GENESEE HEALTH PLAN: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
GENESEE HEALTH PLAN (EIN 38-3625439)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-10
IRS object ID
201122229349301202
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

FieldValueIRS element (for citing)
Timestamp2011-08-10T14:13:54-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Maner Costerisan PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12425 E Grand River Suite 1AddressLine1
CityLansingCity
StateMIState
ZIP Code489123291ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383625439EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GENESEE HEALTH PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGENENameControl
Phone8102327740Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1G-3169 BEECHER ROAD No 204AddressLine1
CityFLINTCity
StateMIState
ZIP Code485323644ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLinda HamacherName
TitleEXECUTIVE DIRECTOR/President/CEOTitle
Phone8102327740Phone
Date Signed2011-07-21DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid M Raeck CPAName
Phone5173237500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA HAMACHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1G-3169 BEECHER ROAD No 204AddressLine1
CityFLINTCity
StateMIState
ZIP Code485323644ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26495809GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.COUNTYHEALTHPLANS.ORG/ghp.aspxWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE COVERAGE FOR LOW-INCOME, UNINSURED RESIDENTS OF GENESEE COUNTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees22TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year560470ContributionsGrantsPriorYear
Contributions Grants Current Year673786ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25249048ProgramServiceRevenuePriorYear
Program Service Revenue CY25797823ProgramServiceRevenueCY
Investment Income Prior Year113076InvestmentIncomePriorYear
Investment Income Current Year24200InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year25922594TotalRevenuePriorYear
Total Revenue Current Year26495809TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year110312GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY101091GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year725270SalariesEtcPriorYear
Salaries Etc Current Year782246SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year24486734OtherExpensePriorYear
Other Expenses Current Year26706623OtherExpensesCurrentYear
Total Expenses Prior Year25322316TotalExpensesPriorYear
Total Expenses Current Year27589960TotalExpensesCurrentYear
Revenues Less Expenses Prior Year600278RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1094151RevenuesLessExpensesCY
Total Assets BOY4784588TotalAssetsBOY
Total Assets EOY3171980TotalAssetsEOY
Total Liabilities BOY1940444TotalLiabilitiesBOY
Total Liabilities EOY1421987TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2844144NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1749993NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19498512Expense
Grants101091Grants
Revenue18874807Revenue
DescriptionSERVES 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 9/30/10, THE PLAN HAD 20,202 MEMBERS ENROLLED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6655102Expense
Revenue6923016Revenue
DescriptionPROVIDES 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 9/30/10, THE PLAN HAD 3,001 MEMBERS ENROLLED.Description
FieldValueIRS element (for citing)
Total Program Service Expense26153614TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees22NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JIM MILANOWSKIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8102327740TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1G-3169 BEECHER RD STE 204AddressLine1
CityFLINTCity
StateMIState
ZIP Code48532ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JEAN CONYERS
DIRECTOR0.30X000
MICHAEL JAGGI
DIRECTOR0.30X000
YVONNE LEWIS
DIRECTOR0.30X000
DANIEL DULIN
DIRECTOR0.30X000
NANCY HAYWOOD
DIRECTOR0.30X000
BARBARA L KORNBLAU
DIRECTOR0.30X000
TRISSA TORRES
DIRECTOR0.30X000
RICK WYLES
PRESIDENT/CHAIR0.50X000X
LINDA HAMACHER
EXECUTIVE DIRECTOR/PRESIDENT0.50X000X
JOSEPH LEONARD
SECRETARY0.80X000X
KEVIN MURPHY
TREASURER0.50X000X
JAMES MILANOWSKI
CHIEF OPERATING OFFICER40.0080580018942X
FieldValueIRS element (for citing)
Total Reportable Comp From Org80580TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation18942TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHPLUS OPTIONS INC
PO BOX 1700FLINTMI485013RD PARTY ADMIN.1964303
UNIVERSITY OF MICHIGAN - FLINT
303 E KEARSLEY STFLINTMI48502HEALTH SERVICES655236
HEALTH MANAGEMENT ASSOCIATES
ONE MICHIGAN AVE BLDG 120 N WASHINGLANSINGMI48933SYSTEMS/DATA MGMT310963
AUBURN COUNSELING ASSOCIATES
3600 S DORT HWY STE 44FLINTMI48507HEALTH SERVICES229675
FAMILY CARE PLUS PHYSICAL THERAPY
G2037 CENTER RD STE ABURTONMI48519HEALTH SERVICES153583
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Government Grants621504GovernmentGrants
All Other Contributions52282AllOtherContributions
Total Contributions673786TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH SERVICES6213002044576120445761
FEES FROM GOV'T AGENCY90009953520625352062
FieldValueIRS element (for citing)
Total Program Service Revenue25797823TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24200TotalRevenueColumn
Exclusion$24,200ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26495809TotalRevenueColumn
Related Or Exempt Function Income25797823RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$24,200ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total101091Total
Program Services101091ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total100731Total
Management And General100731ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total516411Total
Management And General516411ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total165104Total
Management And General165104ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21565Total
Management And General21565ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25535Total
Management And General25535ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total440Total
Management And General440ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11553Total
Management And General11553ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIRECT PROVIDER PAYMENT1266283812662838
HEALTH SERVICES1142500311425003
HEALTHPLUS ADMIN SERVIC19643031964303
SUPPORT SERVICES563392563392
MISCELLANEOUS EXPENSE3199437931615

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27589960Total
Program Services26153614ProgramServices
Management And General1436346ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3937408BOY
EOY2687143EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY288675BOY
EOY113759EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25483BOY
EOY20409EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8178LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7337LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1281BOY
EOY841EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY531741BOY
EOY349828EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4784588BOY
EOY3171980EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY320444BOY
EOY243487EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1620000BOY
EOY1178500EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1940444BOY
EOY1421987EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2844144BOY
EOY1749993EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2844144BOY
EOY1749993EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4784588BOY
EOY3171980EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22123349CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years468030CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year560470CurrentTaxYearMinus1Year
Current Tax Year673786CurrentTaxYear
Total23825635Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years21325666CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18925907CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19661588CurrentTaxYearMinus1Year
Current Tax Year20445761CurrentTaxYear
Total80358922Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3694998CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5329961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5587460CurrentTaxYearMinus1Year
Current Tax Year5352062CurrentTaxYear
Total19964481Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22123349CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25488694CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24255868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25809518CurrentTaxYearMinus1Year
Current Tax Year26471609CurrentTaxYear
Total124149038Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509124149038PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years274321CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years226059CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171491CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113076CurrentTaxYearMinus1Year
Current Tax Year24200CurrentTaxYear
Total809147Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years274321CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years226059CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171491CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113076CurrentTaxYearMinus1Year
Current Tax Year24200CurrentTaxYear
Total809147Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22397670CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25714753CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24427359CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25922594CurrentTaxYearMinus1Year
Current Tax Year26495809CurrentTaxYear
Total124958185Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99350PublicSupportPercentage509
Prior Year Support Percentage0.99250PriorYearSupportPercentage
Investment Income Percentage0.00650InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00750PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8178OtherCostOrOtherBasis
Depreciation7337Depreciation
Book Value841BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings841TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEPOSITSDescription
Book Value349828BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets349828TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCLAIMS INCURRED BUT NOT REPORTEDDescription
Amount$1,178,500Amount
FieldValueIRS element (for citing)
Total Of Amounts1178500TotalOfAmounts
Total Revenue26495809TotalRevenue
Total Expenses27589960TotalExpenses
Excess Or Deficit For Year-1094151ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-1094151ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt26495809TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal26495809RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99026495809TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27589960TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal27589960ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99027589960TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationIN JULY 2006, THE FASB ISSUED A NEW STANDARD RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, NOW CODIFIED AS ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740. ASC TOPIC 740 SEEKS TO REDUCE THE SIGNIFICANT DIVERSITY IN PRACTICE ASSOCIATED WITH FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT IN ACCOUNTING FOR INCOME TAXES AND PRESCRIBES THE RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR DISCLOSURES OF TAX POSITIONS PREVIOUSLY TAKEN OR EXPECTED TO BE TAKEN ON AN INCOME TAX RETURN. NOT-FOR-PROFIT ENTITIES ARE ALSO WITHIN THE SCOPE OF ASC TOPIC 740. AN ORGANIZATION MUST CONSIDER WHETHER IT HAS ENGAGED IN ACTIVITIES THAT JEOPARDIZE THEIR CURRENT TAX-EXEMPT STATUS WITH THE INTERNAL REVENUE SERVICE. FURTHERMORE, THE ORGANIZATION MUST DETERMINE WHETHER THEY HAVE ANY UNRELATED BUSINESS INCOME, WHICH MAY BE SUBJECT TO US FEDERAL INCOME TAX. THE ORGANIZATION ADOPTED THE PROVISIONS OF ASC TOPIC 740 EFFECTIVE JULY 1, 2009, AND, ACCORDINGLY, ANALYZED ITS FILING POSITIONS IN THE FEDERAL AND STATE JURISDICTIONS WHERE IT IS REQUIRED TO FILE INCOME TAX RETURNS, AS WELL AS ALL OPEN TAX YEARS IN THESE JURISDICTIONS. THE ORGANIZATION HAS ALSO ELECTED TO RETAIN ITS EXISTING ACCOUNTING POLICY WITH RESPECT TO THE TREATMENT OF INTEREST AND PENALTIES ATTRIBUTABLE TO INCOME TAXES, AND CONTINUES TO REFLECT ANY CHANGES FOR SUCH, TO THE EXTENT THEY ARISE, AS A COMPONENT OF ITS SUPPORTING SERVICE EXPENSE. THE ADOPTION OF ASC TOPIC 740 HAD NO SIGNIFICANT IMPACT ON THE PLAN'S FINANCIAL STATEMENTS. THE ORGANIZATION HAS EVALUATED THE PROVISIONS OF ASC TOPIC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE EVALUATION WAS PERFORMED FOR THE YEARS 2006 THROUGH 2010, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION AS OF SEPTEMBER 30, 2010. THE ORGANIZATION CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS ("UTB") (E.G., TAX DEDUCTIONS, EXCLUSIONS, OR CREDITS CLAIMED OR EXPECTED TO BE CLAIMED) TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST PENALTIES RELATED TO UTBS AT SEPTEMBER 30, 2010, AND IT IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
GENESEE COUNTY FREE CLINIC
G2437 WELCH BLVDFLINTMI48504382995700501(C)(3)54995TO PROVIDE HEALTH CARE BENEFITS TO LOW INCOME PERSONS IN GENESEE COUNTY.
GENESEE COUNTY LEGAL AID SOCIETY DBA CENTER FOR CIVIL JUSTICE
320 S WASHINGTON 2ND FLOORSAGINAWMI48607381859780501(C)(3)45000TO PROVIDE LEGAL SERVICES FOR THOSE UNABLE TO AFFORD LEGAL ASSISTANCE.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11Annually, 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 12cEach 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 15aIndependent persons review comparison data from similar organization's of persons holding similar positions.
Form 990, Part VI, Section C, line 19ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 IS ALSO POSTED ANNUALLY ON GUIDESTAR'S WEBSITE.
FORM 990, PART XI, LINE 2CGENESEE 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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