PRIORITY HEALTH: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PRIORITY HEALTH (EIN 38-2715520)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-27
- IRS object ID
- 201723009349300612
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-27T09:00:13-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9600 Brownsboro Road Suite 400 | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402411122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382715520 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Priority Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRIO | BusinessNameControlTxt |
| Phone | 6167745083 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 East Beltline NE | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49525 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary Anne Jones | PersonNm |
| Person Title | SVP, Finance | PersonTitleTxt |
| Signature | 2017-10-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rachel Spurlock | PreparerPersonNm |
| PTIN | P00520729 | PTIN |
| Phone | 5023263996 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joan A Budden | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 East Beltline NE | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49525 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,011,201,524 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.priorityhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | To improve the health, and therefore the lives, of the members and communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $9,870 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,374 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,187,669,445 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,663,150,100 | CYProgramServiceRevenueAmt |
| PY Investment Income | $31,052,450 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,871,484 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,226,498 | PYOtherRevenueAmt |
| CY Other Revenue | $889,522 | CYOtherRevenueAmt |
| PY Total Revenue | $2,219,948,393 | PYTotalRevenueAmt |
| CY Total Revenue | $2,682,911,106 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,875,513,401 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $2,335,150,337 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $117,430,057 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $142,085,172 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $135,562,260 | PYOtherExpensesAmt |
| CY Other Expenses | $154,525,964 | CYOtherExpensesAmt |
| PY Total Expenses | $2,128,505,718 | PYTotalExpensesAmt |
| CY Total Expenses | $2,631,761,473 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $91,442,675 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $51,149,633 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $935,637,044 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,024,534,162 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $406,307,790 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $450,477,884 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $529,329,254 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $574,056,278 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To improve the health, and therefore the lives, of the members and communities we serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,506,594,194 | ExpenseAmt |
| Revenue | $1,576,147,839 | RevenueAmt |
| Desc | PRIORITY HEALTH HMO: SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,013,243,098 | ExpenseAmt |
| Revenue | $1,086,088,426 | RevenueAmt |
| Desc | PRIORITY HEALTH SENIOR MARKETS (MEDICARE ADVANTAGE AND MEDICARE SUPPLEMENT): SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,479,130 | ExpenseAmt |
| Revenue | $1,746,145 | RevenueAmt |
| Desc | PRIORITY HEALTH WELLNESS: SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,522,316,422 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12785 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Anne Jones | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6164648695 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 East Beltline NE | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49525 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 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 |
|---|---|---|---|---|---|---|---|---|---|
| JAMES STEPHANAK | |||||||||
| CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $17,625 | $17,625 | $0 | ||
| Joan A BUDDEN | |||||||||
| PRESIDENT & CEO | 36.0 | 14.0 | Yes (X) | Yes (X) | $802,415 | $304,216 | $459,764 | ||
| MICHAEL P FREED | |||||||||
| PRESIDENT & CEO - Part Year | 36.0 | 14.0 | Yes (X) | Yes (X) | $174,594 | $66,193 | $440,965 | ||
| Richard Breon | |||||||||
| DIRECTOR | 1.0 | 49.0 | Yes (X) | $0 | $7,945,374 | $1,522,626 | |||
| GEORGIA FOJTASEK | |||||||||
| DIRECTOR - PART YEAR | 1.0 | 1.0 | Yes (X) | $1,500 | $1,500 | $0 | |||
| Christina Freese-Decker | |||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $1,169,543 | $522,065 | |||
| RAJESH KOTHARI | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $10,000 | $10,000 | $0 | |||
| LYNN LIDDLE | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $10,000 | $10,000 | $0 | |||
| RODRICK MILLER | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $4,000 | $4,000 | $0 | |||
| EDWIN NESS | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $8,500 | $8,500 | $0 | |||
| PAUL SAGINAW | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $9,000 | $9,000 | $0 | |||
| Hilary Snell | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $11,000 | $11,000 | $0 | |||
| MICHAEL SYTSMA | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $11,000 | $11,000 | $0 | |||
| GARY TIMMER | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $9,000 | $9,000 | $0 | |||
| Bruce Ullery | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $9,500 | $9,500 | $0 | |||
| Michael Vredenburg | |||||||||
| DIRECTOR | 1.0 | 49.0 | Yes (X) | $9,500 | $603,367 | $48,999 | |||
| WENDY WALKER MD | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $9,500 | $9,500 | $0 | |||
| SAMUEL WANNER | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $11,000 | $11,000 | $0 | |||
| Seth Wolk MD | |||||||||
| Director | 1.0 | 49.0 | Yes (X) | $0 | $1,106,922 | $449,863 | |||
| ELAINE WOOD | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $9,500 | $9,500 | $0 | |||
| Mary Anne Jones | |||||||||
| Treasurer & SVP, Finance | 36.0 | 14.0 | Yes (X) | $433,720 | $164,434 | $195,502 | |||
| KIMBERLY L THOMAS | |||||||||
| SECRETARY | 36.0 | 14.0 | Yes (X) | $383,067 | $145,230 | $167,092 | |||
| JAMES FORSHEE | |||||||||
| SVP, CHIEF MEDICAL OFFICER | 36.0 | 14.0 | $51,137 | $19,388 | $7,167 | Yes (X) | |||
| JOHN L FOX | |||||||||
| Interim Chief Medical Officer - PART YEAR | 36.0 | 14.0 | $323,177 | $122,524 | $65,966 | Yes (X) | |||
| MICHAEL KOZIARA | |||||||||
| SVP, CHIEF OPERATING OFFICER | 36.0 | 14.0 | $412,147 | $156,255 | $168,461 | Yes (X) | |||
| BRIAN KRUPICZEWICZ | |||||||||
| SVP, HUMAN RESOURCES | 36.0 | 14.0 | $118,047 | $44,755 | $30,906 | Yes (X) | |||
| JAY LABINE | |||||||||
| SVP, CHIEF MEDICAL OFFICER - Part Year | 20.0 | 30.0 | $192,844 | $387,238 | $171,638 | Yes (X) | |||
| MARTI LOLLI | |||||||||
| SVP, COMMERCIAL MARKETS | 36.0 | 14.0 | $302,959 | $114,860 | $75,404 | Yes (X) | |||
| PAMELA RIES | |||||||||
| VP, SYSTEM TOTAL VALUE - PART YEAR | 0.0 | 50.0 | $0 | $627,555 | $265,413 | Yes (X) | |||
| WAYNE WILSON | |||||||||
| SVP, GOVERNMENT MARKETS | 36.0 | 14.0 | $352,623 | $133,688 | $49,245 | Yes (X) | |||
| KRISCHA WINRIGHT | |||||||||
| SVP, Chief Marketing/Digital Officer | 26.0 | 24.0 | $267,958 | $245,273 | $173,069 | Yes (X) | |||
| JIANHUA YU | |||||||||
| SVP, CHIEF ACTUARY | 36.0 | 14.0 | $381,162 | $144,508 | $158,776 | Yes (X) | |||
| SCOTT NORMAN | |||||||||
| VP, Senior Markets | 36.0 | 14.0 | $310,015 | $117,534 | $75,648 | Yes (X) | |||
| EUGENE CRONIN | |||||||||
| VP, NEW GOVERNMENT MARKETS | 36.0 | 14.0 | $291,379 | $110,469 | $73,417 | Yes (X) | |||
| RICHARD O'DONNELL | |||||||||
| VP, Prov Contract & Reimbursement | 36.0 | 14.0 | $244,706 | $92,774 | $66,430 | Yes (X) | |||
| SHERWIN ROBINSON | |||||||||
| VP, CHIEF UNDERWRITER | 40.0 | 10.0 | $286,431 | $70,064 | $65,747 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,469,006 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,023,289 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,254,163 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Express Scripts | |||||
| 1 Express Way | St Louis | MO | 63121 | CLAIMS SERVICES | $509,839,742 |
| REGENTS OF UNIVERSITY OF MICHIGAN | |||||
| 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | CLAIMS SERVICES | $83,116,225 |
| SAINT MARYS HEALTH SERVICES | |||||
| 200 JEFFERSON STREET SE | GRAND RAPIDS | MI | 49503 | CLAIMS SERVICES | $75,719,467 |
| MUNSON MEDICAL CENTER | |||||
| 1105 6TH STREET | TRAVERSE CITY | MI | 49684 | CLAIMS SERVICES | $71,282,454 |
| Mercy Health Partners | |||||
| PO BOX 358 | MUSKEGON | MI | 49442 | Claims Services | $51,197,309 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1171 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Priority Health HMO | 524114 | $1,591,062,432 | $1,591,062,432 |
| PRIORITY HEALTH SENIOR MARKETS | 524114 | $1,070,324,999 | $1,070,324,999 |
| PRIORITY HEALTH WELLNESS | 900099 | $1,762,669 | $1,762,669 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,663,150,100 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,093,818 | TotalRevenueColumnAmt |
| Exclusion | $14,093,818 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,351,456 | RealAmt |
| Personal | $117,580 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,299,254 | RealAmt |
| Personal | $117,580 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $52,202 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,202 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $9,870 | UnrelatedBusinessRevenueAmt |
| Exclusion | $42,332 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,329,651,250 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,324,868,574 | SecuritiesAmt |
| Other | $5,010 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,782,676 | SecuritiesAmt |
| Other | -$5,010 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,777,666 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$5,010 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,782,676 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Management Fee Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $837,320 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $837,320 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $837,320 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,682,911,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,663,982,410 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $9,870 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,918,826 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,335,150,337 | TotalAmt |
| Program Services | $2,335,150,337 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,359,873 | TotalAmt |
| Program Services | $2,947,930 | ProgramServicesAmt |
| Management And General | $2,411,943 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,767 | TotalAmt |
| Program Services | $92,822 | ProgramServicesAmt |
| Management And General | $75,945 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,027,488 | TotalAmt |
| Program Services | $59,415,118 | ProgramServicesAmt |
| Management And General | $48,612,370 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,067,759 | TotalAmt |
| Program Services | $8,837,267 | ProgramServicesAmt |
| Management And General | $7,230,492 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,461,285 | TotalAmt |
| Program Services | $6,853,707 | ProgramServicesAmt |
| Management And General | $5,607,578 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,207 | TotalAmt |
| Management And General | $78,207 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,941 | TotalAmt |
| Management And General | $74,941 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,349 | TotalAmt |
| Program Services | $32,349 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $880,630 | TotalAmt |
| Management And General | $880,630 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,917,598 | TotalAmt |
| Program Services | $11,504,679 | ProgramServicesAmt |
| Management And General | $9,412,919 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,580,535 | TotalAmt |
| Program Services | $4,719,294 | ProgramServicesAmt |
| Management And General | $3,861,241 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,548,780 | TotalAmt |
| Program Services | $2,501,829 | ProgramServicesAmt |
| Management And General | $2,046,951 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,071,245 | TotalAmt |
| Program Services | $589,185 | ProgramServicesAmt |
| Management And General | $482,060 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,165,482 | TotalAmt |
| Program Services | $2,841,015 | ProgramServicesAmt |
| Management And General | $2,324,467 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,536 | TotalAmt |
| Program Services | $439,745 | ProgramServicesAmt |
| Management And General | $359,791 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,234 | TotalAmt |
| Program Services | $175,579 | ProgramServicesAmt |
| Management And General | $143,655 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,096,255 | TotalAmt |
| Program Services | $2,096,255 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,370,074 | TotalAmt |
| Program Services | $753,541 | ProgramServicesAmt |
| Management And General | $616,533 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,440 | TotalAmt |
| Program Services | $200,442 | ProgramServicesAmt |
| Management And General | $163,998 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Shared Services/Management Fees | $51,972,318 | $28,584,775 | $23,387,543 |
| Taxes on Regulatory Fees | $46,826,363 | $46,826,363 | |
| Other Medical Management Programs | $5,708,451 | $5,708,451 | |
| Community Support & Outreach | $961,475 | $528,811 | $432,664 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,758,051 | TotalAmt |
| Program Services | $1,516,928 | ProgramServicesAmt |
| Management And General | $1,241,123 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,631,761,473 | TotalAmt |
| Program Services | $2,522,316,422 | ProgramServicesAmt |
| Management And General | $109,445,051 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$665,613 | BOYAmt |
| EOY | $13,783,772 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,848,730 | BOYAmt |
| EOY | $316,071,029 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,127,391 | BOYAmt |
| EOY | $95,148,893 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $28,509 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,821,414 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,899,523 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,947,434 | BOYAmt |
| EOY | $22,921,891 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,942,933 | BOYAmt |
| EOY | $453,349,626 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,480,975 | BOYAmt |
| EOY | $103,096,449 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,955,194 | BOYAmt |
| EOY | $20,133,993 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,637,044 | BOYAmt |
| EOY | $1,024,534,162 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,724,831 | BOYAmt |
| EOY | $307,211,530 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,181,959 | BOYAmt |
| EOY | $20,105,501 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,424,776 | BOYAmt |
| EOY | $23,143,555 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,976,224 | BOYAmt |
| EOY | $100,017,298 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,307,790 | BOYAmt |
| EOY | $450,477,884 | 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 | $8,524 | BOYAmt |
| EOY | $8,524 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,612,054 | BOYAmt |
| EOY | $84,698,482 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,708,676 | BOYAmt |
| EOY | $489,349,272 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,329,254 | BOYAmt |
| EOY | $574,056,278 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,637,044 | BOYAmt |
| EOY | $1,024,534,162 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $51,149,633 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,122,466 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,545,075 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,388,000 | OtherCostOrOtherBasisAmt |
| Book Value | $4,388,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,841,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,322,490 | DepreciationAmt |
| Book Value | $18,519,105 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $591,819 | OtherCostOrOtherBasisAmt |
| Depreciation | $577,033 | DepreciationAmt |
| Book Value | $14,786 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,921,891 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in Affiliates | Desc |
| Book Value | $103,096,449 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $103,096,449 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to affiliates | $33,299,726 |
| Other Liabilities | $1,593,837 |
| PPACA Fee Payable | $65,123,735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $100,017,298 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) Footnote | FormAndLineReferenceDesc |
| Explanation | Priority Health CONDUCTS AN ANALYSIS ANNUALLY TO DETERMINE THE ORGANIZATION'S LIABILITY WITH RESPECT TO UNCERTAIN TAX POSITIONS. FOR THE YEAR ENDED December 31, 2016 IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TO DISCLOSE. AS SUCH, THERE WAS NO FOOTNOTE ADDED TO THE AUDITED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joan A BUDDEN | ||||||||||||||
| PRESIDENT & CEO | $521,407 | $197,679 | $266,669 | $101,100 | $14,339 | $5,437 | $246,690 | $93,526 | $86,684 | $32,864 | $1,135,789 | $430,606 | $54,154 | $20,531 |
| MICHAEL P FREED | ||||||||||||||
| PRESIDENT & CEO - Part Year | $34,047 | $12,907 | $65,241 | $24,735 | $75,306 | $28,551 | $250,098 | $94,818 | $69,645 | $26,404 | $494,337 | $187,415 | $65,241 | $24,735 |
| Richard Breon | ||||||||||||||
| DIRECTOR | $0 | $1,292,901 | $0 | $6,604,791 | $0 | $47,682 | $0 | $1,311,971 | $0 | $210,655 | $0 | $9,468,000 | $0 | $5,573,130 |
| Christina Freese-Decker | ||||||||||||||
| Director | $0 | $734,498 | $0 | $390,398 | $0 | $44,647 | $0 | $400,371 | $0 | $121,694 | $0 | $1,691,608 | $0 | $48,693 |
| Michael Vredenburg | ||||||||||||||
| DIRECTOR | $9,500 | $594,695 | $0 | $500 | $0 | $8,172 | $0 | $26,500 | $0 | $22,499 | $9,500 | $652,366 | $0 | $0 |
| Seth Wolk MD | ||||||||||||||
| Director | $0 | $724,703 | $0 | $336,751 | $0 | $45,468 | $0 | $333,414 | $0 | $116,449 | $0 | $1,556,785 | $0 | $0 |
| Mary Anne Jones | ||||||||||||||
| Treasurer & SVP, Finance | $297,219 | $112,683 | $132,260 | $50,143 | $4,241 | $1,608 | $88,214 | $33,444 | $53,544 | $20,300 | $575,478 | $218,178 | $34,318 | $13,011 |
| KIMBERLY L THOMAS | ||||||||||||||
| SECRETARY | $263,046 | $99,728 | $119,501 | $45,305 | $520 | $197 | $83,296 | $31,579 | $37,862 | $14,355 | $504,225 | $191,164 | $33,792 | $12,811 |
| JOHN L FOX | ||||||||||||||
| Interim Chief Medical Officer - PART YEAR | $227,951 | $86,420 | $93,899 | $35,600 | $1,327 | $504 | $13,451 | $5,099 | $34,381 | $13,035 | $371,009 | $140,658 | $24,969 | $9,467 |
| MICHAEL KOZIARA | ||||||||||||||
| SVP, CHIEF OPERATING OFFICER | $287,582 | $109,030 | $112,848 | $42,783 | $11,717 | $4,442 | $71,242 | $27,010 | $50,908 | $19,301 | $534,297 | $202,566 | $17,955 | $6,807 |
| BRIAN KRUPICZEWICZ | ||||||||||||||
| SVP, HUMAN RESOURCES | $94,988 | $36,012 | $21,753 | $8,247 | $1,306 | $496 | $1,945 | $738 | $20,464 | $7,759 | $140,456 | $53,252 | $0 | $0 |
| JAY LABINE | ||||||||||||||
| SVP, CHIEF MEDICAL OFFICER - Part Year | $120,595 | $278,565 | $71,421 | $106,762 | $828 | $1,911 | $72,257 | $35,896 | $37,941 | $25,544 | $303,042 | $448,678 | $30,150 | $11,431 |
| MARTI LOLLI | ||||||||||||||
| SVP, COMMERCIAL MARKETS | $223,882 | $84,879 | $77,325 | $29,316 | $1,752 | $665 | $10,568 | $4,007 | $44,107 | $16,722 | $357,634 | $135,589 | $0 | $0 |
| PAMELA RIES | ||||||||||||||
| VP, SYSTEM TOTAL VALUE - PART YEAR | $0 | $414,388 | $0 | $193,397 | $0 | $19,770 | $0 | $197,922 | $0 | $67,491 | $0 | $892,968 | $0 | $25,632 |
| WAYNE WILSON | ||||||||||||||
| SVP, GOVERNMENT MARKETS | $226,472 | $85,861 | $113,910 | $43,186 | $12,241 | $4,641 | $10,568 | $4,007 | $25,139 | $9,531 | $388,330 | $147,226 | $38,960 | $14,771 |
| KRISCHA WINRIGHT | ||||||||||||||
| SVP, Chief Marketing/Digital Officer | $181,856 | $166,461 | $84,855 | $77,671 | $1,247 | $1,141 | $57,162 | $52,323 | $33,197 | $30,387 | $358,317 | $327,983 | $23,789 | $21,776 |
| JIANHUA YU | ||||||||||||||
| SVP, CHIEF ACTUARY | $262,752 | $99,616 | $116,688 | $44,239 | $1,722 | $653 | $80,632 | $30,570 | $34,496 | $13,078 | $496,290 | $188,156 | $32,984 | $12,505 |
| SCOTT NORMAN | ||||||||||||||
| VP, Senior Markets | $183,491 | $69,565 | $80,562 | $30,543 | $45,962 | $17,426 | $10,559 | $4,003 | $44,293 | $16,793 | $364,867 | $138,330 | $20,241 | $7,674 |
| EUGENE CRONIN | ||||||||||||||
| VP, NEW GOVERNMENT MARKETS | $199,886 | $75,782 | $90,177 | $34,188 | $1,316 | $499 | $10,568 | $4,007 | $42,666 | $16,176 | $344,613 | $130,652 | $24,095 | $9,135 |
| RICHARD O'DONNELL | ||||||||||||||
| VP, Prov Contract & Reimbursement | $177,054 | $67,125 | $59,415 | $22,526 | $8,237 | $3,123 | $12,869 | $4,879 | $35,299 | $13,383 | $292,874 | $111,036 | $0 | $0 |
| SHERWIN ROBINSON | ||||||||||||||
| VP, CHIEF UNDERWRITER | $207,053 | $50,647 | $77,112 | $18,863 | $2,266 | $554 | $7,184 | $1,757 | $45,642 | $11,164 | $339,257 | $82,985 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part II, Column (F) DEFERRED COMPENSATION | THE 2016 "BONUS & INCENTIVE COMPENSATION" INCLUDES CERTAIN DEFERRED COMPENSATION ARRANGEMENTS THAT WERE REPORTED IN PREVIOUS YEARS BUT PAID IN 2016. THIS RESULTS IN A CERTAIN AMOUNT OF WAGES BEING REPORTED IN THE FORM 990 TWICE. AMOUNTS REPORTED IN PART II COLUMN F REPRESENT COMPENSATION THAT WAS REPORTED IN A PREVIOUS YEAR'S FORM 990 WHILE ALSO BEING REPORTED IN THE CURRENT FORM 990 AS TOTAL COMPENSATION. |
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | The organization provided health club dues for seven executive employees. These amounts were treated as taxable compensation and included in Form W-2. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | SEE EXPLANATION PROVIDED ON SCHEDULE O FOR FORM 990, PART VI, LINE 15A |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | $5,573,130 Richard Breon $ 74,685 Joan Budden $ 33,230 Eugene Cronin $ 34,435 John Fox $ 89,976 Michael P. Freed $ 48,693 Christina Freese-Decker $ 47,329 Mary Anne Jones $ 24,762 Michael Koziara $ 30,150 Jay Labine $ 27,915 Scott Norman $ 25,632 Pamela Ries $ 46,603 Kimberly Thomas $ 53,731 Wayne Wilson $ 45,565 Krischa Winright $ 45,488 Jianhua Yu Schedule J, Part I, Line 4b is answered "yes" because individuals, whose salary and benefits are allocated to this organization, do "participate in" a supplemental nonqualified retirement plan. Some individuals received distributions during the year (as reported on this line) whereas others participated in the plan but did not receive distributions. Due to certain age restrictions of the plan, Richard Breon received a distribution from the supplemental executive retirement plan this year pursuant to the plan requirements. This distribution was from Mr. Breon's employer, Spectrum Health System, a related party of Priority Health, which is reported on this form due to the corporate relationship between the two organizations. Distributions reported on this line are also included in Schedule J, Part II, Column F as compensation reported in a prior year. The nonqualified retirement plans are an industry standard and are subject to the funding requirements of nonqualified deferred compensation plans under ERISA and federal tax regulations. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL VREDENBURG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | DIRECTOR | RelationshipWithOrgTxt |
| Loan Purpose | TUITION ASSIST | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $27,000 | OriginalPrincipalAmt |
| Balance Due | $28,509 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | false | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $28,509 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Breon | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family | RelationshipDescriptionTxt |
| Transaction | $168,767 | TransactionAmt |
| Transaction | Mr. Richard Breon, a member of the board of directors, has a son who is employed by the organization. | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (24 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PRIORITY HEALTH HMO | PRIORITY HEALTH IS AN INTEGRAL PART OF THE SPECTRUM HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM SERVING COMMUNITIES THROUGHOUT MICHIGAN. PRIORITY HEALTH'S MISSION, LED BY ITS COMMUNITY BOARD, STRIVES TO RETURN VALUE TO THE COMMUNITIES SERVED BEYOND THE PROVISION OF HEALTH CARE TO ITS MEMBERS. PRIORITY HEALTH HAS BUILT A LONG HISTORY OF OFFERING MICHIGAN EMPLOYERS AND INDIVIDUALS PROGRESSIVE PRODUCTS AND INNOVATIVE PROGRAMS INTENDED TO KEEP COSTS DOWN AND MEMBERS HEALTHY. ITS BROAD PORTFOLIO OF PRODUCTS AND SERVICES INCLUDES TRADITIONAL MEDICAL PLANS AS WELL AS HSA'S, HRA'S AND OTHER CONSUMER-DRIVEN PRODUCTS. PRIORITY HEALTH CURRENTLY HAS AN "EXCELLENT" ACCREDITATION FOR ITS HMO PRODUCTS FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), AN INDEPENDENT MANAGED CARE ACCREDITING BODY. THIS IS THE HIGHEST RATING A HEALTH PLAN CAN EARN. PRIORITY HEALTH HAS EARNED AN "EXCELLENT" RATING EVERY YEAR SINCE 1998. SPECTRUM HEALTH IS A NOT-FOR-PROFIT HEALTH SYSTEM, BASED IN WEST MICHIGAN, OFFERING A FULL CONTINUUM OF CARE THROUGH THE SPECTRUM HEALTH HOSPITAL GROUP, WHICH IS COMPRISED OF 12 HOSPITALS; 180 AMBULATORY AND SERVICE SITES; 3,400 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, WHICH INCLUDE 1,400 MEMBERS OF THE SPECTRUM HEALTH MEDICAL GROUP; AND PRIORITY HEALTH, A HEALTH PLAN WITH MORE THAN 796,000 MEMBERS. SPECTRUM HEALTH IS WEST MICHIGAN'S LARGEST EMPLOYER, WITH 25,400 EMPLOYEES. THE ORGANIZATION PROVIDED $326 MILLION IN COMMUNITY BENEFIT DURING ITS 2016 FISCAL YEAR. SPECTRUM HEALTH WAS NAMED ONE OF THE NATION'S 15 TOP HEALTH SYSTEMS, AND IN THE TOP FIVE AMONG THE LARGEST HEALTH SYSTEMS, BY TRUVEN HEALTH ANALYTICS IN 2017. THE TRUVEN HEALTH ANALYTICS STUDY INCLUDED 337 HEALTH SYSTEMS WITH 2,924 HOSPITALS AND IS BASED ON KEY PERFORMANCE MEASURES ON INPATIENT OUTCOMES, PROCESS OF CARE, EXTENDED OUTCOMES, EFFICIENCY AND PATIENT EXPERIENCE. THIS IS THE SIXTH TIME THE ORGANIZATION HAS RECEIVED THIS RECOGNITION. THE AFFORDABLE CARE ACT (ACA) ADDED NEW REQUIREMENTS THAT HOSPITAL ORGANIZATIONS MUST SATISFY IN ORDER TO MAINTAIN TAX EXEMPT STATUS UNDER IRC SECTION 501(C)(3). ONE OF THE REQUIREMENTS UNDER THIS ACT IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT AN IMPLEMENTATION STRATEGY AT LEAST ONCE EVERY THREE YEARS. SPECTRUM HEALTH COMPLETED SEVERAL IMPLEMENTATION PLANS IDENTIFYING THE COMMUNITY HEALTH NEEDS AND IMPLEMENTATION PLAN GOALS FOR EACH SPECTRUM HEALTH HOSPITAL. ONE NEED IDENTIFIED IN THE CHNA'S IS ACCESS TO HEALTH CARE, WHICH INCLUDES IMPROVING ACCESS TO AFFORDABLE HEALTH CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, ALL COMMUNITY MEMBERS SHOULD HAVE ACCESS TO PREVENTIVE CARE AND MEDICAL HOME CARE, INCLUDING THE UNINSURED AND LOW-INCOME WORKING INDIVIDUALS. SPECTRUM HEALTH WORKS CLOSELY WITH PRIORITY HEALTH TO ACHIEVE THE IDENTIFIED NEEDS AND GOALS. PRIORITY HEALTH HAS MAINTAINED AN "A" FINANCIAL RATING FOR TWO CONSECUTIVE YEARS FROM A.M. BEST, THE INDUSTRY'S FINANCIAL RATING ORGANIZATION. THIS IS A VERY STRONG RATING, AND ONE THAT IS RARELY EARNED WITHIN THE INSURANCE INDUSTRY. IN 2016, A.M. BEST ANNOUNCED THAT PRIORITY HEALTH HAS IMPROVED ITS FINANCIAL STRENGTH AND NOW RANKS AT AN "A" (EXCELLENT) RATING. A.M. BEST CREDITED THIS UPGRADE TO PRIORITY HEALTH'S FAVORABLE PREMIUM AND OPERATING EARNINGS, CAPITAL GROWTH, AND MEMBERSHIP GROWTH ACROSS ALL MARKET SEGMENTS. PRIORITY HEALTH IS THE ONLY MICHIGAN-BASED HEALTH PLAN TO EARN THIS DISTINCTION. IN ADDITION TO THIS ACCOMPLISHMENT, J.D. POWER AND ASSOCIATES NAMED PRIORITY HEALTH MICHIGAN'S HIGHEST RANKED HEALTH PLAN FOR CUSTOMER SATISFACTION IN 2016. THE RANKING IS BASED ON CUSTOMER FEEDBACK ON COVERAGE AND BENEFITS, PROVIDER CHOICE, INFORMATION AND COMMUNICATION, CLAIMS PROCESSING, COST AND CUSTOMER SERVICE. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PRIORITY HEALTH HMO (CONTINUED) | PRIORITY HEALTH PURSUES INITIATIVES THAT WILL IMPROVE PATIENT OUTCOMES WHILE HELPING TO REDUCE THE OVERALL COST TO THE MEMBER. IN 2016, PRIORITY HEALTH LOWERED HEALTH COSTS ACROSS ALL LINES OF BUSINESS BY OVER $59 MILLION THROUGH NEW MANAGED CARE INITIATIVES AND CHRONIC DISEASE MANAGEMENT PROGRAMS. THESE PROGRAMS INFLUENCE PHYSICIAN PRACTICES, PROMOTE APPROPRIATE HEALTH CARE UTILIZATION AND INCREASE QUALITY, WHICH EXTENDS BEYOND PRIORITY HEALTH'S MEMBERS. IN ADDITION TO THE MANAGED CARE SAVINGS ABOVE, PRIORITY HEALTH PURSUES INITIATIVES TO PREVENT INDIVIDUALS FROM DEVELOPING CHRONIC DISEASES, AS WELL AS INITIATIVES TO BETTER MANAGE INDIVIDUALS WHO ALREADY HAVE CHRONIC DISEASES. IN 2016, PRIORITY HEALTH ENROLLED OVER 60,000 MEMBERS IN CHRONIC DISEASE MANAGEMENT PROGRAMS. PEER AND UTILIZATION REVIEW ASSURES THAT SERVICES ARE RENDERED IN A COST EFFICIENT AND PROFESSIONAL MANNER. EVIDENCE-BASED MEDICINE IMPROVES QUALITY AND LOWERS COST. PRIORITY HEALTH MEASURES EACH ACCOUNTABLE CARE NETWORK'S USE OF RATES FOR PREFERENCE SENSITIVE CONDITIONS AND DISTRIBUTES THIS BENCHMARK DATA UN-BLINDED TO HIGHLIGHT OUTLIERS IN STANDARDS OF CARE. CONSUMER DECISION MAKING TOOLS HAVE ALSO BEEN DEVELOPED TO PROVIDE PATIENTS WITH ALTERNATIVES TO TREATMENT WITH RELATED EVIDENCE BASED OUTCOMES. PHARMACEUTICAL FORMULARY ASSESSMENTS GUIDE PHYSICIAN PRESCRIPTION ORDERING BEHAVIORS TOWARD THE LOWEST COST DRUGS THAT ARE PROVEN EFFECTIVE. QUALITY AND INCENTIVE PROGRAMS DESIGNED TO MONITOR AND REDUCE HIGH COST HEALTH CARE AREAS SUCH AS EMERGENCY ROOM (ER) VISITS, HIGH DIAGNOSTIC IMAGING, AND UNNECESSARY ADMISSIONS HAVE BEEN IMPLEMENTED ACROSS THE STATE OF MICHIGAN. OTHER EXAMPLES OF INITIATIVES INCLUDE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS, WHICH BENEFIT NON-PRIORITY HEALTH PATIENTS; DEVELOPING AND PUBLISHING PREVENTIVE HEALTH CARE GUIDELINES AVAILABLE TO THE GENERAL PUBLIC ON ITS WEBSITE; AND USING COMMUNITY RATING WHICH MINIMIZES THE ECONOMIC IMPACT OF SEVERE ILLNESS ON A GIVEN INDIVIDUAL OR GROUP. PRIORITY HEALTH SERVES WHAT THE IRS HAS DEFINED AS THE "MOST IN NEED" POPULATION WITH INDIVIDUALS, SMALL GROUPS AND ELDERLY MAKING UP 65% OF THE MEMBERSHIP BASE. PRIORITY HEALTH PROVIDED COMMUNITY-RATED AFFORDABLE HEALTH INSURANCE TO OVER 154,000 MEMBERS WHO ARE INDIVIDUALS, SMALL GROUPS AND ELDERLY IN 2016. PRIORITY HEALTH ALSO SUPPORTS ITS WHOLLY OWNED SUBSIDIARY, PRIORITY HEALTH CHOICE, INC., WHICH PROVIDES ACCESS TO EXCELLENT HEALTH CARE TO OVER 119,000 MEDICAID MEMBERS. IN 2016, PRIORITY HEALTH WAS SELECTED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PARTICIPATE IN A FEDERAL COMPREHENSIVE PRIMARY CARE PLUS (CPC+) INITIATIVE, A NATIONAL ADVANCED PRIMARY CARE MEDICAL HOME MODEL THAT AIMS TO STRENGTHEN PRIMARY CARE THROUGH REGIONALLY-BASED MULTI-PAYER PAYMENT REFORM AND CARE DELIVERY TRANSFORMATION. THE GOALS OF CPC+ ARE TO IMPROVE THE QUALITY OF CARE PATIENTS RECEIVE, IMPROVE PATIENTS' HEALTH, AND SPEND HEALTH CARE DOLLARS WISELY. CPC+ WILL BRING TOGETHER CMS, COMMERCIAL INSURANCE PLANS, PRIORITY HEALTH CHOICE, AND PRIORITY HEALTH MEDICARE TO PROVIDE THE FINANCIAL SUPPORT NECESSARY FOR PRACTICES TO MAKE FUNDAMENTAL CHANGES IN THEIR CARE DELIVERY. THE CPC+ PILOT BEGINS IN JANUARY 2017 AND TESTS A 5-YEAR MODEL. PRIORITY HEALTH HAS BEEN A LEADER IN PATIENT-CENTERED CARE AND HAS A PROVEN RECORD OF WORKING WITH PHYSICIANS TO IMPROVE HEALTH OUTCOMES. THROUGH ITS PARTNERS IN PERFORMANCE PROGRAM, PRIORITY HEALTH ENCOURAGES AND REWARDS THE QUALITY CARE OF PRIMARY CARE PHYSICIANS. THE PHYSICIANS AND PRACTICES SELECTED FOR THE PRIORITY HEALTH QUALITY AWARDS HAVE ACHIEVED THE HIGHEST OVERALL SCORES FOR ENSURING PATIENTS RECEIVE PREVENTIVE CARE, CONTROL CHRONIC DISEASE AND HAVE A GOOD EXPERIENCE. EACH AWARD RECIPIENT IS SELECTED BY ANALYZING THE RESULTS OF THE PRIORITY HEALTH PRIMARY CARE PROVIDER INCENTIVE PROGRAM, A PROGRAM THAT TRACKS CLINICAL QUALITY MEASURES AGAINST NATIONAL STANDARDS AND EVIDENCE-BASED MEDICINE. APPROXIMATELY 200 HEALTH CARE PRACTICE GROUPS EARNED QUALITY AWARDS STATEWIDE IN 2016. PRIORITY HEALTH PAID PHYSICIANS $31 MILLION IN 2017 BASED ON THEIR PERFORMANCE IN 2016. THE PROGRAM'S SUCCESS IS CLEARLY DEMONSTRATED BY THE NUMBER OF PRIORITY HEALTH MEMBERS WHO RECEIVE PREVENTIVE SCREENINGS. IN THE LAST YEAR, MORE THAN 72% OF PRIORITY HEALTH MEMBERS RECEIVED ROUTINE COLORECTAL CANCER SCREENING EXAMS COMPARED TO A NATIONAL AVERAGE OF 63%. ADDITIONALLY, 85% OF MEMBERS RECEIVED CHILDHOOD IMMUNIZATIONS COMPARED TO THE NATIONAL AVERAGE OF 76%. PRIORITY HEALTH SHARES RISK WITH PROVIDERS AND EMPLOYERS BY OFFERING THESE INCENTIVES AND OTHER RISK SHARING ARRANGEMENTS. THIS PROMOTES LOWER OVERALL HEALTH CARE COSTS AND IMPROVED QUALITY TO THE COMMUNITY. PRIORITY HEALTH HAS BEEN A STRONG ADVOCATE FOR PATIENT-CENTERED CARE BY SUPPORTING THE NATIONAL MODEL FOR CHANGING REIMBURSEMENT, WHICH INCLUDES PAYMENT FOR SERVICES, PAYMENT FOR PERFORMANCE BASED ON QUALITY AND EFFICIENCY, AND INFRASTRUCTURE SUPPORT THROUGH A FIXED PAYMENT PER PATIENT. IN 2013, PRIORITY HEALTH JOINED THE MICHIGAN PRIMARY CARE TRANSFORMATION (MIPCT) PROJECT. MIPCT IS A PROJECT AIMED AT IMPROVING HEALTH IN THE STATE, MAKING HEALTH CARE MORE AFFORDABLE AND ENHANCING THE PATIENT EXPERIENCE. THE PROJECT DEMONSTRATION PERIOD WAS EXTENDED UNTIL DECEMBER 31, 2016 UPON THE CONSENT OF CMS AND ALL OTHER PARTICIPATING PAYERS. IT IS THE LARGEST PATIENT-CENTERED MEDICAL HOMES PROJECT IN THE NATION, REACHING OVER 1.2 MILLION PATIENTS SERVED BY 1,900 PROVIDERS IN 350 PRIMARY CARE PRACTICES AND 37 PHYSICIAN ORGANIZATIONS. PRIORITY HEALTH HAS REACHED 11% OF THIS MARKET. THE PROGRAM IS EVALUATED BY THE RESEARCH TRIANGLE INSTITUTE, CMS' NATIONAL EVALUATOR FOR THE DEMONSTRATION. THE FIRST YEAR EVALUATION CONCLUDED THAT MIPCT PROGRAM SAVINGS FOR MEDICARE IN MICHIGAN WERE ESTIMATED AT ABOUT $148 PER FULL-YEAR ELIGIBLE MEDICARE BENEFICIARY. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PRIORITY HEALTH HMO (CONTINUED) | PRIORITY HEALTH HAS PARTNERED WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN TO OFFER A FREE DIABETES PREVENTION PROGRAM (DPP) ACROSS THE STATE OF MICHIGAN. DPP IS AN EVIDENCE BASED LIFESTYLE CHANGE PROGRAM WHERE ADULTS LEARN HOW TO REDUCE THEIR RISK FOR TYPE-2 DIABETES. THIS PROGRAM IS LED BY A CERTIFIED LIFESTYLE COACH WHO TEACHES PARTICIPANTS ABOUT NUTRITION AND STRESS REDUCTION. THE COACH WORKS ONE-ON-ONE WITH PARTICIPANTS TO OVERCOME OBSTACLES BY TRACKING FOOD INTAKE AND PHYSICAL ACTIVITY. PRIORITY HEALTH IS THE ONLY HEALTH PLAN IN THE STATE TO OFFER THIS COMPLEMENTARY COURSE AS A PREVENTIVE BENEFIT. THIS PROGRAM IS CREDITED WITH REDUCING THE RISK OF TYPE 2 DIABETES BY NEARLY 60%. SINCE LAUNCHING IN MICHIGAN IN 2013, THE PROGRAM HAS GROWN TO SERVE OVER 950 INDIVIDUALS AT MORE THAN 125 LOCATIONS ACROSS THE STATE. APPROXIMATELY 65% OF PARTICIPANTS HAVE MET THEIR WEIGHT LOSS GOALS, AND OF THOSE, 43% HAVE EXCEEDED THEM. AS PART OF THE DPP INITIATIVE, PRIORITY HEALTH CREATED A STATEWIDE INITIATIVE, PRIORITYPREVENTS, TO DECREASE THE DEVELOPMENT OF TYPE-2 DIABETES FOR MEMBERS AND THE COMMUNITIES SERVED. THROUGH A MULTI-PRONGED COMMUNICATIONS CAMPAIGN PRIORITY HEALTH INCREASED THE AWARENESS OF PREDIABETES TO MEMBERS, PROVIDER NETWORKS, AND COMMUNITIES ACROSS MICHIGAN. THROUGH MULTIPLE COMMUNICATION TACTICS, PRIORITY HEALTH SUCCESSFULLY ENGAGED MEMBER PARTICIPATION AND PROVIDER REFERRALS INTO DPP, AS WELL AS PROVIDED MULTI-LINGUAL OPTIONS FOR DIABETES PREVENTION EDUCATION. IN 2016, PRIORITY HEALTH INTRODUCED A PROGRAM AVAILABLE TO TARGETED PRIORITY HEALTH MEMBERS WHO ARE LIVING WITH A SERIOUS, ADVANCED ILLNESS. THIS PROGRAM PROVIDES AN EXTRA LAYER OF SUPPORT TO ELIGIBLE MEMBERS, PROVIDED BY A TEAM OF DOCTORS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS AND CLERGY. THESE PROFESSIONALS VISIT MEMBERS IN THEIR HOMES TO HELP MANAGE THEIR SYMPTOMS, DETERMINE THEIR CARE PLAN, AND COORDINATE CARE. THIS PROGRAM WILL ENHANCE MEMBERS' QUALITY OF LIFE, IMPROVE ACCESS TO CARE, AND LOWER THE COST OF HEALTH CARE.THE PROGRAM IS ANOTHER EXAMPLE OF HOW PRIORITY HEALTH IS WORKING TO TRANSFORM THE MODEL OF CARE. THE PROGRAM STARTED PROVIDER AND MEMBER OUTREACH FOR INDIVIDUAL MEDICARE ADVANTAGE AND INDIVIDUAL COMMERCIAL MEMBERS IN 2016 AND WILL BEGIN OUTREACH TO COMMERCIAL, FULLY-FUNDED GROUP MEMBERS IN 2017. IN 2016, PRIORITY HEALTH LAUNCHED PRIORITYCARES, A DIABETES PREVENTION AND MANAGEMENT (DPM) PRODUCT, AIMED TO HELP EMPLOYERS IMPROVE THE HEALTH OF THEIR EMPLOYEES DIAGNOSED WITH PREDIABETES OR DIABETES, WHILE CONTROLLING HEALTH CARE COSTS. PRIORITYCARES IS A THREE PRONGED APPROACH FOCUSING ON INCENTIVES, PERSONALIZED NURSE SUPPORT, AND TECHNOLOGY. THE DPM PRODUCT IS PARTICIPATION AND OUTCOMES BASED, PROVIDING FINANCIAL REWARDS OF UP TO $320, TO THOSE WHO ARE ENGAGED IN THEIR PERSONAL HEALTH CARE PLAN. ONCE ENROLLED, THE PRIORITY HEALTH CARE MANAGEMENT TEAM WORKS WITH THE MEMBER AND THEIR DOCTOR TO DEVELOP A PERSONALIZED PLAN, AND CONNECTS MEMBERS TO COMMUNITY-BASED RESOURCES, INCLUDING CERTIFIED DIABETES EDUCATION PROGRAMS. MEMBERS HAVE THE OPPORTUNITY TO EARN MONEY BY COMPLETING AN ANNUAL ONLINE ASSESSMENT, MAINTAINING HEALTHY WEIGHT AND BLOOD PRESSURE, BEING ACTIVE, AND VISITING THEIR DOCTOR. PRIORITY HEALTH ENCOURAGES MEMBERS TO UNDERSTAND THE COST OF CARE WHEN MAKING HEALTH CARE DECISIONS. WITH THE LAUNCH OF HEALTH CARE BLUE BOOK IN AUGUST 2013, PRIORITY HEALTH BECAME THE FIRST MICHIGAN-BASED HEALTH PLAN TO PROVIDE ONLINE INFORMATION ABOUT CONTRACTED HEALTH CARE FEES ALONG WITH QUALITY INFORMATION TO ENGAGE MEMBERS THROUGH "COMPARISON SHOPPING." THROUGH THE PARTNERSHIP WITH HEALTH CARE BLUEBOOK, PRIORITY HEALTH MEMBERS CAN COMPARE PRICES CHARGED BY CARE PROVIDERS ACROSS THE STATE. A KEY FEATURE OF THE HEALTH CARE BLUEBOOK IS THAT IT DISPLAYS THE "FAIR PRICE" FOR EACH PROCEDURE. MEMBERS CAN ALSO REVIEW QUALITY RANKINGS AND CONSUMER REVIEW OF HOSPITALS AND PHYSICIANS THROUGH HEALTHGRADES TO RECEIVE A COMPLETE PICTURE OF THE SERVICE THEY ARE BUYING.THE HEALTH CARE BLUEBOOK WILL PROMOTE ENGAGEMENT BY PROVIDING MEMBERS WITH INFORMATION THAT EQUIPS THEM TO MAKE MORE INFORMED DECISIONS ABOUT THEIR HEALTH CARE WHICH ALLOWS THEM TO FIND THE BEST VALUE. IN 2015, PRIORITY HEALTH LAUNCHED A COST ESTIMATOR TOOL TO HELP MEMBERS CALCULATE THEIR OUT-OF-POCKET COSTS TO FIND THE MOST-AFFORDABLE SERVICES. THE NEW ONLINE COST ESTIMATOR TOOL DISPLAYS PRIORITY HEALTH SPECIFIC FEES FOR MORE THAN 300 COMMON HEALTH SERVICES, INCLUDING X-RAYS, SURGERIES, LAB WORK AND IMAGING TESTS. THE TOOL USES CONTRACT CHARGES TO CALCULATE MEMBERS' ESTIMATED OUT-OF-POCKET COSTS BASED ON THEIR POLICY'S BENEFITS AND DEDUCTIBLES. THE COST ESTIMATOR EVEN RECOMMENDS LOWER-COST DOCTOR/FACILITY OPTIONS TO HELP ENSURE YOU GET THE HIGHEST-QUALITY CARE AT THE BEST PRICE. WHILE THE HEALTH CARE BLUEBOOK STARTED THE PUSH TOWARD COST TRANSPARENCY BY ENABLING CONSUMERS TO ACCESS AND COMPARE MARKET DATA, THE COST CALCULATOR SEEKS TO CHANGE THE CONVERSATION BETWEEN PATIENTS AND DOCTORS ABOUT THE COST OF CARE. THESE TOOLS SUPPORT PRIORITY HEALTH'S CONTINUED MARKET LEADERSHIP IN TRANSPARENCY AND LOWERS THE COST OF CARE TO THE COMMUNITY. ON AVERAGE, ABOUT 3,000 INDIVIDUALS USE THE COST ESTIMATOR TOOL PER MONTH. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PRIORITY HEALTH HMO (CONTINUED) | ANOTHER PROGRAM INTRODUCED IN 2015 WAS PRIORITY REWARDS, AN INCENTIVE PROGRAM THAT REWARDS MEMBERS UP TO $200 FOR CHOOSING A FAIR PRICED MEDICAL PROCEDURE THROUGH THE COMPANY'S COST ESTIMATING TOOL. PRIORITY REWARDS COMBINES THE POWER OF THE COST ESTIMATOR WITH FINANCIAL INCENTIVES FOR CONSUMERS WHO USE THE TOOL. WITH PRIORITY REWARDS, MEMBERS MAY EARN CASH REWARDS FOR SELECTING A PROCEDURE AND FACILITY COMBINATION OFFERED AT OR BELOW THE FAIR MARKET PRICE DETERMINED BY HEALTH CARE BLUEBOOK. ONCE THE PROCEDURE HAS BEEN COMPLETED, PRIORITY HEALTH WILL REWARD MEMBERS IN THE FORM OF A VISA GIFT CARD RANGING FROM $50-200. THE PRIORITY HEALTH THIRD PARTY LIABILITY (TPL) TEAM HAS CONSISTENTLY IMPROVED OUTCOMES BY INCREASING SAVINGS THROUGH AUDIT, ANALYSIS, AND STANDARDIZATION OF WORK WHILE CONCURRENTLY IMPROVING BOTH MEMBER AND PROVIDER SATISFACTION. THIS PROGRAM HAS IMPROVED ITS PER-MEMBER PER-MONTH (PMPM) SAVINGS BY MORE THAN 29% OVER THE PAST TWO YEARS, AND MORE THAN 63% SINCE 2013. BY PURSUING THE NEEDS OF ITS CUSTOMERS AT ALL TIMES AND DRIVING CONTINUOUS IMPROVEMENT IN ALL AREAS OF THE DEPARTMENT, THE TPL TEAM HAS BEEN ABLE TO SUSTAIN IMPROVEMENT YEAR OVER YEAR. DURING 2016, PRIORITY HEALTH RECOGNIZED TPL SAVINGS OF OVER $48 MILLION REPRESENTING $5.54 PMPM SAVINGS. IN 2013, THE MICHIGAN DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS) ADOPTED THE OBAMA ADMINISTRATION'S EXTENSION OF THE TRANSITIONAL "AS IS" POLICY. THIS DECISION ALLOWS INSURERS TO DECIDE WHETHER THEY WOULD CONTINUE OFFERING POLICIES THAT ARE NOT COMPLIANT WITH THE ACA, WHICH BECAME PERMISSIBLE WHEN THE FEDERAL GOVERNMENT DELAYED THE REQUIRED SHIFT TO ACA-APPROVED INSURANCE COVERAGE. PRIORITY HEALTH CONTINUES TO OFFER AN EXTENSION OF ITS PRE-ACA INDIVIDUAL AND GROUP HEALTH PLANS TO SUBSCRIBERS AS LONG AS PERMITTED BY REGULATORY GUIDANCE, WHILE MAJOR COMPETITORS HAVE SHUT DOWN PLANS. WHILE OTHER NATIONAL CARRIERS ARE EXITING THE INDIVIDUAL MARKET, PRIORITY HEALTH REMAINS COMMITTED TO THIS POPULATION. IN ADDITION, PRIORITY HEALTH REINSTATED POLICIES IT ALREADY HAD CANCELLED TO COMPLY WITH THE ACA REQUIREMENTS. THE REINSTATEMENT OF PREVIOUSLY CANCELLED POLICIES GAVE EMPLOYERS AND INDIVIDUALS PEACE OF MIND AND TIME TO ASSESS THEIR OPTIONS BEFORE BEING REQUIRED TO CHANGE PLANS UNDER THE ACA. THE DECISION TO BOTH EXTEND AND REINSTATE PLANS IS CONSISTENT WITH PRIORITY HEALTH'S COMMITMENT TO PROVIDE INDIVIDUALS WITH FLEXIBILITY AND CHOICE. AT A TIME WHEN NATIONAL CARRIERS ARE EXITING THE INDIVIDUAL MARKET, PRIORITY HEALTH REMAINS COMMITTED TO SERVING THIS POPULATION. AS A REQUIREMENT OF THE ACA, EACH STATE SELECTS AN ESSENTIAL HEALTH BENEFITS "BENCHMARK PLAN" THAT SERVES AS A REFERENCE FOR ALL OTHER HEALTH PLANS TO FOLLOW (INDIVIDUAL AND SMALL BUSINESS), WHEN DESIGNING THE SCOPE AND LIMITATIONS SURROUNDING COVERED SERVICES. A BENCHMARK PLAN IS CHOSEN BY EACH STATE EVERY FIVE YEARS. PRIORITY HEALTH WAS SELECTED AS THE STATE'S BENCHMARK PLAN IN 2012 AND IS THE ONLY HEALTH PLAN IN MICHIGAN TO EVER EARN THIS DESIGNATION. STARTING IN 2017, THE MICHIGAN DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS) HAS RECOMMENDED THE PRIORITY HEALTH HMO PLAN TO CONTINUE TO SERVE AS THE ESSENTIAL HEALTH BENEFITS BENCHMARK FOR THE STATE. THE RECOMMENDATION UNDERSCORES PRIORITY HEALTH'S ABILITY TO DELIVER INCREDIBLE VALUE AND CREATE INNOVATIVE SOLUTIONS THAT IMPACT HEALTH CARE COSTS WHILE MAXIMIZING CUSTOMER EXPERIENCE. PRIORITY HEALTH'S HMO PLAN WAS SELECTED BECAUSE DIFS BELIEVES IT ACHIEVES THE BEST BALANCE BETWEEN COMPREHENSIVENESS AND COST-EFFECTIVENESS FOR MICHIGAN CONSUMERS. PRIORITY HEALTH PUBLISHED AN E-BOOK FOR EMPLOYERS ON HEALTH CARE REFORM WHICH IS FREE AND AVAILABLE TO THE PUBLIC ON PRIORITY HEALTH'S WEBSITE. THE GOAL OF THE GUIDE FOR EMPLOYERS IS TO PROVIDE SUMMARIES AND EXAMPLES AS AN EDUCATIONAL TOOL TO ASSIST EMPLOYERS' QUESTIONS REGARDING HEALTH CARE REFORM. |
| Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION - PRIORITY HEALTH HMO (CONTINUED) | THE MICHIGAN ASSOCIATION OF HEALTH PLANS (MAHP), AN INDUSTRY VOICE FOR THE STATE'S HEALTH CARE PLANS, RECOGNIZES BEST PRACTICES IN HEALTH PLANS BY SPONSORING THE PINNACLE AWARDS. THE 2016 PINNACLE AWARDS CONTINUES PRIORITY HEALTH'S HISTORY OF BEING RECOGNIZED FOR ITS FOCUS ON IMPROVING HEALTH WHILE LOWERING COST. DURING 2016, 10 MICHIGAN HEALTH PLANS FROM ACROSS THE STATE SUBMITTED 31 GROUND-BREAKING PROGRAMS TO BE CONSIDERED FOR MAHP'S ANNUAL PINNACLE AWARDS, SHOWING ENTREPRENEURIAL SPIRIT AND AN INTEREST IN SERVING THEIR MEMBERS AS THEY SEEK TO INCREASE EFFICIENCY AND IMPROVE PATIENT HEALTH CARE TO LOWER COSTS AND INCREASE SERVICE TO MICHIGAN CITIZENS. PRIORITY HEALTH RECEIVED 2 PINNACLE AWARDS FOR MEDICAID PROGRAMS IN 2016. IN 2015, PRIORITY HEALTH RECEIVED A PINNACLE AWARD FOR HEALTH COACHING IN THE BUSINESS OPERATIONAL PERFORMANCE CATEGORY. PRIORITY HEALTH'S COACHING PROGRAM UTILIZES HEALTH ASSESSMENT AND LAB DATA TO IDENTIFY HIGH RISK MEMBERS WHO CAN BENEFIT FROM INTERVENTION. THE PROGRAM STRIVES TO CREATE MEMBER SELF-AWARENESS AND AN INTRINSIC DRIVE TO IMPROVE MODIFIABLE RISK FACTORS LIKE BMI, ACTIVITY, NUTRITION, STRESS AND TOBACCO CESSATION. OUR INTEGRATED APPROACH ENABLES COACHES TO QUICKLY TRIAGE MEMBERS TO CARE MANAGEMENT, BEHAVIORAL HEALTH AND PHARMACY. THERE IS GROWING EVIDENCE THAT CONSUMER ENGAGEMENT AND SELF-CARE ARE LINKED TO IMPROVING HEALTH OUTCOMES THROUGH PATIENT-CENTERED INTERVENTIONS LIKE HEALTH COACHING. IN 2014, PRIORITY HEALTH WAS A RECIPIENT TO A PINNACLE AWARD IN THE CHRONIC DISEASE MANAGEMENT CATEGORY FOR INTEGRATED HEALTH COACHING FOR THE COMMERCIAL POPULATION. IN ADDITION, PRIORITY HEALTH RECEIVED A 2015 PINNACLE AWARD IN THE COMMERCIAL CHRONIC DISEASE MANAGEMENT CATEGORY FOR SHARED CARE MANAGEMENT. PRIORITY HEALTH IS COMMITTED TO IMPROVING THE HEALTH AND LIVES OF ITS MEMBERS AND HAS LONG-VALUED AN INTEGRATED CARE MANAGEMENT APPROACH TO ADDRESS BOTH THE MEDICAL AND BEHAVIORAL HEALTH NEEDS OF MEMBERS. IN THE FALL OF 2013, PRIORITY HEALTH'S BEHAVIORAL HEALTH TEAM DEVELOPED A PROPOSAL FOR A SHARED CASE MANAGEMENT AND COORDINATION PROGRAM BETWEEN PRIORITY HEALTH AND NETWORK 180, WHICH IS THE COMMUNITY MENTAL HEALTH SERVICES PROGRAM (CMHSP) FOR ALL MEDICAID BENEFICIARIES REQUIRING SPECIALTY BEHAVIORAL HEALTH SERVICES IN KENT COUNTY, MICHIGAN. THROUGH THE PARTNERSHIP, BENEFITS TO RESIDENTS OF KENT COUNTY WERE MAXIMIZED. |
| Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION - PRIORITY HEALTH WELLNESS | PREVENTION AND WELLNESS HAVE BEEN THE FOUNDATION OF PRIORITY HEALTH'S APPROACH TO HEALTH CARE. PRIORITY HEALTH HAS BEEN NATIONALLY RECOGNIZED FOR ITS EMPLOYER-BASED WELLNESS PROGRAMS, EARNING WELLNESS AND HEALTH PROMOTION (WHP) ACCREDITATION FROM THE NCQA. PRIORITY HEALTH MAINTAINS ITS STATUS AS THE ONLY MICHIGAN-BASED HEALTH INSURER, AND ONE IN FOUR NATIONWIDE, TO HAVE ACHIEVED THIS DESIGNATION. THIS ACCREDITATION CERTIFIES PRIORITY HEALTH AS AN INDUSTRY LEADER IN KEEPING MEMBERS HEALTHY BY PREVENTING ILLNESS, MANAGING CHRONIC CONDITIONS AND ULTIMATELY REDUCING COSTS. WHP ACCREDITATION IDENTIFIES FULL-SERVICE WELLNESS PROVIDERS THAT MEET THE NATION'S HIGHEST STANDARDS FOR VALUE AND QUALITY BY EVALUATING THE IMPLEMENTATION OF WELLNESS PROGRAMS, THE PARTICIPANTS' DEVELOPMENT OF SKILLS TO MAKE HEALTHY CHOICES THROUGH COACHING SERVICES, AND THE SAFEGUARDING OF INDIVIDUAL HEALTH INFORMATION. PRIORITY HEALTH PROVIDES WELLNESS PROGRAMS WITHIN ITS STANDARD HEALTH PLANS, WHILE ALSO OFFERING CUSTOMIZED, STAND-ALONE WELLNESS PROGRAMS TO EMPLOYER GROUPS TO EMPOWER THEIR EMPLOYEES TO PURSUE HEALTHIER LIFESTYLES. IN ADDITION TO HEALTH PLAN OFFERINGS, PRIORITY HEALTH PARTICIPATES IN, AND SPONSORS, WELLNESS PROGRAMS FOR THE COMMUNITY AT LARGE TO IMPROVE THE HEALTH OF ALL PEOPLE, NOT JUST MEMBERS. IN 2016, ROUGHLY 125 STAFF HOURS OF WELLNESS CLASSES AND HEALTH FAIRS WERE PROVIDED TO THE COMMUNITY TO PROMOTE HEALTHY LIVING. IN ADDITION, PRIORITY HEALTH INVESTED $20,000 FOR THE SECOND YEAR IN A ROW TO PROACTIVELY REACH OUT TO THE COMMUNITY THROUGH A SOCIAL MEDIA CAMPAIGN WITH MESSAGES OF HEALTH AND WELLNESS TO ENCOURAGE PARTICIPATION IN RACES AND PROMOTE HEALTHY LIVING. IN RECENT YEARS PRIORITY HEALTH HAS SPONSORED MANY COMMUNITY EDUCATION PROGRAMS, HEALTH FAIRS, WALKS/RUNS/TRIATHLONS, AND NEWSLETTERS. DURING 2016, PRIORITY HEALTH CONTRIBUTED OVER $210,000 BY OFFERING DISCOUNT CODES TO PROMOTE WELLNESS AND SPONSOR WALKS/RUNS ACROSS THE STATE. ONE OF THE MORE SIGNIFICANT CONTRIBUTIONS WAS TO THE MSU GRAN FONDO, A CYCLING EVENT TO ACTIVELY ENGAGE THE COMMUNITY WHILE ACCELERATING SKIN CANCER AWARENESS, PREVENTION AND RESEARCH. THE FOURTH ANNUAL RIDE IN JUNE 2016 DREW MORE THAN 1,700 CYCLISTS AND WAS NAMED ONE OF AMERICA'S TOP GRAN FONDO'S FOR 2016. RIDERS PEDALED BETWEEN 12 MILES AND 80 MILES ACROSS THE ROLLING SCENIC TERRAIN OF WEST MICHIGAN. IN ITS FIRST FOUR YEARS, THE MSU GRAN FONDO RAISED MORE THAN $640,000 WITH 100% OF EVERY DOLLAR RAISED BENEFITING SKIN CANCER AWARENESS, PREVENTION AND RESEARCH. PRIORITY HEALTH HAD MORE THAN 170 REPRESENTATIVES PARTICIPATE IN THE EVENT, LOGGING MORE THAN 7,000 MILES AND RAISING MORE THAN $10,000 IN SUPPORT OF HEALTHY LIVING AND CANCER RESEARCH. IN ADDITION TO THE GRAN FONDO, PRIORITY HEALTH SPONSORED THE MOVE TO THE BEATS RUN/WALK BENEFITING THE LIFETIME FOUNDATION, AUTISM ALLIANCE OF MICHIGAN & ROCK CF, A NONPROFIT DEDICATED TO INCREASING THE QUALITY OF LIFE FOR PEOPLE WITH CYSTIC FIBROSIS. THIS RACE IS PART OF THE LONGSTANDING ARTS, BEATS & EATS FESTIVAL AND HIGHLIGHTS THE IMPORTANCE OF HEALTHY LIVING WITHIN THE COMMUNITY. IN 2016, A NEAR RECORD 415,000 VISITORS ATTENDED THE FESTIVAL AND OVER $350,000 WAS RAISED FOR MORE THAN 60 LOCAL CHARITIES. THE 2016 ANNUAL PRIORITY HEALTH MOVE TO THE BEATS 5K/10K ATTRACTED MORE THAN 500 RUNNERS/WALKERS AND THE PRIORITY HEALTH ZUMBATHON CELEBRATION HAD 1,550 PEOPLE PARTICIPATE IN A HUGE ZUMBA CLASS-STYLE EVENT AT THE FESTIVAL. PRIORITY HEALTH ALSO SUPPORTED GIRLS ON THE RUN, A TRANSFORMATIONAL POSITIVE YOUTH DEVELOPMENT PROGRAM ROOTED IN PHYSICAL ACTIVITY FOR GIRLS IN 3RD-8TH GRADE. THE PROGRAM CULMINATES WITH THE GIRLS BEING PHYSICALLY AND EMOTIONALLY PREPARED TO COMPLETE A CELEBRATORY 5K RUNNING EVENT. THE GOAL OF THE PROGRAM IS TO UNLEASH CONFIDENCE THROUGH ACCOMPLISHMENT WHILE ESTABLISHING A LIFETIME APPRECIATION OF HEALTH AND FITNESS. IN 2016, PRIORITY HEALTH CONTRIBUTED $5,000 FOR THE FOURTH YEAR IN A ROW TO BENEFIT THE GIRLS ON THE RUN PROGRAM. IN ADDITION TO THE ZUMBATHON AND 5K/10K RACES, PRIORITY HEALTH ALSO SPONSORS HEALTHY OPTIONS AT THE ARTS, BEATS AND EATS FESTIVAL. PARTICIPATING RESTAURANTS ARE ENCOURAGED TO PREPARE, PRESENT, AND IDENTIFY HEALTHY FOOD ITEMS IN THE FOLLOWING CATEGORIES: LOW CARB, VEGAN, LOW FAT, GLUTEN FREE OR SUGAR FREE. EACH PARTICIPATING RESTAURANT DISPLAYS A SIGN THAT INDICATES WHICH HEALTHY OPTIONS THEY ARE FEATURING, MAKING IT EASY FOR THOSE WHO WANT TO MAKE GOOD FOOD CHOICES, AS WELL AS THOSE NEEDING SPECIAL ACCOMMODATIONS DUE TO FOOD SENSITIVITIES AND SPECIAL DIETS. IN 2015, PRIORITY HEALTH LAUNCHED THE SILVER EXPLORERS PROGRAM, A WALKING/EDUCATIONAL SERIES AT THE JOHN BALL ZOO (GRAND RAPIDS) THAT IS AVAILABLE FOR FREE TO ALL PRIORITY HEALTH MEMBERS AGE 62 AND OVER. PARTICIPANTS GET AN INSIDE LOOK AT THE ZOO AND THE ANIMALS. EACH SESSION IS AN HOUR LONG AND STARTS WITH A LEARNING PORTION TAUGHT BY A JOHN BALL ZOO EXPERT. THE PRESENTATION IS THEN FOLLOWED BY A WALKING TOUR OF THE ZOO AND GROUNDS. AT THE END OF THE EVENT PARTICIPANTS ARE ALLOWED TO ENJOY THE ZOO FOR THE REST OF THE DAY. IN ADDITION TO THE SILVER EXPLORERS PROGRAM, PRIORITY HEALTH TEAMED UP WITH THE JOHN BALL ZOO TO LAUNCH A PROGRAM CALLED SENIOR DAYS WHICH ALLOWS PRIORITY HEALTH MEDICARE MEMBERS TO ATTEND THE ZOO FOR FREE. IN 2016, PRIORITY HEALTH SPONSORED $12,200 TO SUPPORT THESE PROGRAMS AND REACHED OVER 70 PARTICIPANTS. IN 2016, PRIORITY HEALTH PARTNERED WITH THE DETROIT ZOO TO OFFER SILVER EXPLORERS EACH MONDAY MORNING IN MAY REACHING OVER 60 PARTICIPANTS AND PROVIDING $3,800 IN SUPPORT. THE BENEFIT OF THESE PROGRAMS IS TWO-FOLD. IT ALLOWS PRIORITY HEALTH TO PARTNER WITH GREAT COMMUNITY RESOURCES, BUT ALSO PRESENTS THE OPPORTUNITY TO BE ACTIVE WHILE HAVING A GREAT TIME. PRIORITY HEALTH PARTICIPATES IN PARTNERSHIP WITH MARANDA, A WEST MICHIGAN NEWS PERSONALITY, DIRECTING MESSAGES TO CHILDREN ON HEALTH AND OTHER POSITIVE MESSAGING. MARANDA PRESENTS A TV SERIES CALLED "WHERE YOU LIVE" AND BRINGS IN EXPERTS TO TALK TO KIDS ABOUT HEALTHY LIVING. THIS PARTNERSHIP ALSO SPONSORS EVENTS THROUGHOUT WEST MICHIGAN REACHING OUT TO KIDS IN AT-RISK COMMUNITIES. IN 2016, AND EACH YEAR FOR THE PREVIOUS FOUR YEARS, $50,000 WAS CONTRIBUTED TO BENEFIT MARANDA PARK PARTIES, WHICH PROVIDE FREE HEALTH AND FITNESS ACTIVITIES FOR CHILDREN AT INNER CITY PUBLIC PARKS. |
| Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION - PRIORITY HEALTH WELLNESS (CONTINUED) | PRIORITY HEALTH PARTICIPATES IN PARTNERSHIP WITH THE WXYZ COMMUNITY ACTION TEAM, AN EAST MICHIGAN NEWS CHANNEL, TO SUPPORT THE COMMUNITY IN EAST MICHIGAN. THE PARTNERSHIP SUPPORTS THE WXYZ TREE LIGHTING CEREMONY AND VARIOUS NON-PROFIT PROJECTS INCLUDING HABITAT FOR HUMANITY. IT ALSO ENABLES PRIORITY HEALTH TO CREATE PUBLIC SERVICE ANNOUNCEMENTS THAT AIR THROUGHOUT THE YEAR. IN 2016, AS WELL AS THE TWO PREVIOUS YEARS, PRIORITY HEALTH SPONSORED $190,000 TO SUPPORT THE EFFORTS OF THE PARTNERSHIP WITH THE WXYZ COMMUNITY ACTION TEAM. PRIORITY HEALTH CONDUCTS FREE WELLNESS CLASSES THROUGHOUT THE STATE. THE BROADER COMMUNITY IS WELCOME TO ATTEND CLASSES THAT EDUCATE THE COMMUNITY IN TOPICS SUCH AS NUTRITION, FITNESS AND PREVENTION. PRIORITY HEALTH PARTNERED WITH AM YOGA TO PROVIDE MONTHLY COMMUNITY YOGA AT THE GRAND RAPIDS ART MUSEUM (GRAM). PRIORITY HEALTH SPONSORS THIS PROGRAM AND CONTRIBUTED $5,000 IN 2016. THIS SPONSORSHIP PROVIDES ACCESS TO HEALTH AND WELLNESS THAT PEOPLE MAY NOT NORMALLY BE ABLE TO AFFORD. THE DONATIONS FROM EACH CLASS ARE THEN TURNED AROUND TO PROVIDE YOGA TO OTHER AREAS AND COMMUNITIES THAT MAY NOT HAVE ACCESS. PRIORITY HEALTH PARTNERED WITH FORGOTTEN HARVEST TO LAUNCH A CORPORATE GIVING PROGRAM CALLED FUEL THE FIGHT AGAINST HUNGER. THROUGH THIS PROGRAM, PRIORITY HEALTH COMMITTED TO SPONSORING THE FUEL COST FOR ONE FORGOTTEN HARVEST TRUCK FOR AN 18 MONTH PERIOD IN ORDER TO DELIVER FRESH, HEALTHY FOOD AT NO CHARGE TO FAMILIES IN NEED 6 DAYS A WEEK THROUGHOUT METRO DETROIT. IN SUPPORTING THE COST OF ONE TRUCK ASSOCIATED WITH THE PICKUP AND DISTRIBUTION OF HEALTHY FOOD ITEMS TO FAMILIES STRUGGLING WITH FOOD INSECURITY AND HUNGER, PRIORITY HEALTH IS MAKING STRIDES IN IMPACTING POPULATION HEALTH IN THE SOUTHEAST MICHIGAN COMMUNITY, WITH SPECIAL FOCUS ON THE AT-RISK AND UNDERSERVED. IN 2016, PRIORITY HEALTH CONTRIBUTED $10,000 TO SUPPORT THE FUEL THE FIGHT AGAINST HUNGER. IN 2016, PRIORITY HEALTH CONTRIBUTED $15,000 TO THE AMERICAN HEART ASSOCIATION'S (AHA) PROGRAM CALLED GO RED FOR WOMEN DESIGNED TO CREATE AWARENESS OF THE ISSUE OF WOMEN AND HEART DISEASE. FINANCIAL SUPPORT HELPS FUND THE AHA PROGRAMS AND INITIATIVES TO ADVANCE THE MISSION TO BUILD HEALTHIER LIVES, FREE OF CARDIOVASCULAR DISEASES AND STROKE. PRIORITY HEALTH SUPPORTS THE AHA'S GOAL OF SEEKING WAYS TO INCREASE COMMUNICATION WITH THE PUBLIC AND TO CREATE TOOLS AND RESOURCES TO HELP THEM MANAGE AND PREVENT HEART DISEASE. PRIORITY HEALTH CONTRIBUTES OVER $230,000 ANNUALLY TO PROVIDE HEALTH AND WELLNESS COMMUNICATION TO INDIVIDUALS ACROSS MICHIGAN. THINK HEALTH, A DIGITAL MAGAZINE, IS RELEASED BY PRIORITY HEALTH TO SUPPORT CONSUMERS AND BUSINESS OWNERS AS THEY MAKE HEALTH CARE DECISIONS. THINK HEALTH FEATURES PRIORITY HEALTH EXPERTS AS WELL AS OTHER THOUGHT LEADERS AND THIRD PARTY ORGANIZATIONS ACROSS THE HEALTH INSURANCE, HEALTH CARE TECHNOLOGY AND FITNESS INDUSTRIES. THE SITE ALSO HIGHLIGHTS PERSONAL STORIES FROM INDIVIDUALS LOOKING TO IMPROVE THEIR HEALTH AND INSPIRE OTHERS, AS WELL AS INSIDER TIPS ON HOW TO GET INVOLVED IN ACTIVITY-RELATED EVENTS ACROSS MICHIGAN. IN TOTAL, PRIORITY HEALTH SUPPORTED HEALTH AND SOCIAL WELFARE ACTIVITIES VIA CONTRIBUTIONS OF OVER $750,000 IN 2016 IN AN EFFORT TO IMPROVE HEALTH SERVICES AND CONDITIONS IN NEIGHBORHOODS, WORKPLACES, AND SCHOOLS THROUGHOUT THE COMMUNITIES IT SERVES. |
| Form 990, Part III, Line 4b PRIORITY HEALTH SENIOR MARKETS | PRIORITY HEALTH BEGAN OFFERING MEDICARE ADVANTAGE PLANS IN JULY 2005 AND MEDICARE ADVANTAGE PLANS WITH PRESCRIPTION DRUG COVERAGE IN JANUARY 2006. ITS MEDICARE ADVANTAGE PLANS VARY IN PRICE BASED ON WHERE MEMBERS LIVE AND WHAT BENEFITS THEY NEED. MORE THAN 115,000 MICHIGANDERS HAVE CHOSEN A PRIORITY HEALTH MEDICARE ADVANTAGE PLAN, AND MORE THAN 13,000 CHOSE A PRIORITY HEALTH MEDICARE SUPPLEMENT PLAN, ALSO KNOWN AS MEDIGAP. PRIORITY HEALTH'S MEDICARE PROGRAM HAS ONE OF THE LOWEST HOSPITAL READMISSION RATES IN THE COUNTRY. PRIORITY HEALTH STRIVES TO WORK WITH THE COMMUNITY AND MAKE MEDICARE SIMPLE TO UNDERSTAND. THAT IS WHY IT WROTE AND PUBLISHED "MEDICARE ADVANTAGE FOR DUMMIES." IT WAS WRITTEN BY PRIORITY HEALTH, IN COOPERATION WITH WILEY PUBLISHING, OWNERS OF THE DUMMIES SERIES. THE BOOK HAS BEEN DISTRIBUTED FREE TO OVER 255,000 PEOPLE ACROSS MICHIGAN AND IS NOW AVAILABLE ELECTRONICALLY AS AN E-BOOK. AS A RESULT OF PRIORITY HEALTH'S WORK WITH THE COMMUNITY AND DEDICATION TO OFFERING PLANS THAT DELIVER HIGH QUALITY, ITS MEDICARE HMO-POS ADVANTAGE PLANS HAVE RECEIVED THE ACCREDITATION STATUS OF "COMMENDABLE," AND ALL 2016 MEDICARE ADVANTAGE PLANS WITH PRESCRIPTION DRUG COVERAGE WERE AWARDED AT LEAST 4 OUT OF 5 STARS BY CMS. THE MEDICARE STAR RATINGS INDICATE HOW WELL A HEALTH PLAN PERFORMS OVERALL; THE BETTER THE STAR RATING, THE BETTER THE CARE IS DELIVERED. OF THE 38 QUALITY AND IMPROVEMENT METRICS USED TO DETERMINE OUR OVERALL QUALITY RATING OF 4.0, APPROXIMATELY 45% OF THE METRICS WERE 5 STAR. PRIORITY HEALTH IS ABLE TO PROVIDE ITS MEMBERS HIGH QUALITY MEDICARE ADVANTAGE PLANS WHILE REMAINING AMONG THE LOWEST COST (RISK AND BENEFIT ADJUSTED) PLANS IN THE COUNTRY. MEDICARE ADVANTAGE MEMBERS CAN ENROLL EITHER INDIVIDUALLY, OR THROUGH AN EMPLOYER GROUP. DURING THE 2016 MEDICARE ANNUAL ENROLLMENT PERIOD (AEP), PRIORITY HEALTH ENROLLED 52% OF THE INDIVIDUALS WHO PURCHASED A MAPD PLAN IN MICHIGAN FROM OCTOBER 15 - DECEMBER 7, 2015. PRIORITY HEALTH'S MEDICARE ADVANTAGE ENROLLMENT INCLUDES ABOUT 94,000 INDIVIDUAL ADVANTAGE MEMBERS, OR JUST OVER 30% OF THE TOTAL INDIVIDUAL MEDICARE ADVANTAGE MARKET, MAKING PRIORITY HEALTH THE LEADER IN MICHIGAN. MEDICARE ADVANTAGE IS OFFERED IN ALL 68 COUNTIES IN MICHIGAN'S LOWER PENINSULA. PRIORITY HEALTH'S NETWORK HAS MORE THAN 35,500 PROVIDERS. IN 2012, PRIORITY HEALTH LAUNCHED HOME BASED PRIMARY CARE (HBPC) AS A PILOT WITH OUR AFFILIATE, SPECTRUM HEALTH MEDICAL GROUP (SHMG). HBPC BRINGS THE CARE TEAM INTO THE HOME OF PATIENTS THAT ARE AT THE FAR END OF THE POPULATION HEALTH CONTINUUM, THE ADVANCED CHRONICALLY ILL, WHOSE MULTIPLE MEDICAL CONDITIONS ARE COMPLICATED BY FUNCTIONAL AND/OR COGNITIVE LIMITATIONS THAT MAKE IT DIFFICULT FOR THEM TO ADEQUATELY ACCESS THE TRADITIONAL AMBULATORY PHYSICIAN OFFICE. IN ADDITION TO PRIORITY HEALTH CHANGING HOW THE PATIENT ACCESSES THEIR CARE, THERE IS NOW A TEAM BASED MODEL OF CARE TO MEET ALL THE NEEDS OF THE PATIENT. MOST OF THE PATIENTS IN THE PROGRAM ARE MEMBERS OF PRIORITY HEALTH'S MEDICARE ADVANTAGE PROGRAM, ALTHOUGH SOME ARE COVERED BY MEDICAID OR PRIVATE INSURANCE. IN 2016, PRIORITY HEALTH ENGAGED MORE THAN 600 PATIENTS WITH ADVANCED ILLNESS WHICH RESULTED IN NEARLY $3 MILLION SAVINGS BY REACHING MEMBERS ENROLLED IN HBPC PROGRAMS. IN 2014, PRIORITY HEALTH PARTNERED WITH TANDEM365 FOR A PILOT PROGRAM DESIGNED TO DELIVER COMPLEX CARE MANAGEMENT SERVICES TO VULNERABLE SENIORS. SIMILAR TO HBPC, TANDEM365 IS AN INNOVATIVE CONCEPT AIMED AT HELPING OLDER ADULTS NAVIGATE THE COMPLEXITIES OF HEALTH CARE WHILE ENABLING THEM TO REMAIN IN THEIR HOMES. THROUGH THE ENGAGEMENT OF 150 PILOT MEMBERS, THE AVERAGE HEALTH CARE COST PER MEMBER DECREASED BY 30.2%, ER VISITS DECREASED BY 46.2%, SPECIALTY VISITS DECREASED BY 22.8%, AND OUTPATIENT VISITS DECREASED BY 13.4%. IN 2016, PRIORITY HEALTH ENTERED A THREE-YEAR CONTRACT WITH TANDEM365 TO CONTINUE OFFERING THESE SERVICES. AS A RESULT, TANDEM365 SERVED APPROXIMATELY 440 SENIORS IN TWO MICHIGAN COUNTIES (KENT AND OTTAWA), WITH PLANS TO EXPAND INTO ALLEGAN COUNTY. THE SENIORS REACHED WERE PRIMARILY MEDICARE ADVANTAGE ENROLLEES INSURED BY PRIORITY HEALTH. THE ONCOLOGY MEDICAL HOME INITIATIVE IS A JOINTLY DEVELOPED PROGRAM BETWEEN ONCOLOGY PRACTICES AND PRIORITY HEALTH THAT APPLIES THE PRINCIPLES OF THE PATIENT-CENTERED MEDICAL HOME TO ONCOLOGY. THE TEAMS WORKED TOGETHER TO DEVELOP A NOVEL AND READILY REPLICABLE MODEL TO FAIRLY COMPENSATE ONCOLOGISTS FOR COGNITIVE AND SUPPORT SERVICES WHILE REMOVING DEPENDENCE ON CHEMOTHERAPY DRUG MARGINS FOR FINANCIAL SOLVENCY. FURTHER, IT DEVELOPED TRANSFORMATIVE CARE PROCESSES TO SELECT SINGLE PREFERRED REGIMENS FOR TREATING COMMON CANCERS, IMPLEMENT EFFECTIVE ADVANCE CARE PLANNING, AND ENHANCE ACCESS AND CARE COORDINATION. METRICS IMPACTED INCLUDE SAFETY AND QUALITY, PATIENT EXPERIENCE, FINANCIAL STEWARDSHIP AND TALENT DEVELOPMENT. CHRONIC CONDITIONS ARE LEADING CONTRIBUTORS TO RISING HEALTH CARE COSTS NATIONWIDE. TO ADDRESS THIS, PRIORITY HEALTH LAUNCHED THE MEDICATION THERAPY MANAGEMENT (MTM) PILOT PROGRAM WITH ITS MEDICARE MEMBERS. THE MTM PILOT PROGRAM OFFERED PRIORITY HEALTH MEDICARE MEMBERS THE OPPORTUNITY TO MEET ONE-ON-ONE WITH PHARMACISTS TO REVIEW ALL OF THEIR MEDICATIONS INCLUDING PRESCRIPTIONS, OVER-THE-COUNTER DRUGS, AND HERBAL AND VITAMIN SUPPLEMENTS. COMPLEX MEDICATION REGIMENS CREATE SIGNIFICANT CHALLENGES FOR PATIENTS LIVING WITH CHRONIC ILLNESS, THEIR CAREGIVERS, HEALTH CARE PROVIDERS, AND THE HEALTH CARE SYSTEM AS A WHOLE. THE IMPACT OF MEDICATION-RELATED PROBLEMS CAN BE MINIMIZED THROUGH A STRUCTURED MTM PROGRAM THAT USES PHARMACISTS WORKING COLLABORATIVELY WITH THE PATIENT AND THE PATIENT'S HEALTH CARE PROVIDERS. RETAIL AND OFFICE-BASED PHARMACISTS WILL WORK WITH PATIENTS AND PROVIDERS TO ADDRESS DRUG RELATED PROBLEMS AND COMPLETE COMPREHENSIVE MEDICATION REVIEWS. IN THE FIRST YEAR OF THE PILOT PROGRAM, MTM CREATED A TOTAL COST OF CARE SAVINGS OF $60 PMPM OVER A 12 MONTH PERIOD AND $66 PMPM OVER 24 MONTHS . IN 2015, PRIORITY HEALTH EXPANDED ITS MTM PROGRAM TO COMMERCIAL AND MEDICAID MEMBERS. IN 2016, PRIORITY HEALTH INVESTED OVER $4 MILLION IN ITS PHARMACY MANAGEMENT PROGRAMS TO HELP MICHIGANDERS AVOID MEDICATION ERRORS. WITH THIS MOVE, PRIORITY HEALTH HAS BECOME THE FIRST HEALTH PLAN IN THE STATE TO EXPAND THE PROGRAM TO BOTH ITS MEDICARE AND EMPLOYER-SPONSORED HEALTH PLANS. IN 2016, PRIORITY HEALTH ENGAGED OVER 47,000 MEDICARE MEMBERS IN THE MTM PROGRAM, RESULTING IN $0.54 SAVED IN DIRECT DRUG PRODUCT COST AND $4.84 SAVED IN MEDICAL COSTS FOR EVERY $1 INVESTED IN MTM. FOR A TOTAL INVESTMENT OF $2.3 MILLION IN THE MEDICARE POPULATION, A TOTAL COST OF CARE SAVINGS OF $12.2 MILLION WAS ACCOMPLISHED, RESULTING IN $5.38 TOTAL SAVINGS PER $1 INVESTED. IN ADDITION TO THE MEDICARE POPULATION, PRIORITY HEALTH ENGAGED OVER 37,000 COMMERCIAL AND MEDICAID MEMBERS IN THE MTM PROGRAM, RESULTING IN $0.68 SAVED IN DIRECT DRUG PRODUCT COST AND $6.15 SAVED IN MEDICAL COSTS FOR EVERY $1 INVESTED IN MTM. FOR A TOTAL INVESTMENT OF $1.9 MILLION IN THE COMMERCIAL/MEDICAID POPULATION, A TOTAL COST OF CARE SAVINGS OF $12.8 MILLION WAS ACCOMPLISHED, RESULTING IN $6.84 TOTAL SAVINGS PER $1 INVESTED. PRIORITY HEALTH IMPLEMENTED A NEW CLINICAL QUALITY INITIATIVE TO ENHANCE THE QUALITY OF POST-ACUTE CARE (PAC) SERVICES. THE RESEARCH AND DEVELOPMENT OF THIS POST-ACUTE MODEL OF CARE BEGAN IN 2013, AND WAS IMPLEMENTED IN 2014. THIS INITIATIVE FOCUSES ON WHAT IS BEST FOR THE PATIENT AND THE HOLISTIC MANAGEMENT OF PATIENT CARE THROUGH DISCHARGE PLANNERS, REHABILITATION THERAPISTS, SOCIAL WORKERS AND PRIORITY HEALTH CARE MANAGERS. DATA-DRIVEN INFORMATION WILL HELP PATIENTS AND THEIR FAMILIES UNDERSTAND WHAT TO EXPECT AT DISCHARGE AND THROUGHOUT THE REHABILITATION PERIOD. THE BENEFITS OF THIS INITIATIVE INCLUDE LOWER HOSPITAL ADMISSION RATES, OPTIMAL DISCHARGE SETTING EARLIER IN THE HOSPITAL STAY, EASIER MANAGEMENT OF PATIENT/FAMILY EXPECTATIONS, AND IDENTIFYING THE HIGHEST QUALITY PROVIDERS IN THE COMMUNITY. THIS DATA-DRIVEN APPROACH TO REHABILITATION HAS SUCCESSFULLY PROVEN TO IMPROVE EFFICIENCY AND QUALITY OF CARE FOR MEDICARE PATIENTS. PRIORITY HEALTH HAS SEEN HOSPITAL READMISSION RATES DECREASE, LENGTH OF HOSPITAL STAYS REDUCED, AND ACCESS TO POST-SURGICAL SERVICES IMPROVED. |
| Form 990, Part IV, Line 12a Audited Financial Statements | The organization's financial statements are audited annually by an independent accounting firm. The "No" response to these questions relates to the fact that the GAAP basis financial statements were prepared on a consolidated basis and not on a stand alone basis. The organization is audited annually on a stand alone basis and issued financial statements on a stand alone basis which are prepared in accordance with SAP (Statutory Accounting Principles), as required by regulatory authorities. The figures in this Form 990 reconcile to the financial statements prepared under statutory accounting principles as submitted to the State of Michigan and the National Association of Insurance Commissioners (NAIC). |
| Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3 | ALL EMPLOYEES OF PRIORITY HEALTH WERE EMPLOYED DURING THE YEAR BY SPECTRUM HEALTH SYSTEM (38-3382353) AND LEASED BACK TO PRIORITY HEALTH. SALARIES AND WAGES, EMPLOYEE BENEFITS AND PAYROLL TAXES ARE ALLOCATED TO PRIORITY HEALTH VIA A MANAGEMENT FEE. THE SALARIES AND WAGES REPORTED IN PART IX STATEMENT OF FUNCTIONAL EXPENSES REFLECTS THE PORTION OF SALARIES AND WAGES ALLOCATED TO PRIORITY HEALTH. SPECTRUM HEALTH SYSTEM FILED ALL APPLICABLE IRS TAX FILINGS INCLUDING FORMS W-2 AND W-3 ON BEHALF OF PRIORITY HEALTH. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | Committees - The Chair of the Board of Directors may establish such standing or special committees from time to time as he or she will deem appropriate to conduct the activities of the corporation, and will define the powers and responsibilities of such committees. Persons who are not members of the Board of Directors will be eligible to serve on committees other than the Executive Committee. The members and chair of all committees will be appointed by the Chair of the Board of Directors for a one (1) year term or until their successors are duly elected, but will be subject to removal at any time by the Chair of the Board of Directors. A committee will have the specific powers and responsibilities as determined by the Board of Directors excluding those powers and responsibilities retained by the shareholders or Board of Directors pursuant to the Articles of Incorporation or Bylaws of the corporation. Executive Committee - The Chair of the Board of Directors may appoint an Executive Committee consisting of the Chair of the Board of Directors, the Vice Chair, and such additional directors as the Chair of the Board of Directors may determine from time to time. The Executive Committee may exercise all powers and authority of the Board of Directors in managing the corporation between meetings of the Board of Directors (within the limits prescribed by the Articles of Incorporation or Bylaws of the corporation or by law) or may have such specific powers and responsibilities as determined by the Chair of the Board of Directors. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | CERTAIN MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS OF THE ORGANIZATION ALSO SERVE ON THE BOARD OF DIRECTORS AND/OR AS OFFICERS OF RELATED TAXABLE ENTITIES - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The Organization has three shareholders as follows: Spectrum Health System (EIN 38-3382353), Class A Shareholder - 93.9% Munson Healthcare (EIN 38-2640544), Class B Shareholder - 5.5% McLaren Northern Michigan (EIN 38-2146751), Class B Shareholder - 0.6% All Shareholders are tax-exempt Internal Revenue Code Section 501(c)(3) organizations. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Election of Members and Their Rights From Priority Health bylaws: 6.2 Number and Class of Directors. The Board of Directors will be composed of not less than fifteen (15) and not more than twenty-one (21) members, which will be divided into the following classes: 6.2.1 One-third (1/3) of the directors will be adult enrollees as specified under MCL Section 500.3511(1) and elected pursuant to Section 6.3 below. At least one (1) of such adult enrollee directors will be from the corporation's Northern service area that is also served by the Class B Shareholders (the Northern Shareholders). 6.2.2 Two (2) of the directors will be appointed jointly by the Northern Shareholders. Of such directors, one (1) will be a physician. 6.2.3 The remainder of the directors (not less than eight (8)) will be appointed by Spectrum Health. 6.3 Election of Adult Enrollee Members. The Governance Committee or similarly delegated committee of the Board of Directors will solicit names of potential candidates from the members, shareholders, directors and community. The Committee will submit to the Board of Directors a list of nominees for election to the Board of Directors as adult enrollee representatives. At least one (1) member will be nominated for each directorship to be filled at such annual meeting. In addition, any group of adult enrollees in the corporation's health maintenance plan, upon filing a petition with more than one hundred (100) legitimate signatures of current members with the Secretary of the Board of Directors at least ninety (90) days prior to the election date for the Board of Directors, may nominate a candidate for election to the Board of Directors. Eligible members will be given the opportunity to vote on the candidates for election to the Board of Directors. No more than two (2) persons employed by or affiliated with any one (1) employer or other group may be nominated. 6.4 Term. The adult enrollee members will be divided into three (3) classes, which will be as evenly divided as possible. The terms of office of the classes will expire in three (3) successive years, with one (1) class expiring each year. Each elected director will be elected for a term of three (3) years (except for the directors elected immediately after adoption of this Section 6.4 who will serve the terms designated by the Board of Directors). The directors appointed by the Northern Shareholders and Spectrum Health will serve one (1) year terms or until such time as their successor is appointed. 6.5 Vacancies. Any vacancy in a Board of Director position designated by the Northern Shareholders or Spectrum Health will be filled by the Northern Shareholders or Spectrum Health, respectively. Any vacancy in a position for an adult enrollee will be filled by the remaining adult enrollees on the Board of Directors. Each person appointed to fill a vacancy will complete the unexpired portion of the original term of the director being replaced. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Decisions Subject to Approval of shareholders (Not Members) Certain decisions are subject to approval of shareholders. From Priority Health bylaws: 2.2 Class A Shareholder's Reserved Powers. The Class A Shareholder shall have the reserved powers set forth in this Section 2.2. The corporation's Board of Directors may recommend action to the Class A Shareholder with respect to the reserved powers set forth in this Section 2.2. The actions listed below may, notwithstanding any other provision of these Bylaws or the Articles, be unilaterally caused and/or taken by the Class A Shareholder, within its sole and exclusive power and discretion, and shall not be deemed authorized unless and until approved by the Class A Shareholder: 2.2.1 Amendment of the Articles of Incorporation or Bylaws of the corporation as provided in Section 13.1 of these Bylaws; 2.2.2 Election and/or removal of the Class A Shareholder-appointed members of the corporation's Board of Directors pursuant to Article VI of these Bylaws; 2.2.3 Election and/or removal of the corporation's Chairperson of the Board of Directors; 2.2.4 Hiring, discharge, and evaluation of the corporation's President following consultation with the corporation's Board of Directors pursuant to Section 7.3; 2.2.5 Adoption of the corporation's strategic plan(s); 2.2.6 Adoption of the corporation's annual operating and capital budgets, and any amendments to such budgets; 2.2.7 All capital expenditures by the corporation in excess of that amount (the "Authority Matrix Amount") set forth in the Authority Matrix for Capital Expenditures and Loans to Non-Spectrum Health Entities (the "Expenditure Authority Matrix"), a current copy of which is attached hereto as Exhibit A and which may be amended from time to time by Spectrum Health System ("Spectrum Health"); 2.2.8 All borrowings or guarantees of indebtedness by the corporation (or any entity controlled by the corporation), including any operating lease in an amount greater than one million dollars ($1,000,000.00) during the initial lease term, not including renewals and/or extensions; 2.2.9 All lending by the corporation (or any entity controlled by the corporation) to persons other than Spectrum Health or an entity controlled by Spectrum Health in excess of the Authority Matrix Amount; 2.2.10 The corporation's investments of cash and/or reserves, whether on an individual basis or as part of a pooled investment strategy; 2.2.11 Any merger or consolidation of the corporation (or any entity controlled by the corporation), or any other change in ownership percentages, control, or capital structure of the corporation (or any entity controlled by the corporation); 2.2.12 The purchase of all, or a majority of, another corporation, limited liability company, partnership or other legal entity's stock, membership interest, partnership interest, other ownership interest, or assets; 2.2.13 The creation of any entity controlled, directly or indirectly, by the corporation; 2.2.14 The sale or transfer of more than ten percent (10%) of the assets of the corporation (or any entity controlled by the corporation) to any person or entity not controlled by Spectrum Health; 2.2.15 Dissolution of the corporation; 2.2.16 The selection, retention, and oversight of the outside auditors for the corporation (or any entity controlled by the corporation) and 2.2.17 In other cases when required by law or as otherwise provided in these Bylaws. The Class A Shareholder, prior to exercising any of the reserved powers set forth above, shall notify the Class B Shareholder (provided such action is not taken at a duly called meeting of the shareholders, Board of Directors or any designated committee). 2.3 Class B Shareholders' Reserved Powers. The Class B Shareholders shall have the reserved powers set forth in this Section 2.3. The corporation's Board of Directors may recommend action to the Class B Shareholders with respect to the reserved powers set forth in this Section 2.3. The Class B Shareholders may, notwithstanding any other provision of these Bylaws or the Articles, act jointly, within their sole and exclusive powers and discretion, elect and/or remove the Class B Shareholder-appointed members of the corporation's Board of Directors pursuant to Article VI of these Bylaws. 2.4 Compliance with Spectrum Health Policies. Notwithstanding anything contained in these Bylaws to the contrary, the corporation and its subsidiaries shall at all times comply with and implement Spectrum Health policies and procedures approved by the Chief Executive Officer of Spectrum Health, or his/her designee as being specifically applicable to the corporation, except to the extent that such compliance and/or implementation would (a) materially and negatively impact the rights, powers, or preferences of the Class B Shareholders; or (b) be noncompliant with applicable laws and/or regulations. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The review process for this Form 990 is as follows: 1. Preparation of the return is supervised and reviewed by the organization's Corporate Tax Manager. 2. A second review is performed by an external CPA firm with expertise in tax-exempt return preparation. 3. The return is reviewed by the organization's finance and legal departments (Including the SVP, Finance; SVP, General Counsel; VP, Controller) and shared with the members of the finance committee and board of directors. 4. The organization's SVP, Finance reviews comments or questions received by members of the Board of Directors, if any, to address or to incorporate, as appropriate, into the return prior to filing. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD OF DIRECTORS 1. Conflicts of interest must be disclosed, BOTH VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS as well as verbally at a board meeting prior to discussion of any agenda item with regard to which a board member has a conflict. 2. A person having a financial interest in a proposed transaction or arrangement may make a presentation at a meeting of the Board of Directors or committee considering that transaction or arrangement, but after that presentation he or she shall leave the meeting during discussion and voting on that proposed transaction or arrangement. The person having the financial interest shall not be counted in determining whether a quorum is present. 3. The chairperson of the Board of Directors or committee shall, if appropriate, appoint a disinterested person or committee (including outside advisors) to investigate alternatives to the proposed transaction or arrangement, and to advise whether the proposed transaction or arrangement is in the organization's best interest. 4. The Board of Directors or committee shall exercise due diligence to determine whether the organization can, with reasonable efforts, obtain a more advantageous transaction or arrangement that would not give rise to a conflict of interest. 5. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board of Directors or committee shall determine by a majority vote of the disinterested directors and members whether the proposed transaction or arrangement is in the organization's best interest and for its own benefit and whether the transaction is fair and reasonable to the organization, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 6. The minutes of the meetings of the Board of Directors and all of the organization's committees shall set forth: a)The names of the persons who disclosed a financial interest in a proposed transaction or arrangement involving the organization or any of its subsidiaries and the nature of the financial interest; and b)The names of the persons who were present for discussions and votes relating to such transaction or arrangement, including any discussion of alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with that matter. The votes of individual members need not be recorded unless otherwise directed by the Board of Directors or committee. 7. There is an ongoing requirement that members of the board of directors complete another disclosure questionnaire at any point during his/her tenure on the board of directors when a new potential conflict of interest arises. If a member of the board of directors completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the legal, organizational integrity, internal audit, and human resources departments for review. MANAGEMENT 1. Upon acceptance of an employment offer, each member of management completes a conflict of interest disclosure questionnaire. A copy of the member of management's disclosure questionnaire is sent to the Organizational Integrity Department. A copy of the member of management's disclosure is reviewed by the organization's COI coordinator and escalated to the COI Committee if necessary. 2. Annually, each member of management completes an annual conflict of interest disclosure questionnaire electronically. The disclosure questionnaire is reviewed by the legal, organizational integrity, internal audit, and human resources departments. 3. There is an ongoing requirement that members of management complete another disclosure questionnaire at any point during his/her employment when a new potential conflict of interest arises. If a member of management completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the legal, organizational integrity, internal audit, and human resources departments. 4. The legal, organizational integrity, internal audit, and human resources departments, in consultation with executive management, determine how any reported conflicts should be managed. Management of a conflict may take a variety of different forms from implementation of a management plan to requiring that the member of management cease the activity creating the conflict or, in extreme cases, leave the organization's employment. Management is determined on an individual basis based upon the facts and circumstances surrounding the disclosure. The purpose of conflict management is to provide transparency within the organization and to ensure that the organization's employees are always acting in the best interest of the organization. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The Spectrum Health System Board of Directors (through its Executive Committee) uses the following process for determining compensation of the top management official, other officers, and key employees at Priority Health. Labor market data reflecting comparable organizations and jobs (prepared by independent firms) are relied upon. Competitive assessment reports are provided to the Executive Committee in advance of meetings. The competitive assessment report is prepared by a nationally known independent executive compensation firm. For calendar 2016 (1/1/16-12/31/16), four health care executive compensation surveys, three medical group surveys, two pediatric hospital surveys and one health plan survey prepared by independent firms were the primary sources referenced to obtain market data for the review: * American Medical Group Association: 2015 Medical Group Compensation & Financial Survey * Integrated Healthcare Strategies: 2015 Children's Hospitals Executive Compensation Survey * Integrated Healthcare Strategies: 2015 Health Care Executive Compensation Survey * Mercer Human Resources Consulting: 2015 Integrated Health Networks Compensation Survey * Medical Group Management Association: 2015 Management Compensation Survey * Sullivan, Cotter and Associates: 2015 Survey of Manager and Executive Compensation in Hospitals and Health Systems * Sullivan, Cotter and Associates: 2015 Custom Survey of Manager and Executive Compensation in Children's Hospitals * Sullivan, Cotter and Associates: 2015 Physician Compensation and Productivity Survey Report * Towers Watson: 2015 Hospital and Health Care Management Compensation Survey Report * Warren: Fall 2015 HMO Salary Survey In addition, one retirement community survey and four general industry surveys were referenced: * Rodeghero Consulting Group, Inc.: 2015 AAHA-CEMO Leadership Compensation Survey * Mercer: 2015 Executive Compensation Survey * Mercer: 2015 Information Technology Survey * Mercer: 2015 Human Resources Survey * Towers Watson: 2015 Top Management Compensation Report In addition to the above data sources, the Executive Committee approved the creation of a custom peer group of high performing integrated health systems to ensure robust data and a relevant comparator universe. The peer group organizations are approved by the Executive Committee and consist of double A bond rated and / or Truven top quintile organizations. Data for the peer group organizations is compiled by the independent executive compensation firm. Compensation adjustments are approved by Executive Committee members, consistent with the Spectrum Health compensation philosophy described below. Minutes of Committee discussions and decisions are prepared to memorialize Executive Committee decisions based upon the above data. Cash compensation data relied upon by the Executive Committee is national and reflects the compensation paid to executives in comparable jobs in comparably-sized health care and / or health insurance organizations. Spectrum Health recruits nationally for its executives. Benefits data reflect national health care / health insurance market practices. Geographic pay differential and cost of living data indicates consistency with national data. This process is intended to assist Spectrum Health in qualifying for the rebuttable presumption of reasonableness (Intermediate Sanctions Regulations) and complying with the potential Spectrum Health Excess Benefit Transaction Policy for those individuals in the group who are disqualified persons. The opinion submitted from the third party independent consulting firm is in accordance with the provisions of Treasury Regulations Section 53.4958-6(c)(2) and is also intended to satisfy the professional advice requirement of Treasury Regulations Section 53.4958-1(d)(4)(iii). |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | See explanation provided for Form 990, Part VI, Line 15a. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization's Articles of Incorporation and Statutory Financial Statements are on file with the State of Michigan and available to the public on the State's website. The organization's bylaws and internal policies are generally not made available to the public. The overall system consolidated financial statements are provided at www.spectrumhealth.org in the section titled "about us." Financial performance is discussed at an annual public meeting held and posted to www.spectrumhealth.org annually (under the section titled "about us"). |
| Form 990, Part VII, Section A, Line 2 Individuals Compensated more than $100,000 | There are no individuals reported due to the integration with Spectrum Health System. Refer to the disclosure for Form 990, Part V, Line 2a for further detail. |
| Form 990, Part VII, Section A COMPENSATION OF DIRECTORS | BASED ON EXTERNAL OPINION BY SULLIVAN COTTER AND ASSOCIATES, INC., PRIORITY HEALTH COMPENSATES BOARD MEMBERS IN A MANNER THAT IS REASONABLE IN RELATION TO MARKET DATA. BOARD OF DIRECTORS COMPENSATION IS REVIEWED ANNUALLY BY INTERNAL STAFF TO CONFIRM COMPENSATION FALLS WITHIN REASONABLE LIMITS. ANY COMPENSATION AMOUNT IS TREATED AS TAXABLE TO THE BOARD MEMBER AND IS REPORTED AND PROVIDED TO THEM ON FORM 1099, AS REQUIRED ACCORDING TO THE REPORTING THRESHOLDS. CERTAIN BOARD MEMBERS ARE EMPLOYED BY A RELATED ORGANIZATION. COMPENSATION REPORTED IN PART VII, SECTION A, COLUMN E IS FOR SERVICES PERFORMED FOR THE RELATED ORGANIZATION, NOT THE FILING ORGANIZATION. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in nonadmitted assets - -18120977; Net unrealized gain(loss) on subsidiaries - 13615474; Change in surplus notes - -6039572; |
| Form 990, Part XII, Line 2b Audited Financial Statements | The organization's financial statements are audited annually by an independent accounting firm. The organization issued GAAP basis financial statements which are prepared on a consolidated basis and not on a stand alone basis. The organization is audited annually on a stand alone basis and issued financial statements on a stand alone basis which are prepared in accordance with SAP (Statutory Accounting Principles), as required by regulatory authorities. The figures in this Form 990 reconcile to the financial statements prepared under statutory accounting principles as submitted to the State of Michigan and the National Association of Insurance Commissioners (NAIC). |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHMB PROPERTIES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 EAST BELTLINE NE | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49525 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382715520 | EIN |
| Primary Activities | PROP. MGMT | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Total Income | $3,356,461 | TotalIncomeAmt |
| End Of Year Assets | $24,094,079 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIORITY HEALTH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SPECTRUM HEALTH SYSTEM | ||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 383382353 | MANAGEMENT | MI | 501(c)(3) | Type III-FI | NA | false |
| SPECTRUM HEALTH HOSPITALS | ||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 381360529 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH PRIMARY CARE PTNRS | ||||||||||
| 1840 WEALTHY STREET SE | GRAND RAPIDS | MI | 49506 | 381358164 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH FOUNDATION | ||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 382752328 | PHILANTHROPY | MI | 501(c)(3) | 7 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH CONTINUING CARE | ||||||||||
| 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 383242232 | REHAB/CARE | MI | 501(c)(3) | 10 | SPECTRUM HEALTH SYSTEM | false |
| TRINITY HEALTH PLANS | ||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382663747 | HMO MGMT | MI | 501(c)(4) | PRIORITY HEALTH | Yes (true) | |
| PRIORITY HEALTH CHOICE INC | ||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 320016523 | HMO (MEDICAID) | MI | 501(c)(3) | 10 | PRIORITY HEALTH | Yes (true) |
| REED CITY HOSPITAL CORPORATION | ||||||||||
| 300 N PATTERSON RD | REED CITY | MI | 49677 | 382770076 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION | ||||||||||
| 212 S SULLIVAN AVENUE | FREMONT | MI | 49412 | 381359517 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| ZEELAND COMMUNITY HOSPITAL | ||||||||||
| 8333 FELCH STREET | ZEELAND | MI | 49464 | 381411184 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH UNITED | ||||||||||
| 615 S BOWER | GREENVILLE | MI | 48838 | 381358412 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| MECOSTA COUNTY MEDICAL CENTER | ||||||||||
| 605 OAK STREET | BIG RAPIDS | MI | 49307 | 381368744 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | ||||||||||
| 1 N ATKINSON DR | LUDINGTON | MI | 49431 | 381359266 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| PENNOCK HOSPITAL | ||||||||||
| 1009 West Green Street | Hastings | MI | 49058 | 381360562 | HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIORITY HEALTH INSURANCE COMPANY | ||||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 201529553 | INSURANCE | MI | PRIORITY HEALTH | C Corporation | $265,474,992 | $110,923,017 | 0.01 | Yes (true) |
| PRIORITY HEALTH MANAGED BENEFITS | ||||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 383085182 | THIRD PARTY ADMINISTRATOR | MI | NA | C Corporation | false | |||
| MICHIGAN MEDICAL PATIENT CARE | ||||||||||||
| 1840 WEALTHY ST SE | GRAND RAPIDS | MI | 49506 | 382851295 | MEDICAL | MI | NA | C Corporation | false | |||
| WEST MICHIGAN HEART | ||||||||||||
| 2900 BRADFORD STREET NE | GRAND RAPIDS | MI | 49525 | 382125186 | PHYSICIANS | MI | NA | C Corporation | false | |||
| SPECTRUM HEALTH PHYSICIAN ALLIANCE | ||||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 371655728 | PHYSICIANS | MI | NA | C Corporation | false | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PRIORITY HEALTH CHOICE INC | ||
| R | $2,062,856 | GAAP, CASH, OR FMV |
| PRIORITY HEALTH CHOICE INC | ||
| L | $267,610 | GAAP, CASH, OR FMV |
| PRIORITY HEALTH INSURANCE COMPANY | ||
| R | $4,281,813 | GAAP, CASH, OR FMV |
| PRIORITY HEALTH INSURANCE COMPANY | ||
| L | $258,398 | GAAP, CASH, OR FMV |
| PRIORITY HEALTH INSURANCE COMPANY | ||
| A | $268,939 | GAAP, CASH, OR FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part II, Column (g) SECTION 512(B)(13) CONTROLLED ENTITY | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, SPECTRUM HEALTH SYSTEM. | ExplanationTxt |