2023-11-14T14:00:08-05:00 2022-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2022-01-01 382356288 PHYSICIANS HEALTH PLAN PHYS 5173648400 PO BOX 30377 LANSING MI 48909 DENNIS REESE PRESIDENT & CEO 5173648400 2023-11-13 true DENNIS REESE 999009999 false JULIE M PFEIFLE P00751307 5177060800 2023-11-13 2022 2023-04-26 12:10:37Z DENNIS REESE 1215 E MICHIGAN AVENUE LANSING MI 48912 166074736 false X WWW.PHPMICHIGAN.COM X 1980 MI PHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE. 9 4 216 0 0 158133856 161126641 4358070 4909434 186 184 162492112 166036259 0 139087640 141403101 8714870 9247596 0 0 27510171 34073283 175312681 184723980 -12820569 -18687721 85614801 60797102 34701244 29579042 50913557 31218060 X PHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE. false false 177719271 161126641 PHYSICIANS HEALTH PLAN (PHP) IS OWNED BY PHP HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. PHP IS PRIMARILY A COMMERCIAL HMO AND ALSO OPERATES THREE SUBSIDIARIES, PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY, PHP MEDICARE (PHPMA), A MICHIGAN MEDICARE PLAN, AND PHP SERVICE COMPANY (PHPTA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC, PHPTA AND PHPMA. PHPS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. PHP IC OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2022, THERE WERE APPROXIMATELY 28,600 ENROLLEES IN PHPS COMMERCIAL HMO, 24,800 IN TPA, 2,900 IN PHPIC, AND 7,500 ENROLLEES IN PHPMA. THE PHP NETWORK IS APPROXIMATELY 3,068 PRIMARY CARE PHYSICIANS, 5,503 SPECIALTY CARE PHYSICIANS, 3,906 ALLIED HEALTH PROFESSIONALS, 3,482 BEHAVIORAL HEALTH PROVIDERS AND 746 ORGANIZATIONAL PROVIDERS THAT INCLUDE 60 HOSPITALS. PHP CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. PHPS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. PHPS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. PHP MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: -DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES. -QUALITY OF CARE CONCERNS. -HEDIS MEASURES THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: - DIABETES, - ASTHMA, - DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, - BREAST AND CERVICAL CANCER SCREENING, - USE OF BETA-BLOCKERS AFTER HEART ATTACKS, - CHILD AND ADOLESCENT IMMUNIZATIONS, - CHOLESTEROL MANAGEMENT, - CONTROLLING HIGH BLOOD PRESSURE, - SMOKING CESSATION, - PRENATAL AND POSTPARTUM CARE, AND - TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. PHP MEASURES THE QUALITY OF SERVICE PROVIDED TO ITS ENROLLEES BY THE REVIEW OF PERFORMANCE MEASURES RELATED TO: ACCESS AND AVAILABILITY OF PROVIDERS, ENROLLEE COMPLAINTS AND APPEALS, CUSTOMER SERVICE TELEPHONE ACCESS PERFORMANCE, AND MEMBER ASSESSMENT: THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY GIVES A GENERAL INDICATION OF HOW WELL THE ORGANIZATION MEETS MEMBERS EXPECTATIONS. THE PHP QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 PHP RECEIVED FULL ACCREDITATION STATUS FROM URAC FOR BOTH HEALTH PLAN ACCREDITATION AND HEALTH PLAN ACCREDITATION WITH HEALTH INSURANCE MARKETPLACE. URAC ACCREDITATION SIGNIFIES AN ISSUER HAS UNDERGONE AND PASSED A RIGOROUS AND INDEPENDENT REVIEW OF ITS OPERATION, INCLUDING THE QUALITY OF CARE AND LEVEL OF SERVICE PROVIDED TO ENROLLEES. ACCREDITATION HEALTH PLAN STANDARDS INCORPORATE MARKET TRENDS AND ADDRESS MAJOR POLICY ISSUES WHILE ALIGNING WITH CORE REQUIREMENTS FOUND IN THE AFFORDABLE CARE ACT. PHP HAS BEEN ACCREDITED BY URAC UNDER THE HEALTH PLAN STANDARDS SINCE 2012. THE CURRENT ACCREDITATION IS EFFECTIVE THROUGH JULY 1, 2024 AT WHICH TIME REACCREDITATION WILL OCCUR. 177719271 false false false false false false false false true true false true true false false true true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false true 221 0 true 216 true false false false false false false false false X 9 4 false false false false true true true true true false false true true true true true true true true false MI X DENNIS REESE 5173648400 1400 E MICHIGAN AVENUE LANSING MI 48909 JAMES F DOVER PRES/CEO - S 1.00 40.00 X X 0 1141524 84525 JOSEPH RUTH DIRECTOR 1.00 40.00 X 0 736602 129037 PAULA REICHLE TREASURER 1.00 40.00 X X 0 648489 61609 DOUGLAS EDEMA MD DIRECTOR 1.00 40.00 X 0 548605 50204 DENNIS REESE PRESIDENT & 40.00 5.00 X 419309 0 62522 PETER GRAHAM MD MEDICAL DIRE 40.00 5.00 X 330384 0 70495 EDWARD VOZZO CFO/COO 40.00 5.00 X 214973 0 32015 JONATHAN DENGEL OPERATION & 40.00 5.00 X 197931 0 30660 WALTER BRIGGS DIRECTOR OF 40.00 5.00 X 182768 0 45133 KENNETH WALKER DIR OF NETWO 40.00 5.00 X 161165 0 43823 NICHOLAS D'ISA DIR LEGAL/CO 40.00 5.00 X 165698 0 37351 SCOTT NORMAN VP OF SALES 40.00 5.00 X 164719 0 36513 ANN HUNT-FUGATE RPH MGR CLINICAL 40.00 5.00 X 159183 0 31580 GEORGE SCHNEIDER FORMER CFO/C 40.00 5.00 X 118358 0 24133 ANDREA KOSLOSKI FORMER DIREC 0.00 40.00 X 0 100967 18669 JOHN PIRICH DIRECTOR 1.00 X 0 1440 0 KEVIN ALBOSTA DIRECTOR 1.00 X 0 0 0 TIMOTHY PETERSON M D DIRECTOR 1.00 X 0 0 0 KEITH DICKEY CHAIR 1.00 X X 0 0 0 IFTIKER AHMAD MD DIRECTOR 1.00 1.00 X 0 0 0 JOHN AYANIAN MD DIRECTOR 1.00 X 0 0 0 2114488 3177627 758269 31 true true false TRIZETTO 1085 MORRIS AVENUE UNION NJ 07083 HEALTHCARE IT 4789693 ZELIS HEALTHCARE 6875 SHILOH RD E ALPHARETTA GA 300058403 COST CONT & CIR 912963 CHANGE HEALTHCARE INC 3055 LEBANON PIKE NASHVILLE TN 37214 COST CONT & CIR 691289 MILLIMAN 15800 BLUEMOUND RD SUITE 100 BROOKFIELD WI 53005 MGMT CONSULTING 611796 CHANGE HEALTHCARE 2187 NETWORK PL CHICAGO IL 606731219 COST CON & CIR 475753 23 PREPAID HEALTHCARE 621990 161126641 161126641 161126641 4829946 4829946 117965 12976 25501 104989 -25501 79488 79488 OTHER REVENUE 900099 184 184 184 166036259 161126825 4909434 141403101 141403101 1473421 1115380 358041 6365343 4818565 1546778 367082 277881 89201 481722 364664 117058 560028 423941 136087 2981095 2981095 1106 837 269 98837 98837 10833 10833 3296998 3296998 330322 250054 80268 315034 238481 76553 961281 727690 233591 93119 93119 86585 86585 3415 3415 1811608 1811608 51099 51099 LOSS - UNCONSOLIDATED SUB 19662660 19662660 BROKER COMMISSIONS 2322805 2322805 MISCELLANEOUS 1129021 854670 274351 ADMINISTRATIVE EXPENSES 917465 917465 184723980 177719271 7004709 0 26342074 21386008 6030198 6337466 1315852 1451044 25769136 17874712 6024730 7894424 6238071 5537588 28194555 7123231 11469321 11067341 85614801 60797102 26644396 27020144 3466624 2558898 4590224 34701244 29579042 X 50913557 31218060 50913557 31218060 85614801 60797102 -18687721 -1007776 X false true X true true true 6297032 5192208 -280050 11209190 5606321 561053 129658 6297032 4912247 237860 456214 5606321 4700296 39943 172008 4912247 3236464 314065 55042 3605571 1.00000 false true true 455895 455895 6658838 4704428 1954410 18654403 13170284 5484119 7894424 INVESTMENT IN PHP INSURANCE COMPANY 9349437 C INVESTMENT IN PHP MEDICARE -717145 C INVESTMENT IN PHP SERVICE COMPANY -1509061 C 7123231 RELATED PARTY RECEIVABLE 11067341 11067341 161527448 19662660 25501 19688161 141839287 188337 24008635 24196972 166036259 160527877 160527877 188337 24007766 24196103 184723980 SCHEDULE D, PAGE 2, PART V, LINE 4 PHP DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM HAS AN INDIRECT CONTROLLING INTEREST IN PHP AND IS THE SOLE MEMBER OF SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENT. SCHEDULE D, PAGE 4, PART XI, LINE 2D LOSS ON SALE OF FIXED ASSETS 25,501 SCHEDULE D, PAGE 4, PART XI, LINE 4B REINSURANCE 1,131,936 LOSS ON UNCONSOLIDATED SUBSIDIARY 19,662,660 RISK ADJ INCOME/EXPENSE RECLASS 2,995,204 PENSION 217,966 MISC 869 SCHEDULE D, PAGE 4, PART XII, LINE 4B REINSURANCE 1,131,936 LOSS ON UNCONSOLIDATED SUBSIDIARY 19,662,660 ACA FEES 2,995,204 PENSION NON-OPERATING 217,966 X X X X X X false true false false false false false true false JAMES F DOVER PRES/CEO - SHS 955742 185782 84525 1226049 JOSEPH RUTH DIRECTOR 612061 124541 90542 38495 865639 PAULA REICHLE TREASURER 561901 86588 8400 53209 710098 DOUGLAS EDEMA MD DIRECTOR 520052 28553 8400 41804 598809 DENNIS REESE PRESIDENT & CEO 410797 8512 17550 44972 481831 PETER GRAHAM MD MEDICAL DIRECTOR 324901 2562 2921 36905 33590 400879 EDWARD VOZZO CFO/COO 194839 20000 134 4760 27255 246988 JONATHAN DENGEL OPERATION & INFO OFF 192762 5000 169 30660 228591 WALTER BRIGGS DIRECTOR OF IMP. 181343 1425 5367 39766 227901 KENNETH WALKER DIR OF NETWORK SERV. 161165 4835 38988 204988 NICHOLAS D'ISA DIR LEGAL/COMPLIANCE 165069 629 9667 27684 203049 SCOTT NORMAN VP OF SALES 164386 333 7776 28737 201232 ANN HUNT-FUGATE RPH MGR CLINICAL PHARM 157333 1850 4171 27409 190763 ANDREA KOSLOSKI FORMER DIRECTOR 100967 10785 7884 119636 SCHEDULE J, PAGE 1, PART I, LINE 3 PHP HOLDINGS IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN WITH SPARROW HEALTH SYSTEM OWNING 65%. SPARROW HEALTH SYSTEM IS AN INTEGRATED NON- PROFIT ORGANIZATION THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES. SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES F. DOVER 0 136,389 0 JOSEPH RUTH 0 62,787 0 PAULA REICHLE 0 57,307 0 SCHEDULE J, PAGE 1, PART I, LINE 7 COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PREREQUISITES) ARE COMPARED TO MARKET. SCHEDULE J, PART III ANDREA KOSLOSKI IS A FORMER BOARD MEMBER OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBER IS BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN AS BOARD MEMBER OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBER IS NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO PHYSICIANS HEALTH PLAN. CERTAIN EXECUTIVES PARTICIPATE IN THE 457(F) SUPPLEMENTAL RETIREMENT PLAN AND ARE MAKING CURRENT YEAR CONTRIBUTIONS AS WELL AS RECEIVING CURRENT YEAR DISTRIBUTIONS. CONTRIBUTIONS TO THE PLAN ARE DISCLOSED IN PART I LINE 4B AND REQUIRED DISTRIBUTIONS FROM THE PLAN ARE REPORTED BELOW AS A NEGATIVE AS WELL AS BEING DISCLOSED IN SCHEDULE J, PART II, COLUMN B (III). JAMES F. DOVER: -136,389 PAULA REICHLE: -57,307 JOSEPH RUTH: -99,020 FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. FORM 990, PAGE 2, PART III, LINE 4A PHYSICIANS HEALTH PLAN (PHP) IS OWNED BY PHP HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. PHP IS PRIMARILY A COMMERCIAL HMO AND ALSO OPERATES THREE SUBSIDIARIES, PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY, PHP MEDICARE (PHPMA), A MICHIGAN MEDICARE PLAN, AND PHP SERVICE COMPANY (PHPTA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC, PHPTA AND PHPMA. PHPS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. PHP IC OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2022, THERE WERE APPROXIMATELY 28,600 ENROLLEES IN PHPS COMMERCIAL HMO, 24,800 IN TPA, 2,900 IN PHPIC, AND 7,500 ENROLLEES IN PHPMA. THE PHP NETWORK IS APPROXIMATELY 3,068 PRIMARY CARE PHYSICIANS, 5,503 SPECIALTY CARE PHYSICIANS, 3,906 ALLIED HEALTH PROFESSIONALS, 3,482 BEHAVIORAL HEALTH PROVIDERS AND 746 ORGANIZATIONAL PROVIDERS THAT INCLUDE 60 HOSPITALS. PHP CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. PHPS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. PHPS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. PHP MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: -DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES. -QUALITY OF CARE CONCERNS. -HEDIS MEASURES THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: - DIABETES, - ASTHMA, - DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, - BREAST AND CERVICAL CANCER SCREENING, - USE OF BETA-BLOCKERS AFTER HEART ATTACKS, - CHILD AND ADOLESCENT IMMUNIZATIONS, - CHOLESTEROL MANAGEMENT, - CONTROLLING HIGH BLOOD PRESSURE, - SMOKING CESSATION, - PRENATAL AND POSTPARTUM CARE, AND - TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. PHP MEASURES THE QUALITY OF SERVICE PROVIDED TO ITS ENROLLEES BY THE REVIEW OF PERFORMANCE MEASURES RELATED TO: ACCESS AND AVAILABILITY OF PROVIDERS, ENROLLEE COMPLAINTS AND APPEALS, CUSTOMER SERVICE TELEPHONE ACCESS PERFORMANCE, AND MEMBER ASSESSMENT: THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY GIVES A GENERAL INDICATION OF HOW WELL THE ORGANIZATION MEETS MEMBERS EXPECTATIONS. THE PHP QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 PHP RECEIVED FULL ACCREDITATION STATUS FROM URAC FOR BOTH HEALTH PLAN ACCREDITATION AND HEALTH PLAN ACCREDITATION WITH HEALTH INSURANCE MARKETPLACE. URAC ACCREDITATION SIGNIFIES AN ISSUER HAS UNDERGONE AND PASSED A RIGOROUS AND INDEPENDENT REVIEW OF ITS OPERATION, INCLUDING THE QUALITY OF CARE AND LEVEL OF SERVICE PROVIDED TO ENROLLEES. ACCREDITATION HEALTH PLAN STANDARDS INCORPORATE MARKET TRENDS AND ADDRESS MAJOR POLICY ISSUES WHILE ALIGNING WITH CORE REQUIREMENTS FOUND IN THE AFFORDABLE CARE ACT. PHP HAS BEEN ACCREDITED BY URAC UNDER THE HEALTH PLAN STANDARDS SINCE 2012. THE CURRENT ACCREDITATION IS EFFECTIVE THROUGH JULY 1, 2024 AT WHICH TIME REACCREDITATION WILL OCCUR. FORM 990, PAGE 6, PART VI, LINE 6 PHP HOLDINGS IS THE PARENT AND SOLE MEMBER OF PHP AND HAS 100% OWNERSHIP. PHP HOLDINGS IS OWNED BY SPARROW HEALTH SYSTEM (SHS) AT 65%, MICHIGAN MEDICINE AT 25% AND COVENANT HEALTHCARE SYSTEM AT 10%. FORM 990, PAGE 6, PART VI, LINE 7A THE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF PHYSICIANS HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM. FORM 990, PAGE 6, PART VI, LINE 7B THE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF PHYSICIANS HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM. THE DECISIONS OF THE PHYSICIANS HEALTH PLAN BOARD OF DIRECTORS MAY BE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 2022 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF THE FORM 990 COPIES WERE PROVIDED AT THE FALL 2023 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON. FORM 990, PAGE 6, PART VI, LINE 12C 1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON). FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SPARROW BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SPARROW BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS FOLLOWS: THE GOVERNING DOCUMENTS OF PHP ARE SUBMITTED TO THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS). THOSE ARE PUBLICLY AVAILABLE TO INTERESTED PARTIES. THE CONFLICT OF INTEREST IS AVAILABLE THROUGH SPARROW BY REQUESTING THE POLICY FROM THE SPARROW COMPLIANCE OFFICER. SPARROW HEALTH SYSTEM 1215 E MICHIGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 12A N/A false PHYSICIANS HEALTH NETWORK 1400 E MICHIGAN AVENUE LANSING MI 48912 382594856 HMO MI 501C4 PHP HO true SPARROW FOUNDATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386100687 FUNDRAISE MI 501C3 12B SHS true SPARROW COMMUNITY CARE 3315 E MICHIGAN AVENUE STE 4 LANSING MI 48912 382543305 HOME HLTH MI 501C3 10 SHS true SPARROW CLINTON HOSPITAL 805 S OAKLAND STREET ST JOHNS MI 48879 381358172 HLTH CARE MI 501C3 3 SHS true EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 HLTH CARE MI 501C3 3 SHS true SPARROW IONIA HOSPITAL 3565 S STATE RD IONIA MI 48846 383218134 HLTH CARE MI 501C3 3 SHS true SPARROW SPECIALTY HOSPITAL 1215 E MICH AVE 8W SPARROW TOWER LANSING MI 48912 141885340 LT ACUTE MI 501C3 3 SHS true SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE LANSING MI 48912 383075242 RESEARCH MI 501C3 4 SHS true SPARROW CARSON HOSPITAL 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 381490180 HLTH CARE MI 501C3 3 SHS true PHP MEDICARE 1400 E MICHIGAN AVENUE LANSING MI 48912 832766121 HMO MI 501C4 PHP true SPARROW EATON HOSPITAL 321 E HARRIS ST CHARLOTTE MI 48813 382007629 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL AUXILIARY 321 E HARRIS ST CHARLOTTE MI 48813 382377160 FUNDRAISE MI 501C3 3 SHS true PHP HOLDINGS LLC 1400 E MICHIGAN AVENUE LANSING MI 48912 833965697 HOLDING CO MI N/A false false PHP INSURANCE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 205565219 INSURANCE MI N/A true PHP SERVICE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 383344741 MED SVS MI N/A true SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVENUE LANSING MI 48912 382595963 MED SUPPL MI N/A true EAST LANSING ATHLETIC CLUB 2900 HANNAH BLVD EAST LANSING MI 48823 382886420 HLTH CLUB MI N/A true MAC RESTAURANT LLC 2900 HANNAH BLVD EAST LANSING MI 48823 205120690 RESTAURANT MI N/A true CLINTON SERVICES CORPORATION 805 S OAKLAND ST JOHNS MI 48879 382494110 SERVICES MI N/A true EAST LANSING ATHLETIC CLUB & HSP 1200 E MICHIGAN AVENUE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true false true false false false true false false false false true true true true true true true true false PHYSICIANS HEALTH NETWORK M 142193272 COST EDWARD W SPARROW HOSPITAL Q 17847740 COST PHP INSURANCE COMPANY Q 2666129 COST PHP SERVICE COMPANY Q 9907319 COST PHP MEDICARE Q 1758758 COST PHP MEDICARE R 15300000 COST PHP INSURANCE COMPANY F 5500000 COST PHP HOLDINGS LLC R 7000000 COST