF MICHIGAN - FLINT 303 E KEARSLEY ST FLINT MI 48502 HEALTH SERVICES 467088 HEALTH MANAGEMENT ASSOCIATES ONE MICHIGAN AVE BLDG 120 N WASHING LANSING MI 48933 SYSTEMS/DATA MGMT 183349 8 500000 8250 508250 HEALTH SERVICES 621300 28415609 28415609 FEES FROM GOV'T AGENCY 900099 849554 849554 29265163 29773413 29265163 0 0 105075 105075 25000 25000 698481 698481 249554 249554 13411 13411 35762 35762 839 839 12824 12824 HEALTH SERVICES 9894894 9894894 DIRECT PROVIDER PAYMENT 9727554 9727554 HEALTHPLUS ADMIN SERVIC 1865448 1865448 SUPPORT SERVICES 618211 618211 56115 42745 13370 23303168 21635716 1667452 0 3009582 11720586 1763873 171473 42992 39494 23152 9380 10527 13772 284923 573303 5111897 12518628 213400 969886 1175000 1355000 1388400 2324886 X 3723497 10193742 3723497 10193742 5111897 12518628 6470245 0 X X 0 1 X 1 0 X 560470 673786 587479 549363 508250 2879348 19661588 20445761 22175460 18112923 28415609 108811341 5587460 5352062 5098204 3495924 849554 20383204 25809518 26471609 27861143 22158210 29773413 132073893 0 0 0 132073893 113076 24200 9590 16492 163358 113076 24200 9590 16492 163358 25922594 26495809 27870733 22174702 29773413 132237251 0.99880 0.99740 0.00120 0.00260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 23152 9380 13772 13772 CLAIMS INCURRED BUT NOT REPORTED 1355000 1355000 X 29773413 0 29773413 0 29773413 23303168 0 23303168 0 23303168 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: INCOME TAXES ARE NOT PROVIDED IN THE ACCOMPANYING FINANCIAL STATEMENTS SINCE THE PLAN IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE PROVISIONS. IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE PLAN HAS ANALYZED ITS FILING POSITIONS IN JURISDICTIONS. THE EVALUATION WAS PERFORMED FOR THE YEARS 2010 THROUGH 2013, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION AS OF SEPTEMBER 30, 2013. THE PLAN CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE PLAN HAS ALSO ELECTED TO RETAIN ITS EXISTING ACCOUNTING POLICY WITH RESPECT TO THE TREATMENT OF INTEREST AND PENALTIES ATTRIBUTABLE TI INCOME TAXES, AND CONTINUES TO RELFECT ANY CHARGES FOR SUCH TO THE EXTENT THEY ARISE, AS A COMPONENT OF ITS MANAGEMENT AND GENERAL EXPENSES. 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 ORGANIZATION DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST PENALTIES RELATED TO UTBS AT SEPTEMBER 30, 2013 OR 2012, AND IT IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. 0 GENESEE COUNTY FREE CLINIC G2437 WELCH BLVD FLINT MI 48504 382995700 501(C)(3) 10000 TO PROVIDE HEALTH CARE BENEFITS TO LOW INCOME PERSONS IN GENESEE COUNTY. SPECIAL NEEDS VISION CLINIC 3660 SOUTHFIELD DRIVE SAGINAW MI 48601 382415591 501(C)(3) 18000 TO PROVIDE EYE EXAMS AND CONSULTS FOR LOW INCOME COUNTY RESIDENTS. FLUSHING ROAD URGENT CARE 1201 FLUSHING RD FLINT MI 48504 263912229 501(C)(3) 35000 TO PROVIDE URGENT MEDICAL SERVICES FOR MEMBERS WAITING FOR COVERAGE TO BEGIN. CENTER FOR CIVIL JUSTICE 320 SOUTH WASHINGTON 2ND FLOOR SAGINAW MI 48607 381859780 501(C)(3) 42000 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.