Civic Intelligence

Total Health Care Inc

EIN 38-2018957 • 501(c)4 • Grand Rapids, MI

Profile

Total health care, inc. Is committed to excellence in health care delivery in the state of michigan and the assurance that its members have access to and receive high quality health care and the appropriate preventative services that promote wellness and improved health status within the community. Total health care, inc. Supports a continuous quality improvement process that contributes to the overall improvement of the mainstream of health care delivery in a cost effective manner. Total health care, inc. Maintains an organizational service philosophy of being totally available and totally helpful.

100 Corewell Dr NW Attn TaxGrand Rapids, MI 49503

www.thcmi.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

17.76x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)4 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

68th percentile

0.13x

Higher debt load relative to revenue than 68% of similar nonprofits.

501(c)4 • $500k-$1M nonprofits • Source year 2024

Net Margin

91st percentile

55%

Higher net margin than 91% of similar nonprofits.

501(c)4 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

100th percentile

$3,153,750

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 401.8% of source-year revenue.

501(c)4 • $500k-$1M nonprofits • Source year 2024

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)4 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

8th percentile

-39%

Faster revenue growth than 8% of similar nonprofits.

501(c)4 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$5,751

Down $13,019,480 (-100%) from 2023

Liabilities

Down

$102,148

Down $1,686,407 (-94%) from 2023

Net Assets

Down

-$96,397

Down $11,333,073 (-101%) from 2023

Revenue

Down

$784,874

Down $493,151 (-39%) from 2023

Expenses

Up

$352,192

Up $350,163 (+17258%) from 2023

Net Income

Down

$432,682

Down $843,314 (-66%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0-$50MAssets 2010: $38,774,649Liabilities 2010: $18,429,670Net Assets 2010: $20,344,9792010Assets 2011: $49,477,728Liabilities 2011: $19,149,858Net Assets 2011: $30,327,8702011Assets 2012: $51,547,167Liabilities 2012: $20,954,841Net Assets 2012: $30,592,3262012Assets 2013: $45,656,632Liabilities 2013: $21,348,357Net Assets 2013: $24,308,2752013Assets 2014: $62,184,378Liabilities 2014: $30,574,737Net Assets 2014: $31,609,6412014Assets 2015: $85,540,369Liabilities 2015: $42,524,983Net Assets 2015: $43,015,3862015Assets 2016: $84,572,032Liabilities 2016: $36,635,701Net Assets 2016: $47,936,3312016Assets 2017: $96,013,909Liabilities 2017: $48,025,027Net Assets 2017: $47,988,8822017Assets 2018: $108,837,582Liabilities 2018: $57,556,808Net Assets 2018: $51,280,7742018Assets 2019: $104,297,480Liabilities 2019: $65,222,548Net Assets 2019: $39,074,9322019Assets 2020: $91,380,990Liabilities 2020: $47,513,244Net Assets 2020: $43,867,7462020Assets 2021: $80,244,042Liabilities 2021: $14,187,747Net Assets 2021: $66,056,2952021Assets 2022: $12,374,285Liabilities 2022: $2,621,957Net Assets 2022: $9,752,3282022Assets 2023: $13,025,231Liabilities 2023: $1,788,555Net Assets 2023: $11,236,6762023Assets 2024: $5,751Liabilities 2024: $102,148Net Assets 2024: -$96,3972024

Highlighted filing

2024

Assets$5,751
Liabilities$102,148
Net Assets-$96,397

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$300M$200M$100M$0-$100MExpenses 2010: $182,768,1232010Expenses 2011: $185,333,7462011Expenses 2012: $200,286,7952012Revenue 2013: $224,062,918Expenses 2013: $230,420,944Net Income 2013: -$6,358,0262013Revenue 2014: $272,316,975Expenses 2014: $267,288,156Net Income 2014: $5,028,8192014Revenue 2015: $322,450,658Expenses 2015: $316,581,604Net Income 2015: $5,869,0542015Revenue 2016: $284,305,640Expenses 2016: $286,082,847Net Income 2016: -$1,777,2072016Revenue 2017: $261,454,242Expenses 2017: $276,875,063Net Income 2017: -$15,420,8212017Revenue 2018: $197,885,724Expenses 2018: $191,187,200Net Income 2018: $6,698,5242018Revenue 2019: $191,443,767Expenses 2019: $196,896,679Net Income 2019: -$5,452,9122019Revenue 2020: $189,639,296Expenses 2020: $180,622,891Net Income 2020: $9,016,4052020Revenue 2021: $180,321,159Expenses 2021: $158,004,603Net Income 2021: $22,316,5562021Revenue 2022: $355,774Expenses 2022: $1,350,782Net Income 2022: -$995,0082022Revenue 2023: $1,278,025Expenses 2023: $2,029Net Income 2023: $1,275,9962023Revenue 2024: $784,874Expenses 2024: $352,192Net Income 2024: $432,6822024

Highlighted filing

2024

Revenue$784,874
Expenses$352,192
Net Income$432,682

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.01$0.10$0.10$0.78$0.35$0.43
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.0$1.79$11.2$1.28$0.00$1.28
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.4$2.62$9.75$0.36$1.35$1.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$80.2$14.2$66.1$180$158$22.3
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$91.4$47.5$43.9$190$181$9.02
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$104$65.2$39.1$191$197$5.45
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$109$57.6$51.3$198$191$6.70
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$96.0$48.0$48.0$261$277$15.4
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$84.6$36.6$47.9$284$286$1.78
2015Detailed filing. Detailed filing data is available for this year.$85.5$42.5$43.0$322$317$5.87
2014Detailed filing. Detailed filing data is available for this year.$62.2$30.6$31.6$272$267$5.03
2013Detailed filing. Detailed filing data is available for this year.$45.7$21.3$24.3$224$230$6.36
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$51.5$21.0$30.6$200
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$49.5$19.1$30.3$185
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.8$18.4$20.3$183
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 14, 2025
Return Version
2024v5.2
Gross Receipts
$784,874
Mission and Program Overview

Mission

Total health care, inc. Is committed to excellence in health care delivery in the state of michigan and the assurance that its members have access to and receive high quality health care and the appropriate preventative services that promote wellness and improved health status within the community. Total health care, inc. Supports a continuous quality improvement process that contributes to the overall improvement of the mainstream of health care delivery in a cost effective manner. Total health care, inc. Maintains an organizational service philosophy of being totally available and totally helpful.

To improve health, instill humanity and inspire hope.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$7,920,753$0▼ $7,920,753
Investments Other Securities$3,952,885$0▼ $3,952,885
Investments in Publicly Traded Securities$1,146,482$2,366▼ $1,144,116
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$11,236,676$-96,397▼ $11,333,073
Total Assets$13,025,231$5,751▼ $13,019,480
Other Assets Total$5,111$3,385▼ $1,726
Liabilities
Deferred Revenue$1,382,854$0▼ $1,382,854
Accounts Payable and Accrued Expenses$275,355$93,991▼ $181,364
Other Liabilities$130,346$8,157▼ $122,189
Total Liabilities$1,788,555$102,148▼ $1,686,407
Net Assets / Fund Balance
Total Net Assets Fund Balance$11,236,676$-96,397▼ $11,333,073
Total Liabilities and Net Assets / Fund Balance$13,025,231$5,751▼ $13,019,480

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$3,385--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joyce Chan RussellDirector/chair
Praveen ThadaniDirector/president
Nicholas GatesDirector/vice Chair/treasurer
Michael JaspersonDirector
Elif Oker MdDirector Py
James Forshee MdDirector Py
Kimberly ThomasDirector/secretary
Kelli KruegerFormer Highest Compensated
Sara McglynnFormer Highest Compensated
Susan RyanFormer Highest Compensated
Noel UpfallFormer Key Employee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$425,296
Investment Income
$359,578
Other Revenue
$0
Change in Net Assets
$432,682
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$348,717
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other-$347,335-$347,335
Benefits to Members$3,475--$3,475
Fees for Service Investment Mgmnt Fees-$1,382-$1,382
Total Functional Expenses$3,475$348,717$0$352,192
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$8,157
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 2

Elif oker md, kimberly thomas, michael jasperson, nicholas gates, and praveen thadani have a business relationship as they serve as an officer or director of php holding company, a related taxable entity. Elif oker md, kimberly thomas, michael jasperson, nicholas gates, and praveen thadani have a business relationship as they serve as an officer or director of priority health insurance company, a related taxable entity. Kimberly thomas, nicholas gates and praveen thadani have a business relationship as they serve as an officer or director of priority health managed benefits, inc., a related taxable entity.

Form 990, Part VI, Section A, line 3

The filing organization entered into an agreement with priority health managed benefits, inc., a wholly owned subsidiary of corewell health, to provide personnel, office space, and supplies necessary to carry out business operations. Priority health managed benefits, inc. Facilitates payment of most management, operational, and administrative expenses on behalf of the filing organization.

Form 990, Part VI, Section A, line 6

Priority health is the sole member of total health care, inc.

Form 990, Part VI, Section A, line 7A

Members or stockholders electing members of governing body priority health, inc., a related 501(c)(4) organization, is able to appoint the board of total health care, inc.

Form 990, Part VI, Section A, line 8B

The organization has no committees with authority to act on behalf of the governing body.

Form 990, Part VI, Section B, line 11B

The form 990 is prepared by corewell health corporate tax. The tax return is reviewed by the corporate tax manager and the director of tax. It is then reviewed by the organization's finance and legal departments. A copy of the form 990 is then provided to each member of the governing body. All questions are addressed prior to filing the form 990.

Form 990, Part VI, Section B, line 12C

1. Conflicts of interest must be disclosed, via an annual electronic disclosure process and verbally at each board and board committee meeting as part of the declaration of conflict of interest prior to discussion of any agenda items. 2. A person having a financial interest in a proposed transaction or arrangement may make a presentation at a meeting of the board or committee which is considering that transaction or arrangement, but after that presentation he/she shall leave the meeting before discussion and voting on that proposed transaction or arrangement. The person having the financial interest shall not be counted in determining whether a quorum is present. 3. The chairperson of the board or the committee chair shall, if appropriate, appoint a disinterested person or committee (including outside advisors) to investigate alternatives to the proposed transaction or arrangement, and to advise whether the proposed transaction or arrangement is in the organization's best interest. 4. The board or committee shall exercise due diligence to determine whether the organization can, with reasonable efforts, obtain a more advantageous transaction or arrangement that would not give rise to a conflict of interest. 5. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors and members whether the proposed transaction or arrangement is in the organization's best interest and for its own benefit and whether the transaction is fair and reasonable to the organization, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 6. The minutes of the meetings of the board and all of the organization's committees shall set forth: a) the names of the persons who disclosed a financial interest in a proposed transaction or arrangement involving the organization or any of its subsidiaries and the nature of the financial interest; and b) the names of the persons who were present for discussions and votes relating to such transaction or arrangement, including any discussion of alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with that matter. The votes of individual members need not be recorded unless otherwise directed by the board of directors or committee. 7. There is an ongoing requirement that members of the board and board committees update their annual disclosure questionnaire at any point during his/her tenure on the board of directors when a new potential conflict of interest arises. Management 1. Upon acceptance of an employment offer, each member of management (directors and above) completes a conflict-of-interest disclosure questionnaire. A copy of the member of management's disclosure questionnaire is sent to the organization's system compliance department. A copy of the member of management's disclosure is reviewed by the organization's compliance operations analyst and escalated to the appropriate executive leadership team, if necessary. 2. Annually, each member of management (directors and above) completes an annual conflict of interest disclosure questionnaire electronically. If there is an affirmative disclosure, the questionnaire is reviewed by the appropriate executive leadership team. 3. There is an ongoing requirement to update the disclosure questionnaire when a new potential conflict of interest arises. Updated disclosures follow the same process as initial disclosures described above. 4. The compliance officer, in consultation with executive management, determines how reported conflicts should be managed. Management of a conflict may take a variety of different forms from implementation of a management plan to requiring that the member of management cease the activity creating the conflict or, in extreme cases, leave the orga

Form 990, Part VI, Section C, line 19

The organization's articles of incorporation and statutory financial statements are on file with the state of michigan and available to the public on the state's website. The organization's bylaws and internal policies are generally not made available to the public.

Filing and Contact Details

Filer

Filer Name
Total Health Care Inc
EIN
38-2018957
Phone
8669897999
Address
100 COREWELL DR NW ATTN TAX, GRAND RAPIDS, MI 49503

Signing Officer

Name
Nicholas Gates
Title
Interim President
Phone
8669897999
Signed
2025-10-14

Organization Details

Principal Officer
Nicholas Gates
Formed
1973
Legal Domicile
Mi
Voting Board Members
6
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

OTHER FEES FOR SERVICES: Program service expenses 0. Management and general expenses 490. Fundraising expenses 0. Total expenses 490. SHARED SERVICES/MGMT FEES: Program service expenses 0. Management and general expenses 346,845. Fundraising expenses 0. Total expenses 346,845.

Form 990, Part XI, line 9:

Transfer to affiliate - priority health -11,765,755.

Form 990, Part XII, Line 2C:

No change in oversight from prior year.

Raw XML AppendixShowing 400 of 1,628 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE.
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IRS990/Desc0EFFECTIVE OCTOBER 1, 2021 THE ORGANIZATION'S MEMBERSHIP AND MEDICAID CONTRACT WERE TRANSFERRED TO PRIORITY HEALTH CHOICE, INC. (A RELATED TAX-EXEMPT ORGANIZATION). FINAL DISSOLUTION IS EXPECTED TO CONCLUDE IN 2025 FOLLOWING APPROVAL BY THE BOARDS OF DIRECTORS OF PRIORITY HEALTH, THE IMMEDIATE CORPORATE PARENT, AND COREWELL HEALTH, THE ULTIMATE CORPORATE PARENT.TOTAL HEALTH CARE, INC. HAS SURRENDERED ITS HMO LICENSE.
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