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UNIVERSITY OF MICHIGAN HEALTH PLAN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF MICHIGAN HEALTH PLAN (EIN 38-2356288)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349304614
Schema version
2012v2.3
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)
Timestamp2013-11-14T13:27:03-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14295 OKEMOS RD STE 200AddressLine1
CityOKEMOSCity
StateMIState
ZIP Code488646201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382356288EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHYSICIANS HEALTH PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHYSNameControl
Phone5173648400Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT WILKERSONName
TitlePRESIDENT & CEOTitle
Phone5173648400Phone
Date Signed2013-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK E HOOPERName
Phone5177060800Phone
Date Prepared2013-11-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS SWANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11215 E MICHIGAN AVENUEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48912ZIPCode
FieldValueIRS element (for citing)
Gross Receipts231421709GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.PHPMM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees108TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year174089102ProgramServiceRevenuePriorYear
Program Service Revenue CY215135024ProgramServiceRevenueCY
Investment Income Prior Year1605378InvestmentIncomePriorYear
Investment Income Current Year715086InvestmentIncomeCurrentYear
Other Revenue Current Year25000OtherRevenueCurrentYear
Total Revenue Prior Year175694480TotalRevenuePriorYear
Total Revenue Current Year215875110TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year159384334BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY199674863BenefitsPaidToMembersCY
Salaries Etc Prior Year6318529SalariesEtcPriorYear
Salaries Etc Current Year5995642SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8185177OtherExpensePriorYear
Other Expenses Current Year10370093OtherExpensesCurrentYear
Total Expenses Prior Year173888040TotalExpensesPriorYear
Total Expenses Current Year216040598TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1806440RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-165488RevenuesLessExpensesCY
Total Assets BOY79806013TotalAssetsBOY
Total Assets EOY86786890TotalAssetsEOY
Total Liabilities BOY23391547TotalLiabilitiesBOY
Total Liabilities EOY27350374TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY56414466NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59436516NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense160727586Expense
Revenue167810609Revenue
DescriptionPHYSICIANS 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, 2012, THERE WERE APPROXIMATELY 34,000 ENROLLEES IN PHPS COMMERCIAL HMO, 12,000 IN TPA, 8,600 IN PHPIC, AND 18,000 ENROLLEES IN PHP. PHP ALSO OPERATES THE STATE OF MICHIGANS PRE-EXISTING CONDITION INSURANCE PLAN CALLED HIP MICHIGAN. PHP AND PHPFC CONTRACT DIRECTLY WITH PHYSICIANS HEALTH NETWORK (PHN), A WHOLLY OWNED SUBSIDIARY OF SPARROW. THE PHP NETWORK IS APPROXIMATELY 742 PRIMARY CARE PHYSICIANS, 1,269 SPECIALTY CARE PHYSICIANS, 333 ALLIED HEALTH PROFESSIONALS, AND 326 ORGANIZATIONAL PROVIDERS THAT INCLUDE 29 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 HEALTH CARE 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense47324415Expense
Revenue47324415Revenue
DescriptionPHYSICIANS 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 DECEMBER 31, 2013. AS OF DECEMBER 31, 2012, THERE WERE 2,240 MEMBERS ENROLLED IN THE PROGRAM. PHP HAS MANY INITIATIVES IN PLACE TO GROW MEMBERSHIP AND HAS SEEN SIGNIFICANT INCREASES SUBSEQUENT TO YEAR END.Description
FieldValueIRS element (for citing)
Total Program Service Expense208052001TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096130NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees108NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDENNIS REESENamePerson
Telephone Number5173648400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11400 E MICHIGAN AVENUEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48909ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DENNIS SWAN
PRES/CEO - S1.0040.00X0108535732076
SCOTT WILKERSON
PRESIDENT/CE40.005.00X043040633985X
LARRY RAWSTHORNE MD
DIRECTOR1.0040.00X029927132681
DAWN SPRINGER MD
DIRECTOR1.0040.00X016572812898
MARYLEE DAVIS PHD
CHAIR/DIRECT2.002.00X133800X
WENDELL BARRON
DIRECTOR1.001.00X133800
JAMES BUTLER III
DIRECTOR1.001.00X133800
RANDOLPH RIFKIN
DIRECTOR1.001.00X000
PATRICK GRIBBEN JR
TREASURER/DI1.002.00X000X
RICHARD BRUNER
DIRECTOR1.002.00X000
DIANA RODRIGUEZ ALGRA
SECRETARY/DI1.001.00X000X
BRADLEY HOOPINGARNER MD
DIRECTOR1.001.00X000
KENNETH RUDMAN MD
DIRECTOR1.001.00X000
KATHLEEN CONKLIN
DIRECTOR1.001.00X000
THOMAS HOFMAN PHD
DIRECTOR1.001.00X000
DEBORAH MUCHMORE
DIRECTOR1.001.00X000
HOWARD BURGESS
EXECUTIVE ME40.005.00029111832028X
DENNIS REESE
CFO40.005.00014511234762X
DAVID VIS
VP FINANCE/A0.000.00024916461X
GARY GONZALES
NETWORK SERV40.005.00012868924729X
KEVIN ESSENMACHER
CONTROLLER40.005.00012810924563X
ANN HUNT-FUGATE RPH
MGR CLINICAL40.005.00126462024422X
PAULA HOWARD
SENIOR SALES40.005.00118181011089X
MARY ANNE SESTI
DIR GOVT PRO40.005.00010781833968X
THOMAS OSTRANDER
FORMER DIREC0.0040.00032420837821X
SANDRA WINCHELL
FORMER VP NE0.000.0008676615408X
FieldValueIRS element (for citing)
Total Reportable Comp From Org248657TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3217498TotalReportableCompFrmRltdOrgs
Total Other Compensation350891TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MILLIMAN INC
15800 BLUEMOUND DR STE 100BROOKFIELDWI53005ACTUARIAL/CONS440561
ERNST & YOUNG LLP
PO BOX 96550CHICAGOIL60693AUDITING204081
FOSTER SWIFT COLLINS & SMITH
313 S WASHINGTON SQUARELANSINGMI48933LEGAL150219
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREPAID HEALTHCARE621990167810609167810609
HHS HRPP REIMBURSEMENT6219904732441547324415
FieldValueIRS element (for citing)
Total Program Service Revenue215135024TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column698631TotalRevenueColumn
Related Or Exempt Function Income-146087RelatedOrExemptFunctionIncome
Exclusion$844,718ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15563054Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15546599Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities16455Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16455TotalRevenueColumn
Exclusion$16,455ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column25000TotalRevenueColumn
Related Or Exempt Function Income25000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue25000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column215875110TotalRevenueColumn
Related Or Exempt Function Income215013937RelatedOrExemptFunctionIncome
Exclusion$861,173ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total199674863Total
Program Services199674863ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total996802Total
Management And General996802ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3662210Total
Program Services2008034ProgramServices
Management And General1654176ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total304090Total
Program Services273681ProgramServices
Management And General30409ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total750865Total
Program Services675778ProgramServices
Management And General75087ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total281675Total
Program Services253507ProgramServices
Management And General28168ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3446366Total
Management And General3446366ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total97902Total
Program Services88112ProgramServices
Management And General9790ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total296611Total
Program Services296611ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total62158Total
Management And General62158ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total383054Total
Program Services383054ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total720479Total
Program Services244963ProgramServices
Management And General475516ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total424453Total
Program Services144314ProgramServices
Management And General280139ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total605801Total
Program Services545221ProgramServices
Management And General60580ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total94156Total
Management And General94156ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total63456Total
Management And General63456ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3203Total
Management And General3203ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total430021Total
Management And General430021ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1803002Total
Program Services1803002ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total57758Total
Program Services57758ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BROKER COMMISSONS13245331324533
MISCELLANEOUS557140278570278570

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total216040598Total
Program Services208052001ProgramServices
Management And General7988597ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1750225BOY
EOY28075228EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10195765BOY
EOY15323815EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1222591BOY
EOY635168EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21970449LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16258868LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7965080BOY
EOY5711581EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY41516283BOY
EOY19366195EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY16101246BOY
EOY16059158EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1054823BOY
EOY1615745EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY79806013BOY
EOY86786890EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21741751BOY
EOY26144589EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY615810BOY
EOY1016433EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1033986BOY
EOY189352EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23391547BOY
EOY27350374EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY56414466BOY
EOY59436516EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56414466BOY
EOY59436516EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79806013BOY
EOY86786890EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-165488ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3187538ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2641860BeginningOfYearBalance
Contributions147795Contributions
Investment Earnings Or Losses149021InvestmentEarningsOrLosses
Grants Or Scholarships12000GrantsOrScholarships
End Of Year Balance2926676EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1779759BeginningOfYearBalance
Contributions796243Contributions
Investment Earnings Or Losses97691InvestmentEarningsOrLosses
Grants Or Scholarships30000GrantsOrScholarships
Administrative Expenses1833AdministrativeExpenses
End Of Year Balance2641860EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1550687BeginningOfYearBalance
Contributions163793Contributions
Investment Earnings Or Losses65279InvestmentEarningsOrLosses
End Of Year Balance1779759EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1307182BeginningOfYearBalance
Contributions134195Contributions
Investment Earnings Or Losses109310InvestmentEarningsOrLosses
End Of Year Balance1550687EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis455895OtherCostOrOtherBasis
Book Value455895BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4369072OtherCostOrOtherBasis
Depreciation2960323Depreciation
Book Value1408749BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17145482OtherCostOrOtherBasis
Depreciation13298545Depreciation
Book Value3846937BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5711581TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN PHP INSURANCE COMPANY9539106C
INVESTMENT IN PHP FAMILYCARE6805207C
INVESTMENT IN PHP SHARED SVCS2351C
INVESTMENT IN PHP SERVICE COMPANY-287506C
FieldValueIRS element (for citing)
Total Of Book Value Program Related16059158TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRELATED PARTY PAYABLEDescription
Amount$189,352Amount
FieldValueIRS element (for citing)
Total Of Amounts189352TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt219062648TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3187538NetUnrealizedGainsInvestments
Revenue Not Rptd F9903187538RevenueNotRptdF990
Revenue Subtotal215875110RevenueSubtotal
Total Revenue Per Form990215875110TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt216040598TotExpensesEtcAuditedFinclStmt
Expenses Subtotal216040598ExpensesSubtotal
Total Expenses Per Form990216040598TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4PHYSICIANS HEALTH PLAN DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY CLINTON MEMORIAL HOSPITAL AND SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN, CLINTON MEMORIAL 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.
SUPPLEMENTAL FINANCIAL INFORMATIONSCHEDULE 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. CERTAIN ADJUSTMENTS ARE REQUIRED TO COMPLY WITH STATUTORY ACCOUNTING PRINCIPLES. PHYSICIANS HEALTH PLAN WAS INCLUDED AS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN. THE SPARROW HEALTH SYSTEM FINANCIAL STATEMENTS WERE PREPARED USING THE U.S. GENERALLY ACCEPTED ACCOUNTING 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 FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
DENNIS SWAN
PRESCEO - SHS7675752582775950518500135761117433
SCOTT WILKERSON
PRESIDENTCEOSEC3452718283622991850015485464391
LARRY RAWSTHORNE MD
DIRECTOR29456947021850014181331952
DAWN SPRINGER MD
DIRECTOR13348429738250612264634178626
HOWARD BURGESS
EXECUTIVE MED DIRECT270745203731892313105323146
DENNIS REESE
CFO12511220000250359727179874
GARY GONZALES
NETWORK SERVICE DIR11540713282973714992153418
KEVIN ESSENMACHER
CONTROLLER109859182501057113992152672
ANN HUNT-FUGATE RPH
MGR CLINICAL PHARM1196306832935815064150884
THOMAS OSTRANDER
FORMER DIRECTOR2847153693025632235015471362029
SANDRA WINCHELL
FORMER VP NEW PRGMS725061426086216787102174

Form990 Schedule J Part III Form990ScheduleJPartIII (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1APHYSICIANS HEALTH PLAN PAYS SOCIAL DUES ON BEHALF OF SCOTT WILKERSON, CEO. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION.
COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 5ATHE 2012 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2012 AND WILL BE PAID IN 2013. 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.
COMPENSATION CONTINGENT UPON REVENUES OF RELATED ORGSCHEDULE J, PAGE 1, PART I, LINE 5BTHE 2012 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2012 AND WILL BE PAID IN 2013. 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.
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 6ATHE 2012 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2012 AND WILL BE PAID IN 2013. 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.
COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORGSCHEDULE J, PAGE 1, PART I, LINE 6BTHE 2012 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2012 AND WILL BE PAID IN 2013. 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.
NON-FIXED PAYMENTS PROVIDEDSCHEDULE 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.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIISCHEDULE J, PART I, LINE 3: SPARROW 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. THOMAS OSTRANDER IS A FORMER BOARD MEMBER OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBER IS BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN AS A BOARD MEMBER OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBER IS NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO PHYSICIANS HEALTH PLAN.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4APHPS 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, 2012, THERE WERE APPROXIMATELY 34,000 ENROLLEES IN PHPS COMMERCIAL HMO, 12,000 IN TPA, 8,600 IN PHPIC, AND 18,000 ENROLLEES IN PHP. PHP ALSO OPERATES THE STATE OF MICHIGANS PRE-EXISTING CONDITION INSURANCE PLAN CALLED HIP MICHIGAN. PHP AND PHPFC CONTRACT DIRECTLY WITH PHYSICIANS HEALTH NETWORK (PHN), A WHOLLY OWNED SUBSIDIARY OF SPARROW. THE PHP NETWORK IS APPROXIMATELY 742 PRIMARY CARE PHYSICIANS, 1,269 SPECIALTY CARE PHYSICIANS, 333 ALLIED HEALTH PROFESSIONALS, AND 326 ORGANIZATIONAL PROVIDERS THAT INCLUDE 29 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 HEALTH CARE 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.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6SPARROW HEALTH SYSTEM (SHS) IS THE PARENT AND SOLE MEMBER OF PHYSICIANS HEALTH PLAN AND HAS 100% OWNERSHIP.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 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.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BCOPIES OF THE 2012 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF THE FORM 990 COPIES WERE PROVIDED AT THE SEPTEMBER 2013 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON.
ENFORCEMENT OF CONFLICTS POLICYFORM 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).
COMPENSATION PROCESS FOR TOP OFFICIALFORM 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.
COMPENSATION PROCESS FOR OFFICERSFORM 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 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 REQUEST TO THE SPARROW COMPLIANCE OFFICER.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIISPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION AND IS THE PARENT CORPORATION FOR PHYSICIANS HEALTH PLAN AND OTHER RELATED ENTITIES - SEE SCHEDULE R. DENNIS SWAN IS THE PRESIDENT & CHIEF OPERATING EXECUTIVE OF SPARROW HEALTH SYSTEM AND THEREBY SERVES AS THE PRINCIPAL OFFICER WITH ULTIMATE RESPONSIBILITY FOR IMPLEMENTING THE DECISIONS OF THE GOVERNING BODY OR SUPERVISING THE MANAGEMENT, ADMINISTRATION, OR OPERATION OF ENTITIES WITHIN THE SYSTEM.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 30377AddressLine1
CityLANSINGCity
StateMIState
ZIP Code48909ZIPCode
FieldValueIRS element (for citing)
EIN383361367EIN
Primary ActivitiesCONTRACTSPrimaryActivities
Legal Domicile StateMILegalDomicileState
Total Income38781TotalIncome
EOY Assets2351EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PHPBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SPARROW HEALTH SYSTEM
1215 E MICHIGAN AVENUELANSINGMI48912382542859PARENTMI501C311AN/Afalse
PHP FAMILYCARE
1400 E MICHIGAN AVENUELANSINGMI48912364497604HMOMI501C4truePHP
PHYSICIANS HEALTH NETWORK
1400 E MICHIGAN AVENUELANSINGMI48912382594856HMOMI501C4trueSHS
SPARROW FOUNDATION
1110 E MICHIGAN AVENUELANSINGMI48912386100687FUNDRAISEMI501C311BtrueSHS
SPARROW COMMUNITY CARE
2909 E GRAND RIVERLANSINGMI48912382543305HOME HLTHMI501C39trueSHS
CLINTON MEMORIAL HOSPITAL
805 S OAKLAND STREETST JOHNSMI48879381358172HLTH CAREMI501C33trueSHS
EDWARD W SPARROW HOSPITAL
1215 E MICHIGAN AVENUELANSINGMI48912381360584HLTH CAREMI501C33trueSHS
IONIA COUNTY MEMORIAL HOSPITAL CORP
520 E WASHINGTON STIONIAMI48846383218134HLTH CAREMI501C33trueSHS
SPARROW SPECIALTY HOSPITAL
1210 W SAGINAWLANSINGMI48915141885340LT ACUTEMI501C33trueSHS
SPARROW CLINICAL RESEARCH INSTITUTE
1215 E MICHIGAN AVENUELANSINGMI48912383075242RESEARCHMI501C34trueSHS

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
LANSING MEDICAL DENTAL BUILDING
2909 E GRAND RIVERLANSINGMI48909382566150RENTAL PROMIN/Afalsefalse
LANSING MEDICAL DENTAL BUILDING
2909 E GRAND RIVERLANSINGMI48909382566150RENTAL PROMIN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
PHP INSURANCE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912205565219INSURANCEMIPHPC CORP554586136883491.00000true
PHP SERVICE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912383344741MED SVSMIPHPC CORP-7915844480151.00000true
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVENUELANSINGMI48912382595963RENTAL PROMItrueN/A
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVDEAST LANSINGMI48823382886420HLTH CLUBMItrueN/A
MAC RESTAURANT LLC
2900 HANNAH BLVDEAST LANSINGMI48823205120690RESTAURANTMItrueN/A
MEDICAL CENTER WEST CONDO ASSOC
1100 W SAGINAW STLANSINGMI48915382635630CONDO ASSOMItrueN/A
CLINTON SERVICES CORPORATION
805 S OAKLANDST JOHNSMI48879382494110SERVICESMItrueN/A
PHP INSURANCE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912205565219INSURANCEMIPHPC CORP554586136883491.00000true
PHP SERVICE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912383344741MED SVSMIPHPC CORP-7915844480151.00000true
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVENUELANSINGMI48912382595963RENTAL PROMItrueN/A
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVDEAST LANSINGMI48823382886420HLTH CLUBMItrueN/A
MAC RESTAURANT LLC
2900 HANNAH BLVDEAST LANSINGMI48823205120690RESTAURANTMItrueN/A
MEDICAL CENTER WEST CONDO ASSOC
1100 W SAGINAW STLANSINGMI48915382635630CONDO ASSOMItrueN/A
CLINTON SERVICES CORPORATION
805 S OAKLANDST JOHNSMI48879382494110SERVICESMItrueN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PHP FAMILYCARE
Q5090190COST
PHYSICIANS HEALTH NETWORK
M145999673COST
EDWARD W SPARROW HOSPITAL
O266160COST
CLINTON MEMORIAL HOSPITAL
M3506591COST