Civic Intelligence

Northern Health Plan

990 • Fiscal year 2019 • EIN 20-1477015

Oct 01, 2018 to Sep 30, 2019 • Filed on Feb 26, 2020

220 W GarfieldCharlevoix, MI 49720

(231) 547-7627

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

54th percentile

0.11x

Higher debt load relative to assets than 54% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

62nd percentile

0.17x

Higher debt load relative to revenue than 62% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

19th percentile

-11%

Higher net margin than 19% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

41st percentile

$31,940

Higher top officer pay than 41% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

21st percentile

-4.5%

Faster asset growth than 21% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

66th percentile

12%

Faster revenue growth than 66% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Assets

Down

$2,248,282

Down $106,920 (-4.5%) from 2018

Net Assets

Down

$2,011,122

Down $157,734 (-7.3%) from 2018

Liabilities

Up

$237,160

Up $50,814 (+27%) from 2018

Revenue

Up

$1,428,878

Up $156,824 (+12%) from 2018

Expenses

Up

$1,586,612

Up $148,228 (+10%) from 2018

Net Income

Up

-$157,734

Up $8,596 (+5.2%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $2,595,361Liabilities 2010: $631,626Net Assets 2010: $1,963,7352010Assets 2011: $2,864,185Liabilities 2011: $710,344Net Assets 2011: $2,153,8412011Assets 2012: $2,999,713Liabilities 2012: $640,743Net Assets 2012: $2,358,9702012Assets 2013: $3,803,948Liabilities 2013: $990,266Net Assets 2013: $2,813,6822013Assets 2014: $3,198,480Liabilities 2014: $62,728Net Assets 2014: $3,135,7522014Assets 2015: $3,163,454Liabilities 2015: $37,153Net Assets 2015: $3,126,3012015Assets 2016: $2,872,354Liabilities 2016: $216,397Net Assets 2016: $2,655,9572016Assets 2017: $2,632,151Liabilities 2017: $296,965Net Assets 2017: $2,335,1862017Assets 2018: $2,355,202Liabilities 2018: $186,346Net Assets 2018: $2,168,8562018Assets 2019: $2,248,282Liabilities 2019: $237,160Net Assets 2019: $2,011,1222019

Highlighted filing

2019

Assets$2,248,282
Liabilities$237,160
Net Assets$2,011,122

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $3,955,6312010Expenses 2011: $4,202,4602011Expenses 2012: $3,793,4092012Revenue 2013: $4,231,179Expenses 2013: $3,776,467Net Income 2013: $454,7122013Revenue 2014: $2,842,054Expenses 2014: $2,519,984Net Income 2014: $322,0702014Revenue 2015: $539,766Expenses 2015: $549,217Net Income 2015: -$9,4512015Revenue 2016: $68,171Expenses 2016: $538,515Net Income 2016: -$470,3442016Revenue 2017: $770,118Expenses 2017: $1,090,889Net Income 2017: -$320,7712017Revenue 2018: $1,272,054Expenses 2018: $1,438,384Net Income 2018: -$166,3302018Revenue 2019: $1,428,878Expenses 2019: $1,586,612Net Income 2019: -$157,7342019

Highlighted filing

2019

Revenue$1,428,878
Expenses$1,586,612
Net Income-$157,734
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Feb 26, 2020
Return Version
2018v3.1
Gross Receipts
$1,428,878
Mission and Program Overview

Mission

To furnish organizational and operation management and program direction for projects designed to alleviate the cost of uncompensated health care by hospitals and other health providers in the northern lower peninsula of michigan. To develop and operate, with the support and cooperation of private sector resources, public and private services agencies and governmental bodies, programs to enhance the economic and social well being and to improve the level of health of the service area, and to increase access to health care services for residents of the service area who are unable to pay for health care. To provide advice on methods and programs designed to decrease costs associated with uncompensated health care in service area, and to act as a clearinghouse for information involved in providing health care services to persons unable to pay for such health care.

To promote, organize, manage and administer projects to assure cost-effective care for low income persons.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,187,668$2,039,003▼ $148,665
Pledges and Grants Receivable$166,360$208,135▲ $41,775
Prepaid Expenses and Deferred Charges$1,174$1,144▼ $30
Total Assets$2,355,202$2,248,282▼ $106,920
Liabilities
Accounts Payable and Accrued Expenses$186,346$237,160▲ $50,814
Total Liabilities$186,346$237,160▲ $50,814
Net Assets / Fund Balance
Unrestricted Net Assets$2,168,856$2,011,122▼ $157,734
Total Net Assets Fund Balance$2,168,856$2,011,122▼ $157,734
Total Liabilities and Net Assets / Fund Balance$2,355,202$2,248,282▼ $106,920
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Bruce MillerExecutive DirectorPT$31,940$31,940

Board Members and Trustees

NameTitle
John BruningPresident
Christine BaumgardnerBoard Member
David BellamyBoard Member
Myrna HollandBoard Member
Robert CourtoisBoard Member
Carol ShaftoSecretary
Lisa PeacockTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Health Department Of Northwest MichiganContracted Services220 W GARFIELD, Charlevoix, MI 49720$560,944
Benzie-leelanau District Health DepartmeContracted Services7401 E DUCK LAKE RD A, Lake Leelanau, MI 49653$199,986
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,323,660
Investment Income
$44,718
Other Revenue
$60,500
Change in Net Assets
$-157,734

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,428,878
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$1,428,878
Total Revenue per Form 990
$1,428,878
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,554,672
Salaries, Compensation, and Employee Benefits$31,940
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$43,280--$43,280
Current Officers, Directors, Trustees, and Key Employees$31,940--$31,940
Other Expenses$43,866$25,000-$25,000
Fees for Services Accounting-$10,930-$10,930
Insurance-$1,863-$1,863
Total Functional Expenses$1,503,195$83,417$0$1,586,612

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,586,612
Total Expenses per Audited Statements$1,586,612
Total Expenses per Form 990$1,586,612
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The 990 is reviewed by the executive director, board president, chief financial officer, and accountant for accuracy. Upon completion, a review of the 990 is scheduled for the board of directors. The presentation is carried out by a representative from the maner costerisan cpa firm, which produces the 990. After questions are answered, the board accepts the 990.

Form 990, Part VI, Section B, Line 12C

The conflict of interest statement is given annually to board members who sign a written statement acknowledging that they have received, understand and agree to adhere to the policy. There is also an ethics committee comprised of independent board members. Board members and contracted employees receive information on how to report potential violations of ethical behavior to this committee.

Form 990, Part VI, Section C, Line 19

All information is available upon request. Form 990 is also posted annually on guidestar's website. The 990 is public information through the michigan attorney general's office.

Filing and Contact Details

Filer

Filer Name
Northern Health Plan
EIN
20-1477015
Phone
2315477627
Address
220 W GARFIELD, CHARLEVOIX, MI 49720

Signing Officer

Name
David Bellamy
Title
Executive Director
Phone
2315477627
Signed
2020-02-26
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Bellamy
Formed
2001
Legal Domicile
Mi
Voting Board Members
7
Independent Board Members
7
Employees
2
Volunteers
7

Preparer

Firm
Maner Costerisan Pc
Address
2425 E GRAND RIVER SUITE 1, LANSING, MI 48912-3291
Preparer
James a Mc Neeley CPA
Phone
5173237500
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

In the preparation of tax returns, tax positions are taken based on interpretation of federal, state and local income tax laws. Management periodically reviews and evaluates the status of uncertain tax positions and makes estimates of amounts, including interest and penalties, ultimately due or owed. No amounts have been identified, or recorded, as uncertain tax positions. Federal, state and local tax returns generally remain open for examination by the various taxing authorities for a period of three to four years.

Raw XML AppendixShowing 400 of 405 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/SavingsAndTempCashInvstGrp/EOYAmt02039003
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt01201935
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0740765
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt031265
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt029353
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IRS990ScheduleA/OtherIncome509Grp/TotalAmt099354
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IRS990ScheduleA/PublicSupportPY509Pct00.97970
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt01428878
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, BOARD PRESIDENT, CHIEF FINANCIAL OFFICER, AND ACCOUNTANT FOR ACCURACY. UPON COMPLETION, A REVIEW OF THE 990 IS SCHEDULED FOR THE BOARD OF DIRECTORS. THE PRESENTATION IS CARRIED OUT BY A REPRESENTATIVE FROM THE MANER COSTERISAN CPA FIRM, WHICH PRODUCES THE 990. AFTER QUESTIONS ARE ANSWERED, THE BOARD ACCEPTS THE 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CONFLICT OF INTEREST STATEMENT IS GIVEN ANNUALLY TO BOARD MEMBERS WHO SIGN A WRITTEN STATEMENT ACKNOWLEDGING THAT THEY HAVE RECEIVED, UNDERSTAND AND AGREE TO ADHERE TO THE POLICY. THERE IS ALSO AN ETHICS COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS. BOARD MEMBERS AND CONTRACTED EMPLOYEES RECEIVE INFORMATION ON HOW TO REPORT POTENTIAL VIOLATIONS OF ETHICAL BEHAVIOR TO THIS COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 IS ALSO POSTED ANNUALLY ON GUIDESTAR'S WEBSITE. THE 990 IS PUBLIC INFORMATION THROUGH THE MICHIGAN ATTORNEY GENERAL'S OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
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IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02020-11-19 02:30:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DAVID BELLAMY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02315477627
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-02-26
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NORTHERN HEALTH PLAN
ReturnHeader/Filer/BusinessNameControlTxt0NORT
ReturnHeader/Filer/EIN0201477015
ReturnHeader/Filer/PhoneNum02315477627
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ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
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ReturnHeader/FilingSecurityInformation/IPDt02020-02-26
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ES
ReturnHeader/FilingSecurityInformation/IPTm013:09:41
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0382157642
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MANER COSTERISAN PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02425 E GRAND RIVER SUITE 1
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LANSING
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0489123291
ReturnHeader/PreparerPersonGrp/PhoneNum05173237500
ReturnHeader/PreparerPersonGrp/PreparationDt02020-02-27
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JAMES A MC NEELEY CPA

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