Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| NUMBER OF EMPLOYEES | FORM 990, PART I, LINE 5 AND FORM 990, PART V, LINE 2A | PRIORITY HEALTH HAS NO EMPLOYEES. ALL COMPENSATION IS PAID BY PRIORITY HEALTH MANAGED BENEFITS, EIN 38-3085172. AN ALLOCATION OF AMOUNTS PAID TO PRIORITY HEALTH MANAGED BENEFITS PURSUANT TO A MANAGEMENT SERVICES CONTRACT IS REPORTED ON LINES 5-10 OF PART IX. |
| INDEPENDENT VOTING MEMBERS | FORM 990, PART I, LINE 4 AND FORM 990, PART VI, LINE 1B | THE MEMBERS OF THE BOARD OF DIRECTORS OF PRIORITY HEALTH ARE ALSO MEMBERS OF THE BOARD OF DIRECTORS FOR PRIORITY HEALTH MANAGED BENEFITS, INC. ("PHMB") (EIN 38-3085182); A SISTER COMPANY AND WHOLLY OWNED SUBSIDIARY OF THE PARENT ORGANIZATION. PHMB IS A TAXABLE ORGANIZATION THAT PROVIDES SUPPORT SERVICES TO PRIORITY HEALTH. PURSUANT TO THE DEFINITIONS IN THE INSTRUCTIONS TO THIS TAX RETURN, BOARD MEMBERS ARE NOT CONSIDERED INDEPENDENT IF THEY SERVE ON THE BOARD OF TAXABLE ORGANIZATIONS DOING BUSINESS WITH THE TAXPAYER (EVEN THOUGH THERE IS COMMON OWNERSHIP). AS SUCH, THE ORGANIZATION REPORTS ZERO INDEPENDENT BOARD MEMBERS. HOWEVER, , IT SHOULD BE NOTED THAT THERE ARE TWELVE MEMBERS OF THE BOARD OF DIRECTORS THAT WOULD MEET THE INDEPENDENCE DEFINITION IF NOT FOR THE PHMB BOARD MEMBER CONFLICT. |
| PROGRAM SERVICE DESCRIPTION | FORM 990, PART III, LINE 4A | PRIORITY HEALTH HMO PRIORITY HEALTH IS AN INTEGRAL PART OF THE SPECTRUM HEALTH SYSTEM, AN INTEGRATED HEALTH SYSTEM SERVING COMMUNITIES THROUGHOUT MICHIGAN. PRIORITY HEALTH'S MISSION, LED BY ITS COMMUNITY BOARD, STRIVES TO RETURN VALUE TO THE COMMUNITIES SERVED BEYOND THE PROVISION OF HEALTH CARE TO ITS MEMBERS. PRIORITY HEALTH HAS BUILT A LONG HISTORY OF OFFERING MICHIGAN EMPLOYEES PROGRESSIVE PRODUCTS AND INNOVATIVE PROGRAMS INTENDED TO KEEP COSTS DOWN AND MEMBERS HEALTHY. ITS BROAD PORTFOLIO OF PRODUCTS AND SERVICES INCLUDES TRADITIONAL MEDICAL PLANS AS WELL AS HSAS, HRAS AND OTHER CONSUMER-DRIVEN PRODUCTS. PRIORITY HEALTH CURRENTLY HAS AN "EXCELLENT" ACCREDITATION FOR ITS HMO PRODUCTS FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), AN INDEPENDENT MANAGED CARE ACCEDITING BODY. THIS IS THE HIGHEST RATING A HEALTH PLAN CAN EARN. PRIORITY HEALTH CONTINUES TO PURSUE INNOVATIVE SOLUTIONS TO THE ONGOING CHALLENGES FACED BY HEALTH CARE. IT IS THE ONLY HEALTH PLAN IN MICHIGAN THAT HAS INITIATED A BUNDLED PAYMENTS PILOT PROGRAM, WHICH TARGETS QUALITY HEALTH OUTCOMES, REDUCED COSTS AND AN IMPROVED PATIENT/MEMBER EXPERIENCE. PRIORITY HEALTH HAS LOWERED HEALTH COSTS BY OVER $20 MILLION IN 2010 THROUGH MANAGED CARE INITIATIVES THAT INFLUENCE PHYSICIAN PRACTICES, PROMOTE APPROPRIATE HEALTH CARE UTILIZATION AND INCREASE QUALITY WHICH EXTENDS BEYOND PRIORITY HEALTH'S MEMBERS. PEER AND UTILIZATION REVIEW ASSURES THAT SERVICES ARE RENDERED IN A COST EFFICIENT AND PROFESSIONAL MANNER. EVIDENCE-BASED MEDICINE IMPROVES QUALITY AND LOWERS COST. PRIORITY HEALTH MEASURES EACH PHYSICIAN'S TREATMENT OF PREFERENCE SENSITIVE CONDITIONS AND DISTRIBUTES THIS BENCHMARK DATA UN-BLINDED TO ALL PHYSICIANS TO HIGHLIGHT OUTLIERS IN STANDARDS OF CARE TO PROMPT ACTION PLANS AROUND CHANGES IN TREATMENT APPROACH AND ENGAGEMENT OF PATIENTS IN ALTERNATIVE TREATMENTS. CONSUMER DECISION MAKING TOOLS HAVE ALSO BEEN DEVELOPED TO PROVIDE PATIENTS WITH ALTERNATIVES TO TREATMENT WITH RELATED EVIDENCE BASED OUTCOMES. PHARMACEUTICAL FORMULARY ASSESSMENTS GUIDE PHYSICIAN PRESCRIPTION ORDERING BEHAVIORS TOWARD THE LOWEST COST DRUGS THAT ARE PROVEN EFFECTIVE. QUALITY AND INCENTIVE PROGRAMS DESIGNED TO MONITOR AND REDUCE HIGH COST HEALTH CARE AREAS SUCH AS EMERGENCY ROOM VISITS, HIGH DIAGNOSTIC IMAGING AND UNNECESSARY ADMISSIONS HAVE BEEN IMPLEMENTED ACROSS THE STATE OF MICHIGAN. OTHER EXAMPLES OF INITIATIVES INCLUDE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS, WHICH BENEFIT NON-PRIORITY HEALTH PATIENTS. PRIORITY HEALTH DEVELOPS AND PUBLISHES PREVENTIVE HEALTH CARE GUIDELINES AVAILABLE TO THE GENERAL PUBLIC ON ITS WEBSITE. IN ADDITION, PRIORITY HEALTH USES COMMUNITY RATING WHICH MINIMIZES THE ECONOMIC IMPACT OF SEVERE ILLNESS ON A GIVEN INDIVIDUAL OR GROUP. PRIORITY HEALTH SERVES WHAT THE IRS HAS DEFINED AS THE "MOST IN NEED" POPULATION OF INDIVIDUALS, SMALL GROUPS AND ELDERLY, MAKING UP 42% OF THE MEMBERSHIP BASE. PRIORITY HEALTH PROVIDED COMMUNITY-RATED AFFORDABLE HEALTH INSURANCE TO 130,000 MEMBERS WHO ARE INDIVIDUALS AND SMALL GROUPS AT A NET LOSS OF APPROXIMATELY $19 MILLION IN 2010. PRIORITY HEALTH ALSO PROVIDES CAPITAL SUPPORT FOR ITS WHOLLY OWNED SUBSIDIARY, PRIORITY HEALTH GOVERNMENT PROGRAMS, INC., WHICH PROVIDES ACCESS TO EXCELLENT HEALTH CARE TO OVER 63,000 MEDICAID MEMBERS. PRIORITY HEALTH SHARES RISK WITH PROVIDERS AND EMPLOYERS THROUGH CAPITATION, WITHHOLDS, AND OVER $20 MILLION OF INCENTIVES AND OTHER RISK SHARING ARRANGEMENTS. THIS PROMOTES LOWER OVERALL HEALTH CARE COSTS AND IMPROVED QUALITY TO THE COMMUNITY. |
| PROGRAM SERVICE DESCRIPTION | FORM 990, PART III, LINE 4B | PRIORITY HEALTH MEDICARE PRIORITY HEALTH BEGAN OFFERING MEDICARE ADVANTAGE PLANS WITH PRESCRIPTION DRUG COVERAGE IN JUNE 2005. ITS MEDICARE ADVANTAGE PLANS VARY IN PRICE BASED ON WHERE INDIVIDUALS LIVE AND WHAT BENEFITS THEY NEED. INDIVIDUALS ELIGIBLE FOR MEDICARE AND LIVING WITHIN 38 MICHIGAN COUNTIES MAY CHOOSE FROM PRIORITY HEALTH MEDICARE ADVANTAGE PLANS. PRIORITY HEALTH STRIVES TO WORK WITH THE COMMUNITY AND MAKE MEDICARE SIMPLE TO UNDERSTAND. THAT IS WHY IT WROTE AND PUBLISHED "MEDICARE ADVANTAGE FOR DUMMIES." IT WAS WRITTEN BY A PRIORITY HEALTH EMPLOYEE, IN COOPERATION WITH WILEY PUBLISHING, OWNERS OF THE DUMMIES SERIES. THE BOOK HAS BEEN DISTRIBUTED FREE TO OVER 53,000 PEOPLE ACROSS MICHIGAN. AS A RESULT OF PRIORITY HEALTH'S WORK WITH THE COMMUNITY AND DEDICATION TO QUALITY CARE AND SERVICE, ITS MEDICARE ADVANTAGE PLANS WERE THE ONLY PLANS IN MICHIGAN TO RECEIVE THE HIGHEST QUALITY RATING (5-STARS) EVERY YEAR AS PUBLISHED IN THE "MEDICARE AND YOU" HANDBOOK PUBLISHED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). PLANS WERE RATED FROM 2008-2010 BY THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY. |
| PROGRAM SERVICE DESCRIPTION | FORM 990, PART III, LINE 4C | WELLNESS FOR MORE THAN 20 YEARS, PREVENTION AND WELLNESS HAVE BEEN THE FOUNDATION OF PRIORITY HEALTH'S APPROACH TO HEALTH CARE. THIS APPROACH HAS POSITIONED THE COMPANY AS AN INDUSTRY LEADER IN KEEPING MEMBERS HEALTHY BY PREVENTING ILLNESS, MANAGING CHRONIC CONDITIONS AND ULTIMATELY REDUCING COSTS. PRIORITY HEALTH PROVIDES WELLNESS PROGRAMS WITHIN ITS STANDARD HEALTH PLANS, OFFERS STAND-ALONE WELLNESS PROGRAMS TO EMPLOYER GROUPS, PARTICIPATES IN, AND SPONSORS WELLNESS PROGRAMS FOR THE COMMUNITY AT LARGE TO IMPROVE THE HEALTH OF ALL PEOPLE, NOT JUST MEMBERS. IN 2010, OVER 400 HOURS OF WELLNESS CLASSES AND HEALTH FAIRS WERE PROVIDED TO THE COMMUNITY TO PROMOTE HEALTHY LIVING. SPECIFICALLY, PRIORITY HEALTH SPONSORS PROGRAMS WITHIN THE COMMUNITY SUCH AS BIKE CLINICS, CYCLING TEAMS WHICH ALSO PUT ON CLINICS IN SCHOOLS AND PROVIDES FREE HELMETS TO CHILDREN, WALKS AND VARIOUS OTHER SCHOOL OR COMMUNITY EVENTS TO PROMOTE HEALTHIER LIVING. PRIORITY HEALTH PARTICIPATES IN PARTNERSHIP WITH MARANDA, A WEST MICHIGAN NEWS CELEBRITY, DIRECTING MESSAGES TO CHILDREN ON HEALTH AND OTHER POSITIVE MESSAGING. MARANDA PRESENTS A TV SERIES CALLED "WHERE YOU LIVE" AND BRINGS IN EXPERTS TO TALK TO KIDS ABOUT HEALTHY LIVING. THIS PARTNERSHIP ALSO SPONSORS EVENTS THROUGHOUT WEST MICHIGAN REACHING OUT TO KIDS IN AT-RISK COMMUNITIES. PRIORITY HEALTH CONDUCTS FREE WELLNESS CLASSES THROUGHOUT THE STATE. THE BROADER COMMUNITY IS WELCOME TO ATTEND CLASSES THAT EDUCATE THE COMMUNITY IN TOPICS SUCH AS NUTRITION, FITNESS AND PREVENTION. PRIORITY HEALTH ALSO SPONSORS OR PRODUCES COMMUNITY EDUCATION PROGRAMS, HEALTH FAIRS, WALKS/RUNS/TRIATHALONS, AND NEWSLETTERS. PRIORITY HEALTH SUPPORTS HEALTH AND SOCIAL WELFARE ACTIVITIES VIA WELL THOUGHT OUT CONTRIBUTIONS OF OVER $300,000 ANNUALLY TO ORGANIZATIONS IN ORDER TO IMPROVE HEALTH SERVICES AND CONDITIONS IN NEIGHBORHOODS, WORKPLACES AND SCHOOLS THROUGHOUT THE COMMUNITIES IT SERVES. FURTHERMORE, PRIORITY HEALTH HAS DEVELOPED A PROGRAM IN WHICH EMPLOYEES ARE ENCOURAGED TO CONTRIBUTE TO HEALTH-BASED COMMUNITY ORGANIZATIONS. THROUGH THIS PROGRAM, HUNDREDS OF HOURS (DURING BUSINESS TIME) AND OVER $250,000 ANNUALLY HAS BEEN GIVEN BACK TO THE COMMUNITY. |
| AUDITED FINANCIAL STATEMENTS | FORM 990, PART IV, LINE 12A AND PART XII, LINE 2B, 2C AND 2D | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ANNUALLY BY AN INDEPENDENT ACCOUNTING FIRM. THE "NO" RESPONSE TO THESE QUESTIONS RELATES TO THE FACT THAT THE GAAP BASIS FINANCIAL STATEMENTS WERE PREPARED ON A CONSOLIDATED BASIS AND NOT ON A STAND ALONE BASIS. THE ORGANIZATION IS AUDITED ANNUALLY ON A STAND ALONE BASIS AND ISSUED FINANCIAL STATEMENTS ON A STAND ALONE BASIS WHICH ARE PREPARED IN ACCORDANCE WITH SAP (STATUTORY ACCOUNTING PRINCIPLES), AS REQUIRED BY REGULATORY AUTHORITIES. THE FIGURES IN THIS TAX RETURN RECONCILE TO THE FINANCIAL STATEMENTS PREPARED UNDER STATUTORY ACCOUNTING PRINCIPLES AS SUBMITTED TO THE STATE OF MICHIGAN. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE TAXPAYER HAS THREE STOCKHOLDERS AS FOLLOWS: SPECTRUM HEALTH SYSTEM (EIN 38-3382353), CLASS A SHAREHOLDER - 93.9% MUNSON HEALTHCARE (EIN 38-1362830), CLASS B SHAREHOLDER - 5.5% NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM (EIN 38-2146751), CLASS B SHAREHOLDER - 0.6% ALL STOCKHOLDERS ARE TAX-EXEMPT INTERNAL REVENUE CODE SECTION 501(C)(3) ORGANIZATIONS. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | ELECTION OF MEMBERS AND THEIR RIGHTS FROM PRIORITY HEALTH BYLAWS: 6.2 NUMBER AND CLASS OF DIRECTORS. THE BOARD OF DIRECTORS WILL BE COMPOSED OF NOT LESS THAN TWENTY-ONE (21) AND NOT MORE THAN TWENTY-SEVEN (27) MEMBERS, WHICH WILL BE DIVIDED INTO THE FOLLOWING CLASSES: 6.2.1 ONE-THIRD (1/3) OF THE DIRECTORS WILL BE ADULT ENROLLEES AS SPECIFIED UNDER MCL SECTION 500.3511(1) AND ELECTED PURSUANT TO SECTION 6.3 BELOW. AT LEAST ONE (1) OF SUCH ADULT ENROLLEE DIRECTORS WILL BE FROM THE CORPORATION'S NORTHERN SERVICE AREA THAT IS ALSO SERVED BY MUNSON HEALTHCARE OR HEALTHSHARE, INC. (TOGETHER, "NORTHERN SHAREHOLDERS"). 6.3 ELECTION OF ADULT ENROLLEE MEMBERS. THE NOMINATING COMMITTEE WILL SOLICIT NAMES OF POTENTIAL CANDIDATES FROM THE MEMBERS, SHAREHOLDERS, DIRECTORS AND COMMUNITY. THE NOMINATING COMMITTEE WILL SUBMIT TO THE BOARD OF DIRECTORS, AT LEAST SIXTY (60) DAYS PRIOR TO THE ANNUAL MEETING, A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AS ADULT ENROLLEE REPRESENTATIVES. AT LEAST ONE (1) MEMBER WILL BE NOMINATED FOR EACH DIRECTORSHIP TO BE FILLED AT SUCH ANNUAL MEETING. IN ADDITION, ANY GROUP OF ADULT ENROLLEES IN THE CORPORATION'S HEALTH MAINTENANCE PLAN, UPON FILING A PETITION WITH MORE THAN ONE HUNDRED (100) LEGITIMATE SIGNATURES OF CURRENT MEMBERS WITH THE SECRETARY OF THE BOARD OF DIRECTORS AT LEAST NINETY (90) DAYS PRIOR TO THE ANNUAL MEETING, MAY NOMINATE A CANDIDATE FOR ELECTION TO THE BOARD OF DIRECTORS. NOT LATER THAN FOURTEEN (14) DAYS PRIOR TO THE DATE SET BY THE BOARD OF DIRECTORS FOR THE ANNUAL MEETING, THE SECRETARY WILL MAIL BALLOTS TO ALL MEMBERS OF THE CORPORATION CONTAINING THE NAMES OF ALL CANDIDATES FOR ELECTION TO THE BOARD OF DIRECTORS, TOGETHER WITH INSTRUCTIONS FOR COMPLETING AND RETURNING SUCH BALLOTS TO THE CORPORATION. NO MORE THAN TWO (2) PERSONS EMPLOYED BY OR AFFILIATED WITH ANY ONE (1) EMPLOYER OR OTHER GROUP MAY BE NOMINATED. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | DECISIONS SUBJECT TO APPROVAL OF STOCKHOLDERS (NOT MEMBERS) CERTAIN DECISIONS ARE SUBJECT TO APPROVAL OF STOCKHOLDERS. FROM PRIORITY HEALTH BYLAWS: 2.2 CLASS A SHAREHOLDER'S RESERVED POWERS. THE CLASS A SHAREHOLDER SHALL HAVE THE RESERVED POWERS SET FORTH IN THIS SECTION 2.2. THE CORPORATION'S BOARD OF DIRECTORS MAY RECOMMEND ACTION TO THE CLASS A SHAREHOLDER WITH RESPECT TO THE RESERVED POWERS SET FORTH IN THIS SECTION 2.2. THE ACTIONS LISTED BELOW MAY, NOTWITHSTANDING ANY OTHER PROVISION OF THESE BYLAWS OR THE ARTICLES, BE UNILATERALLY CAUSED AND/OR TAKEN BY THE CLASS A SHAREHOLDER, WITHIN ITS SOLE AND EXCLUSIVE POWER AND DISCRETION, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE CLASS A SHAREHOLDER: 2.2.1 AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; 2.2.2 ELECTION AND/OR REMOVAL OF THE CLASS A SHAREHOLDER-APPOINTED MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS PURSUANT TO ARTICLE VI OF THESE BYLAWS; 2.2.3 ELECTION AND/OR REMOVAL OF THE CORPORATION'S CHAIRPERSON OF THE BOARD OF DIRECTORS; 2.2.4 HIRING, DISCHARGE, AND EVALUATION OF THE CORPORATION'S PRESIDENT FOLLOWING CONSULTATION WITH THE CORPORATION'S BOARD OF DIRECTORS PURSUANT TO SECTION 7.3; 2.2.5 ADOPTION OF THE CORPORATION'S STRATEGIC PLAN(S); 2.2.6 ADOPTION OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS, AND ANY AMENDMENTS TO SUCH BUDGETS; 2.2.7 ALL CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF THAT AMOUNT (THE "AUTHORITY MATRIX AMOUNT") SET FORTH IN THE AUTHORITY MATRIX FOR CAPITAL EXPENDITURES AND LOANS TO NON-SPECTRUM HEALTH ENTITIES (THE "EXPENDITURE AUTHORITY MATRIX"), A CURRENT COPY OF WHICH IS ATTACHED HERETO AS EXHIBIT A AND WHICH MAY BE AMENDED FROM TIME TO TIME BY SPECTRUM HEALTH SYSTEM ("SPECTRUM HEALTH"); 2.2.8 ALL BORROWINGS OR GUARANTEES OF INDEBTEDNESS BY THE CORPORATION (OR ANY ENTITY CONTROLLED BY THE CORPORATION); 2.2.9 ALL LENDING BY THE CORPORATION (OR ANY ENTITY CONTROLLED BY THE CORPORATION) TO PERSONS OTHER THAN SPECTRUM HEALTH OR AN ENTITY CONTROLLED BY SPECTRUM HEALTH IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; 2.2.10 THE CORPORATION'S INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY; 2.2.11 ANY MERGER OR CONSOLIDATION OF THE CORPORATION (OR ANY ENTITY CONTROLLED BY THE CORPORATION), OR ANY OTHER CHANGE IN OWNERSHIP PERCENTAGES, CONTROL, OR CAPITAL STRUCTURE OF THE CORPORATION (OR ANY ENTITY CONTROLLED BY THE CORPORATION); 2.2.12 THE PURCHASE OF ALL, OR A MAJORITY OF, ANOTHER CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP OR OTHER LEGAL ENTITY'S STOCK, MEMBERSHIP INTEREST, PARTNERSHIP INTEREST, OTHER OWNERSHIP INTEREST, OR ASSETS; 2.2.13 THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE CORPORATION; 2.2.14 THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE CORPORATION (OR ANY ENTITY CONTROLLED BY THE CORPORATION) TO ANY PERSON OR ENTITY NOT CONTROLLED BY SPECTRUM HEALTH; 2.2.15 DISSOLUTION OF THE CORPORATION; 2.2.16 THE SELECTION, RETENTION, AND OVERSIGHT OF THE OUTSIDE AUDITORS FOR THE CORPORATION (OR ANY ENTITY CONTROLLED BY THE CORPORATION) AND 2.2.17 IN OTHER CASES WHEN REQUIRED BY LAW OR AS OTHERWISE PROVIDED IN THESE BYLAWS. THE CLASS A SHAREHOLDER, PRIOR TO EXERCISING ANY OF THE RESERVED POWERS SET FORTH ABOVE, SHALL NOTIFY THE CLASS B SHAREHOLDER (PROVIDED SUCH ACTION IS NOT TAKEN AT A DULY CALLED MEETING OF THE SHAREHOLDERS). 2.3 CLASS B SHAREHOLDERS' RESERVED POWERS. THE CLASS B SHAREHOLDERS SHALL HAVE THE RESERVED POWERS SET FORTH IN THIS SECTION 2.3. THE CORPORATION'S BOARD OF DIRECTORS MAY RECOMMEND ACTION TO THE CLASS B SHAREHOLDERS WITH RESPECT TO THE RESERVED POWERS SET FORTH IN THIS SECTION 2.3. THE CLASS B SHAREHOLDERS MAY, NOTWITHSTANDING ANY OTHER PROVISION OF THESE BYLAWS OR THE ARTICLES, ACT JOINTLY, WITHIN THEIR SOLE AND EXCLUSIVE POWERS AND DISCRETION, ELECT AND/OR REMOVE THE CLASS B SHAREHOLDER-APPOINTED MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS PURSUANT TO ARTICLE VI OF THESE BYLAWS. 2.4 COMPLIANCE WITH SPECTRUM HEALTH POLICIES. NOTWITHSTANDING ANYTHING CONTAINED IN THESE BYLAWS TO THE CONTRARY, THE CORPORATION AND ITS SUBSIDIARIES SHALL AT ALL TIMES COMPLY WITH AND IMPLEMENT SPECTRUM HEALTH POLICIES AND PROCEDURES APPROVED BY THE CHIEF EXECUTIVE OFFICER OF SPECTRUM HEALTH AS BEING SPECIFICALLY APPLICABLE TO THE CORPORATION, EXCEPT TO THE EXTENT THAT SUCH COMPLIANCE AND/OR IMPLEMENTATION WOULD (A) MATERIALLY AND NEGATIVELY IMPACT THE RIGHTS, POWERS, OR PREFERENCES OF THE CLASS B SHAREHOLDERS; OR (B) BE NONCOMPLIANT WITH APPLICABLE LAWS AND/OR REGULATIONS. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: 1. PREPARATION OF THE RETURN IS SUPERVISED AND REVIEWED BY THE ORGANIZATION'S CORPORATE TAX MANAGER. 2. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. 3. THE RETURN IS REVIEWED BY THE ORGANIZATION'S FINANCE AND LEGAL DEPARTMENTS AND PRESENTED TO THE FINANCE AND AUDIT COMMITTEE WHO IS RESPONSIBLE FOR APPROVING THE RETURN FOR FILING AND DISTRIBUTION TO THE BOARD OF DIRECTORS. 4. THE RETURN IS SENT TO THE MEMBERS OF THE BOARD OF DIRECTORS. 5. THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS COMMENTS OR QUESTIONS RECEIVED BY MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | MONITORING OF CONFLICTS OF INTEREST (BOARD): 1. THE SECRETARY OF THE BOARD OR OTHER DESIGNATED INDIVIDUAL IS RESPONSIBLE FOR OBTAINING FROM ALL DIRECTORS A COMPLETED ANNUAL DISCLOSURE STATEMENT. IN ADDITION, THE SECRETARY WILL OBTAIN AN ANNUAL DISCLOSURE STATEMENT FROM EACH NEW DIRECTOR AT THE TIME HE/SHE IS FIRST ELECTED OR APPOINTED TO THE BOARD OF DIRECTORS. 2. THE SECRETARY WILL COMPILE A LIST OF POTENTIAL AND ACTUAL CONFLICTS (THE "CONFLICT LIST") FROM THE ANNUAL DISCLOSURE STATEMENTS AND DISTRIBUTE THE LIST TO THE CHAIR OF THE BOARD AND THE PRESIDENT. 3. IN ADDITION TO COMPLETING THE ANNUAL DISCLOSURE STATEMENT, DIRECTORS MUST DISCLOSE ACTUAL AND POTENTIAL CONFLICTS AS THEY ARISE DUE TO CHANGED CIRCUMSTANCES. SUCH DISCLOSURES MAY BE MADE TO THE CHAIR OF THE BOARD, THE PRESIDENT OR THE SECRETARY. DISCLOSURES MADE IN THIS WAY SHALL BE GIVEN TO THE SECRETARY TO ADD TO THE CONFLICT LIST. 4. PRIOR TO EACH BOARD MEETING, THE CHAIR OF THE BOARD, THE PRESIDENT AND THE SECRETARY WILL REVIEW THE AGENDA TO DETERMINE IF ANY AGENDA ITEMS WOULD GIVE RISE TO A CONFLICT BASED ON THE CONFLICT LIST. IF AN ACTUAL OR POTENTIAL CONFLICT IS DETERMINED TO EXIST, THE CHAIR OF THE BOARD OR THE PRESIDENT WILL CONTACT THE DIRECTOR PRIOR TO THE MEETING TO ALERT THE DIRECTOR TO THE CONFLICT SITUATION. IF THE AGENDA ITEM IS FOR DISCUSSION ONLY, THE CHAIR OF THE BOARD AND THE DIRECTOR MAY DETERMINE THAT THE DIRECTOR MAY PARTICIPATE IN THE DISCUSSION AFTER DISCLOSING THE CONFLICT TO THE OTHER DIRECTORS. IF THE AGENDA ITEM REQUIRES A VOTE, THE DIRECTOR MUST EXCUSE HIM/HERSELF FROM THE MEETING PRIOR TO THE VOTE. 5. CONFLICTS THAT ARE DISCLOSED DURING BOARD MEETINGS SHALL BE RECORDED IN THE MINUTES OF THE MEETING, INCLUDING WHETHER OR NOT THE DIRECTOR PARTICIPATED IN ANY DISCUSSION ON THE TOPIC AND THE FACT THAT THE DIRECTOR LEFT THE MEETING PRIOR TO A VOTE. MONITORING OF CONFLICTS OF INTEREST (EMPLOYEES): ALL EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. THE COMPLIANCE DEPARTMENT STAFF REVIEWS ALL DISCLOSURES AND GATHERS ADDITIONAL INFORMATION AS APPROPRIATE. THE COMPLIANCE DEPARTMENT STAFF DETERMINES IF ANY CONFLICTS ARE SIGNIFICANT AND ADDRESSES THEM WITH THE EMPLOYEE AND/OR THE HUMAN RESOURCES DEPARTMENT TO ELIMINATE ANY SIGNIFICANT CONFLICTS. A SUBCOMMITTEE OF THE COMPLIANCE COMMITTEE REVIEWS THE ACTIVITIES OF THE COMPLIANCE DEPARTMENT STAFF IN DETERMINING CONFLICTS TO DETERMINE IF THEY HAVE BEEN HANDLED APPROPRIATELY. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | PART VI, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL PRIORITY HEALTH HAS ALIGNED ITS EXECUTIVE COMPENSATION PROGRAM TO SUPPORT THE REQUIREMENTS OF INTERMEDIATE SANCTIONS REGULATIONS. THE PRINCIPAL PURPOSE OF THESE REGULATIONS IS TO ENSURE THAT THE COMPENSATION PAID TO SENIOR EXECUTIVES AND OTHER INSIDERS AT TAX-EXEMPT ORGANIZATIONS IS REASONABLE.(1) COVERED POSITIONS INCLUDE ANY KEY EXECUTIVE WHO AT ANY TIME IN THE PAST FIVE YEARS WAS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS AN INDEPENDENT THIRD PARTY CONSULTANT TO PROVIDE COMPENSATION ANALYSIS AND ADVICE AND TO REVIEW THE COMPETITIVENESS AND REASONABLENESS OF THE TOTAL COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVES. THE CONSULTANT USES TWO COMMERCIALLY AVAILABLE HEALTH PLAN EXECUTIVE COMPENSATION SURVEYS. IN 2010, BASED ON FY 2009 PERFORMANCE, THE INDEPENDENT CONSULTANT NOTED THAT IN THEIR OPINION WHEN THE TOTAL BENEFIT PACKAGE IS COMBINED WITH CASH COMPENSATION, PRIORITY HEALTH EXECUTIVE COMPENSATION IS REASONABLE WITH AN INTERMEDIATE SANCTIONS PERSPECTIVE. (1) ALL SENIOR EXECUTIVES ARE EMPLOYED BY PRIORITY HEALTH MANAGED BENEFITS, INC., A MICHIGAN FOR-PROFIT CORPORATION (PHMB); HOWEVER, PHMB HAS ELECTED TO COMPLY WITH THESE REGULATIONS AS ITS REVENUE IS PRIMARILY DERIVED FROM MANAGEMENT FEES PAID BY PRIORITY HEALTH, WHICH IS A TAX-EXEMPT ORGANIZATION. REFERENCES TO PRIORITY HEALTH REFER TO BOTH ENTITIES, AS APPROPRIATE. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A. |
| Public Disclosure | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS AND FINANCIAL STATEMENTS ARE ON FILE WITH THE STATE OF MICHIGAN AND AVAILABLE TO THE PUBLIC THROUGH THE STATE. IN ADDITION, THE OVERALL SYSTEM CONSOLIDATED FINANCIAL STATEMENTS ARE PROVIDED AT WWW.SPECTRUM-HEALTH.ORG IN THE SECTION TITLED "ABOUT US". THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MADE AVAILABLE UPON REQUEST. |
| DOCUMENT RETENTION POLICY | FORM 990, PART VI, SECTION B, LINE 14 | A DOCUMENT RETENTION POLICY HAS BEEN ADOPTED BY SENIOR MANAGEMENT IN 2008 AND WAS THEREFORE IN EFFECT DURING THE TAX YEAR. THE PARENT CORPORATION BOARD (SPECTRUM HEALTH SYSTEM) ADOPTED A DOCUMENT RETENTION POLICY ON JUNE 28, 2011, WHICH IS APPLICABLE TO PRIORITY HEALTH PURSUANT TO ITS BYLAWS. |
| MANAGEMENT SERVICES | FORM 990, PART VI, SECTION A, LINE 3 | PRIORITY HEALTH MANAGED BENEFITS, INC. (PHMB), AN ENTITY RELATED THROUGH COMMON OWNERSHIP, PROVIDES CONTRACTED MANAGEMENT SERVICES TO PRIORITY HEALTH. PHMB IS THE EMPLOYER OF ALL EMPLOYEES WHO PROVIDE SERVICES SOLELY FOR PRIORITY HEALTH AND ITS AFFILIATES. PRIORITY HEALTH'S GOVERNING BODY RETAINS CONTROL OF THE ACTIVITIES OF PHMB AS THE GOVERNING BODIES OF PRIORITY HEALTH AND PHMB ARE COMPRISED OF THE SAME DIRECTORS AND OFFICERS. |
| Average hours worked per week for related organization | Form 990, Part VII, Section A, Column B | GREGORY A. HAWKINS - 5 JUDITH HOOYENGA - 5 KIMBERLY K. HORN - 5 KIMBERLY L. THOMAS - 5 DEBORAH A PHILLIPS - 5 JAMES F BYRNE - 5 JAMES S SLUBOWSKI - 5 JOAN A. BUDDEN - 5 MICHAEL R KOZIARA - 5 BRUCE NIEBYLSKI - 5 DONALD J WHITFORD - 5 JOHN L FOX - 5 LEON D LAMOREAUX - 5 SEAN T. MONAGHAN - 5 |
| COMPENSATION | FORM 990, PART IX, LINE 6 | MR. MARK ZICKEL SERVED AS A KEY EMPLOYEE IN A PRIOR YEAR. MR. GUY GAUTHIER SERVED AS DIRECTOR IN A PRIOR YEAR AND AS AN EMPLOYEE. MR. MARC KOLE SERVED AS CFO IN A PRIOR YEAR. THE COMPENSATION REPORTED ON THIS LINE WAS FOR THEIR SERVICES AS EMPLOYEES OF THE ORGANIZATION, IN A LESSER CAPACITY OTHER THAN KEY EMPLOYEE, DIRECTOR, OR CFO, NOT AS A FORMER KEY EMPLOYEE, DIRECTOR, OR CFO. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -17110422; PAYMENT OF SURPLUS NOTES - -3800000; CHANGE IN NONADMITTED ASSETS - -2713782; |
| Software ID: | 10000128 |
| Software Version: | v2010.1.0 |