TOTAL HEALTH CARE USA INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- TOTAL HEALTH CARE USA INC (EIN 38-3240485)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-09-24
- IRS object ID
- 201822679349300832
- Schema version
- 2017v2.3
- 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 | 2018-09-24T12:58:13-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383240485 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOTAL HEALTH CARE USA 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 | RANDY NAROWITZ | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3138712000 | PhoneNum |
| Signature | 2018-08-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LYNNE M HUISMANN | PreparerPersonNm |
| PTIN | P00053811 | PTIN |
| Phone | 2483757100 | PhoneNum |
| Preparation | 2018-08-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.59.56.32 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-08-27 | IPDt |
| IP Tm | 09:49:33 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 243E9F3BF91F16FF792CF36106F2A7E698A0554A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RANDY NAROWITZ | 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 | $148,500,513 | 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 | 1994 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | HEALTH MAINTENANCE ORGANIZATION PROVIDING COMPREHENSIVE MEDICAL SERVICES TO LOWER INCOME INDIVIDUALS AND THEIR DEPENDENTS FOR THE PROMOTION OF SOCIAL WELFARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | 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 | $139,278,240 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $148,047,493 | CYProgramServiceRevenueAmt |
| PY Investment Income | $201,929 | PYInvestmentIncomeAmt |
| CY Investment Income | $453,020 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $139,480,169 | PYTotalRevenueAmt |
| CY Total Revenue | $148,500,513 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $107,693,752 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $108,046,429 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $212,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $212,000 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,876,265 | PYOtherExpensesAmt |
| CY Other Expenses | $24,768,712 | CYOtherExpensesAmt |
| PY Total Expenses | $132,782,017 | PYTotalExpensesAmt |
| CY Total Expenses | $133,027,141 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,698,152 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,473,372 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,277,626 | TotalAssetsBOYAmt |
| Total Assets EOY | $67,933,166 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,494,771 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,676,939 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,782,855 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $46,256,227 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NONE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $108,046,429 | ExpenseAmt |
| Revenue | $148,047,493 | RevenueAmt |
| Desc | SUPPLEMENTAL CARE SERVICES TO APPROXIMATELY 34,348 LOWER INCOME SUBSCRIBERS EMPLOYED BY SMALL BUSINESSES. THE ORGANIZATION ALSO: - ENCOURAGES PARTICIPATION IN A SUPERVISED WEIGHT LOSS PROGRAM FOR ADULTS AND ADOLESCENTS BY PAYING FOR THE WEIGHT WATCHERS PLAN.- 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. | Desc |
| Total Program Service Expenses | $108,046,429 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2415 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | 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 | 0 | 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 | RANDY NAROWITZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3138712000 | 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 (15 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS P BAKER | |||||||||
| CHAIRPERSON & TREASURER | 4.00 | 4.00 | Yes (X) | Yes (X) | $53,000 | $0 | $252 | ||
| RUBY O COLE | |||||||||
| DIRECTOR | 4.00 | 4.00 | Yes (X) | $53,000 | $0 | $76 | |||
| GERTRUDE H MINKIEWICZ | |||||||||
| VICE-CHAIRPERSON & SECRETARY | 4.00 | 4.00 | Yes (X) | Yes (X) | $53,000 | $0 | $76 | ||
| RANDY NAROWITZ | |||||||||
| EXECUTIVE DIRECTOR | 20.00 | 20.00 | Yes (X) | $1,271,544 | $0 | $34,380 | |||
| NOAH MONRO | |||||||||
| CHIEF INFORMATION OFFICER | 20.00 | 20.00 | Yes (X) | $164,200 | $0 | $23,139 | |||
| NICOLE ROUSH | |||||||||
| CHIEF FINANCIAL OFFICER | 20.00 | 20.00 | Yes (X) | $265,847 | $0 | $32,049 | |||
| JAMES EPOLITO | |||||||||
| CHIEF MARKETING OFFICER | 40.00 | 0.00 | Yes (X) | $253,688 | $0 | $38,053 | |||
| LINDA LITTLE | |||||||||
| CHIEF CLINICAL OFFICER - UNTIL 2/17 | 20.00 | 20.00 | Yes (X) | $73,412 | $0 | $8,360 | |||
| ROBYN J ARRINGTONJRMD | |||||||||
| MEDICAL DIRECTOR | 10.00 | 10.00 | $469,422 | $0 | $21,284 | Yes (X) | |||
| HAROLD ARRINGTON MD | |||||||||
| ASSOC MEDICAL DIRECTOR | 20.00 | 20.00 | $324,143 | $0 | $20,199 | Yes (X) | |||
| GERARD A HAMANN | |||||||||
| CONTROLLER | 20.00 | 20.00 | $129,192 | $0 | $21,083 | Yes (X) | |||
| NANCY KOWAL | |||||||||
| CHIEF COMPLIANCE OFFICER | 20.00 | 20.00 | $145,096 | $0 | $21,518 | Yes (X) | |||
| SUSAN STIMPLE | |||||||||
| INFORMATION TECHNOLOGY TECHNICIAN | 20.00 | 20.00 | $142,559 | $0 | $31,927 | Yes (X) | |||
| KANU PATEL | |||||||||
| ADMINISTRATION | 20.00 | 20.00 | $135,673 | $0 | $21,081 | Yes (X) | |||
| SUSAN RYAN | |||||||||
| PROVIDER RELATIONS/CONTRACTING MGR. | 20.00 | 20.00 | $147,568 | $0 | $22,444 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,681,344 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $295,921 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 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 | TWINSBURG | OH | 44087 | PHARMACY BENEFITS MANAGEMENT | $22,762,214 |
| TOTAL HEALTH CARE INC | |||||
| 3011 W GRAND BLVD SUITE 1600 | DETROIT | MI | 48202 | ADMINISTRATIVE SERVICES COMPANY | $17,780,638 |
| OCCUPATIONAL EYEWEAR NETWORK | |||||
| 23469 MICHIGAN AVE | DEARBORN | MI | 48124 | VISION SERVICES | $922,397 |
| COFINITY | |||||
| 150 NORTH CLINTON STREET | CHICAGO | IL | 60661 | CLAIM REPRICING SERVICES | $731,798 |
| ADVANCE INSURANCE | |||||
| 24705 MOUND ROAD | WARREN | MI | 48091 | COMMISSIONED AGENT | $287,052 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUBSCRIPTIONS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $148,047,493 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $148,047,493 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $148,047,493 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $453,020 | TotalRevenueColumnAmt |
| Exclusion | $453,020 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,500,513 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $148,047,493 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $453,020 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,046,429 | TotalAmt |
| Program Services | $108,046,429 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,000 | TotalAmt |
| Management And General | $212,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,963 | TotalAmt |
| Management And General | $174,963 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| ADMINISTRATIVE SERVICE | $17,780,637 | $17,780,637 |
| COMMISSIONS EXPENSE | $4,632,077 | $4,632,077 |
| EXCHANGE USER FEE | $1,083,514 | $1,083,514 |
| CLAIMS TAX EXPENSE | $992,190 | $992,190 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,331 | TotalAmt |
| Management And General | $105,331 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,027,141 | TotalAmt |
| Program Services | $108,046,429 | ProgramServicesAmt |
| Management And General | $24,980,712 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,801,692 | BOYAmt |
| EOY | $64,787,912 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,488,653 | BOYAmt |
| EOY | $2,182,374 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,000 | BOYAmt |
| EOY | $6,487 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,984,281 | BOYAmt |
| EOY | $956,393 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,277,626 | BOYAmt |
| EOY | $67,933,166 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,006,446 | BOYAmt |
| EOY | $16,809,747 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,488,325 | BOYAmt |
| EOY | $4,867,192 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,494,771 | BOYAmt |
| EOY | $21,676,939 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
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 | $30,782,855 | BOYAmt |
| EOY | $46,256,227 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,782,855 | BOYAmt |
| EOY | $46,256,227 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,277,626 | BOYAmt |
| EOY | $67,933,166 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $15,473,372 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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 Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNEARNED SUBSCRIBER PREMIUMS | Desc |
| Amt | $4,867,192 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,867,192 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $148,500,513 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $148,500,513 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $148,500,513 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $133,027,141 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $133,027,141 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $133,027,141 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RANDY NAROWITZ | ||||||||||||||
| EXECUTIVE DIRECTOR | $611,784 | $0 | $652,500 | $0 | $7,260 | $0 | $13,500 | $0 | $20,880 | $0 | $1,305,924 | $0 | $0 | $0 |
| NOAH MONRO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $144,200 | $0 | $20,000 | $0 | $0 | $0 | $8,210 | $0 | $14,929 | $0 | $187,339 | $0 | $0 | $0 |
| NICOLE ROUSH | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $213,347 | $0 | $52,500 | $0 | $0 | $0 | $13,292 | $0 | $18,757 | $0 | $297,896 | $0 | $0 | $0 |
| JAMES EPOLITO | ||||||||||||||
| CHIEF MARKETING OFFICER | $251,188 | $0 | $2,500 | $0 | $0 | $0 | $12,684 | $0 | $25,369 | $0 | $291,741 | $0 | $0 | $0 |
| ROBYN J ARRINGTONJRMD | ||||||||||||||
| MEDICAL DIRECTOR | $466,922 | $0 | $2,500 | $0 | $0 | $0 | $13,500 | $0 | $7,784 | $0 | $490,706 | $0 | $0 | $0 |
| HAROLD ARRINGTON MD | ||||||||||||||
| ASSOC MEDICAL DIRECTOR | $311,643 | $0 | $12,500 | $0 | $0 | $0 | $13,500 | $0 | $6,699 | $0 | $344,342 | $0 | $0 | $0 |
| GERARD A HAMANN | ||||||||||||||
| CONTROLLER | $124,692 | $0 | $4,500 | $0 | $0 | $0 | $6,460 | $0 | $14,623 | $0 | $150,275 | $0 | $0 | $0 |
| NANCY KOWAL | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $90,096 | $0 | $55,000 | $0 | $0 | $0 | $7,255 | $0 | $14,263 | $0 | $166,614 | $0 | $0 | $0 |
| SUSAN STIMPLE | ||||||||||||||
| INFORMATION TECHNOLOGY TECHNICIAN | $120,059 | $0 | $22,500 | $0 | $0 | $0 | $7,128 | $0 | $24,799 | $0 | $174,486 | $0 | $0 | $0 |
| KANU PATEL | ||||||||||||||
| ADMINISTRATION | $112,173 | $0 | $23,500 | $0 | $0 | $0 | $6,784 | $0 | $14,297 | $0 | $156,754 | $0 | $0 | $0 |
| SUSAN RYAN | ||||||||||||||
| PROVIDER RELATIONS/CONTRACTING MGR. | $120,068 | $0 | $27,500 | $0 | $0 | $0 | $7,878 | $0 | $14,566 | $0 | $170,012 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | INDIVIDUALS REPORTED ON PART VII | FormAndLineReferenceDesc |
| Explanation | THE COMPENSATION FOR THE FOLLOWING INDIVIDUALS REPORTED ON PART VII, COLUMN D IS FROM UNIVERSAL HEALTH MANAGEMENT, LLC., AN UNRELATED COMPANY. SEE SCHEDULE O FOR ADDITIONAL REPORTING. RANDY NAROWITZ LINDA LITTLE NOAH MONRO NICOLE ROUSH JAMES EPOLITO ROBYN J. ARRINGTON, JR., MD HAROLD ARRINGTON, MD GERARD A HAMANN NANCY KOWAL SUSAN STIMPLE KANU PATEL SUSAN RYAN | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSAL HEALTH MANAGEMENT LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ROBYN J. ARRINGTON, JR., MD INDIRECTLY OWNS MORE THAN 35% OF UHM, LLC. | RelationshipDescriptionTxt |
| Transaction | $17,780,637 | TransactionAmt |
| Transaction | ADMINISTRATIVE SERVICES COMPANY | TransactionDesc |
| Sharing Of Revenues | Yes (1) | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP: NOAH MONRO, JAMES EPOLITO, SUSAN RYAN, RANDY NAROWITZ, NICOLE ROUSH, ROBYN ARRINGTON, HAROLD ARRINGTON, NANCY KOWAL, LINDA LITTLE, GERARD HAMANN, SUSAN STIMPLE, AND KANU PATEL. THE FOLLOWING INDIVIDUALS HAVE A FAMILY RELATIONSHIP: HAROLD ARRINGTON AND ROBYN ARRINGTON. |
| FORM 990, PART VI, SECTION A, LINE 3 | THC USA HAS CONTRACTED WITH ITS PARENT, TOTAL HEALTH CARE, INC., TO CARRY OUT THE ADMINISTRATIVE FUNCTIONS OF THC USA. THC THEN CONTRACTED WITH AN ADMINISTRATIVE SERVICES COMPANY, UNIVERSAL HEALTH MANAGEMENT LLC, TO PERFORM THESE FUNCTIONS, SUCH AS HIRING THE NECESSARY EMPLOYEES. THE PERFORMANCE OF THESE SERVICES BY UHM IS SUBJECT TO OVERSIGHT BY THE BOARD OF THC USA'S PARENT, TOTAL HEALTH CARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF TOTAL HEALTH CARE, INC., A RELATED 501(C)(4) ORGANIZATION, ARE ABLE TO ELECT THE BOARD OF TOTAL HEALTH CARE USA INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS REVIEWED BY ITS CHIEF FINANCIAL OFFICER AND EXECUTIVE DIRECTOR BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | TOTAL HEALTH CARE USA, INC. HAS A CONFLICT OF INTEREST POLICY THAT COVERS ALL EMPLOYEES, WHICH REQUIRES NOTIFICATION TO THE COO OR CEO 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 | ALL COMPENSATION IS PAID BY AN ADMINISTRATIVE SERVICES COMPANY, UNIVERSAL HEALTH MANAGEMENT LLC. HOWEVER, 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 XII, LINE 2B: | TOTAL HEALTH CARE USA, INC. HAS ITS FINANCIAL STATEMENTS AUDITED UNDER THE STATUTORY BASIS OF ACCOUNTING. |
| FORM 990, PART XII, LINE 2C: | THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR TO THE OVERSIGHT RESPONSIBILITIES OF THE AUDIT COMMITTEE. |
| FORM 990, PART IV, LINE 12: | TOTAL HEALTH CARE USA, 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) AND SCHEDULE J, PART II, ROW (I): | TOTAL HEALTH CARE USA INC., HAS ENTERED INTO AN ADMINISTRATIVE SERVICES CONTRACT WITH ITS PARENT, TOTAL HEALTH CARE, INC., WHO IN TURN CONTRACTS WITH AN ADMINISTRATIVE SERVICES COMPANY, UNIVERSAL HEALTH MANAGEMENT, LLC. ALL SALARIES AND BENEFITS ARE PAID BY THE ADMINISTRATIVE SERVICES COMPANY TO ITS EMPLOYEES WHO PROVIDE SERVICES TO TOTAL HEALTH CARE USA, INC. THE AMOUNTS SHOWN AS COMPENSATION FOR THE OFFICERS AND EMPLOYEES ON SCHEDULE J ARE THE TOTAL W-2 COMPENSATION FOR THE YEAR. FOR ALL INDIVIDUALS OTHER THAN JAMES EPOLITO, ONLY A PORTION OF THIS COMPENSATION IS ATTRIBUTABLE TO THEIR SERVICES FOR TOTAL HEALTH CARE USA, INC. THE REMAINING SERVICES ARE ATTRIBUTABLE TO ITS PARENT COMPANY, TOTAL HEALTH CARE, INC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOTAL HEALTH CARE INC | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382018957 | EIN |
| Primary Activities | HMO | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | IRC CODE 501(C)(4) | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | 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 INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $26,935,250 | InvolvedAmt |
| Method Of Amount Determination | ACTUAL COSTS | MethodOfAmountDeterminationTxt |
Comments