STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNIVERSITY OF MICHIGAN HEALTH PLAN: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF MICHIGAN HEALTH PLAN (EIN 38-2356288)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-10
IRS object ID
201513149349301601
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-10T09:20:44-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383133790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14295 OKEMOS RD STE 200AddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP488646201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382356288EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS REESEPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone5173648400PhoneNum
Signature2015-11-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK E HOOPERPreparerPersonNm
PTINP00039887PTIN
Phone5177060800PhoneNum
Preparation2015-11-03PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDENNIS SWANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11215 E MICHIGAN AVENUEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48912ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$162,449,737GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.PHPMICHIGAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee116TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$195,352,910PYProgramServiceRevenueAmt
CY Program Service Revenue$158,456,463CYProgramServiceRevenueAmt
PY Investment Income$2,346,464PYInvestmentIncomeAmt
CY Investment Income$3,361,517CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$197,699,374PYTotalRevenueAmt
CY Total Revenue$161,817,980CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$180,398,538PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$141,494,444CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,869,700PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,456,099CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,428,154PYOtherExpensesAmt
CY Other Expenses$11,309,827CYOtherExpensesAmt
PY Total Expenses$194,696,392PYTotalExpensesAmt
CY Total Expenses$158,260,370CYTotalExpensesAmt
PY Revenues Less Expenses$3,002,982PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,557,610CYRevenuesLessExpensesAmt
Total Assets BOY$89,679,813TotalAssetsBOYAmt
Total Assets EOY$94,236,687TotalAssetsEOYAmt
Total Liabilities BOY$25,054,855TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,625,539TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$64,624,958NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$67,611,148NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$152,399,681ExpenseAmt
Revenue$158,456,463RevenueAmt
DescPHYSICIANS HEALTH PLAN (PHP) IS OWNED BY SPARROW HEALTH SYSTEM (SPARROW) AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. PHP IS PRIMARILY A COMMERCIAL HMO AND ALSO OPERATES THREE SUBSIDIARIES, PHP INSURANCE COMPANY (PHPIC) A COMMERCIAL INSURANCE COMPANY, SPARROW PHP (SPHP) A MICHIGAN MEDICAID MANAGED CARE PLAN, AND PHP SERVICE COMPANY (TPA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC, TPA, AND SPHP. PHPS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, AND ISABELLA. PHPIC OFFERS PRODUCTS ACROSS MICHIGAN. THE SPARROW PHP PRODUCT IS AVAILABLE TO MEDICAID ENROLLEES IN EATON, CLINTON, INGHAM, IONIA, MONTCALM, ISABELLA, AND SHIAWASSEE COUNTIES. AS OF DECEMBER 31, 2014, THERE WERE APPROXIMATELY 30,100 ENROLLEES IN PHPS COMMERCIAL HMO, 14,600 IN TPA, 10,600 IN PHPIC, AND 19,700 ENROLLEES IN SPHP. PHP ALSO OPERATES THE STATE OF MICHIGANS PRE-EXISTING CONDITION INSURANCE PLAN CALLED HIP MICHIGAN. THE HIP PROGRAM WAS TERMINATED EFFECTIVE JUNE 30, 2013. PHP AND SPHP CONTRACT DIRECTLY WITH PHYSICIANS HEALTH NETWORK (PHN), A WHOLLY OWNED SUBSIDIARY OF SPARROW. THE PHP NETWORK IS APPROXIMATELY 1,047 PRIMARY CARE PHYSICIANS, 1,976 SPECIALTY CARE PHYSICIANS, 837 ALLIED HEALTH PROFESSIONALS, AND 974 ORGANIZATIONAL PROVIDERS THAT INCLUDE 45 HOSPITALS. PHP CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. PHPS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. PHPS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THE HMO/HDN CONTRACTUAL ARRANGEMENTS ALLOW PHP TO ARRANGE FOR HEALTHCARE TO PATIENTS COVERED BY THE STATE OF MICHIGANS MEDICAID BENEFIT PLAN. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. PHP MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY A HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS, TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: - DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES, - QUALITY OF CARE CONCERNS, AND - HEDIS MEASURES: THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLAN PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: DIABETES, ASTHMA, DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, BREAST AND CERVICAL CANCER SCREENINGS, USE OF BETA-BLOCKERS AFTER HEART ATTACKS, CHILD AND ADOLESCENT IMMUNIZATIONS, CHOLESTEROL MANAGEMENT, CONTROLLING HIGH BLOOD PRESSURE, SMOKING CESSATION, PRENATAL AND POSTPARTUM CARE, AND TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. PHP MEASURES THE QUALITY OF SERVICE PROVIDED TO ITS ENROLLEES BY THE REVIEW OF PERFORMANCE MEASURES RELATED TO: - ACCESS AND AVAILABILITY OF PROVIDERS, - ENROLLEE COMPLAINTS AND APPEALS, - CUSTOMER SERVICE TELEPHONE ACCESS PERFORMANCE, AND - MEMBER ASSESSMENT: THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY GIVES A GENERAL INDICATION OF HOW WELL THE ORGANIZATION MEETS MEMBERS EXPECTATIONS. THE PHP QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. PHP RECEIVED THE HIGHEST RATING OF EXCELLENT FROM THE UTILIZATION REVIEW ACCREDITATION COMMITTEE (URAC). THIS STATUS IS GRANTED TO HEALTHCARE PLANS THAT HAVE DEMONSTRATED CONTINUOUS QUALITY IMPROVEMENT IN THEIR PROGRAMS WHILE MEETING OR EXCEEDING URAC'S RIGOROUS ACCREDITATION STANDARDS. SPARROW PHP RECEIVED AN "EXCELLENT" RATING. PHP AND SPARROW PHP WERE REVIEWED BY URAC IN 2012.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$174,861ExpenseAmt
DescPHYSICIANS HEALTH PLAN ESTABLISHED AND OPERATES A TEMPORARY HIGH RISK HEALTH INSURANCE POOL PROGRAM (PHP-HRPP) IN MICHIGAN TO PROVIDE AFFORDABLE HEALTH INSURANCE COVERAGE TO CURRENTLY UNINSURED INDIVIDUALS WITH PRE- EXISTING CONDITIONS. IT IS PART OF A FEDERAL PROGRAM ESTABLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) IN RESPONSE TO THE AFFORDABLE CARE ACT. THE PROGRAM PROVIDES COVERAGE FOR ELIGIBLE INDIVIDUALS BEGINNING OCTOBER 1, 2010, THROUGH AND ENDING JUNE 30, 2013. AS OF DECEMBER 31, 2014, THERE WERE NO MEMBERS ENROLLED IN THE PROGRAM.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$152,574,542TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee116EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS REESEPersonNm
Phone5173648400PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DENNIS SWAN
PRES/CEO - S1.0040.00Yes (X)$0$853,448$33,430
MARK BRETT
DIRECTOR1.0040.00Yes (X)$0$437,616$39,529
PETER GRAHAM MD
MEDICAL DIRE40.005.00Yes (X)$0$293,996$36,042Yes (X)
TIMOTHY HODGE DO
DIRECTOR1.001.00Yes (X)$0$1,500$0
MARYLEE DAVIS PHD
CHAIR/DIRECT2.002.00Yes (X)$0$1,350$0Yes (X)
DAVID KAUFMAN DO
DIRECTOR1.0040.00Yes (X)$0$1,350$0
JAMES BUTLER III
BOARD CHAIR1.001.00Yes (X)$0$1,350$0Yes (X)
JUDITH CARDENAS PHD
DIRECTOR1.001.00Yes (X)$0$0$0
DIANA RODRIGUEZ ALGRA
SECRETARY/DI1.001.00Yes (X)$0$0$0Yes (X)
PATRICK MCPHARLIN
DIRECTOR1.001.00Yes (X)$0$0$0
KENNETH RUDMAN MD
DIRECTOR1.001.00Yes (X)$0$0$0Yes (X)
KATHLEEN CONKLIN
DIRECTOR1.001.00Yes (X)$0$0$0Yes (X)
THOMAS HOFMAN PHD
DIRECTOR1.001.00Yes (X)$0$0$0Yes (X)
DEBORAH MUCHMORE
DIRECTOR1.001.00Yes (X)$0$0$0
DENNIS REESE
PRESIDENT &40.005.00$0$289,302$36,562Yes (X)
KEVIN KAPLAN
VP SALES40.005.00$0$169,955$26,827Yes (X)
ANN HUNT-FUGATE RPH
MGR CLINICAL40.005.00$138,667$0$28,287Yes (X)
KEVIN ESSENMACHER
CONTROLLER40.005.00$0$134,470$28,048Yes (X)
PAULA HOWARD
SENIOR SALES40.005.00$133,174$0$24,513Yes (X)
LINDA DICKINSON
DIR OF MED R40.005.00$0$130,643$25,502Yes (X)
SCOTT WILKERSON
FORMER PRES/0.000.00$0$364,095$19,240Yes (X)
THOMAS OSTRANDER
FORMER DIREC0.0040.00$0$335,657$39,540Yes (X)
LARRY RAWSTHORNE MD
FORMER DIREC0.0040.00$0$268,065$34,628Yes (X)
DAWN SPRINGER MD
FORMER DIREC0.0040.00$0$202,106$15,681Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$271,841TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,484,903TotReportableCompRltdOrgAmt
Total Other Compensation$387,829TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TRIZETTO
1085 MORRIS AVENUEUNIONNJ07083HEALTHCARE IT$6,468,647
HIGHPOINT SOLUTIONS
301 E GERMANTOWN PIKEEAST NORRITONPA19401CONSULTING$1,188,268
TC3 HEALTH INC
1901 E ALTON AVE SUITE 100SANTA ANACA92705COST MGTMT.$1,026,405
GLOBALCARE INC
6875 SHILOH RD EALPHARETTAGA300058403HEALTH$949,422
MILLIMAN
15800 BLUEMOUND RD SUITE 100BROOKFIELDWI53005CONSULTING$898,735
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREPAID HEALTHCAREDesc
Business621990BusinessCd
Total Revenue Column$158,456,463TotalRevenueColumnAmt
Related Or Exempt Func Income$158,456,463RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$158,456,463TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,355,811TotalRevenueColumnAmt
Related Or Exempt Func Income$611,306RelatedOrExemptFuncIncomeAmt
Exclusion$744,505ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,637,463SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$631,757SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,005,706SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,005,706TotalRevenueColumnAmt
Exclusion$2,005,706ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$161,817,980TotalRevenueColumnAmt
Related Or Exempt Func Income$159,067,769RelatedOrExemptFuncIncomeAmt
Exclusion$2,750,211ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$141,494,444TotalAmt
Program Services$141,494,444ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$655,903TotalAmt
Management And General$655,903ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,646,961TotalAmt
Program Services$3,257,267ProgramServicesAmt
Management And General$389,694ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$179,243TotalAmt
Program Services$135,687ProgramServicesAmt
Management And General$43,556ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$703,597TotalAmt
Program Services$532,623ProgramServicesAmt
Management And General$170,974ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$270,395TotalAmt
Program Services$204,689ProgramServicesAmt
Management And General$65,706ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,708,833TotalAmt
Management And General$2,708,833ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,580TotalAmt
Program Services$89,765ProgramServicesAmt
Management And General$28,815ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$264,649TotalAmt
Program Services$264,649ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$104,895TotalAmt
Management And General$104,895ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,198,872TotalAmt
Program Services$1,198,872ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$390,489TotalAmt
Program Services$295,600ProgramServicesAmt
Management And General$94,889ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$339,294TotalAmt
Program Services$256,846ProgramServicesAmt
Management And General$82,448ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$490,259TotalAmt
Program Services$371,126ProgramServicesAmt
Management And General$119,133ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$88,689TotalAmt
Management And General$88,689ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,038TotalAmt
Management And General$46,038ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,904TotalAmt
Management And General$1,904ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$994,705TotalAmt
Program Services$994,705ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,734TotalAmt
Program Services$48,734ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS$3,023,417$2,288,725$734,692
BROKER COMMISSONS$965,949$965,949
ADMINISTRATIVE EXPENSES$349,659$349,659
HHS HRPP REIMBURSEMENT$174,861$174,861

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$158,260,370TotalAmt
Program Services$152,574,542ProgramServicesAmt
Management And General$5,685,828ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$36,960,522BOYAmt
EOY$40,868,943EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,991,862BOYAmt
EOY$2,794,193EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,482,488BOYAmt
EOY$808,083EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,240,112LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,714,223LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,093,805BOYAmt
EOY$6,525,889EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$22,003,000BOYAmt
EOY$23,629,017EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$16,885,749BOYAmt
EOY$17,997,054EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,262,387BOYAmt
EOY$1,613,508EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$89,679,813BOYAmt
EOY$94,236,687EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,605,184BOYAmt
EOY$23,279,491EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$410,050BOYAmt
EOY$1,421,575EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,039,621BOYAmt
EOY$1,924,473EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,054,855BOYAmt
EOY$26,625,539EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$64,624,958BOYAmt
EOY$67,611,148EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,624,958BOYAmt
EOY$67,611,148EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,679,813BOYAmt
EOY$94,236,687EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,557,610ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$571,420NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,184,706BeginningYearBalanceAmt
Contributions$200,567ContributionsAmt
Investment Earnings Or Losses$40,893InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,000GrantsOrScholarshipsAmt
End Year Balance$3,411,165EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,926,676BeginningYearBalanceAmt
Contributions$82,387ContributionsAmt
Investment Earnings Or Losses$187,643InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,000GrantsOrScholarshipsAmt
End Year Balance$3,184,706EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,641,860BeginningYearBalanceAmt
Contributions$147,795ContributionsAmt
Investment Earnings Or Losses$149,021InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,000GrantsOrScholarshipsAmt
End Year Balance$2,926,676EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,779,759BeginningYearBalanceAmt
Contributions$796,243ContributionsAmt
Investment Earnings Or Losses$97,691InvestmentEarningsOrLossesAmt
Grants Or Scholarships$30,000GrantsOrScholarshipsAmt
Administrative Expenses$1,833AdministrativeExpensesAmt
End Year Balance$2,641,860EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,550,687BeginningYearBalanceAmt
Contributions$163,793ContributionsAmt
Investment Earnings Or Losses$65,279InvestmentEarningsOrLossesAmt
End Year Balance$1,779,759EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,387,041OtherCostOrOtherBasisAmt
Depreciation$3,164,602DepreciationAmt
Book Value$1,222,439BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,397,176OtherCostOrOtherBasisAmt
Depreciation$17,549,621DepreciationAmt
Book Value$4,847,555BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,525,889TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN PHP INSURANCE COMPANY$9,056,769C
INVESTMENT IN SPARROW PHP$8,664,448C
INVESTMENT IN PHP SERVICE COMPANY$275,837C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$17,997,054TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLEDesc
Amt$1,924,473Amt
FieldValueIRS element (for citing)
Total Liability$1,924,473TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$160,740,123TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$571,420NetUnrealizedGainsInvstAmt
Revenue Not Reported-$571,420RevenueNotReportedAmt
Revenue Subtotal$161,311,543RevenueSubtotalAmt
Other Revenues Not Included$506,437OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$506,437RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$161,817,980TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$157,753,933TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$157,753,933ExpensesSubtotalAmt
Other Expenses Not Included$506,437OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$506,437ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$158,260,370TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4PHP DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW CLINTON HOSPITAL AND SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF PHP, SPARROW CLINTON HOSPITAL, AND SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENT.
SCHEDULE D, PAGE 4, PART XI, LINE 4BRECLASS BETWEEN REVENUE & EXPENSE 506,437
SCHEDULE D, PAGE 4, PART XII, LINE 4BRECLASS BETWEEN REVENUE AND EXPENSE 506,437
SCHEDULE D, PAGE 4, PART XIIISEPARATE AUDITED FINANCIAL STATEMENTS WERE PREPARED FOR PHYSICIANS HEALTH PLAN UNDER STATUTORY ACCOUNTING PRINCIPLES AS PERMITTED BY THE MICHIGAN DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS). THE DIFS REQUIRES THAT INSURANCE COMPANIES DOMICILED IN THE STATE OF MICHIGAN PREPARE THEIR STATUTORY-BASIS FINANCIAL STATEMENTS IN ACCORDANCE WITH PRACTICES ESTABLISHED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS. THESE PRACTICES DIFFER IN SOME RESPECTS FROM U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. PHYSICIANS HEALTH PLAN WAS INCLUDED AS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN. THE SPARROW HEALTH SYSTEM FINANCIAL STATEMENTS WERE PREPARED USING THE U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE FORM 990 FOR PHYSICIANS HEALTH PLAN HAS BEEN PREPARED USING U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
DENNIS SWAN
PRES/CEO - SHS$818,019$35,429$19,240$14,190$886,878
MARK BRETT
DIRECTOR$416,594$21,022$23,250$16,279$477,145
PETER GRAHAM MD
MEDICAL DIRECTOR$286,648$2,037$19,240$16,802$330,038$5,311
DENNIS REESE
PRESIDENT & CEO$232,958$1,344$22,349$14,213$325,864$55,000
KEVIN KAPLAN
VP SALES$154,852$117$10,285$16,542$196,782$14,986
ANN HUNT-FUGATE RPH
MGR CLINICAL PHARM$138,278$389$10,261$18,026$166,954
KEVIN ESSENMACHER
CONTROLLER$134,392$78$11,610$16,438$162,518
PAULA HOWARD
SENIOR SALES REP$130,083$91$12,191$12,322$157,687$3,000
LINDA DICKINSON
DIR OF MED RES MGMT$130,249$394$11,533$13,969$156,145
SCOTT WILKERSON
FORMER PRES/CEO/SEC$363,982$113$19,240$383,335
THOMAS OSTRANDER
FORMER DIRECTOR$315,259$20,398$23,250$16,290$375,197
LARRY RAWSTHORNE MD
FORMER DIRECTOR$255,348$12,717$19,240$15,388$302,693
DAWN SPRINGER MD
FORMER DIRECTOR$160,553$3,245$14,956$725$217,787$38,308

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN. SPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES.
SCHEDULE J, PAGE 1, PART I, LINE 4SCOTT WILKERSON 364,095 0 0
SCHEDULE J, PAGE 1, PART I, LINE 5ATHE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHP, AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 5BTHE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHP, AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6ATHE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHP, AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6BTHE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHP, AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 7COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET.
SCHEDULE J, PART IIITHOMAS OSTRANDER, LARRY RAWSTHORNE, AND DAWN SPRINGER ARE FORMER BOARD MEMBERS OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN AS BOARD MEMBERS OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO PHYSICIANS HEALTH PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FORM 990, PAGE 2, PART III, LINE 4APRODUCTS ACROSS MICHIGAN. THE SPARROW PHP PRODUCT IS AVAILABLE TO MEDICAID ENROLLEES IN EATON, CLINTON, INGHAM, IONIA, MONTCALM, ISABELLA, AND SHIAWASSEE COUNTIES. AS OF DECEMBER 31, 2014, THERE WERE APPROXIMATELY 30,100 ENROLLEES IN PHPS COMMERCIAL HMO, 14,600 IN TPA, 10,600 IN PHPIC, AND 19,700 ENROLLEES IN SPHP. PHP ALSO OPERATES THE STATE OF MICHIGANS PRE-EXISTING CONDITION INSURANCE PLAN CALLED HIP MICHIGAN. THE HIP PROGRAM WAS TERMINATED EFFECTIVE JUNE 30, 2013. PHP AND SPHP CONTRACT DIRECTLY WITH PHYSICIANS HEALTH NETWORK (PHN), A WHOLLY OWNED SUBSIDIARY OF SPARROW. THE PHP NETWORK IS APPROXIMATELY 1,047 PRIMARY CARE PHYSICIANS, 1,976 SPECIALTY CARE PHYSICIANS, 837 ALLIED HEALTH PROFESSIONALS, AND 974 ORGANIZATIONAL PROVIDERS THAT INCLUDE 45 HOSPITALS. PHP CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. PHPS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. PHPS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THE HMO/HDN CONTRACTUAL ARRANGEMENTS ALLOW PHP TO ARRANGE FOR HEALTHCARE TO PATIENTS COVERED BY THE STATE OF MICHIGANS MEDICAID BENEFIT PLAN. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. PHP MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY A HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS, TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: - DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES, - QUALITY OF CARE CONCERNS, AND - HEDIS MEASURES: THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLAN PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: DIABETES, ASTHMA, DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, BREAST AND CERVICAL CANCER SCREENINGS, USE OF BETA-BLOCKERS AFTER HEART ATTACKS, CHILD AND ADOLESCENT IMMUNIZATIONS, CHOLESTEROL MANAGEMENT, CONTROLLING HIGH BLOOD PRESSURE, SMOKING CESSATION, PRENATAL AND POSTPARTUM CARE, AND TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. PHP MEASURES THE QUALITY OF SERVICE PROVIDED TO ITS ENROLLEES BY THE REVIEW OF PERFORMANCE MEASURES RELATED TO: - ACCESS AND AVAILABILITY OF PROVIDERS, - ENROLLEE COMPLAINTS AND APPEALS, - CUSTOMER SERVICE TELEPHONE ACCESS PERFORMANCE, AND - MEMBER ASSESSMENT: THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY GIVES A GENERAL INDICATION OF HOW WELL THE ORGANIZATION MEETS MEMBERS EXPECTATIONS. THE PHP QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. PHP RECEIVED THE HIGHEST RATING OF EXCELLENT FROM THE UTILIZATION REVIEW ACCREDITATION COMMITTEE (URAC). THIS STATUS IS GRANTED TO HEALTHCARE PLANS THAT HAVE DEMONSTRATED CONTINUOUS QUALITY IMPROVEMENT IN THEIR PROGRAMS WHILE MEETING OR EXCEEDING URAC'S RIGOROUS ACCREDITATION STANDARDS. SPARROW PHP RECEIVED AN "EXCELLENT" RATING. PHP AND SPARROW PHP WERE REVIEWED BY URAC IN 2012.
FORM 990, PAGE 6, PART VI, LINE 6SPARROW HEALTH SYSTEM (SHS) IS THE PARENT AND SOLE MEMBER OF PHYSICIANS HEALTH PLAN AND HAS 100% OWNERSHIP.
FORM 990, PAGE 6, PART VI, LINE 7ATHE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF PHYSICIANS HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 7BTHE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF PHYSICIANS HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM. THE DECISIONS OF THE PHYSICIANS HEALTH PLAN BOARD OF DIRECTORS MAY BE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF SPARROW HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 11BCOPIES OF THE 2014 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF THE FORM 990 COPIES WERE PROVIDED AT THE SEPTEMBER 2015 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON.
FORM 990, PAGE 6, PART VI, LINE 12C1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON).
FORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.
FORM 990, PAGE 6, PART VI, LINE 15BTHE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS FOLLOWS: THE GOVERNING DOCUMENTS OF PHP ARE SUBMITTED TO THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS). THOSE ARE PUBLICLY AVAILABLE TO INTERESTED PARTIES. THE CONFLICT OF INTEREST IS AVAILABLE THROUGH SPARROW HEALTH SYSTEM BY REQUESTING THE POLICY FROM THE SPARROW COMPLIANCE OFFICER.
FORM 990, PART XI, LINE 9RECLASS BETWEEN REVENUE & EXPENSE -506,437 RECLASS BETWEEN REVENUE AND EXPENSE 506,437

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SPARROW HEALTH SYSTEM
1215 E MICHIGAN AVENUELANSINGMI48912382542859PARENTMI501C311AN/Afalse
SPARROW PHP
1400 E MICHIGAN AVENUELANSINGMI48912364497604HMOMI501C4Yes (true)PHP
PHYSICIANS HEALTH NETWORK
1400 E MICHIGAN AVENUELANSINGMI48912382594856HMOMI501C4Yes (true)SHS
SPARROW FOUNDATION
1110 E MICHIGAN AVENUELANSINGMI48912386100687FUNDRAISEMI501C311BYes (true)SHS
SPARROW COMMUNITY CARE
2909 E GRAND RIVERLANSINGMI48912382543305HOME HLTHMI501C39Yes (true)SHS
SPARROW CLINTON HOSPITAL
805 S OAKLAND STREETST JOHNSMI48879381358172HLTH CAREMI501C33Yes (true)SHS
EDWARD W SPARROW HOSPITAL
1215 E MICHIGAN AVENUELANSINGMI48912381360584HLTH CAREMI501C33Yes (true)SHS
SPARROW IONIA HOSPITAL
3565 S STATE RDIONIAMI48846383218134HLTH CAREMI501C33Yes (true)SHS
SPARROW SPECIALTY HOSPITAL
1215 E MICH AVE 8W SPARROW TOWERLANSINGMI48912141885340LT ACUTEMI501C33Yes (true)SHS
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUELANSINGMI48912383075242RESEARCHMI501C34Yes (true)SHS

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PHP INSURANCE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912205565219INSURANCEMIPHPC CORP-$235,862$16,275,5271.00000Yes (true)
PHP SERVICE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912383344741MED SVSMIPHPC CORP-$75,782$3,317,1701.00000Yes (true)
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVENUELANSINGMI48912382595963RENTAL PROMIYes (true)N/A
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVDEAST LANSINGMI48823382886420HLTH CLUBMIYes (true)N/A
MAC RESTAURANT LLC
2900 HANNAH BLVDEAST LANSINGMI48823205120690RESTAURANTMIYes (true)N/A
MEDICAL CENTER WEST CONDO ASSOC
1100 W SAGINAW STLANSINGMI48915382635630CONDO ASSOMIYes (true)N/A
CLINTON SERVICES CORPORATION
805 S OAKLANDST JOHNSMI48879382494110SERVICESMIYes (true)N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PHYSICIANS HEALTH NETWORK
M$138,142,561COST
EDWARD W SPARROW HOSPITAL
L$1,974,086COST
EDWARD W SPARROW HOSPITAL
Q$2,565,385COST
SPARROW PHP
Q$5,555,727COST
PHP INSURANCE COMPANY
Q$5,650,227COST
PHP SERVICE CO (TPA)
Q$3,787,425COST