STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNIVERSITY OF MICHIGAN HEALTH PLAN: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF MICHIGAN HEALTH PLAN (EIN 38-2356288)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202233199349314753
Schema version
2021v4.0
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

FieldValueIRS element (for citing)
Return2022-11-15T14:09:44-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383133790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14295 OKEMOS RD STE 200AddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP488646201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382356288EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIANS HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPHYSBusinessNameControlTxt
Phone5173648400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 30377AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48909ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS REESEPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone5173648400PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDENNISPersonFirstNm
Person LastREESEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE M PFEIFLEPreparerPersonNm
PTINP00751307PTIN
Phone5177060800PhoneNum
Preparation2022-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES F DOVERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11215 E MICHIGAN AVENUEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48912ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$200,412,825GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.PHPMICHIGAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee182TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$169,660,793PYProgramServiceRevenueAmt
CY Program Service Revenue$158,133,856CYProgramServiceRevenueAmt
PY Investment Income$1,843,979PYInvestmentIncomeAmt
CY Investment Income$4,358,070CYInvestmentIncomeAmt
PY Other Revenue$15,145PYOtherRevenueAmt
CY Other Revenue$186CYOtherRevenueAmt
PY Total Revenue$171,519,917PYTotalRevenueAmt
CY Total Revenue$162,492,112CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$149,468,557PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$139,087,640CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,193,561PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,714,870CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$26,542,852PYOtherExpensesAmt
CY Other Expenses$27,510,171CYOtherExpensesAmt
PY Total Expenses$185,204,970PYTotalExpensesAmt
CY Total Expenses$175,312,681CYTotalExpensesAmt
PY Revenues Less Expenses-$13,685,053PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$12,820,569CYRevenuesLessExpensesAmt
Total Assets BOY$97,555,482TotalAssetsBOYAmt
Total Assets EOY$85,614,801TotalAssetsEOYAmt
Total Liabilities BOY$31,281,305TotalLiabilitiesBOYAmt
Total Liabilities EOY$34,701,244TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$66,274,177NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$50,913,557NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$168,372,086ExpenseAmt
Revenue$158,133,856RevenueAmt
DescPHYSICIANS HEALTH PLAN (PHP) IS OWNED BY PHP HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. PHP IS PRIMARILY A COMMERCIAL HMO AND ALSO OPERATES THREE SUBSIDIARIES, PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY, PHP MEDICARE (PHPMA), A MICHIGAN MEDICARE PLAN, AND PHP SERVICE COMPANY (PHPTA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC,PHPTA AND PHPMA. PHPS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. PHP IC OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2021, THERE WERE APPROXIMATELY 28,700 ENROLLEES IN PHPS COMMERCIAL HMO, 23,700 IN TPA, 2,800 IN PHPIC, AND 5,500 ENROLLEES IN PHPMA. THE PHP NETWORK IS APPROXIMATELY 1,161 PRIMARY CARE PHYSICIANS, 2,922 SPECIALTY CARE PHYSICIANS, 1,808 ALLIED HEALTH PROFESSIONALS, 2,392 BEHAVIORAL HEALTH PROVIDERS AND 719 ORGANIZATIONAL PROVIDERS THAT INCLUDE 41 HOSPITALS. PHP CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. PHPS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. PHPS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. PHP MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: -DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES. -QUALITY OF CARE CONCERNS. -HEDIS MEASURES THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: - DIABETES, - ASTHMA, - DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, - BREAST AND CERVICAL CANCER SCREENING, - USE OF BETA-BLOCKERS AFTER HEART ATTACKS, - CHILD AND ADOLESCENT IMMUNIZATIONS, - CHOLESTEROL MANAGEMENT, - CONTROLLING HIGH BLOOD PRESSURE, - SMOKING CESSATION, - PRENATAL AND POSTPARTUM CARE, AND - TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. PHP MEASURES THE QUALITY OF SERVICE PROVIDED TO ITS ENROLLEES BY THE REVIEW OF PERFORMANCE MEASURES RELATED TO: ACCESS AND AVAILABILITY OF PROVIDERS, ENROLLEE COMPLAINTS AND APPEALS, CUSTOMER SERVICE TELEPHONE ACCESS PERFORMANCE, AND MEMBER ASSESSMENT: THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY GIVES A GENERAL INDICATION OF HOW WELL THE ORGANIZATION MEETS MEMBERS EXPECTATIONS. THE PHP QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 PHP RECEIVED FULL ACCREDITATION STATUS FROM URAC FOR BOTH HEALTH PLAN ACCREDITATION AND HEALTH PLAN ACCREDITATION WITH HEALTH INSURANCE MARKETPLACE. URAC ACCREDITATION SIGNIFIES AN ISSUER HAS UNDERGONE AND PASSED A RIGOROUS AND INDEPENDENT REVIEW OF ITS OPERATION, INCLUDING THE QUALITY OF CARE AND LEVEL OF SERVICE PROVIDED TO ENROLLEES. ACCREDITATION HEALTH PLAN STANDARDS INCORPORATE MARKET TRENDS AND ADDRESS MAJOR POLICY ISSUES WHILE ALIGNING WITH CORE REQUIREMENTS FOUND IN THE AFFORDABLE CARE ACT. PHP HAS BEEN ACCREDITED BY URAC UNDER THE HEALTH PLAN STANDARDS SINCE 2012. THE CURRENT ACCREDITATION IS EFFECTIVE THROUGH JULY 1, 2024 AT WHICH TIME REACCREDITATION WILL OCCUR.Desc
Total Program Service Expenses$168,372,086TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document226IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee182EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS REESEPersonNm
Phone5173648400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 E MICHIGAN AVENUEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48909ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES F DOVER
PRES/CEO - S1.0040.00Yes (X)Yes (X)$0$1,205,750$90,064
PAULA REICHLE
TREASURER1.0040.00Yes (X)Yes (X)$0$1,010,593$110,704
JOSEPH RUTH
DIRECTOR1.0040.00Yes (X)$0$770,904$115,164
DOUGLAS EDEMA MD
DIRECTOR1.0040.00Yes (X)$0$564,052$48,688
DENNIS REESE
PRESIDENT &40.005.00Yes (X)$443,703$0$59,873
PETER GRAHAM MD
MEDICAL DIRE40.005.00Yes (X)$356,504$0$59,112
GEORGE SCHNEIDER
CFO/COO40.005.00Yes (X)$343,510$0$39,635
SCOTT NORMAN
VP OF SALES40.005.00Yes (X)$322,229$0$59,688
MARK BRETT
FORMER DIREC0.000.00$0$254,091$0Yes (X)
WALTER BRIGGS
DIRECTOR OF40.005.00$180,406$0$47,501Yes (X)
ANDREA KOSLOSKI
DIRECTOR1.0040.00Yes (X)$0$193,952$29,285
KENNETH WALKER
DIR OF NETWO40.005.00$165,476$0$46,466Yes (X)
NICHOLAS D'ISA
DIR LEGAL/CO40.005.00$161,460$0$36,106Yes (X)
ANN HUNT-FUGATE RPH
MGR CLINICAL40.005.00$159,907$0$25,798Yes (X)
KIELEY ARAKELIAN
DIR OF QUALI40.005.00$151,926$0$31,393Yes (X)
KEVIN ALBOSTA
DIRECTOR1.000.00Yes (X)$0$0$0
KEITH DICKEY
DIRECTOR1.000.00Yes (X)Yes (X)$0$0$0
IFTIKER AHMAD MD
DIRECTOR1.001.00Yes (X)Yes (X)$0$0$0
JOHN AYANIAN MD
DIRECTOR1.000.00Yes (X)$0$0$0
TIMOTHY PETERSON MD
DIRECTOR1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,285,121TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,999,342TotReportableCompRltdOrgAmt
Total Other Compensation$799,477TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TRIZETTO
1085 MORRIS AVENUEUNIONNJ07083HEALTHCARE IT$3,461,327
MILLIMAN
15800 BLUEMOUND RD SUITE 100BROOKFIELDWI53005MGMT CONSULTING$767,748
ZELIS HEALTHCARE
6875 SHILOH RD EALPHARETTAGA300058403COST CONT & CIR$682,779
CHANGE HEALTHCARE INC
3055 LEBANON PIKENASHVILLETN37214COST CONT & CIR$678,964
CHANGE HEALTHCARE
2187 NETWORK PLCHICAGOIL606731219COST CON & CIR$340,623
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREPAID HEALTHCAREDesc
Business621990BusinessCd
Total Revenue Column$158,133,856TotalRevenueColumnAmt
Related Or Exempt Func Income$158,133,856RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$158,133,856TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$774,909TotalRevenueColumnAmt
Exclusion$774,909ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$41,503,874SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$37,920,713SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,583,161SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,583,161TotalRevenueColumnAmt
Exclusion$3,583,161ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$186TotalRevenueColumnAmt
Related Or Exempt Func Income$186RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$186OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$162,492,112TotalRevenueColumnAmt
Related Or Exempt Func Income$158,134,042RelatedOrExemptFuncIncomeAmt
Exclusion$4,358,070ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$139,087,640TotalAmt
Program Services$139,087,640ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,684,254TotalAmt
Program Services$1,274,980ProgramServicesAmt
Management And General$409,274ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,538,247TotalAmt
Program Services$4,192,453ProgramServicesAmt
Management And General$1,345,794ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$392,271TotalAmt
Program Services$296,949ProgramServicesAmt
Management And General$95,322ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$580,801TotalAmt
Program Services$439,666ProgramServicesAmt
Management And General$141,135ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$519,297TotalAmt
Program Services$393,108ProgramServicesAmt
Management And General$126,189ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,123,024TotalAmt
Management And General$3,123,024ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,762TotalAmt
Program Services$5,119ProgramServicesAmt
Management And General$1,643ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$87,189TotalAmt
Program Services$87,189ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$44,757TotalAmt
Management And General$44,757ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,261,799TotalAmt
Program Services$2,261,799ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$297,724TotalAmt
Program Services$225,377ProgramServicesAmt
Management And General$72,347ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$354,877TotalAmt
Program Services$268,642ProgramServicesAmt
Management And General$86,235ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$998,350TotalAmt
Program Services$755,751ProgramServicesAmt
Management And General$242,599ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$110,014TotalAmt
Management And General$110,014ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52,134TotalAmt
Management And General$52,134ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,555,439TotalAmt
Program Services$1,555,439ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,143TotalAmt
Program Services$51,143ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LOSS - UNCONSOLIDATED SUB$14,472,353$14,472,353
BROKER COMMISSIONS$2,187,606$2,187,606
MISCELLANEOUS$1,079,091$816,872$262,219
ADMINISTRATIVE EXPENSES$827,909$827,909

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$175,312,681TotalAmt
Program Services$168,372,086ProgramServicesAmt
Management And General$6,940,595ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,144,364BOYAmt
EOY$26,342,074EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,322,140BOYAmt
EOY$6,030,198EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,683,969BOYAmt
EOY$1,315,852EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,034,200LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,009,470LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,447,580BOYAmt
EOY$6,024,730EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$25,038,995BOYAmt
EOY$6,238,071EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$22,166,907BOYAmt
EOY$28,194,555EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,751,527BOYAmt
EOY$11,469,321EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$97,555,482BOYAmt
EOY$85,614,801EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,418,863BOYAmt
EOY$26,644,396EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,738,388BOYAmt
EOY$3,466,624EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,124,054BOYAmt
EOY$4,590,224EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,281,305BOYAmt
EOY$34,701,244EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$66,274,177BOYAmt
EOY$50,913,557EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,274,177BOYAmt
EOY$50,913,557EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$97,555,482BOYAmt
EOY$85,614,801EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$12,820,569ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,540,051NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,606,321BeginningYearBalanceAmt
Contributions$561,053ContributionsAmt
Investment Earnings Or Losses$129,658InvestmentEarningsOrLossesAmt
End Year Balance$6,297,032EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,912,247BeginningYearBalanceAmt
Contributions$237,860ContributionsAmt
Investment Earnings Or Losses$456,214InvestmentEarningsOrLossesAmt
End Year Balance$5,606,321EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,700,296BeginningYearBalanceAmt
Contributions$39,943ContributionsAmt
Investment Earnings Or Losses$172,008InvestmentEarningsOrLossesAmt
End Year Balance$4,912,247EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,236,464BeginningYearBalanceAmt
Contributions$314,065ContributionsAmt
Investment Earnings Or Losses$55,042InvestmentEarningsOrLossesAmt
End Year Balance$3,605,571EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,070,379BeginningYearBalanceAmt
Contributions$114,433ContributionsAmt
Investment Earnings Or Losses$51,652InvestmentEarningsOrLossesAmt
End Year Balance$3,236,465EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$455,895OtherCostOrOtherBasisAmt
Book Value$455,895BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,643,238OtherCostOrOtherBasisAmt
Depreciation$4,526,495DepreciationAmt
Book Value$2,116,743BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,935,067OtherCostOrOtherBasisAmt
Depreciation$11,482,975DepreciationAmt
Book Value$3,452,092BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,024,730TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN PHP INSURANCE COMPANY$15,809,516C
INVESTMENT IN PHP MEDICARE$11,381,407C
INVESTMENT IN PHP SERVICE COMPANY$1,003,632C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$28,194,555TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY RECEIVABLEDesc
Book Value$11,469,321BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,469,321TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLEDesc
Amt$4,590,224Amt
FieldValueIRS element (for citing)
Total Liability$4,590,224TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$154,576,094TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$14,472,353NetUnrealizedGainsInvstAmt
Other Revenue-$6,435,140OtherRevenueAmt
Revenue Not Reported$8,037,213RevenueNotReportedAmt
Revenue Subtotal$146,538,881RevenueSubtotalAmt
Investment Expenses Not Incld$255,892InvestmentExpensesNotIncldAmt
Other Revenues Not Included$15,697,339OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$15,953,231RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$162,492,112TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$152,923,999TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$6,435,719OtherExpensesIncludedAmt
Expenses Not Reported-$6,435,719ExpensesNotReportedAmt
Expenses Subtotal$159,359,718ExpensesSubtotalAmt
Investment Expenses Not Incld2$255,892InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$15,697,071OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$15,952,963ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$175,312,681TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4PHP DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM HAS AN INDIRECT CONTROLLING INTEREST IN PHP AND IS THE SOLE MEMBER OF SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENT. THE TEMPORARILY RESTRICTED FUNDS ARE BEING MAINTAINED AND USED FOR THE PURPOSE ESTABLISHED BY THE FUND, INCLUDING PURCHASING NECESSARY FUNDS FOR THE HOSPITAL, ETC.
SCHEDULE D, PAGE 4, PART XI, LINE 2DRISK ADJ INCOME/EXPENSE RECLASS -6,327,871 PENSION -107,848 MISC 579
SCHEDULE D, PAGE 4, PART XI, LINE 4BREINSURANCE 1,224,986 LOSS ON UNCONSOLIDATED SUBSIDIARY 14,472,353
SCHEDULE D, PAGE 4, PART XII, LINE 2DACA FEES -6,327,871 PENSION NON-OPERATING -107,848
SCHEDULE D, PAGE 4, PART XII, LINE 4BREINSURANCE 1,224,986 LOSS ON UNCONSOLIDATED SUBSIDIARY 14,472,353 MISC -268

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
JAMES F DOVER
PRES/CEO - SHS$931,757$144,505$129,488$8,550$81,514$1,295,814
PAULA REICHLE
TREASURER$539,467$56,917$414,209$54,678$56,026$1,121,297
JOSEPH RUTH
DIRECTOR$586,859$60,756$123,289$77,483$37,681$886,068
DOUGLAS EDEMA MD
DIRECTOR$505,179$45,511$13,362$8,550$40,138$612,740
DENNIS REESE
PRESIDENT & CEO$398,784$37,130$7,789$17,250$42,623$503,576
PETER GRAHAM MD
MEDICAL DIRECTOR$325,223$28,810$2,471$26,680$32,432$415,616
GEORGE SCHNEIDER
CFO/COO$317,630$23,670$2,210$16,449$23,186$383,145
SCOTT NORMAN
VP OF SALES$299,243$22,281$705$8,001$51,687$381,917
MARK BRETT
FORMER DIRECTOR$254,091$254,091
WALTER BRIGGS
DIRECTOR OF IMP.$169,354$9,270$1,782$9,989$37,512$227,907
ANDREA KOSLOSKI
DIRECTOR$164,677$28,408$867$14,229$15,056$223,237
KENNETH WALKER
DIR OF NETWORK SERV.$156,490$8,691$295$9,371$37,095$211,942
NICHOLAS D'ISA
DIR LEGAL/COMPLIANCE$152,097$8,801$562$9,493$26,613$197,566
ANN HUNT-FUGATE RPH
MGR CLINICAL PHARM$128,263$5,917$25,727$25,798$185,705
KIELEY ARAKELIAN
DIR OF QUALITY MGMT.$143,071$8,095$760$8,680$22,713$183,319

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3PHP HOLDINGS IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN WITH SPARROW HEALTH SYSTEM OWNING 65%. SPARROW HEALTH SYSTEM IS AN INTEGRATED NON- PROFIT ORGANIZATION THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES.
SCHEDULE J, PAGE 1, PART I, LINE 4PAULA REICHLE 0 46,128 0 JOSEPH RUTH 0 50,803 0
SCHEDULE J, PAGE 1, PART I, LINE 7COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PREREQUISITES) ARE COMPARED TO MARKET.
SCHEDULE J, PART IIIMARK BRETT IS A FORMER BOARD MEMBER OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBER IS BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN AS BOARD MEMBER OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBER IS NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO PHYSICIANS HEALTH PLAN. PART I, LINE 4B - NONQUALIFIED 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 ON SCHEDULE J, PART II COLUMN B(III). MARK BRETT - NONQUALIFIED DISTRIBUTIONS -254,091 JAMES DOVER - NONQUALIFIED DISTRIBUTIONS -101,283 PAULA REICHLE - NONQUALIFIED DISTRIBUTIONS -386,004 JOSEPH RUTH - NONQUALIFIED DISTRIBUTIONS -97,772

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FORM 990, PAGE 2, PART III, LINE 4APHYSICIANS HEALTH PLAN (PHP) IS OWNED BY PHP HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. PHP IS PRIMARILY A COMMERCIAL HMO AND ALSO OPERATES THREE SUBSIDIARIES, PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY, PHP MEDICARE (PHPMA), A MICHIGAN MEDICARE PLAN, AND PHP SERVICE COMPANY (PHPTA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC,PHPTA AND PHPMA. PHPS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. PHP IC OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2021, THERE WERE APPROXIMATELY 28,700 ENROLLEES IN PHPS COMMERCIAL HMO, 23,700 IN TPA, 2,800 IN PHPIC, AND 5,500 ENROLLEES IN PHPMA. THE PHP NETWORK IS APPROXIMATELY 1,161 PRIMARY CARE PHYSICIANS, 2,922 SPECIALTY CARE PHYSICIANS, 1,808 ALLIED HEALTH PROFESSIONALS, 2,392 BEHAVIORAL HEALTH PROVIDERS AND 719 ORGANIZATIONAL PROVIDERS THAT INCLUDE 41 HOSPITALS. PHP CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. PHPS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. PHPS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. PHP MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: -DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES. -QUALITY OF CARE CONCERNS. -HEDIS MEASURES THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: - DIABETES, - ASTHMA, - DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, - BREAST AND CERVICAL CANCER SCREENING, - USE OF BETA-BLOCKERS AFTER HEART ATTACKS, - CHILD AND ADOLESCENT IMMUNIZATIONS, - CHOLESTEROL MANAGEMENT, - CONTROLLING HIGH BLOOD PRESSURE, - SMOKING CESSATION, - PRENATAL AND POSTPARTUM CARE, AND - TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. PHP MEASURES THE QUALITY OF SERVICE PROVIDED TO ITS ENROLLEES BY THE REVIEW OF PERFORMANCE MEASURES RELATED TO: ACCESS AND AVAILABILITY OF PROVIDERS, ENROLLEE COMPLAINTS AND APPEALS, CUSTOMER SERVICE TELEPHONE ACCESS PERFORMANCE, AND MEMBER ASSESSMENT: THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY GIVES A GENERAL INDICATION OF HOW WELL THE ORGANIZATION MEETS MEMBERS EXPECTATIONS. THE PHP QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 PHP RECEIVED FULL ACCREDITATION STATUS FROM URAC FOR BOTH HEALTH PLAN ACCREDITATION AND HEALTH PLAN ACCREDITATION WITH HEALTH INSURANCE MARKETPLACE. URAC ACCREDITATION SIGNIFIES AN ISSUER HAS UNDERGONE AND PASSED A RIGOROUS AND INDEPENDENT REVIEW OF ITS OPERATION, INCLUDING THE QUALITY OF CARE AND LEVEL OF SERVICE PROVIDED TO ENROLLEES. ACCREDITATION HEALTH PLAN STANDARDS INCORPORATE MARKET TRENDS AND ADDRESS MAJOR POLICY ISSUES WHILE ALIGNING WITH CORE REQUIREMENTS FOUND IN THE AFFORDABLE CARE ACT. PHP HAS BEEN ACCREDITED BY URAC UNDER THE HEALTH PLAN STANDARDS SINCE 2012. THE CURRENT ACCREDITATION IS EFFECTIVE THROUGH JULY 1, 2024 AT WHICH TIME REACCREDITATION WILL OCCUR.
FORM 990, PAGE 6, PART VI, LINE 6PHP 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 7ATHE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF PHYSICIANS HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 7BTHE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF PHYSICIANS HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM. THE DECISIONS OF THE PHYSICIANS HEALTH PLAN BOARD OF DIRECTORS MAY BE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 11BCOPIES OF THE 2021 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF THE FORM 990 COPIES WERE PROVIDED AT THE FALL 2022 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON.
FORM 990, PAGE 6, PART VI, LINE 12C1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON).
FORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SPARROW BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.
FORM 990, PAGE 6, PART VI, LINE 15BTHE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SPARROW BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS FOLLOWS: THE GOVERNING DOCUMENTS OF PHP ARE SUBMITTED TO THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS). THOSE ARE PUBLICLY AVAILABLE TO INTERESTED PARTIES. THE CONFLICT OF INTEREST IS AVAILABLE THROUGH SPARROW BY REQUESTING THE POLICY FROM THE SPARROW COMPLIANCE OFFICER.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SPARROW HEALTH SYSTEM
1215 E MICHIGAN AVENUELANSINGMI48912382542859PARENTMI501C312AN/Afalse
PHYSICIANS HEALTH NETWORK
1400 E MICHIGAN AVENUELANSINGMI48912382594856HMOMI501C4Yes (true)PHP HO
SPARROW FOUNDATION
1215 E MICHIGAN AVENUELANSINGMI48912386100687FUNDRAISEMI501C312BYes (true)SHS
SPARROW COMMUNITY CARE
3315 E MICHIGAN AVENUE STE 4LANSINGMI48912382543305HOME HLTHMI501C310Yes (true)SHS
SPARROW CLINTON HOSPITAL
805 S OAKLAND STREETST JOHNSMI48879381358172HLTH CAREMI501C33Yes (true)SHS
EDWARD W SPARROW HOSPITAL
1215 E MICHIGAN AVENUELANSINGMI48912381360584HLTH CAREMI501C33Yes (true)SHS
SPARROW IONIA HOSPITAL
3565 S STATE RDIONIAMI48846383218134HLTH CAREMI501C33Yes (true)SHS
SPARROW SPECIALTY HOSPITAL
1215 E MICH AVE 8W SPARROW TOWERLANSINGMI48912141885340LT ACUTEMI501C33Yes (true)SHS
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUELANSINGMI48912383075242RESEARCHMI501C34Yes (true)SHS
SPARROW CARSON HOSPITAL
406 E ELM STREET PO BOX 879CARSON CITYMI48811381490180HLTH CAREMI501C33Yes (true)SHS
PHP MEDICARE
1400 E MICHIGAN AVENUELANSINGMI48912832766121HMOMI501C4Yes (true)PHP
SPARROW EATON HOSPITAL
321 E HARRIS STCHARLOTTEMI48813382007629HLTH CAREMI501C33Yes (true)SHS
SPARROW EATON HOSPITAL AUXILIARY
321 E HARRIS STCHARLOTTEMI48813382377160FUNDRAISEMI501C33Yes (true)SHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PHP HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 E MICHIGAN AVENUEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48912ZIPCd
FieldValueIRS element (for citing)
EIN833965697EIN
Primary ActivitiesHOLDING COPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
PHP INSURANCE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912205565219INSURANCEMIN/AYes (true)
PHP SERVICE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912383344741MED SVSMIN/AYes (true)
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVENUELANSINGMI48912382595963MED SUPPLMIN/AYes (true)
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVDEAST LANSINGMI48823382886420HLTH CLUBMIN/AYes (true)
MAC RESTAURANT LLC
2900 HANNAH BLVDEAST LANSINGMI48823205120690RESTAURANTMIN/AYes (true)
CLINTON SERVICES CORPORATION
805 S OAKLANDST JOHNSMI48879382494110SERVICESMIN/AYes (true)
EAST LANSING ATHLETIC CLUB & HSP
1200 E MICHIGAN AVENUE STE 600LANSINGMI48912813131851CONDO ASSOMIN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PHYSICIANS HEALTH NETWORK
M$139,795,415COST
EDWARD W SPARROW HOSPITAL
Q$22,692,427COST
PHP INSURANCE COMPANY
Q$2,210,015COST
PHP SERVICE COMPANY
Q$8,307,359COST
PHP MEDICARE
Q$1,361,358COST
PHP MEDICARE
B$20,500,000COST