Civic Intelligence

University of Michigan Health Plan

990 • Fiscal year 2012 • EIN 38-2356288

Jan 01, 2012 to Dec 31, 2012 • Filed on Nov 07, 2013

Organization ProfileWWW.PHPMM.ORG
PO Box 3037748909
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

46th percentile

0.32x

Higher debt load relative to assets than 46% of similar nonprofits.

2012 filings • $100M-$250M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

73rd percentile

8.7%

Faster asset growth than 73% of similar nonprofits.

2012 filings • $100M-$250M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets46th percentile

Assets

Up

$86,786,890

Up $6,980,877 (+8.7%) from 2011

Net Assets

Up

$59,436,516

Up $3,022,050 (+5.4%) from 2011

Liabilities

Up

$27,350,374

Up $3,958,827 (+17%) from 2011

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$216,040,598

Up $42,152,558 (+24%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth73rd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $83,088,295Liabilities 2010: $22,176,834Net Assets 2010: $60,911,4612010Assets 2011: $79,806,013Liabilities 2011: $23,391,547Net Assets 2011: $56,414,4662011Assets 2012: $86,786,890Liabilities 2012: $27,350,374Net Assets 2012: $59,436,5162012Assets 2013: $89,679,813Liabilities 2013: $25,054,855Net Assets 2013: $64,624,9582013Assets 2014: $94,236,687Liabilities 2014: $26,625,539Net Assets 2014: $67,611,1482014Assets 2015: $87,576,070Liabilities 2015: $23,140,552Net Assets 2015: $64,435,5182015Assets 2016: $97,291,075Liabilities 2016: $29,749,795Net Assets 2016: $67,541,2802016Assets 2017: $92,056,926Liabilities 2017: $33,134,026Net Assets 2017: $58,922,9002017Assets 2018: $95,848,627Liabilities 2018: $34,784,726Net Assets 2018: $61,063,9012018Assets 2019: $104,484,330Liabilities 2019: $26,056,366Net Assets 2019: $78,427,9642019Assets 2020: $97,555,482Liabilities 2020: $31,281,305Net Assets 2020: $66,274,1772020Assets 2021: $85,614,801Liabilities 2021: $34,701,244Net Assets 2021: $50,913,5572021Assets 2022: $60,797,102Liabilities 2022: $29,579,042Net Assets 2022: $31,218,0602022Assets 2023: $79,342,275Liabilities 2023: $37,855,612Net Assets 2023: $41,486,6632023Assets 2024: $98,221,735Liabilities 2024: $66,268,959Net Assets 2024: $31,952,7762024

Highlighted filing

2012

Assets$86,786,890
Liabilities$27,350,374
Net Assets$59,436,516
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $166,454,6682010Revenue 2011: $175,694,480Expenses 2011: $173,888,040Net Income 2011: $1,806,4402011Expenses 2012: $216,040,5982012Revenue 2013: $197,699,374Expenses 2013: $194,696,392Net Income 2013: $3,002,9822013Revenue 2014: $161,817,980Expenses 2014: $158,260,370Net Income 2014: $3,557,6102014Revenue 2015: $168,093,321Expenses 2015: $168,223,437Net Income 2015: -$130,1162015Revenue 2016: $186,927,930Expenses 2016: $184,438,822Net Income 2016: $2,489,1082016Revenue 2017: $199,666,888Expenses 2017: $189,077,565Net Income 2017: $10,589,3232017Revenue 2018: $206,058,136Expenses 2018: $199,434,624Net Income 2018: $6,623,5122018Revenue 2019: $180,918,782Expenses 2019: $182,077,032Net Income 2019: -$1,158,2502019Revenue 2020: $171,519,917Expenses 2020: $185,204,970Net Income 2020: -$13,685,0532020Revenue 2021: $162,492,112Expenses 2021: $175,312,681Net Income 2021: -$12,820,5692021Revenue 2022: $166,036,259Expenses 2022: $184,723,980Net Income 2022: -$18,687,7212022Revenue 2023: $164,458,702Expenses 2023: $195,136,249Net Income 2023: -$30,677,5472023Revenue 2024: $142,942,288Expenses 2024: $178,345,352Net Income 2024: -$35,403,0642024

Highlighted filing

2012

Revenue-
Expenses$216,040,598
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
Nov 7, 2013
Return Version
2012v2.3
Gross Receipts
$231,421,709
Mission and Program Overview

Mission

Physicians health plan's mission is to improve the health status of its members by facilitating quality, compassionate, accessible, cost effective healthcare.

Major Activities

Activity 2
Physicians 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.
Filing and Contact Details

Filer

EIN
38-2356288
Raw XML AppendixShowing 400 of 1,095 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/Activity2/Description0PHYSICIANS 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.
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IRS990/Description0PHYSICIANS 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
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IRS990/Form990PartVIISectionA/NamePerson1SCOTT WILKERSON
IRS990/Form990PartVIISectionA/NamePerson2LARRY RAWSTHORNE MD
IRS990/Form990PartVIISectionA/NamePerson3DAWN SPRINGER MD
IRS990/Form990PartVIISectionA/NamePerson4MARYLEE DAVIS PHD
IRS990/Form990PartVIISectionA/NamePerson5WENDELL BARRON
IRS990/Form990PartVIISectionA/NamePerson6JAMES BUTLER III
IRS990/Form990PartVIISectionA/NamePerson7RANDOLPH RIFKIN
IRS990/Form990PartVIISectionA/NamePerson8PATRICK GRIBBEN JR
IRS990/Form990PartVIISectionA/NamePerson9RICHARD BRUNER
IRS990/Form990PartVIISectionA/NamePerson10DIANA RODRIGUEZ ALGRA
IRS990/Form990PartVIISectionA/NamePerson11BRADLEY HOOPINGARNER MD
IRS990/Form990PartVIISectionA/NamePerson12KENNETH RUDMAN MD
IRS990/Form990PartVIISectionA/NamePerson13KATHLEEN CONKLIN
IRS990/Form990PartVIISectionA/NamePerson14THOMAS HOFMAN PHD
IRS990/Form990PartVIISectionA/NamePerson15DEBORAH MUCHMORE
IRS990/Form990PartVIISectionA/NamePerson16HOWARD BURGESS
IRS990/Form990PartVIISectionA/NamePerson17DENNIS REESE
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IRS990/Form990PartVIISectionA/NamePerson20KEVIN ESSENMACHER
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IRS990/Form990PartVIISectionA/NamePerson24THOMAS OSTRANDER
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Document Assets

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Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$86,786,890
Liabilities
$27,350,374
Net assets
$59,436,516
Revenue
-
Expenses
$216,040,598
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$98.2$66.3$32.0$143$178$35.4
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$79.3$37.9$41.5$164$195$30.7
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$60.8$29.6$31.2$166$185$18.7
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$85.6$34.7$50.9$162$175$12.8
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$97.6$31.3$66.3$172$185$13.7
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$104$26.1$78.4$181$182$1.16
2018Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$95.8$34.8$61.1$206$199$6.62
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$92.1$33.1$58.9$200$189$10.6
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$97.3$29.7$67.5$187$184$2.49
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$87.6$23.1$64.4$168$168$0.13
2014Detailed filing. Detailed filing data is available for this year.$94.2$26.6$67.6$162$158$3.56
2013Detailed filing. Detailed filing data is available for this year.$89.7$25.1$64.6$198$195$3.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$86.8$27.4$59.4$216
2011Summary only. Only limited summary data is available for this year.$79.8$23.4$56.4$176$174$1.81
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$83.1$22.2$60.9$166