HEALTH NET OF WEST MICHIGAN: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH NET OF WEST MICHIGAN (EIN 38-3609504)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2012-12-14
- IRS object ID
- 201243499349300124
- Schema version
- 2009v1.7
- 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 | 2012-12-14T10:18:20-06:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEENE GARTER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 56 GRANDVILLE AVE SW SUITE 100 | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 495034036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | 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 No 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 | 2012-12-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARGARET W BISHOP CPA | Name |
| Phone | 6162355200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 AVENUE SW | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 49503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7639599 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | TO INSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW-INCOME PERSONS WITHOUT INSURANCE AND/OR INELIGIBLE FOR OTHER GOVERNMENT PROGRAMS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 11 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 25000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7460990 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7586277 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 41137 | InvestmentIncomePriorYear |
| Investment Income Current Year | 53322 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7527127 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7639599 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 908807 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1282759 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 240327 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 46880 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6374376 | OtherExpensePriorYear |
| Other Expenses Current Year | 5953657 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7523510 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7283296 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3617 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 356303 | RevenuesLessExpensesCY |
| Total Assets BOY | 3918810 | TotalAssetsBOY |
| Total Assets EOY | 4651201 | TotalAssetsEOY |
| Total Liabilities BOY | 2104748 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2517852 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1814062 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2133349 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO INSURE THE DELIVERY OF BASIC PREVENTATIVE HEALTH CARE TO LOW INCOME PERSONS WITHOUT INSURANCE AND/OR ARE INELIGIBLE FOR OTHER GOVERNMENT PROGRAMS IN AN INTEGRATED COMMUNITY BASED HEALTH IMPROVEMENT MODEL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4121957 | Expense |
| Revenue | 4250645 | Revenue |
| Description | PLAN A ADMINISTERS HEALTH CARE BENEFITS TO RESIDENTS OF KENT COUNTY WHO DO NOT QUALIFY FOR ANY OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS. THE PLAN CONTRACTS WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH). BENEFITS AND ELIGIBILTY FOR THIS PLAN ARE ESTABLISHED BY MDCH. MDCH PAYS A SET PER MEMBER PER MONTH TO PLAN A. ON AVERAGE 2,757 MEMBERS WERE SERVED EACH MONTH. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2671487 | Expense |
| Revenue | 3058780 | Revenue |
| Description | PLAN B ADMINISTERS HEALTH CARE BENEFITS TO INDIVIDUALS WHOSE INCOMES ARE LESS THAN 150% OF POVERTY AND WHO ARE NOT ELIGIBLE FOR ANY GOVERNMENT SPONSORED HEALTH CARE PROGRAM. THE PROGRAM PROVIDES ACCESS TO BASIC COMMUNITY BASED PRIMARY CARE AND DIAGNOSTICS THAT ARE NOT FUNDED BY ANY OTHER MEANS. ON AVERAGE 1,881 MEMBERS ARE SERVED EACH MONTH. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 148234 | Expense |
| Revenue | 236808 | 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 PROGRAMS. THE PROGRAM ALSO ASSISTS THE MEMBERS IN UTILIZING PHARMACY ASSISTANCE PROGRAMS PROVIDED BY PHARMACEUTICAL MANUFACTURERS. ON AVERAGE, 475 MEMBERS ARE SERVED EACH MONTH. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 30587 | Expense |
| Revenue | 40044 | Revenue |
| Description | PLAN C ALLOWS FOR SMALL BUSINESS TO PROVIDE HEALTHCARE COVERAGE TO THEIR EMPLOYEES. THE COST OF PLAN C COVERAGE IS SHARED EQUALLY BY KENT HEALTH PLAN CORPORATION, ELIGIBLE EMPLOYERS AND THEIR ENROLLED EMPLOYEES. ON AVERAGE 12 MEMBERS ARE SERVED EACH MONTH. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 30587 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 40044 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 6972265 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 188 | 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 |
| 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 |
| 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 | SUSAN COOPER | 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 | 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 | ||||||
| BOARD CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| DAVID SMITH | ||||||
| BOARD VICE-CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| LINDA CONSTANTINO | ||||||
| BOARD TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| MARCIA MYERS | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| KRISTA MATLOCK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TERRI WEEKLY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GERRI NAVARRE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ALISON DARK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LODEWYK ZWARENSTEYN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JAMES TUINSTRA | ||||||
| PRESIDENT | 10.00 | X | 41600 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 41600 | 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 | ACCESS HEALTH | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 RANSOM STREET | AddressLine1 |
| City | MUSKEGON | City |
| State | MI | State |
| ZIP Code | 49442 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | CLAIMS AND PAYROLL ADMINISTRATION | DescriptionOfServices |
| Compensation | 271399 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PLAN A PROGRAM FEES | 524114 | 4250645 | 4250645 |
| HOSPITAL CONTRACT REVE | 524114 | 3335632 | 3335632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7586277 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53322 | TotalRevenueColumn |
| Exclusion | $53,322 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7639599 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7586277 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $53,322 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1282759 | Total |
| Program Services | 1282759 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46880 | Total |
| Management And General | 46880 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 558502 | Total |
| Program Services | 434602 | ProgramServices |
| Management And General | 123900 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27172 | Total |
| Management And General | 27172 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 746 | Total |
| Management And General | 746 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39385 | Total |
| Program Services | 21156 | ProgramServices |
| Management And General | 18229 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7025 | Total |
| Management And General | 7025 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29690 | Total |
| Program Services | 29690 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3956 | Total |
| Management And General | 3956 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39031 | Total |
| Management And General | 39031 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1621 | Total |
| Management And General | 1621 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8357 | Total |
| Management And General | 8357 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15574 | Total |
| Management And General | 15574 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| HEALTH CARE CLAIMS | 5201522 | 5201522 | |
| BAD DEBT EXPENSE | 16823 | 16823 | |
| OTHER EXPENSES | 4253 | 2536 | 1717 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7283296 | Total |
| Program Services | 6972265 | ProgramServices |
| Management And General | 311031 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3604871 | BOY |
| EOY | 3109191 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285086 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5775 | BOY |
| EOY | 6275 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 38211 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16688 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23078 | BOY |
| EOY | 21523 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1514212 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3918810 | BOY |
| EOY | 4651201 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215841 | BOY |
| EOY | 675677 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1888907 | BOY |
| EOY | 1842175 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2104748 | BOY |
| EOY | 2517852 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1814062 | BOY |
| EOY | 2133349 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1814062 | BOY |
| EOY | 2133349 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3918810 | BOY |
| EOY | 4651201 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| 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 Minus1 Year | 25000 | CurrentTaxYearMinus1Year |
| Total | 25000 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7558556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7518015 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7071664 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7460990 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7586277 | CurrentTaxYear |
| Total | 37195502 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7558556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7518015 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7071664 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7485990 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7586277 | CurrentTaxYear |
| Total | 37220502 | 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 | 37220502 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 117074 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 136400 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 88496 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41137 | CurrentTaxYearMinus1Year |
| Current Tax Year | 53322 | CurrentTaxYear |
| Total | 436429 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 117074 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 136400 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 88496 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41137 | CurrentTaxYearMinus1Year |
| Current Tax Year | 53322 | CurrentTaxYear |
| Total | 436429 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7675630 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7654415 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7160160 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7527127 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7639599 | CurrentTaxYear |
| Total | 37656931 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98840 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98880 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01160 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01120 | 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 | 13064 | OtherCostOrOtherBasis |
| Depreciation | 2717 | Depreciation |
| Book Value | 10347 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25147 | OtherCostOrOtherBasis |
| Depreciation | 13971 | Depreciation |
| Book Value | 11176 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21523 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HEALTH CARE CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED | Description |
| Amount | $1,842,175 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1842175 | TotalOfAmounts |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CATHOLIC CHARITIES OF WEST MICHIGAN | |||||||
| 360 DIVISION SUITE 3A | GRAND RAPIDS | MI | 49503 | 383012473 | 501(C)(3) | 101958 | SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE ITS TAX EXEMPT MISSION |
| FAMILY OUTREACH CENTER | |||||||
| 1919 SOUTH DIVISION | GRAND RAPIDS | MI | 49507 | 382272711 | 501(C)(3) | 93820 | SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE ITS TAX EXEMPT MISSION |
| VISITING NURSES OF WEST MICHIGAN | |||||||
| 1401 CEDAR NE | GRAND RAPIDS | MI | 49503 | 381359195 | 501(C)(3) | 159981 | SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE ITS 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 ITS TAX EXEMPT MISSION |
| PLANNED PARENTHOOD OF KENT COUNTY | |||||||
| 425 CHERRY STREET | GRAND RAPIDS | MI | 49503 | 381782520 | 501(C)(3) | 50000 | SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE ITS TAX EXEMPT MISSION |
| KENT COUNTY | |||||||
| 300 MONROE AVE NE | GRAND RAPIDS | MI | 49503 | 386004862 | 777000 | SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE GOVERNMENT PROGRAMMING | |
| CLINICA SANTA MARIA | |||||||
| 730 GRANDVILLE SW | GRAND RAPIDS | MI | 49503 | 204108960 | 501(C)(3) | 60000 | SERVICE AGREEMENT - PROVIDED WORKING CAPITAL FOR ORGANIZATION TO PURSUE ITS TAX EXEMPT MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 6 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | THE COMPLETED FORM 990 IS REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE. THE COMPLETED FORM 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING. |
| Form 990, Part VI, Section B, line 12c | THE CONFLICT OF INTEREST POLICY IS MONITORED BY A REVIEW OF ALL FINANCIAL TRANSACTIONS BY TOP MANAGEMENT; BOARD MEMBERS ARE REQUIRED TO REFRAIN 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, SENIOR MANAGEMENT, ALL EMPLOYEES AND CONTRACTORS. EACH PARTY IS ALSO REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. |
| 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 OF 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 FORM 990 ARE AVAILABLE UPON REQUEST. CONTACT INFORMATION IS PROVIDED ON THE ORGANIZATION'S WEBSITE. THE FORM 990 IS ALSO AVAILABLE TO VIEW AT WWW2.GUIDESTAR.ORG. |
| 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. IN ADDITION THE ARTICLES OF NONPROFIT INCORPORATION AND ANNUAL REPORTS ARE AVAILABLE FROM THE MICHIGAN DEPARTMENT OF ENERGY, LABOR AND ECONOMIC GROWTH AT WWW.DLEG.STATE.MI.US/BCS CORP. |
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