TOTAL HEALTHCARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- TOTAL HEALTHCARE INC (EIN 38-2018957)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-29
- IRS object ID
- 202143029349300739
- Schema version
- 2020v4.1
- 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 | 2021-10-29T13:22:08-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 CAMBRIDGE COURT SUITE 500 | AddressLine1Txt |
| City | AUBURN HILLS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48326 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382018957 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOTAL HEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TOTA | BusinessNameControlTxt |
| Phone | 3138712000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3011 W GRAND BLVD NO 1600 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICHOLAS GATES | PersonNm |
| Person Title | INTERIM SVP, FINANCE | PersonTitleTxt |
| Phone | 3138712000 | PhoneNum |
| Signature | 2021-10-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | NICHOLAS | PersonFirstNm |
| Person Last | GATES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2483757100 | PhoneNum |
| Preparation | 2021-10-26 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NICHOLAS GATES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3011 W GRAND BLVD NO 1600 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $189,639,296 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.THCMI.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $180,666,839 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $189,475,002 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,776,928 | PYInvestmentIncomeAmt |
| CY Investment Income | $164,294 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $191,443,767 | PYTotalRevenueAmt |
| CY Total Revenue | $189,639,296 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $172,251,871 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $156,435,860 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,643,808 | PYOtherExpensesAmt |
| CY Other Expenses | $24,187,031 | CYOtherExpensesAmt |
| PY Total Expenses | $196,896,679 | PYTotalExpensesAmt |
| CY Total Expenses | $180,622,891 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,452,912 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,016,405 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $104,297,480 | TotalAssetsBOYAmt |
| Total Assets EOY | $91,380,990 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $65,222,548 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,513,244 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $39,074,932 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,867,746 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TOTAL HEALTH CARE, INC. IS COMMITTED TO EXCELLENCE IN HEALTH CARE DELIVERY IN THE STATE OF MICHIGAN AND THE ASSURANCE THAT ITS MEMBERS HAVE ACCESS TO AND RECEIVE HIGH QUALITY HEALTH CARE AND THE APPROPRIATE PREVENTATIVE SERVICES THAT PROMOTE WELLNESS AND IMPROVED HEALTH STATUS WITHIN THE COMMUNITY. TOTAL HEALTH CARE, INC. SUPPORTS A CONTINUOUS QUALITY IMPROVEMENT PROCESS THAT CONTRIBUTES TO THE OVERALL IMPROVEMENT OF THE MAINSTREAM OF HEALTH CARE DELIVERY IN A COST EFFECTIVE MANNER. TOTAL HEALTH CARE, INC. MAINTAINS AN ORGANIZATIONAL SERVICE PHILOSOPHY OF BEING TOTALLY AVAILABLE AND TOTALLY HELPFUL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $156,435,860 | ExpenseAmt |
| Revenue | $189,475,002 | RevenueAmt |
| Desc | HEALTH MAINTENANCE ORGANIZATION SERVING EXCLUSIVELY A POOR AND INDIGENT POPULATION UNDER THE STATE SPONSORED MEDICAID PROGRAM PROVIDING COMPREHENSIVE MEDICAL SERVICES AND INSURANCE TO APPROXIMATELY 62,013 SUBSCRIBERS. THE ORGANIZATION ALSO: - ASSISTS WITH COMMUNITY, CHURCH AND EMPLOYER SPONSORED HEALTH FAIRS WHICH INCLUDE MANY HEALTH SCREENINGS. PROVIDES MATERIALS TO ATTENDEES FOR VARIOUS HEALTH CONDITIONS AND DISEASES TO ASSIST IN HEALTHIER LIFESTYLES. - EDUCATES INDIVIDUALS ON NUMEROUS DISEASES TO ENABLE MEMBERS TO BETTER CARE FOR THEMSELVES AND IMPROVE THE MANAGEMENT OF THEIR CONDITION.- DISTRIBUTES HEALTH BROCHURES TO COMMUNITY HEALTH FAIRS, EMPLOYER GROUPS AND PHYSICIAN OFFICES.- ENCOURAGES SMOKING CESSATION THROUGH VARIOUS MEANS AND PARTICIPATION IN PROGRAMS OFFERED BY THE STATE. PROVIDES PAYMENT FOR MEDICATIONS TO ASSIST IN THE BREAKING OF ADDICTION.- PUBLISHES THE GOOD HEALTH GAZZETTE ON QUARTERLY BASIS TO THE MEMBERSHIP AND PHYSICIANS CONTAINING ARTICLES ON NUTRITION, WEIGHT LOSS, HEALTH SCREENINGS AND OTHER HEALTHCARE MATTERS.- EDUCATES EXPECTANT MOTHERS RELATED TO THEIR PREGNANCY AND THE CARE AND DEVELOPMENT OF THEIR NEWBORN.- OFFERS MEDICAL INTERNSHIP FOR HIGH SCHOOL STUDENTS TO ENCOURAGE CAREERS IN THE HEALTHCARE PROFESSION, IN COOPERATION WITH WAYNE STATE SCHOOL OF MEDICINE.- ENCOURAGES PARTICIPATION IN A SUPERVISED WEIGHT LOSS PROGRAM FOR ADULTS AND ADOLESCENTS BY PAYING FOR THE WEIGHT WATCHERS PLAN. | Desc |
| Total Program Service Expenses | $156,435,860 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1973 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARA MCGLYNN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3132936466 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3011 W GRAND BLVD SUITE 1600 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 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 | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JOAN BUDDEN | ||||||||||
| DIRECTOR, PRESIDENT & CEO | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $1,513,601 | $455,710 | |||
| MARY ANNE JONES | ||||||||||
| DIRECTOR, SVP, FINANCE PH/TREASURER | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $622,101 | $213,867 | |||
| MICHAEL R KOZIARA | ||||||||||
| SVP, PROVIDER NETWORK | 2.00 | 48.00 | $0 | $611,782 | $171,626 | Yes (X) | ||||
| MARTI LOLLI | ||||||||||
| DIRECTOR, SVP, PROVIDER NETWORK | 2.00 | 48.00 | Yes (X) | $0 | $529,922 | $206,767 | ||||
| JIANHUA YU | ||||||||||
| SVP, ANALYTICS/ACTUARY | 2.00 | 48.00 | $0 | $562,454 | $166,569 | Yes (X) | ||||
| JAMES FORSHEE | ||||||||||
| SVP, CHIEF MEDICAL OFFICER | 2.00 | 48.00 | $0 | $558,781 | $144,227 | Yes (X) | ||||
| KIMBERLY THOMAS | ||||||||||
| SVP, GEN. COUNSEL PRIORITY HEALTH/SECRETARY | 2.00 | 48.00 | Yes (X) | $0 | $523,215 | $169,453 | ||||
| RICK V MORRONE | ||||||||||
| DIRECTOR, SVP, EMPLOYER SOLUTIONS | 2.00 | 48.00 | Yes (X) | $0 | $538,615 | $123,788 | ||||
| RANDY NAROWITZ | ||||||||||
| SVP, TOTAL HEALTH CARE | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $651,024 | $22,724 | |||
| NICOLE ROUSH | ||||||||||
| FORMER CFO | 0.00 | 50.00 | $0 | $248,156 | $35,550 | Yes (X) | ||||
| NOEL UPFALL | ||||||||||
| ASSOC MEDICAL DIRECTOR | 25.00 | 25.00 | $0 | $263,361 | $34,442 | Yes (X) | ||||
| CHRISTOPHER VAN ANTWERP | ||||||||||
| DIRECTOR, HEALTH PLAN INT | 25.00 | 25.00 | $0 | $233,523 | $35,566 | Yes (X) | ||||
| NOAH MONRO | ||||||||||
| DIRECTOR, INFO SERVICES | 25.00 | 25.00 | $0 | $185,636 | $21,079 | Yes (X) | ||||
| SARA MCGLYNN | ||||||||||
| CONTROLLER | 25.00 | 25.00 | $0 | $139,643 | $26,122 | Yes (X) | ||||
| SUSAN RYAN | ||||||||||
| PROVIDER RELATIONS | 25.00 | 25.00 | $0 | $131,932 | $23,895 | Yes (X) | ||||
| KRISTALYNN CAMPBELL | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $3,000 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,316,746 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,851,385 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ENVISION PHARMACEUTICAL SERVICES | |||||
| 2181 E AURORA RD STE 201 | MINNEAPOLIS | MN | 55401 | PHARMACY BENEFITS MANAGEMENT | $30,829,449 |
| PARTNERS FOR HEALTH | |||||
| 882 OAKMAN BLVD | DETROIT | MI | 48238 | MEMBERS ASSISTANCE | $266,531 |
| HUMAN ARC CORPORATION | |||||
| PO BOX 637901 | CINCINNATI | OH | 45263 | CLAIMS RECOVERY | $156,000 |
| VARIS | |||||
| 9245 SIERRA COLLEGE BLVD | ROSEVILLE | CA | 95661 | DRG VALIDATION | $151,429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID CAPITATION | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $189,475,002 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $189,475,002 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $189,475,002 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,294 | TotalRevenueColumnAmt |
| Exclusion | $164,294 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $189,639,296 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $189,475,002 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $164,294 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,435,860 | TotalAmt |
| Program Services | $156,435,860 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,608 | TotalAmt |
| Management And General | $68,608 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,758 | TotalAmt |
| Management And General | $15,758 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,000 | TotalAmt |
| Management And General | $9,000 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,736 | TotalAmt |
| Management And General | $4,736 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,658 | TotalAmt |
| Management And General | $73,658 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| ADMINISTRATIVE EXPENSES | $15,084,472 | $15,084,472 |
| LOSS CONTINGENCY | $8,814,958 | $8,814,958 |
| FILING AND BANK FEES | $79,075 | $79,075 |
| OTHER ADMINSTRATIVE COS | $36,766 | $36,766 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,622,891 | TotalAmt |
| Program Services | $156,435,860 | ProgramServicesAmt |
| Management And General | $24,187,031 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,345,944 | BOYAmt |
| EOY | $44,617,406 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,761,818 | BOYAmt |
| EOY | $11,828,132 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,962,487 | BOYAmt |
| EOY | $1,972,251 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,153,573 | BOYAmt |
| EOY | $32,963,201 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,658 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,297,480 | BOYAmt |
| EOY | $91,380,990 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,222,548 | BOYAmt |
| EOY | $38,698,286 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $8,814,958 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,222,548 | BOYAmt |
| EOY | $47,513,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,074,932 | BOYAmt |
| EOY | $43,867,746 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,074,932 | BOYAmt |
| EOY | $43,867,746 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,297,480 | BOYAmt |
| EOY | $91,380,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,016,405 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$4,223,591 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MAINTAINED UNDER STATUTORY REQUIREMENTS | $1,090,124 | F |
| INVESTMENT IN SUBSIDIARIES | $31,873,077 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $32,963,201 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PENDING DISPUTE LIABILITY | Desc |
| Amt | $8,814,958 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,814,958 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $222,282,934 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $32,643,638 | OtherRevenueAmt |
| Revenue Not Reported | $32,643,638 | RevenueNotReportedAmt |
| Revenue Subtotal | $189,639,296 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $189,639,296 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $213,266,529 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $32,643,638 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $32,643,638 | ExpensesNotReportedAmt |
| Expenses Subtotal | $180,622,891 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $180,622,891 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INSURANCE PROVIDER ASSESSMENT 32,643,638. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INSURANCE PROVIDER ASSESSMENT 32,643,638. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOAN BUDDEN | ||||||||||||||
| DIRECTOR, PRESIDENT & CEO | $0 | $884,825 | $0 | $619,389 | $0 | $9,387 | $0 | $329,124 | $0 | $126,586 | $0 | $1,969,311 | $0 | $350,561 |
| MARY ANNE JONES | ||||||||||||||
| DIRECTOR, SVP, FINANCE PH/TREASURER | $0 | $467,289 | $0 | $137,240 | $0 | $17,572 | $0 | $121,472 | $0 | $92,395 | $0 | $835,968 | $0 | $51,946 |
| MICHAEL R KOZIARA | ||||||||||||||
| SVP, PROVIDER NETWORK | $0 | $435,057 | $0 | $158,428 | $0 | $18,297 | $0 | $95,189 | $0 | $76,437 | $0 | $783,408 | $0 | $79,485 |
| MARTI LOLLI | ||||||||||||||
| DIRECTOR, SVP, PROVIDER NETWORK | $0 | $411,407 | $0 | $114,571 | $0 | $3,944 | $0 | $132,529 | $0 | $74,238 | $0 | $736,689 | $0 | $39,753 |
| JIANHUA YU | ||||||||||||||
| SVP, ANALYTICS/ACTUARY | $0 | $432,638 | $0 | $127,390 | $0 | $2,426 | $0 | $117,044 | $0 | $49,525 | $0 | $729,023 | $0 | $50,335 |
| JAMES FORSHEE | ||||||||||||||
| SVP, CHIEF MEDICAL OFFICER | $0 | $424,342 | $0 | $118,756 | $0 | $15,683 | $0 | $64,950 | $0 | $79,277 | $0 | $703,008 | $0 | $41,883 |
| KIMBERLY THOMAS | ||||||||||||||
| SVP, GEN. COUNSEL PRIORITY HEALTH/SE | $0 | $405,731 | $0 | $115,861 | $0 | $1,623 | $0 | $111,949 | $0 | $57,504 | $0 | $692,668 | $0 | $42,763 |
| RICK V MORRONE | ||||||||||||||
| DIRECTOR, SVP, EMPLOYER SOLUTIONS | $0 | $412,836 | $0 | $119,794 | $0 | $5,985 | $0 | $75,390 | $0 | $48,398 | $0 | $662,403 | $0 | $46,108 |
| RANDY NAROWITZ | ||||||||||||||
| SVP, TOTAL HEALTH CARE | $0 | $638,988 | $0 | $3,000 | $0 | $9,036 | $0 | $7,722 | $0 | $15,002 | $0 | $673,748 | $0 | $0 |
| NICOLE ROUSH | ||||||||||||||
| FORMER CFO | $0 | $232,467 | $0 | $3,000 | $0 | $12,689 | $0 | $13,496 | $0 | $22,054 | $0 | $283,706 | $0 | $0 |
| NOEL UPFALL | ||||||||||||||
| ASSOC MEDICAL DIRECTOR | $0 | $257,917 | $0 | $3,000 | $0 | $2,444 | $0 | $14,296 | $0 | $20,146 | $0 | $297,803 | $0 | $0 |
| CHRISTOPHER VAN ANTWERP | ||||||||||||||
| DIRECTOR, HEALTH PLAN INT | $0 | $196,813 | $0 | $28,968 | $0 | $7,742 | $0 | $11,642 | $0 | $23,924 | $0 | $269,089 | $0 | $0 |
| NOAH MONRO | ||||||||||||||
| DIRECTOR, INFO SERVICES | $0 | $182,229 | $0 | $3,000 | $0 | $407 | $0 | $5,482 | $0 | $15,597 | $0 | $206,715 | $0 | $0 |
| SARA MCGLYNN | ||||||||||||||
| CONTROLLER | $0 | $136,155 | $0 | $3,000 | $0 | $488 | $0 | $6,326 | $0 | $19,796 | $0 | $165,765 | $0 | $0 |
| SUSAN RYAN | ||||||||||||||
| PROVIDER RELATIONS | $0 | $127,688 | $0 | $3,000 | $0 | $1,244 | $0 | $9,079 | $0 | $14,816 | $0 | $155,827 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SEE SCHEDULE O FOR ADDITIONAL REPORTING. | SEE SCHEDULE O FOR ADDITIONAL REPORTING. THE COMPENSATION FOR THE FOLLOWING INDIVIDUALS REPORTED ON PART VII, COLUMN D IS FROM PRIORITY HEALTH MANAGED BENEFITS, INC., A RELATED COMPANY. JOAN BUDDEN, RANDY NAROWITZ, MARY ANNE JONES, KIMBERLY THOMAS, MARTI LOLLI, RICK V. MORRONE, MICHAEL R. KOZIARA, JAMES FORSHEE, JIANHUA YU, NOEL UPFALL MD., CHRISTOPHER VAN ANTWERP, NOAH MONRO, SARA MCGLYNN, AND SUSAN RYAN. |
| SCHEDULE J, PART II, COLUMN (F)- DEFERRED COMPENSATION | THE 2020 "BONUS & INCENTIVE COMPENSATION" INCLUDES CERTAIN DEFERRED COMPENSATION ARRANGEMENTS THAT WERE REPORTED IN PREVIOUS YEARS BUT PAID IN 2020. THIS RESULTS IN A CERTAIN AMOUNT OF WAGES BEING REPORTED IN THE FORM 990 TWICE. AMOUNTS REPORTED IN PART II COLUMN F REPRESENT COMPENSATION THAT WAS REPORTED IN A PREVIOUS YEAR'S FORM 990 WHILE ALSO BEING REPORTED IN THE CURRENT FORM 990 AS TOTAL COMPENSATION. |
| SCHEDULE J, PART I, LINE 4B- SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | $ 350,561 JOAN BUDDEN $ 41,883 JAMES FORSHEE $ 51,946 MARY ANNE JONES $ 79,485 MICHAEL KOZIARA $ 39,753 MARTI LOLLI $ 50,335 JIANHUA YU SCHEDULE J, PART I, LINE 4B IS ANSWERED "YES" BECAUSE INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE ALLOCATED TO THIS ORGANIZATION, DO "PARTICIPATE IN" A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR. THE NONQUALIFIED RETIREMENT PLANS ARE AN INDUSTRY STANDARD AND ARE SUBJECT TO THE FUNDING REQUIREMENTS OF NONQUALIFIED DEFERRED COMPENSATION PLANS UNDER ERISA AND FEDERAL TAX REGULATIONS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING HAVE A BUSINESS RELATIONSHIP: RANDY NAROWITZ, JOAN BUDDEN, MARY ANNE JONES, MARTI LOLLI, RICK MARRONE, KIMBERLY THOMAS, MICHAEL KOZIARA, JAMES FORSHEE AND JIANHUA YU. ALL ARE EMPLOYEES OF SPECTRUM HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 3 | THC HAS CONTRACTED WITH PRIORITY HEALTH MANAGED BENEFITS, INC., TO PERFORM THESE FUNCTIONS. THE PERFORMANCE OF THESE SERVICES BY PRIORITY HEALTH MANAGED BENEFITS, INC. IS SUBJECT TO OVERSIGHT BY THE BOARD OF TOTAL HEALTH CARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE BYLAWS OF TOTAL HEALTH CARE, INC. WERE MODIFIED IN ORDER TO MAKE PRIORITY HEALTH THE SOLE MEMBER OF TOTAL HEALTH CARE, INC. AND TO ALIGN THE BYLAWS OF TOTAL HEALTH CARE, INC. TO THE FORM AND FORMAT OF THE BYLAWS OF PRIORITY HEALTH'S OTHER SUBSIDIARY ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER IS PRIORITY HEALTH, INC AS OF 1/1/2020. |
| FORM 990, PART VI, SECTION A, LINE 7A | PRIORITY HEALTH, INC., A RELATED 501(C)(4) ORGANIZATION, IS ABLE TO APPOINT THE BOARD OF TOTAL HEALTH CARE, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS REVIEWED BY THE CONTROLLER, SVP, FINANCE & OPERATIONS AND PRESIDENT OF PRIORITY HEALTH BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | SPECTRUM HEALTH HAS A CONFLICT OF INTEREST POLICY THAT COVERS ALL EMPLOYEES, WHICH REQUIRES DISCLOSURE OF ANY POTENTIAL CONFLICTS. FAILURE TO DO SO PUTS THE EMPLOYEE AT RISK OF TERMINATION. OFFICERS AND BOARD MEMBERS ARE REQUIRED TO ANNUALLY CERTIFY THE CONFLICT OF INTEREST STATEMENT, WHICH ALSO REQUIRES NOTIFICATION TO THE BOARD OF DIRECTORS IF ANY POTENTIAL CONFLICTS ARISE DURING THE YEAR. THE ANNUAL STATEMENTS ARE REVIEWED BY THE EXECUTIVE AND BOARD CHAIR IF THERE ARE CONCERNS ABOUT POTENTIAL CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | BEGINNING IN 2017, COMPENSATION FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IS DISCUSSED AND APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR OTHER OFFICERS OR KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE TOP MANAGEMENT OFFICIALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZATIONAL DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | INCOME FROM SUBSIDIARY EQUITY INVESTMENT - TOTAL HEALTHCARE USA -4,223,591. |
| FORM 990, PART XII, LINE 2C: | AS A RESULT OF PRIORITY HEALTH'S ACQUISITION OF THE TOTAL HEALTH CARE, THE PRIORITY HEALTH FINANCE AND AUDIT COMMITTEE ASSUMED RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. |
| 990 PART IV, LINE 12: | TOTAL HEALTH CARE, INC. HAS ITS FINANCIAL STATEMENTS AUDITED UNDER THE STATUTORY BASIS OF ACCOUNTING, AS OPPOSED TO UNDER THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) BASIS OF ACCOUNTING. |
| FORM 990, PART VII, COLUMN (D) & SCHEDULE J, PART II, ROW (I): | TOTAL HEALTH CARE INC., HAS ENTERED INTO AN ADMINISTRATIVE SERVICES CONTRACT WITH AN ADMINISTRATIVE SERVICES COMPANY, PRIORITY HEALTH MANAGED BENEFITS, INC. ALL SALARIES AND BENEFITS ARE PAID BY THE ADMINISTRATIVE SERVICES COMPANY TO ITS EMPLOYEES WHO PROVIDE SERVICES TO TOTAL HEALTH CARE, INC. THE AMOUNTS SHOWN AS COMPENSATION FOR THE OFFICERS AND EMPLOYEES ON SCHEDULE J ARE THE TOTAL W-2 COMPENSATION FOR THE YEAR. ONLY A PORTION OF THIS COMPENSATION IS ATTRIBUTABLE TO THEIR SERVICES FOR TOTAL HEALTH CARE, INC. THE REMAINING SERVICES ARE ATTRIBUTABLE TO RELATED ENTITIES. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHMB PROPERTIES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 EAST BELTLINE NE | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49525 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382715520 | EIN |
| Primary Activities | PROP. MGMT | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIORITY HEALTH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SPECTRUM HEALTH SYSTEM | |||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 383382353 | MANAGEMENT | MI | IRC CODE 501(C)(3) | 12 TYPE III-FI | N/A | 0 | |
| SPECTRUM HEALTH HOSPITALS | |||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 381360529 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| SPECTRUM HEALTH PRIMARY CARE PTNRS | |||||||||||
| 1840 WEALTHY STREET SE | GRAND RAPIDS | MI | 49506 | 381358164 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| SPECTRUM HEALTH FOUNDATION | |||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 382752328 | PHILANTHROPY | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| SPECTRUM HEALTH CONTINUING CARE | |||||||||||
| 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 383242232 | REHAB/CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| TRINITY HEALTH PLANS | |||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382663747 | HMO MGMT | MI | IRC CODE 501(C)(4) | Yes (1) | PRIORITY HEALTH | ||
| PRIORITY HEALTH CHOICE INC | |||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 320016523 | HMO (MEDICAID) | MI | IRC CODE 501(C)(3) | Yes (1) | PRIORITY HEALTH | ||
| REED CITY HOSPITAL CORPORATION | |||||||||||
| 300 N PATTERSON RD | REED CITY | MI | 49677 | 382770076 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION | |||||||||||
| 212 S SULLIVAN AVENUE | FREMONT | MI | 49412 | 381359517 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| ZEELAND COMMUNITY HOSPITAL | |||||||||||
| 8333 FELCH STREET | ZEELAND | MI | 49464 | 381411184 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| SPECTRUM HEALTH UNITED | |||||||||||
| 615 S BOWER | GREENVILLE | MI | 48838 | 381358412 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| MECOSTA COUNTY MEDICAL CENTER | |||||||||||
| 605 OAK STREET | BIG RAPIDS | MI | 49307 | 381368744 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | |||||||||||
| 1 N ATKINSON DR | LUDINGTON | MI | 49431 | 381359266 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| PENNOCK HOSPITAL | |||||||||||
| 1009 WEST GREEN STREET | HASTINGS | MI | 49058 | 381360562 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| LAKELAND REGIONAL HEALTH SYSTEM INC | |||||||||||
| 1234 NAPIER AVE | SAINT JOESPH | MI | 49085 | 382609624 | HEALTH CARE | MI | IRC CODE 501(C)(3) | 0 | SPECTRUM HEALTH SYSTEM | ||
| TOTAL HEALTH CARE USA INC | |||||||||||
| 3011 W GRAND BLVD SUITE 1600 | DETROIT | MI | 48202 | 383240485 | HMO | MI | IRC CODE 501(C)(4) | 0 | TOTAL HEALTH CARE INC | ||
| PRIORITY HEALTH | |||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382715520 | HMO | MI | IRC CODE 501(C)(4) | 0 | SPECTRUM HEALTH SYSTEM | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 MICHIGAN ST NE STE 501 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833153113 | EIN |
| Primary Activities | ACCOUNTABLE CARE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| PRIORITY HEALTH INSURANCE COMPANY | ||||||||||
| 1231 EAST BELTLINE | GRAND RAPIDS | MI | 49525 | 201529553 | INSURANCE | MI | PRIORITY HEALTH | C | Yes (1) | |
| PRIORITY HEALTH MANAGED BENEFITS | ||||||||||
| 1231 EAST BELTLINE | GRAND RAPIDS | MI | 49525 | 383085182 | THIRD PARTY ADMINISTRATOR | MI | C | 0 | N/A | |
| WEST MICHIGAN HEART | ||||||||||
| 1840 WEALTHY STREET | GRAND RAPIDS | MI | 49506 | 382125186 | PHYSICIANS | MI | C | 0 | N/A | |
| SPECTRUM HEALTH PHYSICIAN ALLIANCE | ||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 371655728 | PHYSICIANS | MI | C | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOTAL HEALTH CARE USA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $10,377,727 | InvolvedAmt |
| Method Of Amount Determination | ACTUAL COSTS | MethodOfAmountDeterminationTxt |
Comments