Healthspan Integrated Care

“For 2016 the role of President of the organization was delegated to VillageMD, a management company. VillageMD employed Allen Greenberg to perform these management services. For the 2016 year, the organization paid VillageMD $623,384 for these management services.”

“HealthSpan Partners is the sole member and has all rights and privileges as allowed under Chapter 1702 of the Ohio Revised Code.”

“HealthSpan Partners appoints all members of the governing body and has the authority to fill vacancies and remove members of the governing body.”

“The following actions require approval of the member: to adopt, change and interpret the mission, vision and values of the Corporation and its Statement of Values; to elect and remove trustees of the corporation; to amend or repeal the articles of incorporation and the code of regulations of the corporation; to approve the dissolution or termination of the corporation and to determine the distribution of assets upon such dissolution or termination; to approve any merger of the corporation or any transfer of substantially all of its assets; to approve the annual consolidated strategic plan and the annual consolidated financial plan of the corporation and any borrowings by the corporation in excess of the amount contemplated by either of those plans; to approve (i) any capital or other extraordinary expenditures by the corporation that are not included in the annual consolidated budget for the corporation that exceed $15 million in the aggregate and (ii) any increase in total expenses of the corporation that exceeds 10% of the annual consolidated budgeted expenses; to cause the appointment or removal of the chief executive officer of the corporation; to appoint the independent auditors for the corporation's consolidated financial statements and the compensation consultant reviewing the corporation's executive compensation; to adopt policies governing the activities of the corporation and any subsidiaries or affiliates of the corporation that will further the mission, vision and values established by the governing body and the statement of common values.”

“The Form 990 is reviewed by an independent accounting firm and management. The form is then reviewed by the HealthSpan Partners Audit & Corporate Responsibility Committee for approval. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing.”

“All board members, committee members and members of management are required to complete an annual conflict of interest disclosure. Prior to the start of all board and committee meetings members are asked to disclose any potential conflicts of interest.”

“Governing documents are available from the Ohio Department of Insurance and maintained on the the state agency website or upon request. Financial statements are on file with the Ohio Department of Insurance on a statutory basis (stand alone entity). Audited consolidated financial statements are issued and are available upon request.”

“Other Program Service Revenue - Total Revenue: 1937255, Related or Exempt Function Revenue: 1937255, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“During 2016, HealthSpan discontinued its insurance activities. HealthSpan will continue its operations in order to process claims incurred prior to December 31, 2016 and wind down its operations.”

“Medical Professional Fees - Total Expense: 25340106, Program Service Expense: 25340106, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 205936, Program Service Expense: 175046, Management and General Expenses: 30890, Fundraising Expenses: ; Intercompany Assessments - Total Expense: 14675774, Program Service Expense: 12474408, Management and General Expenses: 2201366, Fundraising Expenses: ; Actuarial Services - Total Expense: 124714, Program Service Expense: 106007, Management and General Expenses: 18707, Fundraising Expenses: ; Broker Commission - Total Expense: 2296423, Program Service Expense: 1951960, Management and General Expenses: 344463, Fundraising Expenses: ; Maintenance and service agreements - Total Expense: 880243, Program Service Expense: 748207, Management and General Expenses: 132036, Fundraising Expenses: ; Other Purchased Services - Total Expense: 10000581, Program Service Expense: 8500494, Management and General Expenses: 1500087, Fundraising Expenses: ;”

“Non-deductible impairment adjustment - -1057091; Equity transfer from affiliate - 12000000; Non-deductible Federal Excise Tax - -3214075;”