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Nonprofiteer
← UNIVERSITY OF MICHIGAN HEALTH PLAN

Form 990 for tax year 2022

Filed by UNIVERSITY OF MICHIGAN HEALTH PLAN.

Totals

Total revenue
$166,036,259
Total expenses
$184,723,980
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$161,126,641
Investment income
$4,909,434
Other revenue
$184
Total assets, end of year
$60,797,102
Total liabilities, end of year
$29,579,042
Net assets or fund balances, end of year
$31,218,060
Program services expenses (Part IX)
$177,719,271
Management and general expenses
$7,004,709
Fundraising expenses
$0
Program service expenses (Part III)
$177,719,271

Program services were 96.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREPAID HEALTHCARE

    total $161,126,641 · related or exempt $161,126,641

  • 3 · Investment income

    total $4,829,946 · excluded $4,829,946

  • 7a · Gross sales of assets other than inventory

    securities $117,965

  • 7b · Less cost or other basis and sales expenses

    securities $12,976 · other assets $25,501

  • 7c · Gain or loss

    securities $104,989 · other assets -$25,501

  • 7d · Net gain or loss

    total $79,488 · excluded $79,488

  • 11a · Other revenue: OTHER REVENUE

    total $184 · related or exempt $184

  • 11e · Other revenue, total

    $184

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $141,403,101 · program services $141,403,101

  • 5 · Compensation of officers, directors and key employees

    total $1,473,421 · program services $1,115,380 · management and general $358,041

  • 7 · Other salaries and wages

    total $6,365,343 · program services $4,818,565 · management and general $1,546,778

  • 8 · Pension plan contributions

    total $367,082 · program services $277,881 · management and general $89,201

  • 9 · Other employee benefits

    total $481,722 · program services $364,664 · management and general $117,058

  • 10 · Payroll taxes

    total $560,028 · program services $423,941 · management and general $136,087

  • 11a · Fees: management

    total $2,981,095 · management and general $2,981,095

  • 11b · Fees: legal

    total $1,106 · program services $837 · management and general $269

  • 11c · Fees: accounting

    total $98,837 · program services $98,837

  • 11f · Fees: investment management

    total $10,833 · management and general $10,833

  • 11g · Fees: other

    total $3,296,998 · program services $3,296,998

  • 12 · Advertising and promotion

    total $330,322 · program services $250,054 · management and general $80,268

  • 13 · Office expenses

    total $315,034 · program services $238,481 · management and general $76,553

  • 14 · Information technology

    total $961,281 · program services $727,690 · management and general $233,591

  • 16 · Occupancy

    total $93,119 · management and general $93,119

  • 17 · Travel

    total $86,585 · management and general $86,585

  • 19 · Conferences, conventions and meetings

    total $3,415 · management and general $3,415

  • 22 · Depreciation, depletion and amortization

    total $1,811,608 · program services $1,811,608

  • 23 · Insurance

    total $51,099 · program services $51,099

  • 24a · Other expenses: LOSS - UNCONSOLIDATED SUB

    total $19,662,660 · program services $19,662,660

  • 24b · Other expenses: BROKER COMMISSIONS

    total $2,322,805 · program services $2,322,805

  • 24c · Other expenses: MISCELLANEOUS

    total $1,129,021 · program services $854,670 · management and general $274,351

  • 24d · Other expenses: ADMINISTRATIVE EXPENSES

    total $917,465 · management and general $917,465

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $26,342,074 · end of year $21,386,008

  • 4 · Accounts receivable

    beginning of year $6,030,198 · end of year $6,337,466

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,315,852 · end of year $1,451,044

  • 10a · Land, buildings and equipment: cost or other basis

    $25,769,136

  • 10b · Land, buildings and equipment: accumulated depreciation

    $17,874,712

  • 10c · Land, buildings and equipment, net

    beginning of year $6,024,730 · end of year $7,894,424

  • 11 · Investments: publicly traded securities

    beginning of year $6,238,071 · end of year $5,537,588

  • 13 · Investments: program-related

    beginning of year $28,194,555 · end of year $7,123,231

  • 15 · Other assets

    beginning of year $11,469,321 · end of year $11,067,341

  • 17 · Accounts payable and accrued expenses

    beginning of year $26,644,396 · end of year $27,020,144

  • 19 · Deferred revenue

    beginning of year $3,466,624 · end of year $2,558,898

  • 25 · Other liabilities

    beginning of year $4,590,224

  • 27 · Net assets without donor restrictions

    beginning of year $50,913,557 · end of year $31,218,060

Mission and programs · 2022

Mission

PHYSICIANS HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE.

  • PHYSICIANS HEALTH PLAN (PHP) IS OWNED BY PHP HOLDINGS, LLC 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 MEDICARE (PHPMA), A MICHIGAN MEDICARE PLAN, AND PHP SERVICE COMPANY (PHPTA) A THIRD PARTY ADMINISTRATOR. ALL STAFFING FUNCTIONS AND REPORTING ARE ACCOMPLISHED THROUGH THE USE OF THE SAME STAFF AS PHP. UNLESS SPECIFICALLY NOTED, ALL REFERENCES TO PHP APPLY TO PHP, PHPIC, PHPTA AND PHPMA. PHPS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. PHP IC OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2022, THERE WERE APPROXIMATELY 28,600 ENROLLEES IN PHPS COMMERCIAL HMO, 24,800 IN TPA, 2,900 IN PHPIC, AND 7,500 ENROLLEES IN PHPMA. THE PHP NETWORK IS APPROXIMATELY 3,068 PRIMARY CARE PHYSICIANS, 5,503 SPECIALTY CARE PHYSICIANS, 3,906 ALLIED HEALTH PROFESSIONALS, 3,482 BEHAVIORAL HEALTH PROVIDERS AND 746 ORGANIZATIONAL PROVIDERS THAT INCLUDE 60 HOSPITALS. 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. 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. -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 SCREENING, - USE OF BETA-BLOCKERS AFTER HEART ATTACKS, - CHILD AND ADOLESCENT IMMUNIZATIONS, - CHOLESTEROL MANAGEMENT, - CONTROLLING HIGH BLOOD PRESSURE, - SMOKING CESSATION, - PRENATAL AND POSTPARTUM CARE, AND - TREATMENT OF CHILDHOOD RESPIRATORY INFECTIONS. 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. IN 2021 PHP RECEIVED FULL ACCREDITATION STATUS FROM URAC FOR BOTH HEALTH PLAN ACCREDITATION AND HEALTH PLAN ACCREDITATION WITH HEALTH INSURANCE MARKETPLACE. URAC ACCREDITATION SIGNIFIES AN ISSUER HAS UNDERGONE AND PASSED A RIGOROUS AND INDEPENDENT REVIEW OF ITS OPERATION, INCLUDING THE QUALITY OF CARE AND LEVEL OF SERVICE PROVIDED TO ENROLLEES. ACCREDITATION HEALTH PLAN STANDARDS INCORPORATE MARKET TRENDS AND ADDRESS MAJOR POLICY ISSUES WHILE ALIGNING WITH CORE REQUIREMENTS FOUND IN THE AFFORDABLE CARE ACT. PHP HAS BEEN ACCREDITED BY URAC UNDER THE HEALTH PLAN STANDARDS SINCE 2012. THE CURRENT ACCREDITATION IS EFFECTIVE THROUGH JULY 1, 2024 AT WHICH TIME REACCREDITATION WILL OCCUR.

    Expenses $177,719,271 · Revenue $161,126,641

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • JAMES F DOVER

    PRES/CEO - S

    Total calculated
    $1,226,049
    From this org
    $0
    From related orgs
    $1,141,524
    Other
    $84,525
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $955,742 related
    Bonus
    not reported
    Other
    not reported + $185,782 related
    Deferred
    not reported
    Nontaxable benefits
    not reported + $84,525 related
    Filer's total
    not reported + $1,226,049 related

  • JOSEPH RUTH

    DIRECTOR

    Total calculated
    $865,639
    From this org
    $0
    From related orgs
    $736,602
    Other
    $129,037
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $612,061 related
    Bonus
    not reported
    Other
    not reported + $124,541 related
    Deferred
    not reported + $90,542 related
    Nontaxable benefits
    not reported + $38,495 related
    Filer's total
    not reported + $865,639 related

  • PAULA REICHLE

    TREASURER

    Total calculated
    $710,098
    From this org
    $0
    From related orgs
    $648,489
    Other
    $61,609
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $561,901 related
    Bonus
    not reported
    Other
    not reported + $86,588 related
    Deferred
    not reported + $8,400 related
    Nontaxable benefits
    not reported + $53,209 related
    Filer's total
    not reported + $710,098 related

  • DOUGLAS EDEMA MD

    DIRECTOR

    Total calculated
    $598,809
    From this org
    $0
    From related orgs
    $548,605
    Other
    $50,204
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $520,052 related
    Bonus
    not reported
    Other
    not reported + $28,553 related
    Deferred
    not reported + $8,400 related
    Nontaxable benefits
    not reported + $41,804 related
    Filer's total
    not reported + $598,809 related

  • DENNIS REESE

    PRESIDENT &

    Total calculated
    $481,831
    From this org
    $419,309
    From related orgs
    $0
    Other
    $62,522
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $410,797
    Bonus
    not reported
    Other
    $8,512
    Deferred
    $17,550
    Nontaxable benefits
    $44,972
    Filer's total
    $481,831

  • PETER GRAHAM MD

    MEDICAL DIRE

    Total calculated
    $400,879
    From this org
    $330,384
    From related orgs
    $0
    Other
    $70,495
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $324,901
    Bonus
    $2,562
    Other
    $2,921
    Deferred
    $36,905
    Nontaxable benefits
    $33,590
    Filer's total
    $400,879

  • EDWARD VOZZO

    CFO/COO

    Total calculated
    $246,988
    From this org
    $214,973
    From related orgs
    $0
    Other
    $32,015
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $194,839
    Bonus
    $20,000
    Other
    $134
    Deferred
    $4,760
    Nontaxable benefits
    $27,255
    Filer's total
    $246,988

  • JONATHAN DENGEL

    OPERATION &

    Total calculated
    $228,591
    From this org
    $197,931
    From related orgs
    $0
    Other
    $30,660
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $192,762
    Bonus
    $5,000
    Other
    $169
    Deferred
    not reported
    Nontaxable benefits
    $30,660
    Filer's total
    $228,591

  • WALTER BRIGGS

    DIRECTOR OF

    Total calculated
    $227,901
    From this org
    $182,768
    From related orgs
    $0
    Other
    $45,133
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $181,343
    Bonus
    not reported
    Other
    $1,425
    Deferred
    $5,367
    Nontaxable benefits
    $39,766
    Filer's total
    $227,901

  • KENNETH WALKER

    DIR OF NETWO

    Total calculated
    $204,988
    From this org
    $161,165
    From related orgs
    $0
    Other
    $43,823
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $161,165
    Bonus
    not reported
    Other
    not reported
    Deferred
    $4,835
    Nontaxable benefits
    $38,988
    Filer's total
    $204,988

  • NICHOLAS D'ISA

    DIR LEGAL/CO

    Total calculated
    $203,049
    From this org
    $165,698
    From related orgs
    $0
    Other
    $37,351
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $165,069
    Bonus
    not reported
    Other
    $629
    Deferred
    $9,667
    Nontaxable benefits
    $27,684
    Filer's total
    $203,049

  • SCOTT NORMAN

    VP OF SALES

    Total calculated
    $201,232
    From this org
    $164,719
    From related orgs
    $0
    Other
    $36,513
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $164,386
    Bonus
    not reported
    Other
    $333
    Deferred
    $7,776
    Nontaxable benefits
    $28,737
    Filer's total
    $201,232

  • ANN HUNT-FUGATE RPH

    MGR CLINICAL

    Total calculated
    $190,763
    From this org
    $159,183
    From related orgs
    $0
    Other
    $31,580
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $157,333
    Bonus
    not reported
    Other
    $1,850
    Deferred
    $4,171
    Nontaxable benefits
    $27,409
    Filer's total
    $190,763

  • GEORGE SCHNEIDER

    FORMER CFO/C

    Total calculated
    $142,491
    From this org
    $118,358
    From related orgs
    $0
    Other
    $24,133
    Hours/week
    40 + 5 related

  • ANDREA KOSLOSKI

    FORMER DIREC

    Total calculated
    $119,636
    From this org
    $0
    From related orgs
    $100,967
    Other
    $18,669
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $100,967 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported + $10,785 related
    Nontaxable benefits
    not reported + $7,884 related
    Filer's total
    not reported + $119,636 related

  • JOHN PIRICH

    DIRECTOR

    Total calculated
    $1,440
    From this org
    $0
    From related orgs
    $1,440
    Other
    $0
    Hours/week
    1

  • KEVIN ALBOSTA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TIMOTHY PETERSON M D

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KEITH DICKEY

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • IFTIKER AHMAD MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOHN AYANIAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PAGE 1, PART I, LINE 3
PHP HOLDINGS IS THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN WITH SPARROW HEALTH SYSTEM OWNING 65%. 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 4
JAMES F. DOVER 0 136,389 0 JOSEPH RUTH 0 62,787 0 PAULA REICHLE 0 57,307 0
SCHEDULE J, PAGE 1, PART I, LINE 7
COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PREREQUISITES) ARE COMPARED TO MARKET.
SCHEDULE J, PART III
ANDREA KOSLOSKI 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 BOARD MEMBER OF PHYSICIANS HEALTH PLAN. THE BOARD MEMBER IS NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO PHYSICIANS HEALTH PLAN. CERTAIN EXECUTIVES PARTICIPATE IN THE 457(F) SUPPLEMENTAL RETIREMENT PLAN AND ARE MAKING CURRENT YEAR CONTRIBUTIONS AS WELL AS RECEIVING CURRENT YEAR DISTRIBUTIONS. CONTRIBUTIONS TO THE PLAN ARE DISCLOSED IN PART I LINE 4B AND REQUIRED DISTRIBUTIONS FROM THE PLAN ARE REPORTED BELOW AS A NEGATIVE AS WELL AS BEING DISCLOSED IN SCHEDULE J, PART II, COLUMN B (III). JAMES F. DOVER: -136,389 PAULA REICHLE: -57,307 JOSEPH RUTH: -99,020

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202303189349309560

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