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UNIVERSITY OF MICHIGAN HEALTH PLAN: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF MICHIGAN HEALTH PLAN (EIN 38-2356288)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-14
IRS object ID
202513189349303556
Schema version
2024v5.0
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)
Return2025-11-14T10:07:21-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

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 Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382356288EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF MICHIGAN HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone5173648400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 N HAGADORN STE 1EAddressLine1Txt
CityEAST LANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48823ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHARON WILLIAMSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5173648400PhoneNum
Signature2025-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE M PFEIFLEPreparerPersonNm
PTINP00751307PTIN
Phone5177060800PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHARON WILLIAMSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 N HAGADORN STE 1EAddressLine1Txt
CityEAST LANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48823ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$155,408,433GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.UOFMHEALTHPLAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionUNIVERSITY OF MICHIGAN 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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee205TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$163,065,641PYProgramServiceRevenueAmt
CY Program Service Revenue$142,105,015CYProgramServiceRevenueAmt
PY Investment Income$1,393,061PYInvestmentIncomeAmt
CY Investment Income$837,273CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$164,458,702PYTotalRevenueAmt
CY Total Revenue$142,942,288CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$143,304,420PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$120,751,291CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,455,282PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,927,286CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$41,500,545PYOtherExpensesAmt
CY Other Expenses$44,666,775CYOtherExpensesAmt
PY Total Expenses$196,260,247PYTotalExpensesAmt
CY Total Expenses$178,345,352CYTotalExpensesAmt
PY Revenues Less Expenses-$31,801,545PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$35,403,064CYRevenuesLessExpensesAmt
Total Assets BOY$78,218,278TotalAssetsBOYAmt
Total Assets EOY$98,221,735TotalAssetsEOYAmt
Total Liabilities BOY$37,855,612TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,268,959TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$40,362,666NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,952,776NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionUNIVERSITY OF MICHIGAN 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$167,934,675ExpenseAmt
Revenue$142,105,015RevenueAmt
DescUNIVERSITY OF MICHIGAN HEALTH PLAN IS OWNED BY UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. UOFM HEALTH PLAN IS PRIMARILY A COMMERCIAL HMO AND ALSO OPERATES THREE SUBSIDIARIES, PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY, PHP MEDICARE (PHPMA), A MICHIGAN MEDICARE PLAN, AND PHP SERVICE COMPANY (PHPTA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC, PHPTA AND PHPMA. UOFM HEALTH PLANS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. UOFM HEALTH INSURANCE COMPANY OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2024, THERE WERE APPROXIMATELY 28,100 ENROLLEES IN UOFM HEALTH PLANS' COMMERCIAL HMO, 25,300 IN TPA, 2,300 IN UOFM HEALTH INSURANCE COMPANY, AND 8,300 ENROLLEES IN UM HEALTH MEDICARE. THE UOFM HEALTH PLAN NETWORK IS APPROXIMATELY 3,068 PRIMARY CARE PHYSICIANS, 5,503 SPECIALTY CARE PHYSICIANS, 3,906 ALLIED HEALTH PROFESSIONALS, 3,482 BEHAVIORAL HEALTH PROVIDERS AND 746 ORGANIZATIONAL PROVIDERS THAT INCLUDE 60 HOSPITALS. UOFM HEALTH PLAN CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. UOFM HEALTH PLANS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. UOFM HEALTH PLANS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. UOFM HEALTH PLAN MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. UOFM HEALTH PLAN OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. UOFM HEALTH PLAN OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE UOFM HEALTH PLAN NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. UOFM HEALTH PLAN MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: - DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES. - QUALITY OF CARE CONCERNS. - HEDIS MEASURES THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. UOFM HEALTH PLAN USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: - DIABETES, - ASTHMA, - DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, - BREAST AND CERVICAL CANCER SCREENING, - USE OF BETA-BLOCKERS AFTER HEART ATTACKS, - CHILD AND ADOLESCENT IMMUNIZATIONS, - CHOLESTEROL MANAGEMENT, - CONTROLLING HIGH BLOOD PRESSURE, - SMOKING CESSATION, - PRENATAL AND POSTPARTUM CARE, AND - TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. UOFM HEALTH PLAN 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 UOFM HEALTH PLAN QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 UOFM HEALTH PLAN RECEIVED FULL ACCREDITATION STATUS FROM URAC FOR BOTH HEALTH PLAN ACCREDITATION AND HEALTH PLAN ACCREDITATION WITH HEALTH INSURANCE MARKETPLACE. URAC ACCREDITATION SIGNIFIES AN ISSUER HAS UNDERGONE AND PASSED A RIGOROUS AND INDEPENDENT REVIEW OF ITS OPERATION, INCLUDING THE QUALITY OF CARE AND LEVEL OF SERVICE PROVIDED TO ENROLLEES. ACCREDITATION HEALTH PLAN STANDARDS INCORPORATE MARKET TRENDS AND ADDRESS MAJOR POLICY ISSUES WHILE ALIGNING WITH CORE REQUIREMENTS FOUND IN THE AFFORDABLE CARE ACT. UOFM HEALTH PLAN HAS BEEN ACCREDITED BY URAC UNDER THE HEALTH PLAN STANDARDS SINCE 2012. THE CURRENT ACCREDITATION IS EFFECTIVE THROUGH JULY 1, 2024 AT WHICH TIME REACCREDITATION WILL OCCUR.Desc
Total Program Service Expenses$167,934,675TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document211IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee205EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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)
PersonSHARON WILLIAMSPersonNm
Phone5173648400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 N HAGADORN STE 1EAddressLine1Txt
CityEAST LANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48823ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ERIC STRUCKO
TREASURER1.0040.00Yes (X)Yes (X)$0$1,414,102$224,131
MARGARET DIMOND
PRES/CEO-UMH1.0040.00Yes (X)Yes (X)$0$1,369,566$94,544
KEITH DICKEY
CHAIR1.0040.00Yes (X)Yes (X)$0$1,036,417$165,596
JAMES F DOVER
FMR PRES-UMH$0$1,051,835$35,605Yes (X)
IFTIKER AHMAD MD
FORMER DIREC0.0040.00$0$602,494$69,800Yes (X)
DOUGLAS EDEMA MD
DIRECTOR1.0040.00Yes (X)$0$582,711$35,437
JOSEPH RUTH
FORMER DIREC0.000.00$0$501,992$17,732Yes (X)
KIMBERLEY ROSS
DIRECTOR1.0040.00Yes (X)$0$460,117$53,695
DENNIS REESE
FORMER PRES0.000.00$436,478$0$68,256Yes (X)
PAULA REICHLE
FORMER TREAS0.000.00$0$472,508$27,205Yes (X)
TIMOTHY PETERSON M D
DIRECTOR40.001.00Yes (X)$0$420,764$14,262
WALTER BRIGGS
VP OPERATION40.005.00$199,463$0$52,296Yes (X)
PHYLLIS FISHER
VP OPERATION40.005.00$202,446$0$40,710Yes (X)
NICOLE WERNER
FORMER CFO0.000.00$202,632$0$34,310Yes (X)
KENNETH WALKER
DIR OF NETWO40.005.00$173,264$0$54,850Yes (X)
JENNIFER JOHNSTON
VP SALES & M40.005.00$198,649$0$22,434Yes (X)
ANN HUNT-FUGATE RPH
MGR CLINICAL40.005.00$173,227$0$42,752Yes (X)
ANDREA KOSLOSKI
FORMER DIREC0.000.00$0$112,189$16,269Yes (X)
SHARON WILLIAMS
PRESIDENT40.005.00Yes (X)$99,000$0$0
JOHN PIRICH
DIRECTOR1.0040.00Yes (X)$0$1,560$0
KEVIN ALBOSTA
DIRECTOR1.000.00Yes (X)$0$0$0
RICHARD BRUNER
DIRECTOR1.0040.00Yes (X)$0$0$0
AUDREY LIANGYUE-WANLING FAN
DIRECTOR1.0040.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,685,159TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,026,255TotReportableCompRltdOrgAmt
Total Other Compensation$1,069,884TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K42IndivRcvdGreaterThan100KCnt
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$6,852,704
GLOBALCARE INC
6875 SHILOH RD EALPHARETTAGA300058403COST CON & CIR$1,179,581
MILLIMAN
15800 BLUEMOUND RD SUITE 100BROOKFIELDWI53005MGMT CONSULTING$1,015,564
CHANGE HEALTHCARE INC
3055 LEBANON PIKENASHVILLETN37214COST CONT & CIR$1,005,421
MPULSE MOBILE
21255 BURBANK BLVD SUITE 120LOS ANGELESCA91367INDV HLTH PLAN$544,869
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K34CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREPAID HEALTHCAREDesc
Business621990BusinessCd
Total Revenue Column$142,105,015TotalRevenueColumnAmt
Related Or Exempt Func Income$142,105,015RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$142,105,015TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$764,706TotalRevenueColumnAmt
Exclusion$764,706ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$12,538,712SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,466,145SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$72,567SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,567TotalRevenueColumnAmt
Exclusion$72,567ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,942,288TotalRevenueColumnAmt
Related Or Exempt Func Income$142,105,015RelatedOrExemptFuncIncomeAmt
Exclusion$837,273ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$120,751,291TotalAmt
Program Services$120,751,291ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,000,762TotalAmt
Program Services$1,514,577ProgramServicesAmt
Management And General$486,185ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,701,931TotalAmt
Program Services$6,587,362ProgramServicesAmt
Management And General$2,114,569ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$446,350TotalAmt
Program Services$337,887ProgramServicesAmt
Management And General$108,463ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,035,128TotalAmt
Program Services$783,592ProgramServicesAmt
Management And General$251,536ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$743,115TotalAmt
Program Services$562,538ProgramServicesAmt
Management And General$180,577ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,708,976TotalAmt
Management And General$3,708,976ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,914TotalAmt
Program Services$6,748ProgramServicesAmt
Management And General$2,166ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$165,148TotalAmt
Program Services$165,148ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,715TotalAmt
Management And General$1,715ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,284,076TotalAmt
Program Services$3,284,076ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$180,316TotalAmt
Program Services$136,499ProgramServicesAmt
Management And General$43,817ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$454,457TotalAmt
Program Services$344,024ProgramServicesAmt
Management And General$110,433ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,535,922TotalAmt
Program Services$1,162,693ProgramServicesAmt
Management And General$373,229ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$113,817TotalAmt
Management And General$113,817ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$42,943TotalAmt
Management And General$42,943ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,600,561TotalAmt
Program Services$2,600,561ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,946TotalAmt
Program Services$61,946ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LOSS - UNCONSOLIDATED SUB$24,502,533$24,502,533
BROKER COMMISSIONS$4,077,162$4,077,162
ADMINISTRATIVE EXPENSES$2,533,258$2,533,258
ALL OTHER EXPENSES$1,395,031$1,056,038$338,993

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$178,345,352TotalAmt
Program Services$167,934,675ProgramServicesAmt
Management And General$10,410,677ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,514,338BOYAmt
EOY$15,034,326EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,789,856BOYAmt
EOY$7,246,118EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$876,682BOYAmt
EOY$1,060,709EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,815,106LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,475,007LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,165,872BOYAmt
EOY$3,340,099EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,298,769BOYAmt
EOY$2,457,557EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$25,588,649BOYAmt
EOY$28,086,115EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,984,112BOYAmt
EOY$40,996,811EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,218,278BOYAmt
EOY$98,221,735EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,635,832BOYAmt
EOY$25,164,359EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,301,427BOYAmt
EOY$3,240,637EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,918,353BOYAmt
EOY$37,863,963EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,855,612BOYAmt
EOY$66,268,959EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$40,362,666BOYAmt
EOY$31,952,776EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,362,666BOYAmt
EOY$31,952,776EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,218,278BOYAmt
EOY$98,221,735EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$35,403,064ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,826NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$27,000,000OtherChangesInNetAssetsAmt
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$9,785,856BeginningYearBalanceAmt
Contributions$321,482ContributionsAmt
Investment Earnings Or Losses$130,539InvestmentEarningsOrLossesAmt
End Year Balance$10,237,877EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,199,222BeginningYearBalanceAmt
Contributions$273,470ContributionsAmt
Investment Earnings Or Losses$313,164InvestmentEarningsOrLossesAmt
End Year Balance$9,785,856EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,297,032BeginningYearBalanceAmt
Contributions$5,192,208ContributionsAmt
Investment Earnings Or Losses-$280,050InvestmentEarningsOrLossesAmt
End Year Balance$11,209,190EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,815,106OtherCostOrOtherBasisAmt
Depreciation$17,475,007DepreciationAmt
Book Value$3,340,099BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,340,099TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVEST - UNIV OF MICH PHP MEDICARE$19,323,414C
INVEST - UNIV OF MICH INSURANCE CO$8,825,695C
INVEST - UNIV OF MICHIGAN SERVICE CO-$62,994C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$28,086,115TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY RECEIVABLEDesc
Book Value$40,996,811BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$40,996,811TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLEDesc
Amt$37,863,963Amt
FieldValueIRS element (for citing)
Total Liability$37,863,963TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$143,456,726TotalRevEtcAuditedFinclStmtAmt
Other Revenue$872,261OtherRevenueAmt
Revenue Not Reported$872,261RevenueNotReportedAmt
Revenue Subtotal$142,584,465RevenueSubtotalAmt
Investment Expenses Not Incld$1,715InvestmentExpensesNotIncldAmt
Other Revenues Not Included$356,108OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$357,823RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$142,942,288TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$154,357,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$872,261OtherExpensesIncludedAmt
Expenses Not Reported$872,261ExpensesNotReportedAmt
Expenses Subtotal$153,484,739ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,715InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$24,858,898OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$24,860,613ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$178,345,352TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4U OF M HEALTH PLAN DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY UNIVERSITY OF MICHIGAN HEALTH - SPARROW FOUNDATION, A RELATED ORGANIZATION OF UM HEALTH PLAN. UNIVERSITY OF MICHIGAN HEALTH - SPARROW FOUNDATION IS A FISCAL YEAR ORGANIZATION, REPORTING ON THE GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB). THE ENDOWMENT FUNDS REPORTED ARE FOR THE 6/30/2024 TAX YEAR. 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 2DPENSION 401,763 RISK ADJ INCOME/EXPENSE RECLASS 470,498
SCHEDULE D, PAGE 4, PART XI, LINE 4BREINSURANCE 356,108
SCHEDULE D, PAGE 4, PART XII, LINE 2DPENSION 401,763 RISK ADJ INCOME/EXPENSE RECLASS 470,498
SCHEDULE D, PAGE 4, PART XII, LINE 4BREINSURANCE 356,108 MISCELLANEOUS 257 UNCONSOLIDATED LOSS SUBSIDIARY 24,502,533

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 PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
ERIC STRUCKO
TREASURER$1,396,852$17,250$211,685$12,446$1,638,233
MARGARET DIMOND
PRES/CEO-UMH SPARROW$986,774$84,981$94,544$1,464,110$297,811
KEITH DICKEY
CHAIR$966,598$69,819$144,241$21,355$1,202,013
JAMES F DOVER
FMR PRES-UMH SPARROW$1,051,835$9,900$25,705$1,087,440
IFTIKER AHMAD MD
FORMER DIRECTOR$597,545$4,949$10,350$59,450$672,294
DOUGLAS EDEMA MD
DIRECTOR$557,861$24,850$9,900$25,537$618,148
JOSEPH RUTH
FORMER DIRECTOR$501,992$17,732$519,724
KIMBERLEY ROSS
DIRECTOR$442,867$17,250$34,500$19,195$513,812
DENNIS REESE
FORMER PRES & CEO$401,551$28,000$6,927$18,282$49,974$504,734
PAULA REICHLE
FORMER TREASURER$472,508$9,900$17,305$499,713
TIMOTHY PETERSON M D
DIRECTOR$374,764$46,000$3,252$11,010$435,026
WALTER BRIGGS
VP OPERATIONS$198,282$1,181$11,753$40,543$251,759
PHYLLIS FISHER
VP OPERATIONS$193,320$8,000$1,126$11,302$29,408$243,156
NICOLE WERNER
FORMER CFO$180,246$22,000$386$12,832$21,478$236,942
KENNETH WALKER
DIR OF NETWORK SERV.$170,368$2,562$334$10,359$44,491$228,114
JENNIFER JOHNSTON
VP SALES & MARKETING$190,270$8,000$379$1,149$21,285$221,083
ANN HUNT-FUGATE RPH
MGR CLINICAL PHARM$171,972$1,255$9,923$32,829$215,979
ANDREA KOSLOSKI
FORMER DIRECTOR$111,889$7,586$8,683$128,458$300

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3UNIVERSITY OF MICHIGAN HEALTH PLAN RELIES ON THE COMPENSATION POLICIES AND PRACTICES OF ITS RELATED ORGANIZATIONS. UNIVERSITY OF MICHIGAN - SPARROW 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 THAT ARE BEING USED BY ALL UNIVERSITY OF MICHIGAN HEALTH - SPARROW RELATED ENTITIES.
SCHEDULE J, PAGE 1, PART I, LINE 4ERIC STRUCKO 0 177,184 0 KEITH DICKEY 0 109,741 0 JAMES F. DOVER 1,051,835 0 0 DOUGLAS EDEMA, M.D. 469,157 0 0 JOSEPH RUTH 501,992 0 0 PAULA REICHLE 472,508 0 0
SCHEDULE J, PAGE 1, PART I, LINE 7COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET.
SCHEDULE J, PART IIIJAMES DOVER, AHMAD IFTIKER, JOSEPH RUTH, PAULA REICHLE, AND ANDREA KOSLOSKI ARE FORMER BOARD MEMBERS OF UNIVERSITY OF MICHIGAN HEALTH PLAN. THE BOARD MEMBERS ARE BEING COMPENSATED BY UNIVERSITY OF MICHIGAN HEALTH - SPARROW AND AFFILIATES FOR SERVICES PROVIDED TO UNIVERSITY OF MICHIGAN HEALTH - SPARROW AND AFFILIATES IN POSITIONS OTHER THAN AS BOARD MEMBER OF UNIVERSITY OF MICHIGAN HEALTH PLAN. THE BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO UNIVERSITY OF MICHIGAN 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 4AUNIVERSITY OF MICHIGAN HEALTH PLAN IS OWNED BY UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. UOFM HEALTH PLAN IS PRIMARILY A COMMERCIAL HMO AND ALSO OPERATES THREE SUBSIDIARIES, PHP INSURANCE COMPANY (PHPIC), A COMMERCIAL INSURANCE COMPANY, PHP MEDICARE (PHPMA), A MICHIGAN MEDICARE PLAN, AND PHP SERVICE COMPANY (PHPTA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC, PHPTA AND PHPMA. UOFM HEALTH PLANS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. UOFM HEALTH INSURANCE COMPANY OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2024, THERE WERE APPROXIMATELY 28,100 ENROLLEES IN UOFM HEALTH PLANS' COMMERCIAL HMO, 25,300 IN TPA, 2,300 IN UOFM HEALTH INSURANCE COMPANY, AND 8,300 ENROLLEES IN UM HEALTH MEDICARE. THE UOFM HEALTH PLAN NETWORK IS APPROXIMATELY 3,068 PRIMARY CARE PHYSICIANS, 5,503 SPECIALTY CARE PHYSICIANS, 3,906 ALLIED HEALTH PROFESSIONALS, 3,482 BEHAVIORAL HEALTH PROVIDERS AND 746 ORGANIZATIONAL PROVIDERS THAT INCLUDE 60 HOSPITALS. UOFM HEALTH PLAN CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. UOFM HEALTH PLANS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. UOFM HEALTH PLANS SUCCESS IN MANAGING HEALTH CARE IS DUE IN PART TO THE EXTENSIVE NETWORK OF PARTICIPATING PROVIDERS IN THE HDN NETWORK. THIS ARRANGEMENT ALLOWS THE MEMBERS TO ACCESS A WIDE VARIETY OF INDEPENDENT PROVIDERS WITHIN EACH HDN INCLUDING PHYSICIANS, HOSPITALS, PHARMACIES, SKILLED NURSING FACILITIES, AND ALLIED HEALTH PROFESSIONALS. UOFM HEALTH PLAN MEMBERS MAY ALSO RECEIVE CARE FOR SERVICES FROM A NONPARTICIPATING PROVIDER IF SUCH REFERRAL IS RECOMMENDED BY AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. UOFM HEALTH PLAN OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. UOFM HEALTH PLAN OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE UOFM HEALTH PLAN NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. UOFM HEALTH PLAN MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: - DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES. - QUALITY OF CARE CONCERNS. - HEDIS MEASURES THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. UOFM HEALTH PLAN USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: - DIABETES, - ASTHMA, - DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, - BREAST AND CERVICAL CANCER SCREENING, - USE OF BETA-BLOCKERS AFTER HEART ATTACKS, - CHILD AND ADOLESCENT IMMUNIZATIONS, - CHOLESTEROL MANAGEMENT, - CONTROLLING HIGH BLOOD PRESSURE, - SMOKING CESSATION, - PRENATAL AND POSTPARTUM CARE, AND - TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. UOFM HEALTH PLAN 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 UOFM HEALTH PLAN QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 UOFM HEALTH PLAN RECEIVED FULL ACCREDITATION STATUS FROM URAC FOR BOTH HEALTH PLAN ACCREDITATION AND HEALTH PLAN ACCREDITATION WITH HEALTH INSURANCE MARKETPLACE. URAC ACCREDITATION SIGNIFIES AN ISSUER HAS UNDERGONE AND PASSED A RIGOROUS AND INDEPENDENT REVIEW OF ITS OPERATION, INCLUDING THE QUALITY OF CARE AND LEVEL OF SERVICE PROVIDED TO ENROLLEES. ACCREDITATION HEALTH PLAN STANDARDS INCORPORATE MARKET TRENDS AND ADDRESS MAJOR POLICY ISSUES WHILE ALIGNING WITH CORE REQUIREMENTS FOUND IN THE AFFORDABLE CARE ACT. UOFM HEALTH PLAN HAS BEEN ACCREDITED BY URAC UNDER THE HEALTH PLAN STANDARDS SINCE 2012. THE CURRENT ACCREDITATION IS EFFECTIVE THROUGH JULY 1, 2024 AT WHICH TIME REACCREDITATION WILL OCCUR.
FORM 990, PAGE 6, PART VI, LINE 6UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS IS THE PARENT AND SOLE MEMBER OF UNIVERSITY OF MICHIGAN HEALTH PLAN AND HAS 100% OWNERSHIP. UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS IS OWNED BY MICHIGAN MEDICINE AT 90% AND COVENANT HEALTHCARE SYSTEM 10%.
FORM 990, PAGE 6, PART VI, LINE 7ATHE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF UNIVERSITY OF MICHIGAN HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF MICHIGAN MEDICINE.
FORM 990, PAGE 6, PART VI, LINE 7BTHE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF UNIVERSITY OF MICHIGAN HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF MICHIGAN MEDICINE. THE DECISIONS OF THE UNIVERSITY OF MICHIGAN HEALTH PLAN BOARD OF DIRECTORS MAY BE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF MICHIGAN MEDICINE.
FORM 990, PAGE 6, PART VI, LINE 11BCOPIES OF THE 2024 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT HAS COMPLETED ITS REVIEW OF THE FORM 990, DRAFT COPIES ARE FORWARDED TO BOARD MEMBERS FOR REVIEW PRIOR TO SUBMITTING.
FORM 990, PAGE 6, PART VI, LINE 12C1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON).
FORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE UNIVERSITY OF MICHIGAN - APPLICABLE 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 APPLICABLE 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 UNIVERSITY OF MICHIGAN HEALTH PLAN ARE SUBMITTED TO THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS). THOSE ARE PUBLICLY AVAILABLE TO INTERESTED PARTIES. THE CONFLICT OF INTEREST IS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9CAPITAL CONTRIBUTION 27,000,000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
REGENTS OF THE UNIV OF MICHIGAN
5082 WOLVERINE TWR 3003 S STATE STANN ARBORMI481091287386006309SCHOOLMI501C32N/Afalse
WEST MICHIGAN RADIATION ONCOLOGY
5950 METRO WAYWYOMINGMI49519300501592HOSPITALMI501C33N/Afalse
METROPOLITAN HOSPITAL (UMH WEST)
5900 BYRON CENTER AVE SWWYOMINGMI49519380593405HOSPITALMI501C33Yes (true)UM HEALTH
UM HEALTH
5082 WOLVERINE TWR 3003 S STATE STANN ARBORMI48109814913150SUP ORGMI501C312AfalseUM
METROPOLITAN FOUNDATION
5900 BYRON CENTER AVENUE SWWYOMINGMI49519383033329SUP ORGMI501C37Yes (true)METRO HOSP
SPARROW HEALTH SYSTEM
1215 E MICHIGAN AVENUELANSINGMI48912382542859HEALTHMI501C312AYes (true)UM HEALTH
PHYSICIANS HEALTH NETWORK
1301 N HAGADORN STE 1EEAST LANSINGMI48823382594856HMOMI501C4Yes (true)UM HLD LLC
SPARROW FOUNDATION
1215 E MICHIGAN AVENUELANSINGMI48912386100687FUNDRAISEMI501C312BYes (true)SHS
SPARROW COMMUNITY CARE
3315 E MICHIGAN AVENUE STE 4LANSINGMI48912382543305HOME HLTHMI501C310Yes (true)SHS
SPARROW CLINTON HOSPITAL
805 S OAKLAND STREETST JOHNSMI48879381358172HLTH CAREMI501C33Yes (true)SHS
EDWARD W SPARROW HOSPITAL
1215 E MICHIGAN AVENUELANSINGMI48912381360584HLTH CAREMI501C33Yes (true)SHS
SPARROW IONIA HOSPITAL
3565 S STATE RDIONIAMI48846383218134HLTH CAREMI501C33Yes (true)SHS
SPARROW SPECIALTY HOSPITAL
1215 E MICH AVE 8W SPARROW TOWERLANSINGMI48912141885340LT ACUTEMI501C33Yes (true)SHS
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUELANSINGMI48912383075242RESEARCHMI501C34Yes (true)SHS
SPARROW CARSON HOSPITAL
406 E ELM STREET PO BOX 879CARSON CITYMI48811381490180HLTH CAREMI501C33Yes (true)SHS
UNIV OF MICHIGAN HEALTH MEDICARE
1301 N HAGADORN STE 1EEAST LANSINGMI48823832766121HMOMI501C4Yes (true)UMH PLAN
SPARROW EATON HOSPITAL
321 E HARRIS STCHARLOTTEMI48813382007629HLTH CAREMI501C33Yes (true)SHS
SPARROW EATON HOSPITAL AUXILIARY
321 E HARRIS STCHARLOTTEMI48813382377160FUNDRAISEMI501C310Yes (true)SHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
MICHIGAN DIALYSIS SERVICES LLC
5082 WOLVERINE TWR 3003 S STATE STANN ARBORMI481091287383472138DIALYSISMIN/Afalsefalse
PHYSICIAN ORGANIZATION OF MI ACO
5082 WOLVERINE TWR 3003 S STATE STANN ARBORMI481091287454542046HEALTHCAREMIN/Afalsefalse
UNIVERSITY OF MICH HLT HOLDINGS LLC
1301 N HAGADORN STE 1EEAST LANSINGMI48823833965697HOLDING COMIN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
KENT HEALTH CARE PHYSICIAN ORG
2225 MAIN STREET SW STE 110WYOMINGMI49519383404658HEALTHCAREMIN/AYes (true)
UNIV OF MICH HLTH INSURANCE COMPANY
1301 N HAGADORN STE 1EEAST LANSINGMI48823205565219INSURANCEMIN/AYes (true)
UNIV OF MICH HLTH SERVICE COMPANY
1301 N HAGADORN STE 1EEAST LANSINGMI48823383344741MED SVSMIN/AYes (true)
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVENUELANSINGMI48912382595963MED SUPPLMIN/AYes (true)
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVDEAST LANSINGMI48823382886420HLTH CLUBMIN/AYes (true)
MAC RESTAURANT LLC
2900 HANNAH BLVDEAST LANSINGMI48823205120690RESTAURANTMIN/AYes (true)
CLINTON SERVICES CORPORATION
805 S OAKLANDST JOHNSMI48879382494110SERVICESMIN/AYes (true)
EAST LANSING ATHLETIC CLUB & HSP
1200 E MICHIGAN AVENUE STE 600LANSINGMI48912813131851CONDO ASSOMIN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PHYSICIANS HEALTH NETWORK
M$113,483,296COST
EDWARD W SPARROW HOSPITAL
Q$21,010,418COST
U OF M INSURANCE COMPANY
Q$2,392,272COST
U OF M SERVICE COMPANY
Q$4,591,945COST
U OF M MEDICARE
Q$1,194,976COST
U OF M MEDICARE
B$27,000,000COST
U OF M HOLDINGS LLC
C$27,000,000COST