2018-09-24T12:58:13-05:00 2017-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE COURT SUITE 500 AUBURN HILLS MI 48326 990 2017-01-01 383240485 TOTAL HEALTH CARE USA INC TOTA 3138712000 3011 W GRAND BLVD NO 1600 DETROIT MI 48202 RANDY NAROWITZ EXECUTIVE DIRECTOR 3138712000 2018-08-27 1 LYNNE M HUISMANN P00053811 2483757100 2018-08-27 67.59.56.32 2018-08-27 09:49:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 243E9F3BF91F16FF792CF36106F2A7E698A0554A 2017 2018-06-14 16:35:46Z RANDY NAROWITZ 3011 W GRAND BLVD NO 1600 DETROIT MI 48202 148500513 0 X WWW.THCMI.COM X 1994 MI HEALTH MAINTENANCE ORGANIZATION PROVIDING COMPREHENSIVE MEDICAL SERVICES TO LOWER INCOME INDIVIDUALS AND THEIR DEPENDENTS FOR THE PROMOTION OF SOCIAL WELFARE. 3 3 0 0 0 0 0 0 139278240 148047493 201929 453020 0 0 139480169 148500513 0 0 107693752 108046429 212000 212000 0 0 0 24876265 24768712 132782017 133027141 6698152 15473372 56277626 67933166 25494771 21676939 30782855 46256227 X NONE 0 0 108046429 148047493 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. 108046429 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 2415 0 1 0 0 0 0 0 0 0 X 3 3 1 1 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X RANDY NAROWITZ 3138712000 3011 W GRAND BLVD SUITE 1600 DETROIT MI 48202 DOUGLAS P BAKER CHAIRPERSON & TREASURER 4.00 4.00 X X 53000 0 252 RUBY O COLE DIRECTOR 4.00 4.00 X 53000 0 76 GERTRUDE H MINKIEWICZ VICE-CHAIRPERSON & SECRETARY 4.00 4.00 X X 53000 0 76 RANDY NAROWITZ EXECUTIVE DIRECTOR 20.00 20.00 X 1271544 0 34380 NOAH MONRO CHIEF INFORMATION OFFICER 20.00 20.00 X 164200 0 23139 NICOLE ROUSH CHIEF FINANCIAL OFFICER 20.00 20.00 X 265847 0 32049 JAMES EPOLITO CHIEF MARKETING OFFICER 40.00 0.00 X 253688 0 38053 LINDA LITTLE CHIEF CLINICAL OFFICER - UNTIL 2/17 20.00 20.00 X 73412 0 8360 ROBYN J ARRINGTONJRMD MEDICAL DIRECTOR 10.00 10.00 X 469422 0 21284 HAROLD ARRINGTON MD ASSOC MEDICAL DIRECTOR 20.00 20.00 X 324143 0 20199 GERARD A HAMANN CONTROLLER 20.00 20.00 X 129192 0 21083 NANCY KOWAL CHIEF COMPLIANCE OFFICER 20.00 20.00 X 145096 0 21518 SUSAN STIMPLE INFORMATION TECHNOLOGY TECHNICIAN 20.00 20.00 X 142559 0 31927 KANU PATEL ADMINISTRATION 20.00 20.00 X 135673 0 21081 SUSAN RYAN PROVIDER RELATIONS/CONTRACTING MGR. 20.00 20.00 X 147568 0 22444 3681344 0 295921 24 0 0 1 ENVISION PHARMACEUTICAL SERVICES 2181 E AURORA RD STE 201 TWINSBURG OH 44087 PHARMACY BENEFITS MANAGEMENT 22762214 TOTAL HEALTH CARE INC 3011 W GRAND BLVD SUITE 1600 DETROIT MI 48202 ADMINISTRATIVE SERVICES COMPANY 17780638 OCCUPATIONAL EYEWEAR NETWORK 23469 MICHIGAN AVE DEARBORN MI 48124 VISION SERVICES 922397 COFINITY 150 NORTH CLINTON STREET CHICAGO IL 60661 CLAIM REPRICING SERVICES 731798 ADVANCE INSURANCE 24705 MOUND ROAD WARREN MI 48091 COMMISSIONED AGENT 287052 19 SUBSCRIPTIONS 900099 148047493 148047493 148047493 453020 453020 148500513 148047493 0 453020 108046429 108046429 212000 212000 174963 174963 ADMINISTRATIVE SERVICE 17780637 17780637 COMMISSIONS EXPENSE 4632077 4632077 EXCHANGE USER FEE 1083514 1083514 CLAIMS TAX EXPENSE 992190 992190 105331 105331 133027141 108046429 24980712 0 51801692 64787912 2488653 2182374 3000 6487 1984281 956393 56277626 67933166 21006446 16809747 4488325 4867192 25494771 21676939 X 0 0 0 0 30782855 46256227 30782855 46256227 56277626 67933166 15473372 0 X X 0 1 X 1 0 0 UNEARNED SUBSCRIBER PREMIUMS 4867192 4867192 148500513 0 148500513 0 148500513 133027141 0 133027141 0 133027141 0 0 0 0 0 0 0 0 0 RANDY NAROWITZ EXECUTIVE DIRECTOR 611784 0 652500 0 7260 0 13500 0 20880 0 1305924 0 0 0 NOAH MONRO CHIEF INFORMATION OFFICER 144200 0 20000 0 0 0 8210 0 14929 0 187339 0 0 0 NICOLE ROUSH CHIEF FINANCIAL OFFICER 213347 0 52500 0 0 0 13292 0 18757 0 297896 0 0 0 JAMES EPOLITO CHIEF MARKETING OFFICER 251188 0 2500 0 0 0 12684 0 25369 0 291741 0 0 0 ROBYN J ARRINGTONJRMD MEDICAL DIRECTOR 466922 0 2500 0 0 0 13500 0 7784 0 490706 0 0 0 HAROLD ARRINGTON MD ASSOC MEDICAL DIRECTOR 311643 0 12500 0 0 0 13500 0 6699 0 344342 0 0 0 GERARD A HAMANN CONTROLLER 124692 0 4500 0 0 0 6460 0 14623 0 150275 0 0 0 NANCY KOWAL CHIEF COMPLIANCE OFFICER 90096 0 55000 0 0 0 7255 0 14263 0 166614 0 0 0 SUSAN STIMPLE INFORMATION TECHNOLOGY TECHNICIAN 120059 0 22500 0 0 0 7128 0 24799 0 174486 0 0 0 KANU PATEL ADMINISTRATION 112173 0 23500 0 0 0 6784 0 14297 0 156754 0 0 0 SUSAN RYAN PROVIDER RELATIONS/CONTRACTING MGR. 120068 0 27500 0 0 0 7878 0 14566 0 170012 0 0 0 INDIVIDUALS REPORTED ON PART VII 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 UNIVERSAL HEALTH MANAGEMENT LLC ROBYN J. ARRINGTON, JR., MD INDIRECTLY OWNS MORE THAN 35% OF UHM, LLC. 17780637 ADMINISTRATIVE SERVICES COMPANY 1 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. TOTAL HEALTH CARE INC 3011 W GRAND BLVD SUITE 1600 DETROIT MI 48202 382018957 HMO MI IRC CODE 501(C)(4) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 TOTAL HEALTH CARE INC P 26935250 ACTUAL COSTS