Hometown Health Plan in Massillon, Ohio (OH)

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Hometown Health Plan
Employer Identification Number (EIN)341523541
Name of OrganizationHometown Health Plan
In Care of NameJeffrey Knight
Address100 Lillian Gish Blvd, Massillon, OH 44647-6587
ActivitiesPrepared group health plan
SubsectionSocial Welfare Organization
Ruling Date11/1988
DeductibilityContributions are not deductible
FoundationAll organizations except 501(c)(3)
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2011
Assets$1,000,000 to $4,999,999
Income$25,000 to $99,999
Filing Requirement990 - Required to file Form 990-N - Income less than $25,000 per year
Asset Amount$2,526,701
Amount of Income$31,971
Form 990 Revenue Amount$31,971
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Group Health Practice (Health Maintenance Organizations)


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Amount of income in 2011: $31,971
Hometown Health Plan: 

 $31,971
Other organizations performing similar types of work: 

 $153,128,564

Assets in 2011: $2,526,701
This organization: 

 $2,526,701
Other organizations performing similar types of work: 

 $38,480,063

Expenses in 2006: $23,549,401
This organization: 

 $23,549,401
Other organizations performing similar types of work: 

 $144,226,235

Income to expenses ratio in 2006: 1.2
Hometown Health Plan: 

 1.2
Other organizations performing similar types of work: 

 1.0

Expenses allocated to program services in 2006: 94.0%
Hometown Health Plan: 

 94.0%
Other organizations performing similar types of work: 

 91.9%

Financial snapshot ($)

Revenue for 2006

Assets at end of 2006

Expenses for 2006

Functional Expenses for 2006 ($)

Income-Producing Activities for 2006

Revenue, Expenses, and Changes in Net Assets or Fund Balances
2000200120022003200420052006
Total revenue$68,486,344$88,896,133$105,155,180$98,770,960$93,230,885$94,927,075$29,224,887
Contributions, gifts, grants, and similar amounts received$0$0$0$0$0$0$0
Contributions to donor advised funds$0
Direct public support$0$0$0$0$0$0$0
Indirect public support$0$0$0$0$0$0$0
Government contributions (grants)$0$0$0$0$0$0$0
Program service revenue including government fees and contracts$68,380,680$89,107,499$105,319,363$97,827,328$92,434,984$93,647,088$26,243,549
Membership dues and assessments$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$0$566,020$663,928$62,880$153,064$277,431$309,330
Dividends and interest from securities$105,664$0$0$540,035$356,216$770,564$1,136,308
Net rental income or (loss)$0$0$0$0$0$0$0
Gross rents$0$0$0$0$0$0$0
Less: rental expenses$0$0$0$0$0$0$0
Other investment income$0$-108,747$-645,278$0$0$0$0
Gain or (loss) from sales of assets other than inventory$0$-668,639$-182,833$340,717$286,621$231,992$1,535,700
Gross amount from sales of assets other than inventory$0$3,327,329$4,296,725$21,165,977$12,074,763$153,899,159$152,936,476
Less: cost or other basis and sales expenses$0$3,995,968$4,479,558$20,825,260$11,788,142$153,667,167$151,400,776
Net income or (loss) from special events and activities$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0$0
Total expenses$72,485,289$86,667,469$108,281,639$97,298,102$81,171,711$83,880,670$23,549,401
Program services$63,533,159$75,345,875$96,197,638$87,486,827$72,994,215$78,138,437$22,143,516
Management and general$8,952,130$11,321,594$12,084,001$9,811,275$8,177,496$5,742,233$1,405,885
Fundraising$0$0$0$0$0$0$0
Payments to affiliates$0$0$0$0$0$0$0
Net assets or fund balances at end of year$3,189,598$7,663,756$7,646,676$10,235,028$22,903,674$34,691,981$41,633,322
Excess or (deficit) for the year$-3,998,945$2,228,664$-3,126,459$1,472,858$12,059,174$11,046,405$5,675,486
Net assets or fund balances at beginning of year$2,038,052$3,189,598$7,663,756$7,646,676$10,235,028$22,903,674$34,691,981
Other changes in net assets or fund balances$5,150,491$2,245,494$3,109,379$1,115,494$609,472$741,902$1,265,855
Statement of Functional Expenses (for 2006)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$23,549,401$22,143,516$1,405,885$0
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$21,080,073
Compensation of current officers, directors, key employees, etc.$0$0$0$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$0$0$0$0
Pension plan contributions not included above$0$0$0$0
Employee benefits not included above$0$0$0$0
Payroll taxes$0$0$0$0
Professional fundraising fees$0$0$0$0
Accounting fees$38,494$0$38,494$0
Legal fees$0$0$0$0
Supplies$18,875$18,875$0$0
Telephone$0$0$0$0
Postage and shipping$0$0$0$0
Occupancy$0$0$0$0
Equipment rental and maintenance$0$0$0$0
Printing and publications$0$0$0$0
Travel$0$0$0$0
Conferences, conventions, and meetings$0$0$0$0
Interest$0$0$0$0
Depreciation, depletion, etc.$0$0$0$0
Other expenses not covered above$2,411,959$1,044,568$1,367,391$0
Balance Sheets
2000200120022003200420052006
Total assets$19,424,915$22,327,330$23,526,366$29,259,013$38,851,156$47,130,377$43,892,285
Cash - non-interest-bearing$4,413,986$9,337,707$10,120,694$13,812,619$22,898,705$8,935,327$3,551,986
Savings and temporary cash investments$0$0$0$0$1,055,398$1,604,348$30,753
Accounts receivable less allowance for doubtful accounts$6,513,791$2,329,775$873,651$2,768,606$1,010,709$536,257$147,600
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0
Grants receivable$0$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0$0$0$0
Inventories for sale or use$0$0$0$0$0$0$0
Prepaid expenses and deferred charges$0$0$0$0$0$0$0
Investments - publicly-traded securities$40,002,581
Investments - other securities$8,031,512$10,181,389$12,053,562$12,199,329$13,407,885$35,724,450$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0
Investments - other$0$0$0$0$0$0$0
Land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0
Other assets, including program-related investments$465,626$478,459$478,459$478,459$478,459$329,995$159,365
Total liabilities$16,235,317$14,663,574$15,879,690$19,023,985$15,947,482$12,438,396$2,258,963
Accounts payable and accrued expenses$9,389,630$10,708,612$11,035,806$14,864,698$11,580,317$12,010,136$1,488,498
Grants payable$0$0$0$0$0$0$0
Deferred revenue$6,845,687$3,954,962$4,843,884$4,159,287$4,367,165$412,129$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0$0$0$0
Mortgages and other notes payable$0$0$0$0$0$0$0
Other liabilities$0$0$0$0$0$16,131$770,465
Total liabilities and net assets/fund balances$19,424,915$22,327,330$23,526,366$29,259,013$38,851,156$47,130,377$43,892,285
Total net assets or fund balances$3,189,598$7,663,756$7,646,676$10,235,028$22,903,674$34,691,981$41,633,322
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2000200120022003200420052006
Total revenue$68,486,344$88,896,133$105,155,178$98,770,960$93,230,885$94,927,075$29,224,887
Total revenue, gains, and other support per audited financial statements$68,486,344$88,896,133$105,155,178$98,770,960$93,230,885$94,927,075$29,224,887
Other expenses$0$0$0$0$0$0$0
Net unrealized gains on investments$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2000200120022003200420052006
Total expenses$72,485,289$86,667,469$108,281,637$97,298,102$81,171,711$83,880,670$23,549,401
Total expenses and losses per audited financial statements$73,334,798$86,667,469$108,281,637$97,298,102$81,171,711$83,880,670$23,549,401
Other revenue$849,509$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0
Other$849,509$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings15
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?Yes
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?Yes
Did the organization make only in-house lobbying expenditures of $2,000 or less?Yes
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?No
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20060
Analysis of Income-Producing Activities (for 2006)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$2,981,338$26,243,549
Program service revenue
Program service revenue 1000000$000$0$26,243,549
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$309,330$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$1,136,308$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$1,535,700$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2006)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2006)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2006)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
Enter the total number of donor advised funds owned at the end of the tax year$0
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it is
Support Schedule
1999200020012002200320042005
Total$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2006)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Statements Regarding Other IRS Filings and Tax Compliance (for 2011)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2011)
Total revenue$31,971
Contributions, Gifts, Grants and Other Similar Amounts$0
Program Service Revenue$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$31,971
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$0
Net gain from sales of assets other than inventory$0
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$0
Statement of Functional Expenses (for 2011)
Total functional expenses$5,418
Compensation of current officers, directors, trustees, and key employees$0
Other salaries and wages$0
Payroll taxes$0
Professional fundraising services$0
Other$5,418
Balance Sheet (for 2011)
Total assets$2,526,701
Total liabilities$5,330
Tax-exempt bond liabilities$0
Secured mortgages and notes payable to unrelated third parties$0
Unsecured notes and loans payable to unrelated third parties$0
Other$5,330
Total net assets or fund balances$2,521,371
Retained earnings, endowment, accumulated income, or other funds$2,521,371
Reason for Public Charity Status (for 2011)
The organization is not a private foundation because it is:Not provided
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Kaiser Foundation Health Plan IncOne Kaiser Plz Ste 15l, Oakland, CA 94612-3610CA1981-12$73,070,955,322
2Blue Cross And Blue Shield Of Massachusetts Hmo Blue IncBoston, MA 02215MA$4,516,207,547
3New York State Catholic Health Plan Inc95-25 Queens Boulevard, Rego Park, NY 11374-4510NY1998-03$4,094,146,401
4Kaiser Foundation Health Plan Of ColoradoOne Kaiser Plaza Ste 15l, Oakland, CA 94612-3610CA1981-12$3,270,693,053
5Rochester Area Health Maintenance Organization Inc, Preferred Care220 Alexander St, Rochester, NY 14607-4002NY1979-05$3,261,971,027
6Kaiser Foundation Health Plan Of The NorthwestOne Kaiser Plz Ste 15l, Oakland, CA 94612-3610CA1981-12$3,202,133,905
7Tufts Associated Health Maintenance Organization Inc705 Mount Auburn St, Watertown, MA 02472-1508MA1979-12$3,044,932,414
8Mvp Health Plan Inc625 State St, Schenectady, NY 12305-2111NY1984-04$2,570,617,642
9Kaiser Foundation Health Plan Of The Mid Atlantic States Inc2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1981-06$2,491,136,983
10Optima Health Plan4417 Corporation Ln, Virginia Beach, VA 23462-3162VA1986-01$2,408,742,311
11Harvard Pilgrim Health Care Inc93 Worcester St, Wellesley, MA 02481-3609MA1969-10$2,364,926,679
12Health Alliance Plan Of Michigan, Medical Value Plan2850 W Grand Blvd, Detroit, MI 48202-2643MI2004-03$2,248,206,615
13Selecthealth Inc5381 S Green St, Murray, UT 84123-4661UT1985-06$2,036,733,037
14Medica Health Plans401 Carlson Pkwy Mr Cp175, Minnetonka, MN 55305MN1975-06$1,969,972,358
15Health Plan Of Upper Ohio Valley Inc52160 National Rd E, St Clairsvle, OH 43950-9306OH1979-11$758,734,867
16Mount Carmel Health Plan Inc6150 E Broad St, Columbus, OH 43213-1574OH2007-01$353,952,739
17Community Health Plan Of Ohio715 S Taft Ave, Fremont, OH 43420-3200OH1987-03$36,195,691
18Southwestern Ohio Family Medicine Inc105 Mcknight Dr, Middletown, OH 45044-4838OH1995-12$217,138
19Total Health Care Plan Inc, Mary Jo Lopez Appointed Deputy Reha8300 Hough Ave, Cleveland, OH 44103-4247OH1993-06$40,625
20Hometown Health Plan100 Lillian Gish Blvd, Massillon, OH 44647-6587OH1988-11$31,971
Number of organizations performing similar types of work
Alabama1
Arkansas1
California22
Colorado5
Connecticut1
District of Columbia2
Florida2
Georgia1
Hawaii2
Idaho1
Illinois3
Indiana2
Kansas1
Kentucky1
Massachusetts6
Maryland1
Michigan17
Minnesota8
Missouri2
North Dakota1
New Jersey1
New Mexico1
New York19
Ohio6
Oklahoma1
Oregon4
Pennsylvania5
Rhode Island1
South Dakota1
Tennessee2
Texas8
Utah4
Virginia2
Vermont1
Washington1
Wisconsin4
West Virginia1
International1
Total143

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