UNIVERSITY OF MICHIGAN HEALTH MEDICARE: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY OF MICHIGAN HEALTH MEDICARE (EIN 83-2766121)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202333189349309653
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T14:00:08-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383133790 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4295 OKEMOS RD STE 200 | AddressLine1Txt |
| City | OKEMOS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 488646201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832766121 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHP MEDICARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PHPM | BusinessNameControlTxt |
| Phone | 5173648400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 E MICHIGAN AVE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48912 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS REESE | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 5173648400 | PhoneNum |
| Signature | 2023-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DENNIS | PersonFirstNm |
| Person Last | REESE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE M PFEIFLE | PreparerPersonNm |
| PTIN | P00751307 | PTIN |
| Phone | 5177060800 | PhoneNum |
| Preparation | 2023-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DENNIS REESE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 E MICHIGAN AVENUE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48912 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $78,100,472 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.PHPMEDICARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2018 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PHP MEDICARE'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,665,541 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $75,121,089 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,557 | PYInvestmentIncomeAmt |
| CY Investment Income | $107,249 | CYInvestmentIncomeAmt |
| CY Other Revenue | $2,872,134 | CYOtherRevenueAmt |
| PY Total Revenue | $51,693,098 | PYTotalRevenueAmt |
| CY Total Revenue | $78,100,472 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $52,046,313 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $72,595,592 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,995,330 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,793,906 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,739,524 | PYOtherExpensesAmt |
| CY Other Expenses | $15,809,526 | CYOtherExpensesAmt |
| PY Total Expenses | $64,781,167 | PYTotalExpensesAmt |
| CY Total Expenses | $90,199,024 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,088,069 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,098,552 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,571,426 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,097,036 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,190,019 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,814,181 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,381,407 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$717,145 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PHP MEDICARE'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $87,673,119 | ExpenseAmt |
| Revenue | $75,121,089 | RevenueAmt |
| Desc | PHP MEDICARE IS A NON-PROFIT HEALTH MAINTENANCE ORGANIZATION (HMO). PHP MEDICARE USES A PRIMARY CARE CONCEPT FOR DELIVERING HEALTH CARE IN A HEALTH DELIVERY NETWORK (HDN) STRUCTURE. IT ARRANGES FOR THE PROVISION OF COMPREHENSIVE OUTPATIENT AND INPATIENT MEDICAL AND SURGICAL SERVICES TO MEMBERS ON THE BASIS OF A FIXED PREPAID SUM WITHOUT REGARD TO THE FREQUENCY OR EXTENT OF SERVICES FURNISHED TO ANY PARTICULAR MEMBER. PHP MEDICARE'S COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT A REASONABLE COST FOR ITS MEMBERS. PHP MEDICARE IS WHOLLY OWNED BY PHP. PHP IS PRIMARILY A COMMERCIAL HMO. ALONG WITH PHP MEDICARE, PHP OPERATES PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY AND PHP SERVICE COMPANY, 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, 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. THE HMO/HDN CONTRACTUAL ARRANGEMENTS ALLOW PHP TO ARRANGE FOR HEALTHCARE TO PATIENTS COVERED BY THE STATE OF MICHIGANS MEDICAID BENEFIT PLAN. 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 2020 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. | Desc |
| Total Program Service Expenses | $87,673,119 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 661 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS REESE | PersonNm |
| Phone | 5173648400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 E MICHIGAN AVE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48912 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAMES DOVER | |||||||||
| PRES/CEO - S | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,141,524 | $84,525 | ||
| JOSEPH RUTH | |||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $736,602 | $129,037 | |||
| PAULA REICHLE | |||||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $648,489 | $61,609 | ||
| DOUGLAS EDEMA MD | |||||||||
| FORMER DIREC | 1.00 | 40.00 | $0 | $548,605 | $50,204 | Yes (X) | |||
| DENNIS REESE | |||||||||
| PRESIDENT & | 40.00 | 5.00 | Yes (X) | $0 | $419,309 | $62,522 | |||
| PETER GRAHAM MD | |||||||||
| MEDICAL DIRE | 40.00 | 5.00 | Yes (X) | $0 | $330,384 | $70,495 | |||
| EDWARD VOZZO | |||||||||
| CFO/COO | 40.00 | 5.00 | Yes (X) | $0 | $214,973 | $32,015 | |||
| JONATHAN DENGEL | |||||||||
| OPERATION & | 40.00 | 5.00 | $0 | $197,931 | $30,660 | Yes (X) | |||
| WALTER BRIGGS | |||||||||
| DIRECTOR OF | 40.00 | 5.00 | $0 | $182,768 | $45,133 | Yes (X) | |||
| KENNETH WALKER | |||||||||
| DIR OF NETWO | 40.00 | 5.00 | $0 | $161,165 | $43,823 | Yes (X) | |||
| NICHOLAS D'ISA | |||||||||
| DIR OF LEGAL | 40.00 | 5.00 | $0 | $165,698 | $37,351 | Yes (X) | |||
| SCOTT NORMAN | |||||||||
| VP OF SALES | 40.00 | 5.00 | Yes (X) | $0 | $164,719 | $36,513 | |||
| ANN HUNT-FUGATE RPH | |||||||||
| MANG. CLINIC | 40.00 | 5.00 | $0 | $159,183 | $31,580 | Yes (X) | |||
| GEORGE SCHNEIDER | |||||||||
| FORMER CFO/C | 40.00 | 5.00 | Yes (X) | $0 | $118,358 | $24,133 | |||
| ANDREA KOSLOSKI | |||||||||
| FORMER DIREC | 0.00 | 40.00 | $0 | $100,967 | $18,669 | Yes (X) | |||
| RICHARD BRUNER | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY PETERSON MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $5,290,675 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $758,269 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LUMERIS HEALTHCARE OUTCOMES | |||||
| 13900 EICWEPOER DR | MARYLAND HEIGHTS | MO | 63043 | MGMT CONSULTING | $11,662,697 |
| MERGE | |||||
| 200 E RANDOLPH ST SUITE 3450 | CHICAGO | IL | 60601 | MKT SERVICES | $2,054,404 |
| RED THREAD LLC | |||||
| 621 RUSSWOOD NE | GRAND RAPIDS | MI | 49505 | MKT SERVICES | $110,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREPAID HEALTHCARE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $75,121,089 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,121,089 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $75,121,089 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,249 | TotalRevenueColumnAmt |
| Exclusion | $107,249 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREMIUM DEFICIENCY RESERVE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,872,134 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,872,134 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,872,134 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78,100,472 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $77,993,223 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $107,249 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,595,592 | TotalAmt |
| Program Services | $72,595,592 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,481,529 | TotalAmt |
| Management And General | $1,481,529 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,377 | TotalAmt |
| Management And General | $312,377 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,641,048 | TotalAmt |
| Program Services | $10,641,048 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,300 | TotalAmt |
| Program Services | $37,300 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,175 | TotalAmt |
| Management And General | $2,175 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,379,491 | TotalAmt |
| Program Services | $1,379,491 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,300,883 | TotalAmt |
| Program Services | $1,741,768 | ProgramServicesAmt |
| Management And General | $559,115 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,097 | TotalAmt |
| Program Services | $299,845 | ProgramServicesAmt |
| Management And General | $96,252 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,515 | TotalAmt |
| Management And General | $49,515 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BROKER COMMISSIONS | $900,382 | $900,382 | |
| BANK CHARGES | $102,635 | $77,693 | $24,942 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,199,024 | TotalAmt |
| Program Services | $87,673,119 | ProgramServicesAmt |
| Management And General | $2,525,905 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,797,336 | BOYAmt |
| EOY | $4,460,765 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,040,073 | BOYAmt |
| EOY | $6,497,207 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,710 | BOYAmt |
| EOY | $13,086 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,114,895 | BOYAmt |
| EOY | $1,125,978 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,608,412 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,571,426 | BOYAmt |
| EOY | $12,097,036 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,242,299 | BOYAmt |
| EOY | $11,557,783 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,895 | BOYAmt |
| EOY | $78,456 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,930,825 | BOYAmt |
| EOY | $1,177,942 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,190,019 | BOYAmt |
| EOY | $12,814,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,381,407 | BOYAmt |
| EOY | -$717,145 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,381,407 | BOYAmt |
| EOY | -$717,145 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,571,426 | BOYAmt |
| EOY | $12,097,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$12,098,552 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,297,032 | BeginningYearBalanceAmt |
| Contributions | $5,192,208 | ContributionsAmt |
| Investment Earnings Or Losses | -$280,050 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $11,209,190 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,606,321 | BeginningYearBalanceAmt |
| Contributions | $561,053 | ContributionsAmt |
| Investment Earnings Or Losses | $129,658 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,297,032 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,912,247 | BeginningYearBalanceAmt |
| Contributions | $237,860 | ContributionsAmt |
| Investment Earnings Or Losses | $456,214 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,606,321 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,700,296 | BeginningYearBalanceAmt |
| Contributions | $39,943 | ContributionsAmt |
| Investment Earnings Or Losses | $172,008 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,912,247 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RELATED PARTY PAYABLE | Desc |
| Amt | $1,177,942 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,177,942 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $74,439,751 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $74,439,751 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $2,175 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,658,546 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,660,721 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $78,100,472 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $86,538,303 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $86,538,303 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $2,175 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $3,658,546 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,660,721 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $90,199,024 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | PHP MEDICARE DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. PHYSICIANS HEALTH PLAN IS THE SOLE MEMBER OF PHP MEDICARE. SPARROW HEALTH SYSTEM HAS AN INDIRECT CONTROLLING INTEREST IN PHYSICIANS HEALTH PLAN 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 4B | REINSURANCE 786,412 PDR 2,872,134 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | REINSURANCE 786,412 PDR 2,872,134 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|
| JAMES DOVER | ||||||
| PRES/CEO - SHS | $955,742 | $185,782 | $84,525 | $1,226,049 | ||
| JOSEPH RUTH | ||||||
| DIRECTOR | $612,061 | $124,541 | $38,495 | $865,639 | $90,542 | |
| PAULA REICHLE | ||||||
| TREASURER | $561,901 | $86,588 | $53,209 | $710,098 | $8,400 | |
| DOUGLAS EDEMA MD | ||||||
| FORMER DIRECTOR | $520,052 | $28,553 | $41,804 | $598,809 | $8,400 | |
| DENNIS REESE | ||||||
| PRESIDENT & CEO | $410,797 | $8,512 | $44,972 | $481,831 | $17,550 | |
| PETER GRAHAM MD | ||||||
| MEDICAL DIRECTOR | $324,901 | $2,921 | $33,590 | $400,879 | $36,905 | $2,562 |
| EDWARD VOZZO | ||||||
| CFO/COO | $194,839 | $134 | $27,255 | $246,988 | $4,760 | $20,000 |
| JONATHAN DENGEL | ||||||
| OPERATION & INFO OFF | $192,762 | $169 | $30,660 | $228,591 | $5,000 | |
| WALTER BRIGGS | ||||||
| DIRECTOR OF IMP. | $181,343 | $1,425 | $39,766 | $227,901 | $5,367 | |
| KENNETH WALKER | ||||||
| DIR OF NETWORK SERV. | $161,165 | $38,988 | $204,988 | $4,835 | ||
| NICHOLAS D'ISA | ||||||
| DIR OF LEGAL & COMP. | $165,069 | $629 | $27,684 | $203,049 | $9,667 | |
| SCOTT NORMAN | ||||||
| VP OF SALES | $164,386 | $333 | $28,737 | $201,232 | $7,776 | |
| ANN HUNT-FUGATE RPH | ||||||
| MANG. CLINICAL PHARM | $157,333 | $1,850 | $27,409 | $190,763 | $4,171 | |
| ANDREA KOSLOSKI | ||||||
| FORMER DIRECTOR | $100,967 | $7,884 | $119,636 | $10,785 | ||
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | PHYSICIAN HEALTH PLAN IS THE SOLE MEMBER OF PHP MEDICARE. PHP HOLDINGS IS THE SOLE MEMBER OF PHP WITH SPARROW HEALTH SYSTEM OWNING 65% OF PHP HOLDINGS. 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 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 PERQUISITES) ARE COMPARED TO MARKET. |
| SCHEDULE J, PART III | ANDREA KOSLOSKI & DOUGLAS EDEMA, M.D. ARE FORMER BOARD MEMBERS OF PHP MEDICARE. THE BOARD MEMBERS ARE 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 PHP MEDICARE. THE BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO PHP MEDICARE. 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 DOVER: -136,389 PAULA REICHLE: -57,307 JOSEPH RUTH: -99,020 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. |
| FORM 990, PAGE 2, PART III, LINE 4A | PHP MEDICARE IS A NON-PROFIT HEALTH MAINTENANCE ORGANIZATION (HMO). PHP MEDICARE USES A PRIMARY CARE CONCEPT FOR DELIVERING HEALTH CARE IN A HEALTH DELIVERY NETWORK (HDN) STRUCTURE. IT ARRANGES FOR THE PROVISION OF COMPREHENSIVE OUTPATIENT AND INPATIENT MEDICAL AND SURGICAL SERVICES TO MEMBERS ON THE BASIS OF A FIXED PREPAID SUM WITHOUT REGARD TO THE FREQUENCY OR EXTENT OF SERVICES FURNISHED TO ANY PARTICULAR MEMBER. PHP MEDICARE'S COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT A REASONABLE COST FOR ITS MEMBERS. PHP MEDICARE IS WHOLLY OWNED BY PHP. PHP IS PRIMARILY A COMMERCIAL HMO. ALONG WITH PHP MEDICARE, PHP OPERATES PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY AND PHP SERVICE COMPANY, 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, 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. THE HMO/HDN CONTRACTUAL ARRANGEMENTS ALLOW PHP TO ARRANGE FOR HEALTHCARE TO PATIENTS COVERED BY THE STATE OF MICHIGANS MEDICAID BENEFIT PLAN. 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 2020 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 | PHYSICIAN HEALTH PLAN (PHP) IS THE SOLE MEMBER OF PHP MEDICARE. 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 | PHYSICIAN HEALTH PLAN (PHP) IS THE SOLE MEMBER OF PHP MEDICARE. PHP HOLDINGS IS THE PARENT AND SOLE MEMBER OF PHP AND HAS 100% OWNERSHIP. THE BOARD MEMBERS ELECTED BY THE BOARD OF DIRECTORS ARE RATIFIED BY THE PHP BOARD OF DIRECTORS. DECISIONS OF THE PHP MEDICARE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE PHP HOLDINGS BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | PHYSICIAN HEALTH PLAN (PHP) IS THE SOLE MEMBER OF PHP MEDICARE. PHP HOLDINGS IS THE PARENT AND SOLE MEMBER OF PHP AND HAS 100% OWNERSHIP. THE BOARD MEMBERS ELECTED BY THE BOARD OF DIRECTORS ARE RATIFIED BY THE PHP BOARD OF DIRECTORS. DECISIONS OF THE PHP MEDICARE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE PHP HOLDINGS BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | COPIES OF THE 2022 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT HAS COMPLETED ITS REVIEW OF FORM 990 COPIES ARE PROVIDED AT THE FALL BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON. |
| FORM 990, PAGE 6, PART VI, LINE 12C | 1) CORPORATE COMPLIANCE SENDS OUT 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 SHS 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 THE OFFICERS AND 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 SHS 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 MEDICARE 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 HEALTH SYSTEM BY REQUEST TO THE SPARROW COMPLIANCE OFFICER. |
| FORM 990, PART XI, LINE 9 | REINSURANCE -786,412 PDR -2,872,134 REINSURANCE 786,412 PDR 2,872,134 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SPARROW HEALTH SYSTEM | |||||||||||
| 1215 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382542859 | PARENT | MI | 501C3 | 12A | N/A | false | |
| PHYSICIANS HEALTH PLAN | |||||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382356288 | INSURANCE | MI | 501C4 | Yes (true) | PHP HO | ||
| SPARROW FOUNDATION | |||||||||||
| 1215 E MICHIGAN AVENUE | LANSING | MI | 48912 | 386100687 | FUNDRAISE | MI | 501C3 | 12B | Yes (true) | SHS | |
| SPARROW COMMUNITY CARE | |||||||||||
| 3315 E MICHIGAN AVENUE STE 4 | LANSING | MI | 48912 | 382543305 | HOME HLTH | MI | 501C3 | 10 | Yes (true) | SHS | |
| EDWARD W SPARROW HOSPITAL | |||||||||||
| 1215 E MICHIGAN AVENUE | LANSING | MI | 48912 | 381360584 | HLTH CARE | MI | 501C3 | 3 | Yes (true) | SHS | |
| SPARROW CLINTON HOSPITAL | |||||||||||
| 805 S OAKLAND STREET | ST JOHNS | MI | 48879 | 381358172 | HLTH CARE | MI | 501C3 | 3 | Yes (true) | SHS | |
| SPARROW IONIA HOSPITAL | |||||||||||
| 3565 S STATE RD | IONIA | MI | 48846 | 383218134 | HLTH CARE | MI | 501C3 | 3 | Yes (true) | SHS | |
| SPARROW SPECIALTY HOSPITAL | |||||||||||
| 1215 E MICH AVE 8W SPARROW TOWER | LANSING | MI | 48912 | 141885340 | LT ACUTE | MI | 501C3 | 3 | Yes (true) | SHS | |
| SPARROW CLINICAL RESEARCH INSTITUTE | |||||||||||
| 1200 E MICHIGAN AVENUE | LANSING | MI | 48912 | 383075242 | RESEARCH | MI | 501C3 | 4 | Yes (true) | SHS | |
| SPARROW CARSON HOSPITAL | |||||||||||
| 406 E ELM STREET PO BOX 879 | CARSON CITY | MI | 48811 | 381490180 | HLTH CARE | MI | 501C3 | 3 | Yes (true) | SHS | |
| PHYSICIANS HEALTH NETWORK | |||||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382594856 | HMO | MI | 501C4 | Yes (true) | PHP HO | ||
| SPARROW EATON HOSPITAL | |||||||||||
| 321 E HARRIS ST | CHARLOTTE | MI | 48813 | 382007629 | HLTH CARE | MI | 501C3 | 3 | Yes (true) | SHS | |
| SPARROW EATON HOSPITAL AUXILIARY | |||||||||||
| 321 E HARRIS ST | CHARLOTTE | MI | 48813 | 382377160 | FUNDRAISE | MI | 501C3 | 3 | Yes (true) | SHS | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHP HOLDINGS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 E MICHIGAN AVENUE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48912 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833965697 | EIN |
| Primary Activities | HOLDING CO | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| SPARROW DEVELOPMENT INC | ||||||||
| 1215 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382595963 | HEALTH SVS | MI | N/A | Yes (true) |
| PHP INSURANCE COMPANY | ||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 205565219 | INSURANCE | MI | N/A | Yes (true) |
| PHP SERVICE COMPANY | ||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 383344741 | MED SVS | MI | N/A | Yes (true) |
| EAST LANSING ATHLETIC CLUB | ||||||||
| 2900 HANNAH BLVD | EAST LANSING | MI | 48823 | 382886420 | HLTH CLUB | MI | N/A | Yes (true) |
| MAC RESTAURANT LLC | ||||||||
| 2900 HANNAH BLVD | EAST LANSING | MI | 48823 | 205120690 | RESTAURANT | MI | N/A | Yes (true) |
| CLINTON SERVICES CORPORATION | ||||||||
| 805 S OAKLAND | ST JOHNS | MI | 48879 | 382494110 | SERVICES | MI | N/A | Yes (true) |
| EAST LANSING ATHLETIC CLUB & HSP | ||||||||
| 1200 E MICHIGAN AVENUE STE 600 | LANSING | MI | 48912 | 813131851 | CONDO ASSO | MI | N/A | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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