BLUE CARE NETWORK OF MICHIGAN: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BLUE CARE NETWORK OF MICHIGAN (EIN 38-2359234)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202303199349330355
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T19:39:50+00:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 CLARENDON STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021165072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382359234 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Blue Care Network of Michigan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 2487996363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E LAFAYETTE BLVD MC 1816 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48226 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID JACKSON | PersonNm |
| Person Title | CORPORATE TAX ADVISOR | PersonTitleTxt |
| Phone | 3132259628 | PhoneNum |
| Signature | 2023-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WAYMOND | PersonFirstNm |
| Person Last | HARRIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mike A Cincotta | PreparerPersonNm |
| PTIN | P01595811 | PTIN |
| Phone | 6172662000 | PhoneNum |
| Preparation | 2023-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYMOND HARRIS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E LAFAYETTE BLVD MC 1816 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,285,835,542 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.BCBSM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | BLUE CARE NETWORK PROVIDES HEALTH CARE SERVICES TO SUBSCRIBERS THROUGH CONTRACTS IT HAS ENTERED INTO WITH VARIOUS PHYSICIAN GROUPS, HOSPITALS, AND OTHER HEALTH CARE PROVIDERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $723,418 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $587,254 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,923,824,150 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,198,253,676 | CYProgramServiceRevenueAmt |
| PY Investment Income | $144,847,773 | PYInvestmentIncomeAmt |
| CY Investment Income | -$44,257,010 | CYInvestmentIncomeAmt |
| PY Other Revenue | $422 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,068,672,345 | PYTotalRevenueAmt |
| CY Total Revenue | $4,153,996,666 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $3,594,681,725 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $3,639,672,391 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $236,201,539 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $271,876,450 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $320,840,638 | PYOtherExpensesAmt |
| CY Other Expenses | $330,392,275 | CYOtherExpensesAmt |
| PY Total Expenses | $4,151,723,902 | PYTotalExpensesAmt |
| CY Total Expenses | $4,241,941,116 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$83,051,557 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$87,944,450 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,791,773,564 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,627,985,022 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,000,393,839 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $934,519,698 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,791,379,725 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,693,465,324 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BLUE CARE NETWORK PROVIDES HEALTH CARE SERVICES TO SUBSCRIBERS THROUGH CONTRACTS IT HAS ENTERED INTO WITH VARIOUS PHYSICIAN GROUPS, HOSPITALS, AND OTHER HEALTH CARE PROVIDERS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,775,878,010 | ExpenseAmt |
| Revenue | $4,147,448,730 | RevenueAmt |
| Desc | BCN'S PROGRAM SERVICE ACCOMPLISHMENTS SUPPORT PEOPLE HELPING PEOPLE TO PROMOTE HEALTH AND PEACE OF MIND THROUGH HIGH QUALITY CARE AND SERVICE, PARTNERING TO MANTAIN AND IMPROVE HEALTH. BCN 2022. HEALTH CARE SERVICES-MEMBER BASED AS WELL AS FEE-FOR-SERVICE, 663,057 MEMBERS AND 6,906,839 AMBULATORY ENCOUNTERS. 2022 COMMUNITY BENEFIT - BCN PARTIPATED IN NEARLY 36 SEPARATE ACTIVITIES, TOTALING OVER 243,000 THROUGH COMMUNITY OUTREACH AND CHARITABLE CONTRIBUTIONS TO BENEFIT THE GENERAL PUBLIC AND SUPPORT WELLNESS, INCLUDING CONNECTIONS WITH INDIVIDUALS AND SMALL BUSINESSES, SUPPORTING MULTIPLE HEALTH INITIATIVES. 2022 SOCIAL MISSION AND PUBLIC AFFAIRS - BCN IS COMMITTED TO IMPROVE THE HEALTH OF MICHIGAN RESIDENTS, WITH SPECIAL EMPHASIS ON THE HEALTH AND WELLNESS OF CHILDREN AND SENIORS, WHILE REDUCING THE COST OF HEALTH CARE PROACTIVE INITIATIVES INCLUDE NUTRITION AND HEALTHY LIFESTYLES, HEALTHY AGING AND MENTAL HEALTH PRINCIPLES INCLUDE EMPOWERING INDIVIDUALS AND COMMUNITIES TO TAKE ACTIVE ROLES IN CREATING A CULTURE OF HEALTH AND PROVIDING LEADERSHIP AS AN INFORMED CONVENER & EDUCATOR TO HELP RAISE AWARENESS AND UNDERSTANDING OF IMPORTANT HEALTH ISSUES AND EFFECTIVE APPROACHES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $27,654,800 | ExpenseAmt |
| Revenue | $50,804,946 | RevenueAmt |
| Desc | PROGRAM EXPENSES RELATED TO SELF-FUNDED BUSINESS AS A RESULT OF A RECENT CHANGE IN THE MICHIGAN INSURANCE CODE. HEALTH MAINTENANCE ORGANIZATIONS ARE PERMITTED TO DIRECTLY CONTRACT WITH GROUPS TO ADMINISTER SELF-FUNDED GROUP HEALTH PLANS. EFFECTIVE JANUARY 1, 2018 BCN BEGAN PROVIDING ADMINISTERING SERVICE ONLY (ASO) PLANS THAT ARE SUBSTANTIALLY RELATED TO BCN'S EXEMPT PURPOSES. AS A 501(C)(4) ENTITY BCN IS PROVIDING THE SAME CLAIMS PROCESSING, ADMINISTRATIVE SERVICES AND PROVIDER NETWORK FOR ITS ASO CUSTOMERS AS IT DOES FOR THE UNDERWRITTEN CUSTOMERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,803,532,810 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 15457 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID JACKSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3132259628 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E LAFAYETTE BLVD MAILCODE 1816 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48226 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Kathryn Levine | |||||||||
| VP & Pres & CEO BCN | 23.0 | 25.0 | Yes (X) | Yes (X) | $0 | $1,705,920 | -$86,561 | ||
| Paul Mozak | |||||||||
| Director & Officer - EVP & CFO | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $3,663,619 | -$401,626 | ||
| Bruce Wolf | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $69,275 | $0 | $0 | |||
| David Bing | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $34,572 | $0 | $0 | |||
| Gregory Sudderth | |||||||||
| Director | 2.0 | 4.0 | Yes (X) | $63,130 | $225,000 | $0 | |||
| Julie Angott | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $71,039 | $0 | $0 | |||
| Kenneth Dallafior | |||||||||
| EVP President Hlth Plan Bus | 1.0 | 44.0 | Yes (X) | $0 | $6,953,951 | -$327,591 | |||
| Mary Ann Weaver | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $62,072 | $0 | $0 | |||
| Melvin Larsen | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $69,000 | $0 | $255,487 | |||
| Paula Manderfield | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $70,116 | $0 | $0 | |||
| Richard Posthumus | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $62,189 | $0 | $0 | |||
| Robert Paul Kelch | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $62,072 | $0 | $0 | |||
| Sarah Doyle | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $62,000 | $145,000 | $0 | |||
| Shauna Diggs | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $45,000 | $0 | |||
| Valeriah A Holmon | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $63,042 | $0 | $0 | |||
| William Black | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $108,456 | $140,000 | $0 | |||
| Sheela Manyam | |||||||||
| Sr Dir Corp Perfrmnce & Admin | 65.0 | 0.0 | Yes (X) | $0 | $263,830 | -$53,079 | |||
| Tiffany Otis-Albert | |||||||||
| Officer - SVP | 0.0 | 60.0 | Yes (X) | $0 | $1,947,453 | -$454,233 | |||
| Waymond Harris | |||||||||
| Officer - SVP & Treasurer | 20.0 | 30.0 | Yes (X) | $0 | $1,804,121 | $26,285 | |||
| Rajesh Vunnam | |||||||||
| Sr Director BCN IT | 30.0 | 20.0 | $0 | $417,649 | -$100,547 | Yes (X) | |||
| Carl Siebers | |||||||||
| VP Claims Operations | 0.0 | 0.0 | $0 | $653,934 | -$130,496 | Yes (X) | |||
| James Kallas | |||||||||
| Director | 0.0 | 0.0 | $0 | $260,056 | $1,421 | Yes (X) | |||
| Kevin Klobucar | |||||||||
| EVP Health Care Value | 0.0 | 0.0 | $0 | $571,035 | $0 | Yes (X) | |||
| Lisa Hardy | |||||||||
| VP Bus Perf & Execution BCN | 0.0 | 0.0 | $0 | $613,802 | -$240,957 | Yes (X) | |||
| Marc Keshishian MD | |||||||||
| VP HL & CLN AFS & BCN SVP CMO | 0.0 | 0.0 | $0 | $296,744 | $0 | Yes (X) | |||
| Mark Bartlett | |||||||||
| Former Director | 0.0 | 0.0 | $0 | $9,154,283 | -$893,180 | Yes (X) | |||
| Phillip Gillespie | |||||||||
| VP Bus & Program Dev &Reg Exec | 0.0 | 0.0 | $0 | $500,120 | -$126,641 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $796,963 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $29,361,517 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | -$2,531,718 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REGENTS OF THE UNIVERSITY OF MICHIGAN | |||||
| 700 KMS PL | ANN ARBOR | MI | 481081652 | HEALTH CARE | $529,313,788 |
| HENRY FORD HEALTH SYSTEM | |||||
| PO BOX 670884 | DETROIT | MI | 482020000 | HEALTH CARE | $139,624,836 |
| SPECTRUM HEALTH HOSPITALS | |||||
| PO BOX 2127 | Grand Rapids | MI | 495012127 | HEALTH CARE | $138,511,037 |
| WILLIAM BEAUMONT HOSPITAL | |||||
| PO BOX 5042 | TROY | MI | 480075042 | HEALTH CARE | $124,240,331 |
| ST JOSEPH MERCY HOSPITAL | |||||
| PO BOX 776499 | CHICAGO | IL | 606776499 | HEALTH CARE | $104,284,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1875 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PREPAID HEALTH CARE | 524298 | $4,151,678,080 | $4,151,678,080 |
| SELF-FUNDED REVENUE | 524292 | $46,561,596 | $46,561,596 |
| NON-SUBSCRIBER REVENUE | 524298 | $14,000 | $14,000 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,198,253,676 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$45,025,781 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$425,053 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$44,600,728 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $132,607,647 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $131,838,876 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $768,771 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $768,771 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,148,471 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$379,700 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,153,996,666 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,198,253,676 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $723,418 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$44,980,428 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,639,672,391 | TotalAmt |
| Program Services | $3,639,672,391 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,221 | TotalAmt |
| Program Services | $286,221 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,938,060 | TotalAmt |
| Program Services | $93,082,708 | ProgramServicesAmt |
| Management And General | $164,855,352 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,652,169 | TotalAmt |
| Program Services | $4,937,604 | ProgramServicesAmt |
| Management And General | $8,714,565 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,942,009 | TotalAmt |
| Program Services | $1,823,914 | ProgramServicesAmt |
| Management And General | $4,118,095 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,959,418 | TotalAmt |
| Program Services | $9,749,487 | ProgramServicesAmt |
| Management And General | $17,209,931 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,589,328 | TotalAmt |
| Program Services | $3,106,517 | ProgramServicesAmt |
| Management And General | $5,482,811 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,759,869 | TotalAmt |
| Program Services | $3,529,869 | ProgramServicesAmt |
| Management And General | $6,230,000 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,653,539 | TotalAmt |
| Program Services | $2,768,069 | ProgramServicesAmt |
| Management And General | $4,885,470 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,367,005 | TotalAmt |
| Program Services | $856,079 | ProgramServicesAmt |
| Management And General | $1,510,926 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,905,788 | TotalAmt |
| Program Services | $20,942,886 | ProgramServicesAmt |
| Management And General | $36,962,902 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,704,790 | TotalAmt |
| Program Services | $896,870 | ProgramServicesAmt |
| Management And General | $1,807,920 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLAIMS ADJUSTMENTS | $51,439,846 | $19,798,557 | $31,641,289 |
| AGENT/BROKER FEES | $86,801,843 | $86,801,843 | |
| LICENSES & FEES | $33,270,331 | $1,754,313 | $31,516,018 |
| STATE & LOCAL TAXES | $16,238,113 | $16,238,113 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,760,396 | TotalAmt |
| Program Services | $327,325 | ProgramServicesAmt |
| Management And General | $20,433,071 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,241,941,116 | TotalAmt |
| Program Services | $3,803,532,810 | ProgramServicesAmt |
| Management And General | $438,408,306 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,013,502 | BOYAmt |
| EOY | $75,821,671 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,003,795 | BOYAmt |
| EOY | $277,159,000 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,345,756,067 | BOYAmt |
| EOY | $2,275,004,151 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200 | BOYAmt |
| EOY | $200 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,791,773,564 | BOYAmt |
| EOY | $2,627,985,022 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $437,699,623 | BOYAmt |
| EOY | $409,661,230 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,350,875 | BOYAmt |
| EOY | $107,907,176 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,044,625 | BOYAmt |
| EOY | $50,044,625 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,298,716 | BOYAmt |
| EOY | $366,906,667 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,393,839 | BOYAmt |
| EOY | $934,519,698 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,703,045 | BOYAmt |
| EOY | $152,249,736 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,775,666,680 | BOYAmt |
| EOY | $1,541,205,588 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,791,379,725 | BOYAmt |
| EOY | $1,693,465,324 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,791,773,564 | BOYAmt |
| EOY | $2,627,985,022 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$87,944,450 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,756,132 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$14,726,083 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| IBNR LIABILITIES | $366,906,667 |
| DEFERRED TAXES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $366,906,667 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | ON EXAMINATION OF ALL RELEVANT FACTS AND CIRCUMSTANCES FOR THE COMPANY'S TAX ISSUES, IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2022. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Paul Mozak | ||||||||||||||
| Director & Officer - EVP & CFO | $0 | $741,770 | $0 | $2,710,630 | $0 | $211,219 | $0 | -$426,334 | $0 | $24,708 | $0 | $3,261,993 | $0 | $0 |
| Kathryn Levine | ||||||||||||||
| VP & Pres & CEO BCN | $0 | $612,174 | $0 | $922,035 | $0 | $171,711 | $0 | -$133,943 | $0 | $47,382 | $0 | $1,619,359 | $0 | $0 |
| Kenneth Dallafior | ||||||||||||||
| EVP President Hlth Plan Bus | $0 | $992,847 | $0 | $4,080,743 | $0 | $1,880,361 | $0 | -$410,000 | $0 | $82,409 | $0 | $6,626,360 | $0 | $0 |
| William Black | ||||||||||||||
| Director | $108,456 | $140,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $108,456 | $140,000 | $0 | $0 |
| Melvin Larsen | ||||||||||||||
| Director | $69,000 | $0 | $0 | $0 | $0 | $0 | $255,487 | $0 | $0 | $0 | $324,487 | $0 | $0 | $0 |
| Gregory Sudderth | ||||||||||||||
| Director | $63,130 | $225,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $63,130 | $225,000 | $0 | $0 |
| Sarah Doyle | ||||||||||||||
| Director | $62,000 | $145,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $62,000 | $145,000 | $0 | $0 |
| Waymond Harris | ||||||||||||||
| Officer - SVP & Treasurer | $0 | $550,769 | $0 | $1,125,124 | $0 | $128,228 | $0 | $2,577 | $0 | $23,708 | $0 | $1,830,406 | $0 | $0 |
| Tiffany Otis-Albert | ||||||||||||||
| Officer - SVP | $0 | $619,025 | $0 | $1,170,706 | $0 | $157,722 | $0 | -$479,978 | $0 | $25,745 | $0 | $1,493,220 | $0 | $0 |
| Sheela Manyam | ||||||||||||||
| Sr Dir Corp Perfrmnce & Admin | $0 | $192,655 | $0 | $60,789 | $0 | $10,386 | $0 | -$86,164 | $0 | $33,085 | $0 | $210,751 | $0 | $0 |
| Rajesh Vunnam | ||||||||||||||
| Sr Director BCN IT | $0 | $304,054 | $0 | $93,258 | $0 | $20,337 | $0 | -$112,216 | $0 | $11,669 | $0 | $317,102 | $0 | $0 |
| Mark Bartlett | ||||||||||||||
| Former Director | $0 | $38,163 | $0 | $4,080,743 | $0 | $5,035,377 | $0 | -$937,564 | $0 | $44,384 | $0 | $8,261,103 | $0 | $0 |
| Kevin Klobucar | ||||||||||||||
| EVP Health Care Value | $0 | $0 | $0 | $566,798 | $0 | $4,237 | $0 | $0 | $0 | $0 | $0 | $571,035 | $0 | $0 |
| Carl Siebers | ||||||||||||||
| VP Claims Operations | $0 | $296,177 | $0 | $321,385 | $0 | $36,372 | $0 | -$159,838 | $0 | $29,342 | $0 | $523,438 | $0 | $0 |
| Phillip Gillespie | ||||||||||||||
| VP Bus & Program Dev &Reg Exec | $0 | $221,063 | $0 | $243,968 | $0 | $35,089 | $0 | -$153,486 | $0 | $26,845 | $0 | $373,479 | $0 | $0 |
| Lisa Hardy | ||||||||||||||
| VP Bus Perf & Execution BCN | $0 | $282,105 | $0 | $300,300 | $0 | $31,397 | $0 | -$278,312 | $0 | $37,355 | $0 | $372,845 | $0 | $0 |
| Marc Keshishian MD | ||||||||||||||
| VP HL & CLN AFS & BCN SVP CMO | $0 | $0 | $0 | $287,659 | $0 | $9,085 | $0 | $0 | $0 | $0 | $0 | $296,744 | $0 | $0 |
| James Kallas | ||||||||||||||
| Director | $0 | $0 | $0 | $188,896 | $0 | $71,160 | $0 | $970 | $0 | $451 | $0 | $261,477 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE COMPENSATION STRATEGY IS DESIGNED TO ENSURE THAT AN APPROPRIATE BALANCE EXISTS BETWEEN INTERNAL EQUITY CONSIDERATIONS AND MARKET COMPENSATION FACTORS AND PRACTICES. MARKET DATA FROM THIRD PARTY EXECUTIVE COMPENSATION SURVEYS AND INDEPENDENT COMPENSATION CONSULTANTS ARE USED TO DETERMINE THE PRESIDENT/CEO'S COMPENSATION. THE COMPENSATION RECOMMENDATIONS ARE REVIEWED BY BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE. THE ORGANIZATION'S PRESIDENT/CEO IS ALSO AN EXECUTIVE OF THE PARENT, BCBSM, AND AS SUCH, THE COMPENSATION IS SUBJECT TO REVIEW BY THE BCBSM EXECUTIVE COMMITTEE. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE NONQUALIFIED PENSION PLAN PROVIDES RETIREMENT BENEFITS FOR A GROUP OF KEY EMPLOYEES UNDER NONQUALIFIED DEFINED PENSION PLANS. THE GENERAL PURPOSE OF THE PLAN IS TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO PARTICIPANTS WHO ARE SUBJECT TO THE CONTRIBUTION AND BENEFIT LIMITATION APPLICABLE TO TAX-QUALIFIED PLANS UNDER IRC. BENEFITS UNDER THE PLAN ARE FUNDED AND PAID OUT OF THE GENERAL ASSETS OF THE CORPORATION. THESE AMOUNTS ARE ACCRUED AND ELIGIBLE TO BE PAID OUT WITHIN 2022. MARK BARTLETT - ($68,602) PHILLIP GILLESPIE- ($368) CARL SIEBERS - $4,220 LISA HARDY - ($9,761) KENNETH DALLAFIOR - $234,616 KATHRYN LEVINE - $73,357 RAJESH VUNNAM - ($16,749) PAUL MOZAK $51,922 TIFFANY OTIS-ALBERT - ($56,437) WAYMOND HARRIS - $17,801 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 15 | THE INDIVIDUALS WHO RECEIVE RENUMERATION ABOVE $1M ARE COVERED EMPLOYEES OF BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (EIN 38-2069753). THEREFORE, THE RENUMERATION OF THE COVERED EMPLOYEES IS SUBJECT TO LIMITATION UNDER IRC SECTION 162(M)(6) AND NO AMOUNTS ARE SUBJECT TO EXCISE TAX UNDER IRC SECTION 4960. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | 100% STOCKHOLDER BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY, AS A 100% STOCKHOLDER, HAS THE RIGHT TO APPOINT BOARD DIRECTORS. BCN'S MEMBERS ELECT THE REMAINING BOARD DIRECTORS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | NO REVIEW WAS CONDUCTED BY THE GOVERNING BODY. THE TAX DIRECTOR, MATTHEW ERIKSEN, REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| Form 990, Part VI, Line 12c Conflict of interest policy | EACH BOARD MEMBER AND CORPORATE OFFICER ANNUALLY COMPLETES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. THE QUESTIONNAIRES ARE REVIEWED TO IDENTIFY ANY POSSIBLE CONFLICTS AND DETERMINE HOW TO RESOLVE THEM. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE COMPENSATION STRATEGY IS DESIGNED TO ENSURE THAT AN APPROPRIATE BALANCE EXISTS BETWEEN INTERNAL EQUITY CONSIDERATIONS AND MARKET COMPENSATION FACTORS AND PRACTICES. MARKET DATA FROM THIRD PARTY EXECUTIVE COMPENSATION SURVEYS AND INDEPENDENT COMPENSATION CONSULTANTS ARE USED TO DETERMINE THE PRESIDENT/CEO'S COMPENSATION. THE COMPENSATION RECOMMENDATIONS ARE REVIEWED BY BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE. THE ORGANIZATION'S PRESIDENT/CEO IS ALSO AN EXECUTIVE OF THE PARENT, BCBSM, AND AS SUCH, THE COMPENSATION IS SUBJECT TO REVIEW BY THE BCBSM EXECUTIVE COMMITTEE. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE COMPENSATION RECOMMENDATIONS FOR BLUE CARE NETWORK'S OFFICERS ARE REVIEWED AND APPROVED BY BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS - NO DOCUMENTS AVAILABLE TO THE PUBLIC CONFLICT OF INTEREST POLICY - NO DOCUMENTS AVAILABLE TO THE PUBLIC AUDITED FINANCIALS - AUDITED STATUTORY - BASIS FINANCIAL STATEMENTS ARE AVAILABLE FROM THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS AND THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES. |
| Form 990, Part VII, Section A Part VII - Compensation | RELATED ORGANIZATIONS BLUE CARE NETWORK OF MICHIGAN HAS ASSIGNED EMPLOYEES FROM ITS ULTIMATE PARENT, BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY, (BCBSM). THE EXPENSES ASSOCIATED WITH THESE INDIVIDUALS ARE REFLECTED ON FORM 990, PART IX, LINE 5 AND LINE 7 PAYMENTS WERE MADE TO BCBSM THROUGH AN INTERCOMPANY AGREEMENT. NO EMPLOYEES WERE REFLECTED ON PART V, LINE 2A SINCE THE ACTUAL W-2'S AND 941'S ARE REPORTED BY BCBSM. COMPENSATION PAID TO THE EXECUTIVE DIRECTOR AND CEO, OFFICERS AS WELL AS FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES, BY THE PARENT COMPANY AND REIMBURSED BY BLUE CARE NETWORK, IS INCLUDED ON FORM 990, PART VII, SECTION A. CURRENT OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES THAT ARE ASSIGNED BY THE FILING ORGANIZATION OR BY A RELATED ORGANIZATION SPLIT THEIR TIME AS NEEDED BETWEEN THE FILING ENTITY AND RELATED ORGANIZATIONS. A PER WEEK ESTIMATE FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS IS REFLECTED ON THE FILING ENTITY'S PART VII, COLUMN B, WITH THE COMPLETE REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION AND RELATED ORGANIZATIONS REFLECTED IN COLUMN D AND COLUMN E AS APPROPRIATE. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | GAAP to STAT adjustments - -14726083; |
| Form 990, Part XII, Line 2b | FORM 990 IS FILED BASED ON THE GAAP METHOD OF ACCOUNTING, ADJUSTED TO TAX. IN 2022, SEPARATE GAAP BASIS AUDITED FINANCIAL STATEMENTS WERE ISSUED BY INDEPENDENT AUDITORS. THE BCN AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE ANNUAL INDEPENDENT AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCBS FOUNDATION OF MICHIGAN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 LAFAYETTE BLVD EAST | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382338506 | EIN |
| Primary Activities | GRANTS | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Type I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||||||||
| 00 LAFAYETTE EAST | DETROIT | MI | 48226 | 382069753 | INSURANCE | MI | N/A | C Corporation | false |
| ACCIDENT FUND INSURANCE CO-AMERICA | |||||||||
| 200 N GRAND RIVER | LANSING | MI | 48901 | 383207001 | INSURANCE | MI | N/A | C Corporation | false |
| LIFESECURE INSURANCE COMPANY | |||||||||
| 10559 CITATION DR 300 | BRIGHTON | MI | 48116 | 750956156 | INSURANCE | MI | N/A | C Corporation | false |
| BLUE CROSS COMPLETE OF MICHIGAN LLC | |||||||||
| 200 STEVENS DR | PHILADELPHIA | PA | 19113 | 472582248 | HMO | MI | N/A | C Corporation | false |
| WOODWARD STRAITS INSURANCE COMPANY | |||||||||
| 600 EAST LAFAYETTE | DETROIT | MI | 48226 | 472221114 | INSURANCE | MI | N/A | C Corporation | false |
| AMERIHEALTH CARITAS HEALTH PLAN | |||||||||
| 200 STEVENS DR | PHILADELPHIA | PA | 19113 | 232859523 | CARE MGT | PA | N/A | C Corporation | false |
| COBX CO | |||||||||
| 1000 TOWN CENTER | SOUTHFIELD | MI | 48075 | 813438452 | CARE MGT | MI | N/A | C Corporation | false |
| TESSELLATE LLC | |||||||||
| 600 E LAFAYETTE | DETROIT | MI | 48226 | 453742721 | SERVICE | DE | N/A | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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