Priority Health Choice Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
IN ADDITION TO THE PURPOSES STATED IN OUR BYLAWS WE USE THE FOLLOWING MISSION: TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE.
- Income
- $1.2 billion
- Spending
- $1.2 billion
- Spent on programs
- 97%
- Reserves
- 2.3 months of spending
- Largest source of income
- fees for its services, 98%
- Employees
- 0
- Volunteers
- 1
- Highest pay
- $3.2 million, director/president
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 60 out of 100. Higher than 46% of charities in its peer group (health care, over $100m).
Reserves
10 of 35Spendable reserves would cover 2.3 months of spending.
Debt
10 of 20It owes 43% of what it owns.
Living within its means
15 of 15Income exceeded spending by 3% of income.
Income trend
10 of 15Income fell 4% on the year before.
Spending floor
15 of 1597% of spending went to programs.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 75 out of 100. Higher than 7% of charities in its peer group (health care, over $100m).
Independent board
5 of 251 of 7 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $1.2 billion spent. PRIORITY HEALTH OFFERS MEDICAID, INCLUDING MICHILD, HEALTHY MICHIGAN PLAN AND CHILDREN'S SPECIAL HEALTH CARE SERVICES (CSHCS) PLANS FOR INDIVIDUALS AND THEIR FAMILIES IN MICHIGAN. PRIORITY HEALTH CHOICE, INC. PROVIDES MORE THAN 211,000 LOWER INCOME AND/OR DISABLED RESIDENTS IN 37 MICHIGAN COUNTIES WITH ACCESS TO QUALITY AND AFFORDABLE HEALTH CARE SERVICES. IT PROMOTES AND INCENTIVIZES OPEN ACCESS TO PROVIDERS.OUR MEDICAID PLANS OFFER EXCELLENT HEALTH COVERAGE AND ARE RATED AS TOP-QUALITY PLANS BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. OUR SERVICE AREA INCLUDES WEST MICHIGAN, NORTHERN MICHIGAN AND THE METRO DETROIT AREA.PRIORITY HEALTH CHOICE, INC. RECEIVED A RATING OF 3.0 OUT OF 5 FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THE RATING WAS BASED ON CLINICAL QUALITY, MEMBER SATISFACTION AND NCQA ACCREDITATION SURVEY RESULTS WHICH WERE CONDUCTED ON MORE THAN 1,000 HEALTH INSURANCE PLANS. IN ADDITION TO THIS RECOGNITION FROM NCQA, THE 2024 MEDICAID HEALTH PLAN CONSUMER GUIDE FROM THE MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES HAS AWARDED PRIORITY HEALTH CHOICE, INC. WITH THE HIGHEST OVERALL RATING. THE OVERALL RATING INCLUDES ALL 5 CATEGORIES IN ADDITION TO HOW THE MEMBERS FEEL ABOUT THEIR PLAN AND THE HELP THE MEMBERS RECEIVE FROM THEIR PLAN.AS A RESULT OF THE RECENT MEDICAID REBID, PRIORITY HEALTH CHOICE, INC. HAS UNDERGONE SIGNIFICANT CHANGES THAT WILL IMPACT PROVIDERS IN NORTHERN AND SOUTHWEST MICHIGAN. EFFECTIVE OCTOBER 1, 2024, PRIORITY HEALTH CHOICE, INC. WILL MAINTAIN ACCESS TO REGIONS 4 (WEST MICHIGAN) AND 10 (DETROIT METRO), GAIN ACCESS TO REGIONS 2 AND 3 (NORTHERN MICHIGAN), AND LOSE ACCESS TO REGION 8 (SOUTHWEST MICHIGAN). THIS REBID, CONDUCTED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS), DETERMINES WHERE HEALTH PLANS CAN OFFER THEIR MEDICAID PRODUCTS ACROSS MICHIGAN'S 10 PROSPERITY REGIONS. PROVIDERS IN THE NEWLY ACQUIRED REGIONS ARE ENCOURAGED TO JOIN PRIORITY HEALTH'S NETWORK AND ASSIST MEDICAID MEMBERS DURING THIS TRANSITION. MEMBERS WILL RECEIVE LETTERS FROM MDHHS WITH INSTRUCTIONS ON SELECTING NEW PLANS IF THEIR CURRENT PLAN EXITS THEIR REGION. PROVIDERS WILL GUIDE THEIR PATIENTS THROUGH THIS PROCESS AND UTILIZE AVAILABLE RESOURCES TO ENSURE A SMOOTH TRANSITION.CHILDREN'S SPECIAL HEALTH CARE SERVICES (CSHCS) IS A SPECIALTY PROGRAM OFFERED BY THE STATE OF MICHIGAN TO PROVIDE CARE FOR CHILDREN AND SOME ADULTS WITH CHRONIC HEALTH CONDITIONS. IN ADDITION, THE CSHCS PROGRAM OFFERS SUPPORT TO THE FAMILIES AND CAREGIVERS OF THE MEMBER. CSHCS PROGRAM ELIGIBILITY IS BASED ON MORE THAN 2,700 MEDICAL DIAGNOSES. THE MAJORITY OF THE CSHCS POPULATION IS ENROLLED IN A MEDICAID HEALTH PLAN. PRIORITY HEALTH CHOICE, INC. HAS A SPECIALTY CARE MANAGEMENT PROGRAM FOR THIS UNIQUE POPULATION. A DEDICATED CARE MANAGEMENT TEAM ENSURES CSHCS MEMBERS ARE ESTABLISHED WITH A PRIMARY CARE MEDICAL HOME WHILE ALSO PROVIDING CARE COORDINATION BETWEEN THEIR PRIMARY CARE / SPECIALTY CARE PROVIDERS AND ANY ANCILLARY PROVIDERS. THIS TEAM INCLUDES CARE MANAGERS, COMMUNITY HEALTH WORKERS, FIELD SERVICE REPRESENTATIVES, AND OTHER KEY PARTNERS, INCLUDING COUNTY HEALTH DEPARTMENTS, EARLY ON, EARLY HEAD START, THE INTERMEDIATE SCHOOL DISTRICTS, SPECIALTY PROVIDERS, AND MEDICAL SUPPLIERS. THE CARE MANAGEMENT TEAM ALSO FACILITATES ACCESS FOR FAMILIES TO THE FAMILY CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, AND THE CHILDREN'S SPECIAL NEEDS FUNDS IN LANSING. AS OF DECEMBER 31, 2024, PRIORITY HEALTH CHOICE, INC. HAD 5,443 MEMBERS ENROLLED IN THE CSHCS PROGRAM AN INCREASE OF 9% FROM THE PRIOR YEAR.THE HEALTHY MICHIGAN PLAN ENCOURAGES HEALTHY BEHAVIORS AND PERSONAL RESPONSIBILITY, HELPS LOW-INCOME MICHIGAN RESIDENTS ACCESS AFFORDABLE HEALTH COVERAGE, AND REDUCES UNCOMPENSATED CARE THAT SHIFTS COSTS ONTO BUSINESSES AND TAXPAYERS. AS OF DECEMBER 31, 2024, PRIORITY HEALTH CHOICE, INC. HAD 61,051 MEMBERS ENROLLED IN THE HEALTHY MICHIGAN PLAN.PRIORITY HEALTH CHOICE, INC. MAKES OUTREACH CALLS TO EACH HEALTHY MICHIGAN MEMBER. DURING THE CALL, MEMBERS ARE PROVIDED WITH BENEFIT EDUCATION AS WELL AS ASSISTANCE IN MAKING THEIR INITIAL PRIMARY CARE PROVIDER ("PCP") APPOINTMENT. DURING THAT INITIAL PCP APPOINTMENT, THE MEMBER COMPLETES A HEALTH RISK ASSESSMENT, WHICH IDENTIFIES CURRENT BEHAVIORS, A MEMBER'S READINESS TO CHANGE, KEY HEALTH METRICS, AND THE PCP ATTESTATION.THE COMMUNITY HEALTH CARE ACCESS PROGRAM (CHAP), IS A COMMUNITY COLLABORATIVE. THE PRIMARY GOAL OF THE CHAP PROGRAM IS TO IMPROVE HEALTH OUTCOMES AMONG CHILDREN ON MEDICAID WHILE BETTER UTILIZING EXISTING RESOURCES AND DECREASING COSTS. THIS PARTNERSHIP BETWEEN PRIORITY HEALTH CHOICE, INC., HELEN DEVOS CHILDREN'S HOSPITAL, CHERRY STREET HEALTH SERVICES, PRIVATE PEDIATRIC PRACTICES, NUMEROUS HUMAN SERVICE AGENCIES, AND PRIVATE FOUNDATIONS COVERS MORE THAN 12,500 CHILDREN IN KENT COUNTY. CHAP CONTRACTED WITH PCP'S, PROVIDING CARE COORDINATION AND ASSISTANCE WITH KEY HEDIS METRICS. PCP'S WERE REIMBURSED AT A HIGHER RATE IN EXCHANGE FOR THEIR WILLINGNESS TO OPEN UP ACCESS, ESPECIALLY SAME DAY ACCESS TO MEMBERS. CHAP PROVIDED SAME DAY TRANSPORTATION TO URGENT PCP APPOINTMENTS AS NEEDED. IN ADDITION, CHAP PROVIDED MEMBER/FAMILY EDUCATION REGARDING APPROPRIATE EMERGENCY ROOM AND URGENT CARE UTILIZATION. IN 2014, CHAP DEVELOPED ITS OWN IDENTITY AS HEALTH NET OF WEST MICHIGAN. AT THE SAME TIME, THE FOCUS OF INTERVENTION EXPANDED TO ADULTS AS WELL AS CHILDREN. HEALTH NET PARTNERED WITH ADULT PRIMARY CARE PRACTICES TO WORK WITH ADULT MEMBERS REGARDING EMERGENCY ROOM AND URGENT CARE USE, WHILE ALSO PROVIDING EDUCATION REGARDING SPECIFIC MEMBER INPATIENT UTILIZATION. IN ADDITION, HEALTH NET HAS PARTNERED WITH OB-GYN RESIDENCY CLINICS TO FACILITATE THE MATERNAL INFANT HEALTH PROGRAM (MIHP) ENROLLMENT FOR PREGNANT WOMEN. HEALTH NET REPORTS A 53% RETURN ON INVESTMENT; FOR EVERY $1 INVESTED IN CHAP SERVICES, $1.53 WAS SAVED IN HEALTH COSTS.PRIORITY HEALTH CHOICE, INC. CONTINUES TO BE RECOGNIZED FOR THEIR DEVELOPMEN
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since July 2005.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
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