2025-11-14T10:07:21-05:00 2024-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2024-01-01 382356288 UNIVERSITY OF MICHIGAN HEALTH PLAN UNIV 5173648400 1301 N HAGADORN STE 1E EAST LANSING MI 48823 SHARON WILLIAMS PRESIDENT 5173648400 2025-11-13 true true JULIE M PFEIFLE P00751307 5177060800 2025-11-13 2024 2025-03-06 01:10:19Z SHARON WILLIAMS 1301 N HAGADORN STE 1E EAST LANSING MI 48823 155408433 false X WWW.UOFMHEALTHPLAN.ORG X 1980 MI UNIVERSITY OF MICHIGAN HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE. 9 4 205 0 0 163065641 142105015 1393061 837273 0 164458702 142942288 0 143304420 120751291 11455282 12927286 0 0 41500545 44666775 196260247 178345352 -31801545 -35403064 78218278 98221735 37855612 66268959 40362666 31952776 X UNIVERSITY OF MICHIGAN HEALTH PLAN'S MISSION IS TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS BY FACILITATING QUALITY, COMPASSIONATE, ACCESSIBLE, COST EFFECTIVE HEALTHCARE. false false 167934675 142105015 UNIVERSITY OF MICHIGAN HEALTH PLAN IS OWNED BY UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. UOFM HEALTH PLAN 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. UOFM HEALTH PLANS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. UOFM HEALTH INSURANCE COMPANY OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2024, THERE WERE APPROXIMATELY 28,100 ENROLLEES IN UOFM HEALTH PLANS' COMMERCIAL HMO, 25,300 IN TPA, 2,300 IN UOFM HEALTH INSURANCE COMPANY, AND 8,300 ENROLLEES IN UM HEALTH MEDICARE. THE UOFM HEALTH PLAN 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. UOFM HEALTH PLAN CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. UOFM HEALTH PLANS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. UOFM HEALTH PLANS 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. UOFM HEALTH PLAN 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. UOFM HEALTH PLAN OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. UOFM HEALTH PLAN OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE UOFM HEALTH PLAN NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. UOFM HEALTH PLAN 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. UOFM HEALTH PLAN 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. UOFM HEALTH PLAN 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 UOFM HEALTH PLAN QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 UOFM HEALTH PLAN 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. UOFM HEALTH PLAN 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. 167934675 false false false false false false false false true true false true true true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false true 211 0 true 205 true false false false false false false false false X 9 4 false false false false true true true true true false false true true true true true true true true false MI X SHARON WILLIAMS 5173648400 1301 N HAGADORN STE 1E EAST LANSING MI 48823 ERIC STRUCKO TREASURER 1.00 40.00 X X 0 1414102 224131 MARGARET DIMOND PRES/CEO-UMH 1.00 40.00 X X 0 1369566 94544 KEITH DICKEY CHAIR 1.00 40.00 X X 0 1036417 165596 JAMES F DOVER FMR PRES-UMH X 0 1051835 35605 IFTIKER AHMAD MD FORMER DIREC 0.00 40.00 X 0 602494 69800 DOUGLAS EDEMA MD DIRECTOR 1.00 40.00 X 0 582711 35437 JOSEPH RUTH FORMER DIREC 0.00 0.00 X 0 501992 17732 KIMBERLEY ROSS DIRECTOR 1.00 40.00 X 0 460117 53695 DENNIS REESE FORMER PRES 0.00 0.00 X 436478 0 68256 PAULA REICHLE FORMER TREAS 0.00 0.00 X 0 472508 27205 TIMOTHY PETERSON M D DIRECTOR 40.00 1.00 X 0 420764 14262 WALTER BRIGGS VP OPERATION 40.00 5.00 X 199463 0 52296 PHYLLIS FISHER VP OPERATION 40.00 5.00 X 202446 0 40710 NICOLE WERNER FORMER CFO 0.00 0.00 X 202632 0 34310 KENNETH WALKER DIR OF NETWO 40.00 5.00 X 173264 0 54850 JENNIFER JOHNSTON VP SALES & M 40.00 5.00 X 198649 0 22434 ANN HUNT-FUGATE RPH MGR CLINICAL 40.00 5.00 X 173227 0 42752 ANDREA KOSLOSKI FORMER DIREC 0.00 0.00 X 0 112189 16269 SHARON WILLIAMS PRESIDENT 40.00 5.00 X 99000 0 0 JOHN PIRICH DIRECTOR 1.00 40.00 X 0 1560 0 KEVIN ALBOSTA DIRECTOR 1.00 0.00 X 0 0 0 RICHARD BRUNER DIRECTOR 1.00 40.00 X 0 0 0 AUDREY LIANGYUE-WANLING FAN DIRECTOR 1.00 40.00 X 0 0 0 1685159 8026255 1069884 42 true true false TRIZETTO 1085 MORRIS AVENUE UNION NJ 07083 HEALTHCARE IT 6852704 GLOBALCARE INC 6875 SHILOH RD E ALPHARETTA GA 300058403 COST CON & CIR 1179581 MILLIMAN 15800 BLUEMOUND RD SUITE 100 BROOKFIELD WI 53005 MGMT CONSULTING 1015564 CHANGE HEALTHCARE INC 3055 LEBANON PIKE NASHVILLE TN 37214 COST CONT & CIR 1005421 MPULSE MOBILE 21255 BURBANK BLVD SUITE 120 LOS ANGELES CA 91367 INDV HLTH PLAN 544869 34 PREPAID HEALTHCARE 621990 142105015 142105015 142105015 764706 764706 12538712 12466145 72567 72567 72567 142942288 142105015 837273 120751291 120751291 2000762 1514577 486185 8701931 6587362 2114569 446350 337887 108463 1035128 783592 251536 743115 562538 180577 3708976 3708976 8914 6748 2166 165148 165148 1715 1715 3284076 3284076 180316 136499 43817 454457 344024 110433 1535922 1162693 373229 113817 113817 42943 42943 2600561 2600561 61946 61946 LOSS - UNCONSOLIDATED SUB 24502533 24502533 BROKER COMMISSIONS 4077162 4077162 ADMINISTRATIVE EXPENSES 2533258 2533258 ALL OTHER EXPENSES 1395031 1056038 338993 178345352 167934675 10410677 0 21514338 15034326 8789856 7246118 876682 1060709 20815106 17475007 5165872 3340099 2298769 2457557 25588649 28086115 13984112 40996811 78218278 98221735 31635832 25164359 2301427 3240637 3918353 37863963 37855612 66268959 X 40362666 31952776 40362666 31952776 78218278 98221735 X -35403064 -6826 27000000 X false true X true false 9785856 321482 130539 10237877 9199222 273470 313164 9785856 6297032 5192208 -280050 11209190 5606321 561053 129658 6297032 4912247 237860 456214 5606321 1.00000 false true true 20815106 17475007 3340099 3340099 INVEST - UNIV OF MICH PHP MEDICARE 19323414 C INVEST - UNIV OF MICH INSURANCE CO 8825695 C INVEST - UNIV OF MICHIGAN SERVICE CO -62994 C 28086115 RELATED PARTY RECEIVABLE 40996811 40996811 RELATED PARTY PAYABLE 37863963 37863963 143456726 872261 872261 142584465 1715 356108 357823 142942288 154357000 872261 872261 153484739 1715 24858898 24860613 178345352 SCHEDULE D, PAGE 2, PART V, LINE 4 U OF M HEALTH PLAN DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY UNIVERSITY OF MICHIGAN HEALTH - SPARROW FOUNDATION, A RELATED ORGANIZATION OF UM HEALTH PLAN. UNIVERSITY OF MICHIGAN HEALTH - SPARROW FOUNDATION IS A FISCAL YEAR ORGANIZATION, REPORTING ON THE GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB). THE ENDOWMENT FUNDS REPORTED ARE FOR THE 6/30/2024 TAX YEAR. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENT. SCHEDULE D, PAGE 4, PART XI, LINE 2D PENSION 401,763 RISK ADJ INCOME/EXPENSE RECLASS 470,498 SCHEDULE D, PAGE 4, PART XI, LINE 4B REINSURANCE 356,108 SCHEDULE D, PAGE 4, PART XII, LINE 2D PENSION 401,763 RISK ADJ INCOME/EXPENSE RECLASS 470,498 SCHEDULE D, PAGE 4, PART XII, LINE 4B REINSURANCE 356,108 MISCELLANEOUS 257 UNCONSOLIDATED LOSS SUBSIDIARY 24,502,533 X X X X X X true true false false false false false true false ERIC STRUCKO TREASURER 1396852 17250 211685 12446 1638233 MARGARET DIMOND PRES/CEO-UMH SPARROW 986774 297811 84981 94544 1464110 KEITH DICKEY CHAIR 966598 69819 144241 21355 1202013 JAMES F DOVER FMR PRES-UMH SPARROW 1051835 9900 25705 1087440 IFTIKER AHMAD MD FORMER DIRECTOR 597545 4949 10350 59450 672294 DOUGLAS EDEMA MD DIRECTOR 557861 24850 9900 25537 618148 JOSEPH RUTH FORMER DIRECTOR 501992 17732 519724 KIMBERLEY ROSS DIRECTOR 442867 17250 34500 19195 513812 DENNIS REESE FORMER PRES & CEO 401551 28000 6927 18282 49974 504734 PAULA REICHLE FORMER TREASURER 472508 9900 17305 499713 TIMOTHY PETERSON M D DIRECTOR 374764 46000 3252 11010 435026 WALTER BRIGGS VP OPERATIONS 198282 1181 11753 40543 251759 PHYLLIS FISHER VP OPERATIONS 193320 8000 1126 11302 29408 243156 NICOLE WERNER FORMER CFO 180246 22000 386 12832 21478 236942 KENNETH WALKER DIR OF NETWORK SERV. 170368 2562 334 10359 44491 228114 JENNIFER JOHNSTON VP SALES & MARKETING 190270 8000 379 1149 21285 221083 ANN HUNT-FUGATE RPH MGR CLINICAL PHARM 171972 1255 9923 32829 215979 ANDREA KOSLOSKI FORMER DIRECTOR 111889 300 7586 8683 128458 SCHEDULE J, PAGE 1, PART I, LINE 3 UNIVERSITY OF MICHIGAN HEALTH PLAN RELIES ON THE COMPENSATION POLICIES AND PRACTICES OF ITS RELATED ORGANIZATIONS. UNIVERSITY OF MICHIGAN - SPARROW 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 THAT ARE BEING USED BY ALL UNIVERSITY OF MICHIGAN HEALTH - SPARROW RELATED ENTITIES. SCHEDULE J, PAGE 1, PART I, LINE 4 ERIC STRUCKO 0 177,184 0 KEITH DICKEY 0 109,741 0 JAMES F. DOVER 1,051,835 0 0 DOUGLAS EDEMA, M.D. 469,157 0 0 JOSEPH RUTH 501,992 0 0 PAULA REICHLE 472,508 0 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 PERQUISITES) ARE COMPARED TO MARKET. SCHEDULE J, PART III JAMES DOVER, AHMAD IFTIKER, JOSEPH RUTH, PAULA REICHLE, AND ANDREA KOSLOSKI ARE FORMER BOARD MEMBERS OF UNIVERSITY OF MICHIGAN HEALTH PLAN. THE BOARD MEMBERS ARE BEING COMPENSATED BY UNIVERSITY OF MICHIGAN HEALTH - SPARROW AND AFFILIATES FOR SERVICES PROVIDED TO UNIVERSITY OF MICHIGAN HEALTH - SPARROW AND AFFILIATES IN POSITIONS OTHER THAN AS BOARD MEMBER OF UNIVERSITY OF MICHIGAN HEALTH PLAN. THE BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO UNIVERSITY OF MICHIGAN HEALTH PLAN. FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. FORM 990, PAGE 2, PART III, LINE 4A UNIVERSITY OF MICHIGAN HEALTH PLAN IS OWNED BY UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS, LLC AND HOLDS A CERTIFICATE OF AUTHORITY AS AN HMO IN THE STATE OF MICHIGAN. UOFM HEALTH PLAN 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. UOFM HEALTH PLANS SERVICE AREA INCLUDES THE MICHIGAN COUNTIES OF INGHAM, EATON, CLINTON, SHIAWASSEE, MONTCALM, GRATIOT, IONIA, JACKSON, HILLSDALE AND PORTIONS OF ISABELLA, SAGINAW, WASHTENAW, AND LENAWEE. UOFM HEALTH INSURANCE COMPANY OFFERS PRODUCTS ACROSS MICHIGAN. AS OF DECEMBER 31, 2024, THERE WERE APPROXIMATELY 28,100 ENROLLEES IN UOFM HEALTH PLANS' COMMERCIAL HMO, 25,300 IN TPA, 2,300 IN UOFM HEALTH INSURANCE COMPANY, AND 8,300 ENROLLEES IN UM HEALTH MEDICARE. THE UOFM HEALTH PLAN 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. UOFM HEALTH PLAN CONTRACTS WITH VARIOUS HDNS WHO PROVIDE HEALTHCARE SERVICES TO MEMBERS. UOFM HEALTH PLANS COMMITMENT IS TO DEVELOP AND DELIVER QUALITY MANAGED CARE PRODUCTS AT REASONABLE COSTS FOR ITS MEMBERS. UOFM HEALTH PLANS 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. UOFM HEALTH PLAN 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. UOFM HEALTH PLAN OFFERS A VARIETY OF HEALTHCARE PROGRAMS, OR PRODUCTS TO GROUPS AND INDIVIDUALS. UOFM HEALTH PLAN OFFERS CHOICES THAT PROVIDE COVERAGE WITHIN THE NETWORK OF CONTRACTED HDN PROVIDERS, LIMITED COVERAGE OUTSIDE OF THE UOFM HEALTH PLAN NETWORK, VARIOUS LEVELS OF DEDUCTIBLES, CO-PAYMENTS, AND COVERAGE LIMITS, ALL OF WHICH ARE DESIGNED TO BE RESPONSIVE TO CUSTOMER NEEDS. UOFM HEALTH PLAN 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. UOFM HEALTH PLAN 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. UOFM HEALTH PLAN 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 UOFM HEALTH PLAN QI PROGRAM IS ULTIMATELY ACCOUNTABLE TO THE BOARD OF DIRECTORS. IN 2021 UOFM HEALTH PLAN 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. UOFM HEALTH PLAN 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. FORM 990, PAGE 6, PART VI, LINE 6 UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS IS THE PARENT AND SOLE MEMBER OF UNIVERSITY OF MICHIGAN HEALTH PLAN AND HAS 100% OWNERSHIP. UNIVERSITY OF MICHIGAN HEALTH PLAN HOLDINGS IS OWNED BY MICHIGAN MEDICINE AT 90% AND COVENANT HEALTHCARE SYSTEM 10%. FORM 990, PAGE 6, PART VI, LINE 7A THE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF UNIVERSITY OF MICHIGAN HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF MICHIGAN MEDICINE. FORM 990, PAGE 6, PART VI, LINE 7B THE NON-ENROLLEE MEMBERS OF THE BOARD OF DIRECTORS OF UNIVERSITY OF MICHIGAN HEALTH PLAN ARE RATIFIED BY THE BOARD OF DIRECTORS OF MICHIGAN MEDICINE. THE DECISIONS OF THE UNIVERSITY OF MICHIGAN HEALTH PLAN BOARD OF DIRECTORS MAY BE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF MICHIGAN MEDICINE. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 2024 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT HAS COMPLETED ITS REVIEW OF THE FORM 990, DRAFT COPIES ARE FORWARDED TO BOARD MEMBERS FOR REVIEW PRIOR TO SUBMITTING. FORM 990, PAGE 6, PART VI, LINE 12C 1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON). FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE UNIVERSITY OF MICHIGAN - APPLICABLE BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE APPLICABLE BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS FOLLOWS: THE GOVERNING DOCUMENTS OF UNIVERSITY OF MICHIGAN HEALTH PLAN ARE SUBMITTED TO THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES (DIFS). THOSE ARE PUBLICLY AVAILABLE TO INTERESTED PARTIES. THE CONFLICT OF INTEREST IS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CAPITAL CONTRIBUTION 27,000,000 REGENTS OF THE UNIV OF MICHIGAN 5082 WOLVERINE TWR 3003 S STATE ST ANN ARBOR MI 481091287 386006309 SCHOOL MI 501C3 2 N/A false WEST MICHIGAN RADIATION ONCOLOGY 5950 METRO WAY WYOMING MI 49519 300501592 HOSPITAL MI 501C3 3 N/A false METROPOLITAN HOSPITAL (UMH WEST) 5900 BYRON CENTER AVE SW WYOMING MI 49519 380593405 HOSPITAL MI 501C3 3 UM HEALTH true UM HEALTH 5082 WOLVERINE TWR 3003 S STATE ST ANN ARBOR MI 48109 814913150 SUP ORG MI 501C3 12A UM false METROPOLITAN FOUNDATION 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 383033329 SUP ORG MI 501C3 7 METRO HOSP true SPARROW HEALTH SYSTEM 1215 E MICHIGAN AVENUE LANSING MI 48912 382542859 HEALTH MI 501C3 12A UM HEALTH true PHYSICIANS HEALTH NETWORK 1301 N HAGADORN STE 1E EAST LANSING MI 48823 382594856 HMO MI 501C4 UM HLD LLC true SPARROW FOUNDATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386100687 FUNDRAISE MI 501C3 12B SHS true SPARROW COMMUNITY CARE 3315 E MICHIGAN AVENUE STE 4 LANSING MI 48912 382543305 HOME HLTH MI 501C3 10 SHS true SPARROW CLINTON HOSPITAL 805 S OAKLAND STREET ST JOHNS MI 48879 381358172 HLTH CARE MI 501C3 3 SHS true EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 HLTH CARE MI 501C3 3 SHS true SPARROW IONIA HOSPITAL 3565 S STATE RD IONIA MI 48846 383218134 HLTH CARE MI 501C3 3 SHS true SPARROW SPECIALTY HOSPITAL 1215 E MICH AVE 8W SPARROW TOWER LANSING MI 48912 141885340 LT ACUTE MI 501C3 3 SHS true SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE LANSING MI 48912 383075242 RESEARCH MI 501C3 4 SHS true SPARROW CARSON HOSPITAL 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 381490180 HLTH CARE MI 501C3 3 SHS true UNIV OF MICHIGAN HEALTH MEDICARE 1301 N HAGADORN STE 1E EAST LANSING MI 48823 832766121 HMO MI 501C4 UMH PLAN true SPARROW EATON HOSPITAL 321 E HARRIS ST CHARLOTTE MI 48813 382007629 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL AUXILIARY 321 E HARRIS ST CHARLOTTE MI 48813 382377160 FUNDRAISE MI 501C3 10 SHS true MICHIGAN DIALYSIS SERVICES LLC 5082 WOLVERINE TWR 3003 S STATE ST ANN ARBOR MI 481091287 383472138 DIALYSIS MI N/A false false PHYSICIAN ORGANIZATION OF MI ACO 5082 WOLVERINE TWR 3003 S STATE ST ANN ARBOR MI 481091287 454542046 HEALTHCARE MI N/A false false UNIVERSITY OF MICH HLT HOLDINGS LLC 1301 N HAGADORN STE 1E EAST LANSING MI 48823 833965697 HOLDING CO MI N/A false false KENT HEALTH CARE PHYSICIAN ORG 2225 MAIN STREET SW STE 110 WYOMING MI 49519 383404658 HEALTHCARE MI N/A true UNIV OF MICH HLTH INSURANCE COMPANY 1301 N HAGADORN STE 1E EAST LANSING MI 48823 205565219 INSURANCE MI N/A true UNIV OF MICH HLTH SERVICE COMPANY 1301 N HAGADORN STE 1E EAST LANSING MI 48823 383344741 MED SVS MI N/A true SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVENUE LANSING MI 48912 382595963 MED SUPPL MI N/A true EAST LANSING ATHLETIC CLUB 2900 HANNAH BLVD EAST LANSING MI 48823 382886420 HLTH CLUB MI N/A true MAC RESTAURANT LLC 2900 HANNAH BLVD EAST LANSING MI 48823 205120690 RESTAURANT MI N/A true CLINTON SERVICES CORPORATION 805 S OAKLAND ST JOHNS MI 48879 382494110 SERVICES MI N/A true EAST LANSING ATHLETIC CLUB & HSP 1200 E MICHIGAN AVENUE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true false true false false false true false false false false true true true true true false false true false PHYSICIANS HEALTH NETWORK M 113483296 COST EDWARD W SPARROW HOSPITAL Q 21010418 COST U OF M INSURANCE COMPANY Q 2392272 COST U OF M SERVICE COMPANY Q 4591945 COST U OF M MEDICARE Q 1194976 COST U OF M MEDICARE B 27000000 COST U OF M HOLDINGS LLC C 27000000 COST