GENESEE HEALTH PLAN: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GENESEE HEALTH PLAN (EIN 38-3625439)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-13
- IRS object ID
- 201322259349301147
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T13:28:30-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382157642 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANER COSTERISAN PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2425 E GRAND RIVER SUITE 1 | AddressLine1 |
| City | LANSING | City |
| State | MI | State |
| ZIP Code | 489123291 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383625439 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESEE HEALTH PLAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GENE | NameControl |
| Phone | 8102327740 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | G-3169 BEECHER ROAD NO 204 | AddressLine1 |
| City | FLINT | City |
| State | MI | State |
| ZIP Code | 485323644 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDA HAMACHER | Name |
| Title | EXECUTIVE DIRECTOR/PRESIDENT/CEO | Title |
| Phone | 8102327740 | Phone |
| Date Signed | 2013-07-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES A MC NEELEY CPA | Name |
| PTIN | P00364811 | PTIN |
| Phone | 5173237500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LINDA HAMACHER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | G-3169 BEECHER ROAD NO 204 | AddressLine1 |
| City | FLINT | City |
| State | MI | State |
| ZIP Code | 485323644 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22174702 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COUNTYHEALTHPLANS.ORG/GHP.ASPX | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH CARE COVERAGE FOR LOW-INCOME, UNINSURED RESIDENTS OF GENESEE COUNTY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 20 | TotalNbrEmployees |
| Total Nbr Volunteers | 13 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 587479 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 549363 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 27273664 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 21608847 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9590 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16492 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 27870733 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22174702 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 85000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 120000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 761701 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 798359 | 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 | 24670694 | OtherExpensePriorYear |
| Other Expenses Current Year | 21636177 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25517395 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22554536 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2353338 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -379834 | RevenuesLessExpensesCY |
| Total Assets BOY | 5413955 | TotalAssetsBOY |
| Total Assets EOY | 5111897 | TotalAssetsEOY |
| Total Liabilities BOY | 1310624 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1388400 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4103331 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3723497 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH CARE COVERAGE FOR LOW-INCOME, UNINSURED RESIDENTS OF GENESEE COUNTY WHO ARE NOT ELIGIBLE FOR MAINSTREAM MEDICAL ASSISTANCE PROGRAMS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14207159 | Expense |
| Grants | 120000 | Grants |
| Revenue | 17040076 | Revenue |
| Description | 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 9/30/12, PLAN B HAD 18,498 MEMBERS ENROLLED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6825016 | Expense |
| Revenue | 4568771 | Revenue |
| Description | 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 9/30/12, PLAN A HAD 2,490 MEMBERS ENROLLED. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 21032175 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 20 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JIM MILANOWSKI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8102327740 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | G-3169 BEECHER RD STE 204 | AddressLine1 |
| City | FLINT | City |
| State | MI | State |
| ZIP Code | 48532 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| JEAN CONYERS | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| MICHAEL JAGGI | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| YVONNE LEWIS | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| DANIEL DULIN | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| NANCY HAYWOOD | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| DEB CHERRY | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| KAY DOERR | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| NATHAN KOPEK | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| MARK VALACAK MPH | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| RICK WYLES | ||||||
| PRESIDENT/CHAIR | 0.50 | X | 0 | 0 | 0 | X |
| LINDA HAMACHER | ||||||
| EXECUTIVE DIRECTOR/PRESIDE | 0.50 | X | 0 | 0 | 0 | X |
| JOSEPH LEONARD | ||||||
| SECRETARY | 0.80 | X | 0 | 0 | 0 | X |
| KEVIN MURPHY | ||||||
| TREASURER | 0.50 | X | 0 | 0 | 0 | X |
| DAVID GORDON | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | X |
| JAMES MILANOWSKI | ||||||
| CHIEF OPERATING OFFICER | 40.00 | 83693 | 0 | 20127 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 83693 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 20127 | 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 (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCLAREN REGIONAL MEDICAL CENTER | |||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | HEALTH SERVICES | 1744700 |
| HEALTHPLUS OPTIONS INC | |||||
| PO BOX 1700 | FLINT | MI | 48501 | 3RD PARTY ADMIN. | 1598156 |
| UNIVERSITY OF MICHIGAN - FLINT | |||||
| 303 E KEARSLEY ST | FLINT | MI | 48502 | HEALTH SERVICES | 447913 |
| HEALTH MANAGEMENT ASSOCIATES | |||||
| ONE MICHIGAN AVE BLDG 120 N WASHING | LANSING | MI | 48933 | SYSTEMS/DATA MGMT | 174701 |
| AUBURN COUNSELING | |||||
| 3600 S DORT HIGHWAY STE 44 | FLINT | MI | 48507 | HEALTH SERVICES | 158725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Government Grants | 500074 | GovernmentGrants |
| All Other Contributions | 49289 | AllOtherContributions |
| Total Contributions | 549363 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HEALTH SERVICES | 621300 | 18112923 | 18112923 |
| FEES FROM GOV'T AGENCY | 900099 | 3495924 | 3495924 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 21608847 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16492 | TotalRevenueColumn |
| Exclusion | $16,492 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22174702 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21608847 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $16,492 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120000 | Total |
| Program Services | 120000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103820 | Total |
| Management And General | 103820 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 525363 | Total |
| Management And General | 525363 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169176 | Total |
| Management And General | 169176 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15537 | Total |
| Management And General | 15537 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29300 | Total |
| Management And General | 29300 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 766 | Total |
| Management And General | 766 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13265 | Total |
| Management And General | 13265 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DIRECT PROVIDER PAYMENT | 9781808 | 9781808 | |
| HEALTH SERVICES | 9532211 | 9532211 | |
| HEALTHPLUS ADMIN SERVIC | 1598156 | 1598156 | |
| SUPPORT SERVICES | 648973 | 648973 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16161 | Total |
| Management And General | 16161 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22554536 | Total |
| Program Services | 21032175 | ProgramServices |
| Management And General | 1522361 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4636340 | BOY |
| EOY | 3009582 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206433 | BOY |
| EOY | 1763873 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61154 | BOY |
| EOY | 42992 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19068 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8541 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 403 | BOY |
| EOY | 10527 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 509625 | BOY |
| EOY | 284923 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5413955 | BOY |
| EOY | 5111897 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140624 | BOY |
| EOY | 213400 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1170000 | BOY |
| EOY | 1175000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1310624 | BOY |
| EOY | 1388400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4103331 | BOY |
| EOY | 3723497 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4103331 | BOY |
| EOY | 3723497 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5413955 | BOY |
| EOY | 5111897 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -379834 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 Minus3 Years | 560470 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 673786 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 587479 | CurrentTaxYearMinus1Year |
| Current Tax Year | 549363 | CurrentTaxYear |
| Total | 2371098 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18925907 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19661588 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20445761 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22175460 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18112923 | CurrentTaxYear |
| Total | 99321639 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5329961 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5587460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5352062 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5098204 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3495924 | CurrentTaxYear |
| Total | 24863611 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24255868 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25809518 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 26471609 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 27861143 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22158210 | CurrentTaxYear |
| Total | 126556348 | 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 | 126556348 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 171491 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 113076 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24200 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9590 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16492 | CurrentTaxYear |
| Total | 334849 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 171491 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 113076 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24200 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9590 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16492 | CurrentTaxYear |
| Total | 334849 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24427359 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25922594 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 26495809 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 27870733 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22174702 | CurrentTaxYear |
| Total | 126891197 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99740 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99580 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00260 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00420 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19068 | OtherCostOrOtherBasis |
| Depreciation | 8541 | Depreciation |
| Book Value | 10527 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10527 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEPOSITS | Description |
| Book Value | 284923 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 284923 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CLAIMS INCURRED BUT NOT REPORTED | Description |
| Amount | $1,175,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1175000 | TotalOfAmounts |
| Total Revenue | 22174702 | TotalRevenue |
| Total Expenses | 22554536 | TotalExpenses |
| Excess Or Deficit For Year | -379834 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -379834 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 22174702 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 22174702 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 22174702 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 22554536 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 22554536 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 22554536 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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 2008 THROUGH 2011, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION AS OF SEPTEMBER 30, 2012. 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, 2012, AND IT IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| GENESEE COUNTY FREE CLINIC | |||||||
| G2437 WELCH BLVD | FLINT | MI | 48504 | 382995700 | 501(C)(3) | 12500 | 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) | 5000 | TO PROVIDE EYE EXAMS AND CONSULTS FOR LOW INCOME COUNTY RESIDENTS. |
| FLUSHING ROAD URGENT CARE | |||||||
| 1201 FLUSHING RD | FLINT | MI | 48504 | 263912229 | 15000 | 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) | 17500 | TO PROVIDE LEGAL HELP WHEN MEDICAID COVERAGE OR OTHER SERVICES ARE DENIED OR DELAYED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | OVERSIGHT OF AUDIT |
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