Civic Intelligence

Jackson Health Plan Corporation

EIN 37-1432778 • 501(c)3 • Lansing, MI

Profile

To insure the delivery of basic preventative health care to low income persons without insurance and/or ineligible for other governement programs.

PO Box 30125Lansing, MI 48909

www.communityhealthplans.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

4th percentile

-471%

Higher net margin than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

89th percentile

$27,402

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 13.2% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

8th percentile

-87%

Faster revenue growth than 8% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $1,066,893 (-100%) from 2014

Liabilities

Down

$0

Down $91,434 (-100%) from 2014

Net Assets

Down

$0

Down $975,459 (-100%) from 2014

Revenue

Down

$207,294

Down $1,414,455 (-87%) from 2014

Expenses

Down

$1,182,753

Down $217,702 (-16%) from 2014

Net Income

Down

-$975,459

Down $1,196,753 (-541%) from 2014

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5M$1.0M$500K$0Assets 2010: $1,397,352Liabilities 2010: $222,264Net Assets 2010: $1,175,0882010Assets 2011: $1,398,638Liabilities 2011: $243,751Net Assets 2011: $1,154,8872011Assets 2012: $1,211,472Liabilities 2012: $227,535Net Assets 2012: $983,9372012Assets 2013: $946,058Liabilities 2013: $191,893Net Assets 2013: $754,1652013Assets 2014: $1,066,893Liabilities 2014: $91,434Net Assets 2014: $975,4592014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $2,054,6972010Expenses 2011: $2,529,9382011Expenses 2012: $1,863,0182012Expenses 2013: $1,992,5772013Revenue 2014: $1,621,749Expenses 2014: $1,400,455Net Income 2014: $221,2942014Revenue 2015: $207,294Expenses 2015: $1,182,753Net Income 2015: -$975,4592015

Highlighted filing

2015

Revenue$207,294
Expenses$1,182,753
Net Income-$975,459

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Jul 11, 2016
Return Version
2014v6.0
Gross Receipts
$207,294
Mission and Program Overview

Mission

To insure the delivery of basic preventative health care to low income persons without insurance and/or ineligible for other governement programs.

To insure the delivery of basic preventative health care to low income persons.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,064,491$0▼ $1,064,491
Prepaid Expenses and Deferred Charges$2,402$0▼ $2,402
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$1,066,893$0▼ $1,066,893
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$90,434$0▼ $90,434
Other Liabilities$1,000$0▼ $1,000
Total Liabilities$91,434$0▼ $91,434
Net Assets / Fund Balance
Unrestricted Net Assets$975,459$0▼ $975,459
Total Net Assets Fund Balance$975,459$0▼ $975,459
Total Liabilities and Net Assets / Fund Balance$1,066,893$0▼ $1,066,893
Compensation and Service Providers

Employees

NameTitleBaseTotal
Laura PetersonExecutive Director$27,402$27,402

Board Members and Trustees

NameTitle
Randy TreacherPresident
Candy DavisDirector
Molly KaserDirector
Richard ThouneDirector
Ken TollSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Jackson Community FoundationOutreachONE JACKSON SQUARE SUITE 308, Jackson, MI 49201$900,000
Jackson County Health DepartmentEnrollment & Outreach120 W MICHIGAN AVE, Jackson, MI 49201$162,057
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$207,294
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-975,459
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,137,883
Salaries, Compensation, and Employee Benefits$44,870
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$34,870-$34,870
Fees for Services Accounting-$27,232-$27,232
Insurance-$25,125-$25,125
Other Salaries and Wages-$10,000-$10,000
Fees for Services Legal-$2,632-$2,632
Other Expenses$15,994$1,002-$1,002
Office Expenses-$202-$202
Travel-$68-$68
Fees for Services Other-$57-$57
All Other Expenses$-13,420$207-$-13,213
Total Functional Expenses$1,081,358$101,395$0$1,182,753
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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
Yes
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 11

The 990 form is received by the organization's executive director and is reviewed for accuracy. Upon the executive director's approval, the 990 is made available to the board of directors at a board of director's meeting. The preparer of the document attends the meeting to answer any questions presented by directors. After any concerns presented by the board are addressed, the president signs and files the form.

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

It is the policy of the corporation that all directors and officers shall scrupulously avoid any conflict, or the appearance of any conflict between their own interests and the interest of the corporation. Directors and officers shall annually submit in writing to its president a conflict of interest statement in the form prescribed by the board of directors. This policy supplements, but does not replace, any applicable state laws governing conflict of interest applicable to nonprofit and charitable organizations. A director of the board or of any committee shall immediately, and in writing, notify the president of the corporation of any conflict of interest or any potential conflict as soon as he or she becomes aware of it. A person having a conflict of interest or potential conflict of interest shall not participate in any matter that might come before the board or any committee. If the member fails to do so voluntarily, the president is empowered to take necessary and appropriate action to ensure that the affected director does not participate until the conflict has been resolved. The minutes of the board shall contain names of persons who disclose or otherwise were found to have a financial interest in connection with an actual or potential conflict of interest, the nature of the financial interest, the board's decision as to whether a conflict of interest in fact existed, the board determination that no equivalent or more advantageous transaction or arrangement is attainable and the record of any vote to proceed with a transaction despite a conflict of interest.

Form 990, Part VI, Section B, Line 15A

The board of directors meets to review the performance of the executive director annually. The board of directors reviews comparison data from similar organizations as reported by available public documents. A record of the meeting and decision by the board of directors is retained by the organization.

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
Jackson Health Plan Corporation
EIN
37-1432778
Phone
5178410608
Address
PO BOX 30125, LANSING, MI 48909

Signing Officer

Name
Randy Treacher
Title
President
Phone
5178410608
Signed
2016-07-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Randy Treacher
Formed
2001
Legal Domicile
Mi
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Firm
Maner Costerisan Pc
Address
2425 E GRAND RIVER SUITE 1, LANSING, MI 48912-3291
Preparer
James a Mc Neeley CPA
Phone
5173237500
Raw XML Appendix389 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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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt02509737
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt07807073
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd00
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd00
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0SAVINGS AND TEMPORARY INVESTMENTS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0JACKSON COMMUNITY FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02015-03-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0386070739
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0900000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0NON-PROFIT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0ONE JACKSON SQ STE 308
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0JACKSON
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0MI
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd049201
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 FORM IS RECEIVED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR AND IS REVIEWED FOR ACCURACY. UPON THE EXECUTIVE DIRECTOR'S APPROVAL, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AT A BOARD OF DIRECTOR'S MEETING. THE PREPARER OF THE DOCUMENT ATTENDS THE MEETING TO ANSWER ANY QUESTIONS PRESENTED BY DIRECTORS. AFTER ANY CONCERNS PRESENTED BY THE BOARD ARE ADDRESSED, THE PRESIDENT SIGNS AND FILES THE FORM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1IT IS THE POLICY OF THE CORPORATION THAT ALL DIRECTORS AND OFFICERS SHALL SCRUPULOUSLY AVOID ANY CONFLICT, OR THE APPEARANCE OF ANY CONFLICT BETWEEN THEIR OWN INTERESTS AND THE INTEREST OF THE CORPORATION. DIRECTORS AND OFFICERS SHALL ANNUALLY SUBMIT IN WRITING TO ITS PRESIDENT A CONFLICT OF INTEREST STATEMENT IN THE FORM PRESCRIBED BY THE BOARD OF DIRECTORS. THIS POLICY SUPPLEMENTS, BUT DOES NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICT OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. A DIRECTOR OF THE BOARD OR OF ANY COMMITTEE SHALL IMMEDIATELY, AND IN WRITING, NOTIFY THE PRESIDENT OF THE CORPORATION OF ANY CONFLICT OF INTEREST OR ANY POTENTIAL CONFLICT AS SOON AS HE OR SHE BECOMES AWARE OF IT. A PERSON HAVING A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN ANY MATTER THAT MIGHT COME BEFORE THE BOARD OR ANY COMMITTEE. IF THE MEMBER FAILS TO DO SO VOLUNTARILY, THE PRESIDENT IS EMPOWERED TO TAKE NECESSARY AND APPROPRIATE ACTION TO ENSURE THAT THE AFFECTED DIRECTOR DOES NOT PARTICIPATE UNTIL THE CONFLICT HAS BEEN RESOLVED. THE MINUTES OF THE BOARD SHALL CONTAIN NAMES OF PERSONS WHO DISCLOSE OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, THE BOARD'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED, THE BOARD DETERMINATION THAT NO EQUIVALENT OR MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS ATTAINABLE AND THE RECORD OF ANY VOTE TO PROCEED WITH A TRANSACTION DESPITE A CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD OF DIRECTORS MEETS TO REVIEW THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ANNUALLY. THE BOARD OF DIRECTORS REVIEWS COMPARISON DATA FROM SIMILAR ORGANIZATIONS AS REPORTED BY AVAILABLE PUBLIC DOCUMENTS. A RECORD OF THE MEETING AND DECISION BY THE BOARD OF DIRECTORS IS RETAINED BY THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL 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 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MI
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt01066893
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt01066893
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0101395
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01081358
IRS990/TotalFunctionalExpensesGrp/TotalAmt01182753
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt091434
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt091434
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0975459
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt01081358
IRS990/TotalProgramServiceRevenueAmt0207294
IRS990/TotalReportableCompFromOrgAmt027402
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0207294
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0207294
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01066893
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt068
IRS990/TravelGrp/TotalAmt068
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0975459
IRS990/UnrestrictedNetAssetsGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 30125
IRS990/USAddress/CityNm0LANSING
IRS990/USAddress/StateAbbreviationCd0MI
IRS990/USAddress/ZIPCd048909
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0WWW.COMMUNITYHEALTHPLANS.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RANDY TREACHER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05178410608
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-07-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0JACKSON HEALTH PLAN CORPORATION
ReturnHeader/Filer/BusinessNameControlTxt0JACK
ReturnHeader/Filer/EIN0371432778
ReturnHeader/Filer/PhoneNum05178410608
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 30125
ReturnHeader/Filer/USAddress/CityNm0LANSING
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MI
ReturnHeader/Filer/USAddress/ZIPCd048909
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/PreparerPersonNm0JAMES A MC NEELEY CPA
ReturnHeader/ReturnTs02016-07-19T15:06:49-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-10-01
ReturnHeader/TaxPeriodEndDt02015-09-30
ReturnHeader/TaxYr02014

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