Civic Intelligence

Banner Health Plan Inc

EIN 84-3237280 • 501(c)4 • Phoenix, AZ

Profile

Operated to promote social welfare, bhp seeks to further bh's mission of making health care easier so life can be better by providing integrated & coordinated care & population health management and will leverage bh's vast arizona managed care expertise to improve its elderly members' access to care and quality of care.

2901 N Central Ave 160Phoenix, AZ 85012

www.bannerhealth.com

Siviq Scores

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

Liabilities / Assets

81st percentile

0.76x

Higher debt load relative to assets than 81% of similar nonprofits.

501(c)4 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

66th percentile

0.44x

Higher debt load relative to revenue than 66% of similar nonprofits.

501(c)4 • $100M-$250M nonprofits • Source year 2024

Net Margin

10th percentile

-46%

Higher net margin than 10% of similar nonprofits.

501(c)4 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

95th percentile

106%

Faster asset growth than 95% of similar nonprofits.

501(c)4 • $100M-$250M nonprofits • Annualized from 2022 to 2024

Revenue Growth

96th percentile

200%

Faster revenue growth than 96% of similar nonprofits.

$100M-$250M nonprofits • Annualized from 2022 to 2024

Assets

Up

$125,336,424

Up $70,282,391 (+128%) from 2023

Liabilities

Up

$95,220,453

Up $53,933,173 (+131%) from 2023

Net Assets

Up

$30,115,971

Up $16,349,218 (+119%) from 2023

Revenue

Up

$214,827,195

Up $108,803,030 (+103%) from 2023

Expenses

Up

$312,608,454

Up $157,135,953 (+101%) from 2023

Net Income

Down

-$97,781,259

Down $48,332,923 (-98%) from 2023

Trend Graphs

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2021: $13,982,957Liabilities 2021: $11,435,297Net Assets 2021: $2,547,6602021Assets 2022: $29,623,279Liabilities 2022: $16,700,519Net Assets 2022: $12,922,7602022Assets 2023: $55,054,033Liabilities 2023: $41,287,280Net Assets 2023: $13,766,7532023Assets 2024: $125,336,424Liabilities 2024: $95,220,453Net Assets 2024: $30,115,9712024

Highlighted filing

2024

Assets$125,336,424
Liabilities$95,220,453
Net Assets$30,115,971

Operations Trend

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

$400M$200M$0-$200MRevenue 2021: $5,289,844Expenses 2021: $13,525,835Net Income 2021: -$8,235,9912021Revenue 2022: $23,833,178Expenses 2022: $40,725,166Net Income 2022: -$16,891,9882022Revenue 2023: $106,024,165Expenses 2023: $155,472,501Net Income 2023: -$49,448,3362023Revenue 2024: $214,827,195Expenses 2024: $312,608,454Net Income 2024: -$97,781,2592024

Highlighted filing

2024

Revenue$214,827,195
Expenses$312,608,454
Net Income-$97,781,259

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.1
Gross Receipts
$214,827,195
Mission and Program Overview

Mission

Operated to promote social welfare, banner health plan (bhp) will seek to further banner health's (bh) mission of making health care easier so life can be better by providing integrated & coordinated care & population health management and will leverage bh's vast arizona managed care expertise to improve its elderly members' access to care and quality of care.

Operated to promote social welfare, banner health plan (bhp) will further banner health's mission of making health care easier so life can be better by providing integrated & coordinated care & population health management.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$39,544,384$105,621,463▲ $66,077,079
Accounts Receivable$5,992,435$18,177,892▲ $12,185,457
Prepaid Expenses and Deferred Charges$948,004$921,082▼ $26,922
Savings and Temporary Cash Investments$585,450$615,987▲ $30,537
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$55,054,033$125,336,424▲ $70,282,391
Other Assets Total$7,983,760$0▼ $7,983,760
Liabilities
Other Liabilities$37,621,654$86,562,279▲ $48,940,625
Accounts Payable and Accrued Expenses$3,665,626$8,658,174▲ $4,992,548
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$41,287,280$95,220,453▲ $53,933,173
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$13,766,753$30,115,971▲ $16,349,218
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$13,766,753$30,115,971▲ $16,349,218
Total Liabilities and Net Assets / Fund Balance$55,054,033$125,336,424▲ $70,282,391
Compensation and Service Providers

Board Members and Trustees

NameTitle
James StringhamDirector/President
Donald NordlundDirector
Donna SicklerDirector
Joseph Gregory MdDirector
Michael KupfermanDirector (thru 10/24)
Marjorie Bessel MdDirector/secretary
Charles LehnDirector/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$212,455,343
Investment Income
$2,122,230
Other Revenue
$249,622
Change in Net Assets
$-97,781,259

Audited Revenue Reconciliation

Revenue per Audited Statements
$214,827,195
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$214,827,195
Total Revenue per Form 990
$214,827,195
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$300,883,689
Salaries, Compensation, and Employee Benefits$11,724,765
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$9,930,054-$9,930,054
Advertising-$6,613,650-$6,613,650
Other Expenses$243,840,869$4,093,920-$4,093,920
All Other Expenses$0$3,626,325$0$3,626,325
Fees for Services Other$0$2,836,392$0$2,836,392
Other Employee Benefits-$1,786,715-$1,786,715
Office Expenses-$521,644-$521,644
Fees for Services Accounting-$119,300-$119,300
Travel-$20,902-$20,902
Interest-$12,224-$12,224
Payroll Taxes-$6,538-$6,538
Pension Plan Contributions-$1,458-$1,458
Total Functional Expenses$243,840,869$68,767,585$0$312,608,454

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$312,608,454
Total Expenses per Audited Statements$312,608,454
Total Expenses per Form 990$312,608,454
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
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
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$56,959,708
due from BANNER HEALTH$27,947,239
Medical Claims Payable$1,178,297
Premium deficiency reserve$421,329
Pharmacy Coverage GAP Discount$55,706
Risk corridor and federal subsidiary payable-
Other-
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A PROCESS FOR DETERMINING COMPENSATION

Banner health plan utilizes a compensation committee comprised of independent directors that exercises oversight over all aspects of the compensation paid to or for the benefit of the ceo and all other senior executives of banner health and any of its affiliates and all other persons who constitute "disqualified persons" with respect to banner health under code section 4958. The committee: - assesses annually the performance of the ceo - exercises oversight over all aspects of compensation for the ceo - reviews and determines the executive total compensation philosophy of banner health - establishes the permissible ranges of compensation for senior executives and disqualified persons - reviews and approves the design of the components of compensation for senior executives and any other disqualified persons and monitors compliance of banner health with the philosophy and design components of executive compensation - receives the ceo's report concerning the overall performance and development assessment of the senior executives - acts for the board in the engagement and direct oversight of external independent compensation consultants engaged to provide advice and information with respect to the reasonableness and competitiveness of the compensation paid to the ceo, senior executives and any other disqualified persons, which consultant reports directly to the committee. In addition, the committee has adopted the following best practices with respect to its executive compensation oversight function: - reviews all incentive plans, benefit plans and programs that apply to employees and physicians - approves ceo's recommendations as to the compensation of senior executives - uses tally sheets summarizing all components of the ceo's and senior executives' compensation, including a three-year earnings history and the cost of all compensation (including specifically deferred compensation) at the time that any action is taken with respect to the ceo's or senior executives' compensation in order to ensure that the committee is fully informed of the complete compensation package before taking any such action - reviews the annual form 990 disclosures relating to executive compensation to ensure the disclosures accurately reconcile to the compensation packages approved by the committee. The compensation committee retains an external independent compensation consulting firm to assist the committee. The committee engages a nationally recognized compensation consulting firm with substantial healthcare experience. This firm reviewed and opined as to the reasonableness of the total compensation package of the ceo, senior executive management, and other executive management identified by the committee as potential disqualified persons. The committee annually reviews the relationship between banner health and each consultant to ensure the consultant's independence. In connection with each such evaluation, the committee requests a written certification from each consultant that: - includes an independence attestation affirming that the consultant has conducted its own internal assessment and based on such assessment and its internal controls, concluded that it has performed its services for the committee in an independent manner and is independent as defined in the intermediate sanction regulations under code section 4958 - confirms that the consultant reports to the committee through the chair of the committee and that all consulting activity for banner health conducted by such consultant during the preceding year was conducted with the knowledge and consent of the chair of the committee - details the amounts paid by banner health to the consultant in its capacity as an external compensation consultant to the committee, and the amounts paid by banner health, if any, to the consultant and its affiliates for any other engagements. - with the assistance of the independent compensation consultant, the compensation committee annually reviews the perfor

Form 990, Part VI, Line 6 Classes of members or stockholders

BHP's sole shareholder is BHIC, which is disregarded for federal tax purposes as a single-member LLC of Banner Health, an Arizona based tax-exempt hospital system recognized by the IRS as tax-exempt under Sections 501(c)(3) and 170(b)(1)(A)(iii) of the Internal Revenue Code.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Banner Health, as the controlling tax-exempt organization, has the power to elect the board of directors.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Banner Health, as the controlling tax-exempt organization, has certain reserved powers.

Form 990, Part VI, Line 11B Review of form 990 by governing body

Banner Health's Tax Department (BH Tax) is RESPONSIBLE FOR OVERSEEING THE PROCESSES FOR PREPARING THE FORM 990. BH Tax TAKES THE LEAD ROLE IN THE PROCESS AND IS CHARGED WITH THE DUTY TO COLLECT THE FINANCIAL AND OTHER INFORMATION NEEDED TO COMPLETE THE FORM 990. THIS INCLUDES COORDINATING WITH OTHER Banner Health DEPARTMENTS, SUCH AS THE LEGAL, PAYROLL, GOVERNMENT RELATIONS, LICENSING, COMMUNITY BENEFIT, COMPENSATION AND BENEFITS, ACCOUNTS PAYABLE, RISK MANAGEMENT, CERTIFICATION, CREDENTIALING, FINANCIAL SERVICES, AND TREASURY DEPARTMENTS IN ORDER TO ENSURE THAT THE EXPERTISE OF EACH DEPARTMENT IS UTILIZED IN THE INFORMATION-GATHERING PROCESS. ONCE THE INFORMATION IS GATHERED, IT IS ORGANIZED AND ASSEMBLED INTO AN ORGANIZER THAT WILL BE USED BY AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. Banner Health HAS AUDITED FINANCIAL STATEMENTS PREPARED ANNUALLY BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AND USES THIS SAME FIRM TO PREPARE ITS FORM 990 BECAUSE OF ITS EXPERTISE IN NON-PROFIT HOSPITAL SYSTEMS AND ITS SPECIFIC KNOWLEDGE OF Banner Health's OPERATIONS AND RETURN COMPLEXITY. ONCE THE INFORMATION GATHERING PROCESS IS COMPLETE, A FIRST DRAFT OF THE FORM 990 IS PREPARED by the outside accounting firm AND READIED FOR REVIEW. THE REVIEW PROCESS BEGINS WITH AN INITIAL REVIEW DONE BY BH Tax. DURING THIS REVIEW, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE Banner Health DEPARTMENTS FOR FURTHER ACTION. ONCE ALL QUESTIONS, ISSUES AND TASKS HAVE BEEN COMPLETED, A SECOND REVIEW BY BH Tax is and the accounting firm is DONE. AGAIN, IF APPLICABLE, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE Banner Health DEPARTMENTS FOR FURTHER ACTION. ONCE THIS SECOND REVIEW PROCESS IS COMPLETED, A FINAL DRAFT OF THE FORM 990 IS PRESENTED TO certain BHP officers. CHANGES TO THE FORM 990 ARE MADE IF NECESSARY. THE FINAL VERSION OF THE FORM 990 IS SIGNED BY a BHP OFFICER and the return is made available to the governing body.

Form 990, Part VI, Line 12C Conflict of interest policy

BHP HAS ADOPTED THE Banner Health CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THE INTERNAL ASSURANCE DEPARTMENT OF BANNER HEALTH TO PROVIDE EACH PARTY WITH A DISCLOSURE QUESTIONNAIRE. THE INTERNAL ASSURANCE DEPARTMENT PREPARES A SUMMARY FOR THE TAX DEPARTMENT. THIS SUMMARY IS ALSO PRESENTED TO THE AUDIT COMMITTEE. THE TAX DEPARTMENT PREPARES ANY REQUIRRED FORM 990 DISCLOSURES. PURSUANT TO BH'S CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS, AND THE DIRECTOR OF INTERNAL ASSURANCE MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents, audited financial statements, conflict of interest policy, and tax returns are available upon request. Copies are maintained at each administrative office and in the legal and tax departments.

Filing and Contact Details

Filer

Filer Name
Banner Health Plan Inc
EIN
84-3237280
Phone
6027474000
Address
2901 N CENTRAL AVE 160, PHOENIX, AZ 85012

Signing Officer

Name
James Stringham
Title
President
Phone
6027474000
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Formed
2019
Legal Domicile
Az
Voting Board Members
6
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
200 CLARENDON STREET, BOSTON, MA 02116-5072
Preparer
Lindsey Pigg
Phone
6172662000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A PROGRAM SERVICE DESCRIPTION CONTINUED

BHP continues to engage in, community partnerships to assist meeting the significant community health needs of seniors and the elderly. Specifically, BHP provides funding to charitable organizations and programs focused on serving seniors such as the Banner Alzheimer's Institute, Banner Olive Branch Senior Center, and Catholic Community Services of Southern Arizona. Banner Alzheimer's Institute, a Section 501(c)(3) tax-exempt organization, provides Alzheimer's care, prevention research and family support to the aging community in Arizona. Banner Olive Branch Senior Center (Banner Olive Branch) is operated by Banner Health and provides services to help seniors remain healthy, active, and independent. Catholic Community Services of Southern Arizona is a Section 501(c)(3) tax-exempt organization, and its mission is to strengthen children, adults, families, and communities by providing help, creating hope and serving all, including providing meals for elderly and disabled individuals and providing low- and middle-income seniors with safe affordable housing.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

TRANSFER OF CAPITAL FROM BANNER HEALTH - 109300000; OTHER CHANGES - 4830477; Total - XXX-XX-XXXX;

Form 990, Part XII, Line 1 OTHER TYPE OF ACCOUNTING METHOD (ADDITIONAL INFO)

The organization's financial statements are prepared in accordance with the NAIC Statements of Statutory Account Principles.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Banner health plan has not recorded any expense or accrued for any related expense for any uncertain tax positions.

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IRS990/Desc0Banner Health Plan ("BHP") operates exclusively to promote social welfare purposes within the meaning of Section 501(c)(4) of the Internal Revenue and is organized as a Medicare-only health maintenance organization (HMO) to serve Medicare beneficiaries through a Medicare-only Medicare Advantage Part D (MAPD) Plan. BHP's sole member is Banner Health Insurance Companies, LLC (BHIC), which is disregarded for federal tax purposes as a single-member LLC of Banner Health, a tax-exempt hospital system under Section 501(c)(3). Banner Health is one of the nation's largest nonprofit health care systems, and the leading tax-exempt provider of hospital services in every community it serves and, in some cases, the only inpatient facility available in some of those rural and/or medically underserved communities. BHP is integrated into Banner Health's continuum of care for Banner Health patients, thereby strengthening its ability to care for those patients and promote community health. BHP embraces and seeks to further Banner Health's mission of making health care easier, so life can be better and leverages Banner Health's vast Arizona managed care expertise to improve its elderly members' access to care and quality of care. Care and coverage are part of Banner Health's vertically integrated system and the cornerstone of BHP which is designed to promote more efficient and effective care coordination and provision. BHP's health plan is based in Arizona and serves only Arizona counties All counties included in BHP's service areas - Maricopa, Pima, Pinal, Santa Cruz, and Yuma - are designated as medically underserved areas by the Health Resources and Services Administration (HRSA). BHP is the only MAPD health plan in Arizona that can offer a fully integrated continuum of care and coverage. In its service area, it is unique in its ability to integrate provider care and operate under the umbrella of a tax-exempt health system. Under BHP, members receive both quality health care and comprehensive insurance coverage including prescription drug coverage in a single plan. Through Banner Health, BHP offers its members a choice of 5000+ providers, 17 Arizona hospitals, and three renowned academic medical centers. BHP offers several programs to improve member health care and access, including a medical management program, care management program, and condition management program. In addition, BHP coordinates member health plan benefits including emergency services and emergency inpatient care, inpatient care, primary care, specialty care, diagnostic and therapeutic ancillary care services, outpatient care, preventive care, and emergency ambulance services. BHP's member experience is further differentiated by allowing over the counter health products, hearing aids, annual eye exams, telehealth visits, meals, free virtual waiting rooms, and behavioral-based smart phone apps that allow BHP to reach its members in a creative and integrated way, meeting both the physical and behavioral health needs of its members. BHP provides each member a personalized health navigator to further develop the integrated experience and meet the member's health needs. The health navigator is a trusted steward to help members with their health goals and needs including: - Assisting with doctors' appointments or member provider selection - Assisting with home health orders, home medical equipment, or filling medications - Discharge navigation and care coordination - Connection with member health or social needs BHP also provides additional member resources including: - Certified health coach and/or registered dietitian - Works with the member on health goals - Dial into Diabetes - Evidence-based and individualized education and support for diabetics - Advance Care Planning - Social workers help with advance care planning and completing advanced directives - Nurse Now - 24 hour/365-day hotline for registered nurse support. - Fall Risk Reduction Program - Fall risk assessment and
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0BANNER HEALTH PLAN HAS NOT RECORDED ANY EXPENSE OR ACCRUED FOR ANY RELATED EXPENSE FOR ANY UNCERTAIN TAX POSITIONS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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