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UNIVERSITY OF MICHIGAN HEALTH PLAN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF MICHIGAN HEALTH PLAN (EIN 38-2356288)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201443189349302179
Schema version
2013v3.1
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)
Return2014-11-14T09:48:28-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383133790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14295 OKEMOS RD STE 200AddressLine1
CityOKEMOSCity
StateMIState
ZIP Code488646201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382356288EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIANS HEALTH PLANBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPHYSBusinessNameControlTxt
Phone5173648400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 30377AddressLine1
CityLANSINGCity
StateMIState
ZIP Code48909ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS REESEPersonNm
Person TitleACTING CEOPersonTitleTxt
Phone5173648400PhoneNum
Signature2014-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK E HOOPERPreparerPersonNm
PTINP00039887PTIN
Phone5177060800PhoneNum
Preparation2014-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDENNIS SWANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11215 E MICHIGAN AVENUEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48912ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$197,699,374GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.PHPMM.ORGWebsiteAddressTxt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee107TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$215,135,024PYProgramServiceRevenueAmt
CY Program Service Revenue$195,352,910CYProgramServiceRevenueAmt
PY Investment Income$715,086PYInvestmentIncomeAmt
CY Investment Income$2,346,464CYInvestmentIncomeAmt
PY Other Revenue$25,000PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$215,875,110PYTotalRevenueAmt
CY Total Revenue$197,699,374CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$199,674,863PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$180,398,538CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,995,642PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,869,700CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,370,093PYOtherExpensesAmt
CY Other Expenses$8,428,154CYOtherExpensesAmt
PY Total Expenses$216,040,598PYTotalExpensesAmt
CY Total Expenses$194,696,392CYTotalExpensesAmt
PY Revenues Less Expenses-$165,488PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,002,982CYRevenuesLessExpensesAmt
Total Assets BOY$86,786,890TotalAssetsBOYAmt
Total Assets EOY$89,679,813TotalAssetsEOYAmt
Total Liabilities BOY$27,350,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,054,855TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$59,436,516NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$64,624,958NetAssetsOrFundBalancesEOYAmt
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$159,109,927ExpenseAmt
Revenue$164,571,158RevenueAmt
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, PHP FAMILYCARE (PHPFC) 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 PHPFC. PHPS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, AND ISABELLA. PHPIC OFFERS PRODUCTS ACROSS MICHIGAN. THE FAMILYCARE PRODUCT IS AVAILABLE TO MEDICAID ENROLLEES IN EATON, CLINTON, INGHAM, IONIA, MONTCALM, AND SHIAWASSEE COUNTIES. THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH) AND THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS) APPROVED A SERVICE AREA EXPANSION OF PHPFC INTO ISABELLA COUNTY EFFECTIVE JANUARY 1, 2012. AS OF DECEMBER 31, 2013, THERE WERE APPROXIMATELY 31,900 ENROLLEES IN PHPS COMMERCIAL HMO, 12,600 IN TPA, 10,900 IN PHPIC, AND 17,600 ENROLLEES IN PHP. 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 PHPFC CONTRACT DIRECTLY WITH PHYSICIANS HEALTH NETWORK (PHN), A WHOLLY OWNED SUBSIDIARY OF SPARROW. THE PHP NETWORK IS APPROXIMATELY 761 PRIMARY CARE PHYSICIANS, 1,021 SPECIALTY CARE PHYSICIANS, 378 ALLIED HEALTH PROFESSIONALS, AND 313 ORGANIZATIONAL PROVIDERS THAT INCLUDE 30 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 AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS, TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: - DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES, - QUALITY OF CARE CONCERNS, AND - HEDIS MEASURES: THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: DIABETES, ASTHMA, DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, BREAST AND CERVICAL CANCER 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. PHP FAMILYCARE RECEIVED AN "EXCELLENT" RATING. PHP AND PHP FAMILYCARE WERE REVIEWED BY URAC IN 2012.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$30,781,752ExpenseAmt
Revenue$30,781,752RevenueAmt
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, 2013, THERE WERE NO MEMBERS ENROLLED IN THE PROGRAM.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$189,891,679TotalProgramServiceExpensesAmt
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 EntityYes (true)DisregardedEntityInd
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 Document125IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee107EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 AVENUEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48909ZIPCode

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$1,394,403$33,278
SCOTT WILKERSON
PRESIDENT/CE40.005.00Yes (X)$0$375,173$33,828Yes (X)
DENNIS REESE
ACTING CEO40.005.00Yes (X)$0$213,957$28,807Yes (X)
TIMOTHY HODGE DO
DIRECTOR1.001.00Yes (X)$0$2,500$0
DAVID KAUFMAN DO
DIRECTOR1.0040.00Yes (X)$0$1,449$0
JAMES BUTLER III
DIRECTOR1.001.00Yes (X)$0$1,394$0
MARYLEE DAVIS PHD
CHAIR/DIRECT2.002.00Yes (X)$0$0$0Yes (X)
JUDITH CARDENAS PHD
DIRECTOR1.001.00Yes (X)$0$0$0
PATRICK GRIBBEN JR
TREASURER/DI1.001.00Yes (X)$0$0$0Yes (X)
DIANA RODRIGUEZ ALGRA
SECRETARY/DI1.001.00Yes (X)$0$0$0Yes (X)
PATRICK MCPHARLIN
DIRECTOR1.001.00Yes (X)$0$0$0
BRADLEY HOOPINGARNER MD
DIRECTOR1.001.00Yes (X)$0$0$0
KENNETH RUDMAN MD
DIRECTOR1.001.00Yes (X)$0$0$0
KATHLEEN CONKLIN
DIRECTOR1.001.00Yes (X)$0$0$0
THOMAS HOFMAN PHD
DIRECTOR1.001.00Yes (X)$0$0$0
DEBORAH MUCHMORE
DIRECTOR1.001.00Yes (X)$0$0$0
PAULA HOWARD
SENIOR SALES40.005.00$134,057$0$19,262Yes (X)
ANN HUNT-FUGATE RPH
MGR CLINICAL40.005.00$123,609$0$26,508Yes (X)
ANTHONY ABBATE
IT MANAGER40.005.00$0$122,493$23,180Yes (X)
LINDA DICKINSON
DIR OF MED R40.005.00$0$121,960$22,591Yes (X)
KEVIN ESSENMACHER
CONTROLLER40.005.00$0$115,279$25,993Yes (X)
THOMAS OSTRANDER
FORMER DIREC0.0040.00$0$360,008$39,220Yes (X)
LARRY RAWSTHORNE MD
DIRECTOR0.0040.00$0$282,448$33,770Yes (X)
DAWN SPRINGER MD
FORMER DIREC0.0040.00$0$193,621$15,034Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$257,666TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,184,685TotReportableCompRltdOrgAmt
Total Other Compensation$301,471TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2
GLOBALCARE INC
6875 SHILOH RD EALPHARETTAGA300058403HEALTH$1,493,580
HEALTHHELP LLC
654 N SAM HOUSTON PKWY EHOUSTONTX770605913HEALTH$276,988STE 250
ERNST & YOUNG LLP
PO BOX 96550CHICAGOIL60693AUDITING$237,133
HIGHPOINT SOLUTIONS
301 E GERMANTOWN PIKEEAST NORRITONPA19401CONSULTING$225,943
FOSTER SWIFT COLLINS & SMITH
313 S WASHINGTON SQUARELANSINGMI48933LEGAL$148,721
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREPAID HEALTHCARE621990$164,571,158$164,571,158
HHS HRPP REIMBURSEMENT621990$30,781,752$30,781,752
FieldValueIRS element (for citing)
Total Program Service Revenue$195,352,910TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$725,879TotalRevenueColumnAmt
Related Or Exempt Func Income-$21,196RelatedOrExemptFuncIncomeAmt
Exclusion$747,075ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,620,585SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,620,585SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,620,585TotalRevenueColumnAmt
Exclusion$1,620,585ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,699,374TotalRevenueColumnAmt
Related Or Exempt Func Income$195,331,714RelatedOrExemptFuncIncomeAmt
Exclusion$2,367,660ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$180,398,538TotalAmt
Program Services$180,398,538ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$651,765TotalAmt
Management And General$651,765ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,925,935TotalAmt
Program Services$3,465,319ProgramServicesAmt
Management And General$460,616ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$271,621TotalAmt
Program Services$205,617ProgramServicesAmt
Management And General$66,004ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$734,218TotalAmt
Program Services$555,803ProgramServicesAmt
Management And General$178,415ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$286,161TotalAmt
Program Services$216,624ProgramServicesAmt
Management And General$69,537ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,203,849TotalAmt
Management And General$2,203,849ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$112,670TotalAmt
Program Services$85,291ProgramServicesAmt
Management And General$27,379ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$260,963TotalAmt
Program Services$260,963ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$117,455TotalAmt
Management And General$117,455ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$413,608TotalAmt
Program Services$413,608ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$220,199TotalAmt
Program Services$166,691ProgramServicesAmt
Management And General$53,508ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$386,014TotalAmt
Program Services$292,213ProgramServicesAmt
Management And General$93,801ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$562,499TotalAmt
Program Services$425,812ProgramServicesAmt
Management And General$136,687ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$91,967TotalAmt
Management And General$91,967ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,771TotalAmt
Management And General$34,771ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,162TotalAmt
Management And General$2,162ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,895,689TotalAmt
Program Services$1,895,689ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,583TotalAmt
Program Services$55,583ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BROKER COMMISSONS$1,061,500$1,061,500
MISCELLANEOUS$518,399$392,428$125,971
ADMINISTRATIVE EXPENSES$490,826$490,826

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$194,696,392TotalAmt
Program Services$189,891,679ProgramServicesAmt
Management And General$4,804,713ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,075,228BOYAmt
EOY$36,960,522EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,323,815BOYAmt
EOY$5,991,862EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$635,168BOYAmt
EOY$1,482,488EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,363,619LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,269,814LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,711,581BOYAmt
EOY$5,093,805EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,366,195BOYAmt
EOY$22,003,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$16,059,158BOYAmt
EOY$16,885,749EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,615,745BOYAmt
EOY$1,262,387EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$86,786,890BOYAmt
EOY$89,679,813EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,144,589BOYAmt
EOY$23,605,184EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,016,433BOYAmt
EOY$410,050EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$189,352BOYAmt
EOY$1,039,621EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,350,374BOYAmt
EOY$25,054,855EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$59,436,516BOYAmt
EOY$64,624,958EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,436,516BOYAmt
EOY$64,624,958EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,786,890BOYAmt
EOY$89,679,813EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,002,982ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,185,460NetUnrlzdGainsLossesInvstAmt
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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,307,182BeginningYearBalanceAmt
Contributions$134,195ContributionsAmt
Investment Earnings Or Losses$109,310InvestmentEarningsOrLossesAmt
End Year Balance$1,550,687EndYearBalanceAmt
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$4,369,072OtherCostOrOtherBasisAmt
Depreciation$3,064,556DepreciationAmt
Book Value$1,304,516BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,538,652OtherCostOrOtherBasisAmt
Depreciation$16,205,258DepreciationAmt
Book Value$3,333,394BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,093,805TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN PHP INSURANCE COMPANY$8,630,997C
INVESTMENT IN PHP FAMILYCARE$7,903,134C
INVESTMENT IN PHP SERVICE COMPANY$351,618C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$16,885,749TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLEDesc
Amt$1,039,621Amt
FieldValueIRS element (for citing)
Total Liability$1,039,621TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$199,884,834TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,185,460NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,185,460RevenueNotReportedAmt
Revenue Subtotal$197,699,374RevenueSubtotalAmt
Total Revenue Per Form990$197,699,374TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$194,696,392TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$194,696,392ExpensesSubtotalAmt
Total Expenses Per Form990$194,696,392TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4PHYSICIANS HEALTH PLAN DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW CLINTON HOSPITAL AND SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN, 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 XIIISCHEDULE D, PART XI SEPARATE 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 PRACTICES. THE FORM 990 FOR PHYSICIANS HEALTH PLAN HAS BEEN PRESENTED USING U.S. GENERALLY ACCEPTED ACCOUNTING PRACTICES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
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 (8 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DENNIS SWAN
PRES/CEO - SHS$785,333$574,149$34,921$18,870$14,408$1,427,681
SCOTT WILKERSON
PRESIDENT/CEO/SEC$345,529$12,166$17,478$18,870$14,958$409,001
DENNIS REESE
ACTING CEO$200,671$11,915$1,371$13,306$15,501$242,764
PAULA HOWARD
SENIOR SALES REP$125,437$8,539$81$11,716$7,546$153,319
ANN HUNT-FUGATE RPH
MGR CLINICAL PHARM$120,421$2,986$202$9,147$17,361$150,117
THOMAS OSTRANDER
FORMER DIRECTOR$283,627$56,037$20,344$22,800$16,420$399,228
LARRY RAWSTHORNE MD
DIRECTOR$263,850$18,598$18,870$14,900$316,218
DAWN SPRINGER MD
FORMER DIRECTOR$148,179$42,328$3,114$14,328$706$208,655

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1APHYSICIANS HEALTH PLAN PAYS SOCIAL DUES ON BEHALF OF SCOTT WILKERSON, CEO. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION.
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 26,962 0 0
SCHEDULE J, PAGE 1, PART I, LINE 5ATHE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHYSICIANS HEALTH PLAN AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 5BTHE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHYSICIANS HEALTH PLAN AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6ATHE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHYSICIANS HEALTH PLAN AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6BTHE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES PHYSICIANS HEALTH PLAN 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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FORM 990, PAGE 2, PART III, LINE 4ACLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, AND ISABELLA. PHPIC OFFERS PRODUCTS ACROSS MICHIGAN. THE FAMILYCARE PRODUCT IS AVAILABLE TO MEDICAID ENROLLEES IN EATON, CLINTON, INGHAM, IONIA, MONTCALM, AND SHIAWASSEE COUNTIES. THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH) AND THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS) APPROVED A SERVICE AREA EXPANSION OF PHPFC INTO ISABELLA COUNTY EFFECTIVE JANUARY 1, 2012. AS OF DECEMBER 31, 2013, THERE WERE APPROXIMATELY 31,900 ENROLLEES IN PHPS COMMERCIAL HMO, 12,600 IN TPA, 10,900 IN PHPIC, AND 17,600 ENROLLEES IN PHP. 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 PHPFC CONTRACT DIRECTLY WITH PHYSICIANS HEALTH NETWORK (PHN), A WHOLLY OWNED SUBSIDIARY OF SPARROW. THE PHP NETWORK IS APPROXIMATELY 761 PRIMARY CARE PHYSICIANS, 1,021 SPECIALTY CARE PHYSICIANS, 378 ALLIED HEALTH PROFESSIONALS, AND 313 ORGANIZATIONAL PROVIDERS THAT INCLUDE 30 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 AN HDN PARTICIPATING PHYSICIAN AND THE SERVICE REQUIRED FOR TREATMENT, AS DETERMINED BY HDN, IS NOT AVAILABLE WITHIN THE HDNS NETWORK. PHP OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS, TO GROUPS AND INDIVIDUALS. PHP OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE PHP NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. PHP MEASURES THE QUALITY OF CARE PROVIDED TO ITS ENROLLEES THROUGH ANNUAL REVIEW OF INDICATORS SUCH AS: - DISEASE MANAGEMENT PROGRAM PARTICIPATION AND OUTCOMES, - QUALITY OF CARE CONCERNS, AND - HEDIS MEASURES: THE HEALTH PLAN EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS A GROUP OF NATIONALLY RECOGNIZED MEASURES OF HEALTH PLANS PERFORMANCE IN A VARIETY OF CLINICAL AND NON-CLINICAL AREAS. PHP USES THE EFFECTIVENESS OF CARE MEASURES TO DETERMINE PROGRESS AND IMPROVEMENT IN AREAS SUCH AS: DIABETES, ASTHMA, DEPRESSION AND FOLLOW-UP AFTER MENTAL HEALTH ADMISSIONS, BREAST AND CERVICAL CANCER 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. PHP FAMILYCARE RECEIVED AN "EXCELLENT" RATING. PHP AND PHP FAMILYCARE 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 2013 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF THE FORM 990 COPIES WERE PROVIDED AT THE SEPTEMBER 2014 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, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, 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, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PHP SHARED SERVICES LLPBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 30377AddressLine1
CityLANSINGCity
StateMIState
ZIP Code48909ZIPCode
FieldValueIRS element (for citing)
EIN383361367EIN
Primary ActivitiesCONTRACTSPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PHPBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SPARROW HEALTH SYSTEM
1215 E MICHIGAN AVENUELANSINGMI48912382542859PARENTMI501C311AN/Afalse
PHP FAMILYCARE
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
520 E WASHINGTON STIONIAMI48846383218134HLTH CAREMI501C33Yes (true)SHS
SPARROW SPECIALTY HOSPITAL
1210 W SAGINAWLANSINGMI48915141885340LT ACUTEMI501C33Yes (true)SHS
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUELANSINGMI48912383075242RESEARCHMI501C34Yes (true)SHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LANSING MEDICAL DENTAL BUILDINGBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12909 E GRAND RIVERAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48909ZIPCode
FieldValueIRS element (for citing)
EIN382566150EIN
Primary ActivitiesRENTAL PROPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PHP INSURANCE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912205565219INSURANCEMIPHPC CORP-$1,024,851$14,858,1371.00000Yes (true)
PHP SERVICE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912383344741MED SVSMIPHPC CORP-$210,875$2,851,3581.00000Yes (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 OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
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
EDWARD W SPARROW HOSPITAL
L$1,778,488COST
PHYSICIANS HEALTH NETWORK
M$153,399,335COST
EDWARD W SPARROW HOSPITAL
Q$1,647,172COST
PHP FAMILYCARE
Q$4,224,805COST
PHP INSURANCE COMPANY
Q$3,497,196COST
PHP SERVICE CO (TPA)
Q$2,417,319COST