HEALTH ALLIANCE PLAN OF MICHIGAN: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH ALLIANCE PLAN OF MICHIGAN (EIN 38-2242827)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202343179349303399
- 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 | 2023-11-13T11:24:42-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 Woodward Avenue Suite 700 | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48226 | 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 | 382242827 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH ALLIANCE PLAN OF MICHIGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 2487763530 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1414 E Maple Road | AddressLine1Txt |
| City | Troy | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Merrill Hausenfluck | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2487763530 | PhoneNum |
| Signature | 2023-11-13 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Merrill | PersonFirstNm |
| Person Last | Hausenfluck | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Alicia Janisch | PreparerPersonNm |
| PTIN | P00741382 | PTIN |
| Phone | 3133963000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Merrill Hausenfluck | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1414 E Maple Road | AddressLine1Txt |
| City | Troy | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,628,795,285 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.hap.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | Provide access to quality health care coverage. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1185 | TotalEmployeeCnt |
| Total Volunteers | 98 | TotalVolunteersCnt |
| Total Gross UBI | -$3,280 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,510,354,122 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,539,465,822 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,539,605 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,590,078 | CYInvestmentIncomeAmt |
| PY Other Revenue | $950,952 | PYOtherRevenueAmt |
| CY Other Revenue | $23,022,053 | CYOtherRevenueAmt |
| PY Total Revenue | $1,512,844,679 | PYTotalRevenueAmt |
| CY Total Revenue | $1,566,077,953 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $339,545 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $182,350 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,493,292,163 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,363,172,793 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $54,974,685 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,458,328 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $96,974,960 | PYOtherExpensesAmt |
| CY Other Expenses | $98,092,845 | CYOtherExpensesAmt |
| PY Total Expenses | $1,645,581,353 | PYTotalExpensesAmt |
| CY Total Expenses | $1,509,906,316 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$132,736,674 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $56,171,637 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $635,656,895 | TotalAssetsBOYAmt |
| Total Assets EOY | $614,290,528 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $378,758,845 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $305,549,901 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $256,898,050 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $308,740,627 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To improve the health status of the residents in all of the communities we serve. We accomplish this through innovative programs to provide health care coverage with an emphasis on preventative care as well as outreach programs to the communities aimed at enhancing and promoting healthier communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,489,046,605 | ExpenseAmt |
| Grant | $182,350 | GrantAmt |
| Revenue | $1,540,434,349 | RevenueAmt |
| Desc | Corporate OverviewHAP is a subsidiary of Henry Ford Health one of the nation's leading health care systems. HAP provides coverage to individuals, companies and organizations. We partner with doctors, employers and community groups to improve the overall health of every community we serve. Our mission is to enhance the health and well-being of the lives we touch.Company highlights: Founded in 1960 Based in Detroit, Michigan 430,632 members and 900 plus employeesHAP is a full-service health insurance company with distinct product portfolios: Employer group plans HMO, PPO, EPO, narrow network and consumer-driven health plans. Health Engagement program offers employees incentives to adopt a healthier lifestyle. Individual plans HAP plans HMO, PPO and health savings account are for individuals and families not covered through employer health insurance. Medicare HAP Medicare Solutions offer HMO and PPO health plans, prescription drug plans and Medicare Supplement plans for individuals and employer-sponsored employees and retirees. Medicaid HAP Empowered Health Plan is an HMO based in southeast Michigan with about 42,391 enrollees. Self-funded ASO and ASR health benefits offer competitive options for employers and health and welfare funds seeking to self-fund their health benefit costs. Network leasing HAP Preferred, Inc. is a PPO network that can be administered by third-party administrators and health and welfare funds.Participating Physicians and Ancillary Providers: HAP's robust provider networks include the leading Michigan doctors, hospitals, and health systems: HAP contracts with more than 50,000 provider partners and 88 plus Michigan hospitals to serve its members. Statewide and national provider network solutions are available for other product lines through strategic partnerships for companies with multiple locations. HAP expends a considerable amount of resources communicating with members and providing supportive health programs and resources to help them achieve sustainable healthy habits and manage chronic conditions. Examples of health and wellness programs and resources include: Preventive and wellness services: HAP covers preventive services, including cancer screenings, physicals, flu shots and more. Worksite Wellness programs: free or low-cost preventive services and health education for the workplace. iStrive for Better Health: online health assessment and digital coaching. Easy-to-understand educational tools: We help members manage their plan benefits and overall health.Community Outreach Overview & InitiativesEstablishing and managing relationships with non-profit organizations that support community health and well-being is an integral part of the mission and vision of HAP's community outreach department. 2022 Activities and Accomplishments in Community OutreachKey Initiatives: Establish and manage relationships with human service agencies and non-profit organizations that support community health and well-being. Support programs at Senior Centers, Area Agencies on Aging and Veterans Affairs organizations to keep the HAP brand top of mind among Medicare Advantage prospects. Develop and present member engagement activities to aid in retention for all lines of business. Partner with Henry Ford Health, other contracted providers and enrolled employer groups to present community events and member engagement activities. Coordinate Medicaid and MMP Consumer Advisory Councils to gather member feedback and meet contractual obligations. Collaborate with HAP HCM and Quality teams to produce and execute "Clinic Days" to close gaps in care for Medicaid members. Identify, promote, and coordinate HAP employee volunteer opportunities. 1000 staff community volunteer hours were logged in 2022 Manage high-profile corporate initiatives such as the AHA Heart Walk, the HAP Crim Festival of Races and "Game on Cancer". Administered and managed 260 grants, charitable donations and corporate sponsorships with non-profit organizations and community partners, directly touching over 650,000 lives. Engaged with Henry Ford Health, FQHC partners and municipal health departments at community vaccination events at One Ford Place, churches, community centers in underserved communities. Produced and delivered 31 Medicare member engagement events, attended by 850 members. These events both virtual and in-person have also proven to be a rich source of member feedback and testimonials. Total Lives Touched: 650,000Signature Programs and Partners:MoGo Bikes: With 620 bikes at 75 stations, MoGo gives Metro-Detroiters the freedom and flexibility to move around at prices that everyone can afford. MoGo is made possible through a significant partnership with Henry Ford Health and Health Alliance Plan (HAP).Crim Fitness Foundation: HAP Partners with this Flint-based agency on a variety of health, well-being and community education endeavors. Most notably as presenting sponsor of the HAP Crim Festival of Races and CrimFit Training Program. Game On, Cancer: Game On Cancer, a unique collaboration between Henry Ford Health, HAP, the Detroit Lions and the Detroit Pistons, is a peer-to-peer team-based fundraiser designed to alleviate barriers cancer patients face on their road to recovery and advance leading-edge research. Ruth Ellis Center: HAP provides support annually for the Ruth Ellis Center (REC), based in Highland Park. REC provides trauma-informed services for lesbian, gay, bi-attractional, transgender and questioning (LGBTQ+) youth, and young adults, with an emphasis on young people of color, experiencing homelessness, involved in the child welfare system, and/or experiencing barriers to health and wellbeing.Detroit Public Schools: In March 2022 HAP donated $75,000 to the Detroit Public School Community District (DPSCD) Foundation to purchase all-weather coats and personal care items for students. More than 1,900 coats were purchased and more than 35 schools in the district received coat donations. Habitat for Humanity: Habitat for Humanity believes that everyone everywhere should have a healthy, affordable place to call home which aligns well with HAP's mission to create healthier communities. In September in Flint, HAP partnered with Habitat for Humanity to build houses. Throughout 2022, HAP joined with Henry Ford Health and Habitat for Humanity to support the Return Home Safe program which identifies at-risk seniors returning from the hospital who require minor home repairs. OneSight: HAP partnered with OneSight Essilor Luxottica Foundation and Eye Med for a two-day vision clinic providing community residents free eye exams and eyeglasses.Meals on Wheels West Michigan & Food Bank of Eastern Michigan: In September, with the launch of our West Michigan expansion, more than 30 HAP employees volunteered at two Grand Rapids locations to wrap food deliveries and help with a variety of food prep. Our $10,000 donation to Meals on Wheels in Grand Rapids helped them fund the endeavor. | Desc |
| Total Program Service Expenses | $1,489,046,605 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8939 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1185 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | 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 | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Merrill Hausenfluck | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2487763530 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2850 West Grand Boulevard | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Michael A Genord MD | ||||||||||
| Director/President | 58.00 | 7.00 | Yes (X) | Yes (X) | $0 | $1,650,588 | $36,780 | |||
| Robert G Riney | ||||||||||
| Director (Start 7/2022) | 1.00 | 64.00 | Yes (X) | $0 | $2,993,892 | $58,060 | ||||
| Joni MT Davis JD | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Wright L Lassiter III | ||||||||||
| Director (Thru 7/2022) | 1.00 | 64.00 | Yes (X) | $0 | $4,029,820 | $1,993,507 | ||||
| Adnan R Munkarah MD | ||||||||||
| Director | 1.00 | 64.00 | Yes (X) | $0 | $2,740,661 | $65,219 | ||||
| Jeffrey A Chaffkin | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Meerah Rajavel | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mamatha Chamarthi | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Caleb DesRosiers JD | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Denise G Essenberg | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Gregory Jackson | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Felix M Valbuena MD | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jacalyn S Goforth | ||||||||||
| Director- Chair | 2.00 | 3.00 | Yes (X) | $0 | $25,000 | $0 | ||||
| Raymond C Lope | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| John K Gorman | ||||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michelle Johnson Tidjani Esq | ||||||||||
| Secretary | 2.00 | 63.00 | Yes (X) | $0 | $1,660,930 | $60,398 | ||||
| Archana Rajendra JD | ||||||||||
| Assistant Secretary (Start 5/2022) | 55.00 | 5.00 | Yes (X) | $329,154 | $0 | $14,257 | ||||
| William R Barnes | ||||||||||
| Assistant Secretary (Thru 1/2022) | 55.00 | 5.00 | Yes (X) | $56,259 | $0 | $985 | ||||
| Robin S Damschroder | ||||||||||
| Treasurer/CFO | 2.00 | 63.00 | Yes (X) | $0 | $2,718,752 | $61,455 | ||||
| Majorie A Staten JD | ||||||||||
| Assistant Secretary | 2.00 | 58.00 | Yes (X) | $0 | $212,050 | $14,110 | ||||
| Gordon W Salm | ||||||||||
| Interim CFO (Thru 8/2022) | 55.00 | 5.00 | $358,080 | $0 | $7,912 | Yes (X) | ||||
| Merrill Hausenfluck | ||||||||||
| CFO (Start 8/2022) | 55.00 | 5.00 | $302,679 | $0 | $19,630 | Yes (X) | ||||
| Christine Harder | ||||||||||
| Sr VP - Network Mgmt (Start 1/2022) | 55.00 | 5.00 | $332,876 | $0 | $66,293 | Yes (X) | ||||
| K Michael Treash | ||||||||||
| SVP & COO | 55.00 | 5.00 | $802,764 | $0 | $42,158 | Yes (X) | ||||
| Margaret Anderson | ||||||||||
| Chief Sales & Marketi | 55.00 | 5.00 | $575,571 | $0 | $92,398 | Yes (X) | ||||
| Charles Bloom DO | ||||||||||
| CMO | 55.00 | 5.00 | $621,636 | $0 | $102,425 | Yes (X) | ||||
| Peter Watson MD | ||||||||||
| VP- Care Mgmt & Outcomes | 60.00 | 0.00 | $448,425 | $14,347 | $52,793 | Yes (X) | ||||
| Steven Selinsky | ||||||||||
| VP-Product Strategy Mrktng | 60.00 | 0.00 | $395,040 | $0 | $47,661 | Yes (X) | ||||
| Marc Vanderburg | ||||||||||
| VP- Acct Retention & Sales | 60.00 | 0.00 | $424,951 | $0 | $32,663 | Yes (X) | ||||
| Charity Bennett | ||||||||||
| VP- Transformation | 60.00 | 0.00 | $354,511 | $0 | $27,282 | Yes (X) | ||||
| Annette M Marcath | ||||||||||
| VP & Chief Information Off | 55.00 | 5.00 | $363,353 | $0 | $52,501 | Yes (X) | ||||
| Laurie Doran | ||||||||||
| Former Treasurer/CFO | 0.00 | 0.00 | $381,935 | $0 | $1,205 | Yes (X) | ||||
| J Douglas Clark | ||||||||||
| Former Treasurer/Int. CFO | 0.00 | 60.00 | $0 | $632,716 | $62,186 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,747,234 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,678,756 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,911,878 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 255 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SALESFORCECOM INC | |||||
| PO Box 2103141 | Dallas | TX | 753203141 | Software support & consulting | $5,683,376 |
| Accenture International Limited | |||||
| PO Box 29889 | Chicago | IL | 606731289 | Software support & consulting | $5,150,322 |
| WEST MONROE PARTNERS LLC | |||||
| 311 Monroe St 14th Floor | Chicago | IL | 60606 | Consulting | $4,400,216 |
| Accenture LLP | |||||
| 800 N Old Woodward Ave Ste 100 | Birmingham | MI | 48009 | Advertising | $3,387,060 |
| BLOOM INSURANCE AGENCY LLC | |||||
| 1331 S Curry Pike | Bloomington | IN | 47403 | Mailing/Calling/Enrollment support | $3,285,321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 159 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Health Care Premiums | 524114 | $1,536,754,544 | $1,536,754,544 |
| Hlth Ins Claims Assessmt | 624110 | $2,711,278 | $2,711,278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,539,465,822 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,533,071 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$3,280 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,536,351 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $60,774,339 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $62,717,332 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,942,993 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,942,993 | TotalRevenueColumnAmt |
| Exclusion | -$1,942,993 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Legal Settlement | 900099 | $22,050,000 | $22,050,000 | |
| Delta Dental Commissions | 900099 | $889,772 | $889,772 | |
| Hurley Medical Rent | 900099 | $78,755 | $78,755 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,526 | TotalRevenueColumnAmt |
| Exclusion | $3,526 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $23,022,053 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,566,077,953 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,540,434,349 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$3,280 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,646,884 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,350 | TotalAmt |
| Program Services | $182,350 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,363,172,793 | TotalAmt |
| Program Services | $1,363,172,793 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,412,445 | TotalAmt |
| Program Services | $3,057,344 | ProgramServicesAmt |
| Management And General | $2,355,101 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,140 | TotalAmt |
| Management And General | $383,140 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,557,038 | TotalAmt |
| Program Services | $19,583,086 | ProgramServicesAmt |
| Management And General | $3,973,952 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,079,222 | TotalAmt |
| Program Services | $6,474,698 | ProgramServicesAmt |
| Management And General | $604,524 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,860,898 | TotalAmt |
| Program Services | $4,445,806 | ProgramServicesAmt |
| Management And General | $415,092 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,165,585 | TotalAmt |
| Program Services | $6,553,687 | ProgramServicesAmt |
| Management And General | $611,898 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,011,092 | TotalAmt |
| Management And General | $1,011,092 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,000 | TotalAmt |
| Program Services | $49,000 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,009 | TotalAmt |
| Management And General | $302,009 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,920,365 | TotalAmt |
| Program Services | $13,566,520 | ProgramServicesAmt |
| Management And General | $353,845 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,427,592 | TotalAmt |
| Program Services | $26,425,072 | ProgramServicesAmt |
| Management And General | $2,520 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,355,567 | TotalAmt |
| Program Services | $3,237,896 | ProgramServicesAmt |
| Management And General | $117,671 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,486,045 | TotalAmt |
| Program Services | $15,438,081 | ProgramServicesAmt |
| Management And General | $47,964 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,780,429 | TotalAmt |
| Program Services | $5,418,197 | ProgramServicesAmt |
| Management And General | $362,232 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,604 | TotalAmt |
| Program Services | $264,901 | ProgramServicesAmt |
| Management And General | $66,703 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,072 | TotalAmt |
| Program Services | $73,254 | ProgramServicesAmt |
| Management And General | $8,818 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,801 | TotalAmt |
| Management And General | $35,801 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,080,603 | TotalAmt |
| Program Services | $15,742,034 | ProgramServicesAmt |
| Management And General | $1,338,569 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Admin Alloc Fees | $6,401,843 | $6,401,843 | |
| ACA TAX | $2,985,059 | $2,985,059 | |
| Eqp Rep / Maint | $676,387 | $51,512 | $624,875 |
| Bank Fees | $578,509 | $578,509 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,588,868 | TotalAmt |
| Program Services | $1,751,952 | ProgramServicesAmt |
| Management And General | $1,836,916 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,509,906,316 | TotalAmt |
| Program Services | $1,489,046,605 | ProgramServicesAmt |
| Management And General | $20,859,711 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,020,365 | BOYAmt |
| EOY | $41,198,799 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,672,766 | BOYAmt |
| EOY | $202,115,216 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,745,709 | BOYAmt |
| EOY | $75,041,048 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,976,602 | BOYAmt |
| EOY | $10,731,216 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $228,742,233 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $166,113,463 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,309,303 | BOYAmt |
| EOY | $62,628,770 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,610,087 | BOYAmt |
| EOY | $83,861,255 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,731,273 | BOYAmt |
| EOY | $38,705,895 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,590,790 | BOYAmt |
| EOY | $100,008,329 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,656,895 | BOYAmt |
| EOY | $614,290,528 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,342,883 | BOYAmt |
| EOY | $67,632,401 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,981,286 | BOYAmt |
| EOY | $17,517,215 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,434,676 | BOYAmt |
| EOY | $220,400,285 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,758,845 | BOYAmt |
| EOY | $305,549,901 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,898,050 | BOYAmt |
| EOY | $308,740,627 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,898,050 | BOYAmt |
| EOY | $308,740,627 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,656,895 | BOYAmt |
| EOY | $614,290,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $56,171,637 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,339,703 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,010,643 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $851,336 | OtherCostOrOtherBasisAmt |
| Book Value | $851,336 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,331,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,622,911 | DepreciationAmt |
| Book Value | $1,708,963 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,652,426 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,093,033 | DepreciationAmt |
| Book Value | $1,559,393 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,897,458 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,902,209 | DepreciationAmt |
| Book Value | $5,995,249 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $184,009,139 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,495,310 | DepreciationAmt |
| Book Value | $52,513,829 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $62,628,770 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Alliance Health & Life Insurance Co. | $35,059,320 |
| HAP CareSource | $29,935,779 |
| ASR | $13,652,038 |
| Restricted Cash | $1,000,000 |
| Right Of Use Leases | $20,361,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $100,008,329 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Medical Claims | $134,662,450 |
| Operating & Finance Lease Payable | $47,096,248 |
| Pension | $9,491,401 |
| Capitation Payable | $28,535,350 |
| Retiree Benefits | $614,836 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $220,400,285 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | HAP is an entity described under Internal Revenue Code Section 501(c)(4) and as such is exempt from federal and state income taxes. Any income not substantially related to the organization's exempt purpose may be considered unrelated business income (UBI) under IRC Section 511 and, as such, subject to tax at normal corporate rates. HAP has concluded that there are no material uncertain tax positions as of December 31, 2022 and 2021. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| American Heart Association Inc | ||||||||
| 7272 Greenville Ave | Dallas | TX | 75231 | 135613797 | 501 (c)(3) | $12,500 | $0 | Organizational/Community Support |
| Grand Rapids Chamber Of Commerce | ||||||||
| 250 Monroe Ave NW Ste 150 | Grand Rapids | MI | 49503 | 380592500 | 501 (c)(6) | $10,500 | $0 | Organizational/Community Support |
| Hannan Center | ||||||||
| 4750 Woodward Ave | Detroit | MI | 48201 | 814810239 | 501 (c)(3) | $10,000 | $0 | Organizational/Community Support |
| Gilda's Club Metro Detroit | ||||||||
| 3517 Rochester Rd | Royal Oak | MI | 48073 | 383150211 | 501 (c)(3) | $5,500 | $0 | Organizational/Community Support |
| Michigan Council For The Society of HR Mgt | ||||||||
| 310 W Front St Ste 408 | Traverse City | MI | 49684 | 383102772 | 501 (c)(6) | $7,500 | $0 | Organizational/Community Support |
| Charter Township Of Flint | ||||||||
| 1490 S Dye Rd | Flint | MI | 485324121 | 386005302 | 115 Government | $6,000 | $0 | Organizational/Community Support |
| Michigan Colleges Alliance | ||||||||
| 26555 Evergreen Rd 1210 | Southfield | MI | 48076 | 381332962 | 501 (c)(3) | $12,000 | $0 | Organizational/Community Support |
| Detroit Urban League | ||||||||
| 208 Mack Ave | Detroit | MI | 48201 | 381358387 | 501 (c)(3) | $6,850 | $0 | Organizational/Community Support |
| GO TELL IT MINISTRY WORLDWIDE | ||||||||
| 1745 East Grand Blvd | Detroit | MI | 48211 | 382374547 | 501 (c)(3) | $10,000 | $0 | Organizational/Community Support |
| GREATER FLINT ARTS COUNCIL | ||||||||
| 816 Saginaw St | Flint | MI | 48502 | 382156116 | 501 (c)(3) | $6,000 | $0 | Organizational/Community Support |
| MEALS ON WHEELS WESTERN MICHIGAN | ||||||||
| 2900 Wilson Ave Ste 500 | Grandville | MI | 49418 | 382535537 | 501 (c)(3) | $10,000 | $0 | Organizational/Community Support |
| MICHIGAN HUMANE SOCIETY | ||||||||
| 30300 Telegraph Rd Ste 220 | Bingham Farms | MI | 48025 | 381358206 | 501 (c)(3) | $10,000 | $0 | Organizational/Community Support |
| OLDER PERSONS' COMMISSION | ||||||||
| 650 Letica Dr | Rochester | MI | 48307 | 383215151 | 501 (c)(3) | $7,500 | $0 | Organizational/Community Support |
| PONTIAC COMMUNITY FOUNDATION INC | ||||||||
| PO Box 431362 | Pontiac | MI | 48343 | 825321502 | 501 (c)(3) | $17,500 | $0 | Organizational/Community Support |
| WINNING FUTURES | ||||||||
| 27500 Cosgove | Warren | MI | 48092 | 202263860 | 501 (c)(3) | $5,500 | $0 | Organizational/Community Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The community outreach department monitors grants paid to charitable and governmental entities. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wright L Lassiter III | ||||||||||||||
| Director (Thru 7/2022) | $0 | $1,210,232 | $0 | $2,172,864 | $0 | $646,724 | $0 | $1,974,100 | $0 | $19,407 | $0 | $6,023,327 | $0 | $107,645 |
| Robert G Riney | ||||||||||||||
| Director (Start 7/2022) | $0 | $1,617,376 | $0 | $808,535 | $0 | $567,981 | $0 | $29,223 | $0 | $28,837 | $0 | $3,051,952 | $0 | $0 |
| Adnan R Munkarah MD | ||||||||||||||
| Director | $0 | $977,733 | $0 | $629,552 | $0 | $1,133,376 | $0 | $27,698 | $0 | $37,521 | $0 | $2,805,880 | $0 | $713,646 |
| Robin S Damschroder | ||||||||||||||
| Treasurer/CFO | $0 | $1,020,039 | $0 | $693,870 | $0 | $1,004,843 | $0 | $26,173 | $0 | $35,282 | $0 | $2,780,207 | $0 | $524,009 |
| Michelle Johnson Tidjani Esq | ||||||||||||||
| Secretary | $0 | $896,512 | $0 | $479,115 | $0 | $285,303 | $0 | $26,173 | $0 | $34,225 | $0 | $1,721,328 | $0 | $0 |
| Michael A Genord MD | ||||||||||||||
| Director/President | $0 | $853,051 | $0 | $547,533 | $0 | $250,004 | $0 | $5,750 | $0 | $31,030 | $0 | $1,687,368 | $0 | $0 |
| K Michael Treash | ||||||||||||||
| SVP & COO | $404,281 | $0 | $192,955 | $0 | $205,528 | $0 | $16,013 | $0 | $26,145 | $0 | $844,922 | $0 | $125,144 | $0 |
| Charles Bloom DO | ||||||||||||||
| CMO | $418,579 | $0 | $192,704 | $0 | $10,353 | $0 | $68,591 | $0 | $33,834 | $0 | $724,061 | $0 | $0 | $0 |
| J Douglas Clark | ||||||||||||||
| Former Treasurer/Int. CFO | $0 | $366,019 | $0 | $175,960 | $0 | $90,737 | $0 | $29,222 | $0 | $32,964 | $0 | $694,902 | $0 | $0 |
| Margaret Anderson | ||||||||||||||
| Chief Sales & Marketi | $367,080 | $0 | $178,869 | $0 | $29,622 | $0 | $64,340 | $0 | $28,058 | $0 | $667,969 | $0 | $0 | $0 |
| Peter Watson MD | ||||||||||||||
| VP- Care Mgmt & Outcomes | $304,384 | $0 | $103,095 | $0 | $40,946 | $14,347 | $19,063 | $659 | $33,071 | $0 | $500,559 | $15,006 | $0 | $0 |
| Marc Vanderburg | ||||||||||||||
| VP- Acct Retention & Sales | $202,277 | $0 | $193,469 | $0 | $29,205 | $0 | $16,306 | $0 | $16,357 | $0 | $457,614 | $0 | $0 | $0 |
| Steven Selinsky | ||||||||||||||
| VP-Product Strategy Mrktng | $237,828 | $0 | $137,160 | $0 | $20,052 | $0 | $16,621 | $0 | $31,040 | $0 | $442,701 | $0 | $0 | $0 |
| Annette M Marcath | ||||||||||||||
| VP & Chief Information Off | $265,536 | $0 | $72,211 | $0 | $25,606 | $0 | $25,843 | $0 | $26,658 | $0 | $415,854 | $0 | $0 | $0 |
| Christine Harder | ||||||||||||||
| Sr VP - Network Mgmt (Start 1/2022) | $221,284 | $0 | $62,850 | $0 | $48,742 | $0 | $40,580 | $0 | $25,713 | $0 | $399,169 | $0 | $0 | $0 |
| Laurie Doran | ||||||||||||||
| Former Treasurer/CFO | $0 | $0 | $117,123 | $0 | $264,812 | $0 | $1,205 | $0 | $0 | $0 | $383,140 | $0 | $0 | $0 |
| Charity Bennett | ||||||||||||||
| VP- Transformation | $261,674 | $0 | $71,527 | $0 | $21,310 | $0 | $14,668 | $0 | $12,614 | $0 | $381,793 | $0 | $0 | $0 |
| Gordon W Salm | ||||||||||||||
| Interim CFO (Thru 8/2022) | $310,580 | $0 | $0 | $0 | $47,500 | $0 | $7,912 | $0 | $0 | $0 | $365,992 | $0 | $0 | $0 |
| Archana Rajendra JD | ||||||||||||||
| Assistant Secretary (Start 5/2022) | $232,252 | $0 | $65,000 | $0 | $31,902 | $0 | $10,063 | $0 | $4,194 | $0 | $343,411 | $0 | $0 | $0 |
| Merrill Hausenfluck | ||||||||||||||
| CFO (Start 8/2022) | $178,448 | $0 | $100,000 | $0 | $24,231 | $0 | $6,185 | $0 | $13,445 | $0 | $322,309 | $0 | $0 | $0 |
| Majorie A Staten JD | ||||||||||||||
| Assistant Secretary | $0 | $175,106 | $0 | $35,360 | $0 | $1,584 | $0 | $3,119 | $0 | $10,991 | $0 | $226,160 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | It is the Organization's policy to pay or reimburse employees for bonafide business travel based on the most cost effective means available. Generally, when air travel is involved this equates to coach class air fare. Under certain circumstances, such as when coach class is not available or the trip is of an extensive duration, senior leadership has approved business class, first class or charter travel. In such circumstances, the travel is considered to be for a bonafide business purpose; accordingly, no taxable income is reported. Certain members of the organization's senior leadership receive membership to social clubs intended to further the business needs of the organization. Usage is reimbursed on a case-by-case basis based upon documentation of business purpose. In connection with the recruitment and employment of leaders and physicians, the Organization agrees at times to provide temporary housing and relocation services. Internal Revenue Service guidelines are adhered to regarding the reporting and taxation of all such items. The value of such services is also included in the evaluation of reasonable compensation. Certain members of the Organization's senior leadership team participate in a supplemental retirement program that results in reportable taxable income as the benefits accrue, rather than as they are paid. The Organization also offers certain members of leadership the option of participating in an IRC Sec 457 benefit program which also results in reportable taxable income as benefits accrue, rather than as they are paid. It is an element of the plan design to absorb the advance tax impact of these plans for the participants. In such cases the related amounts are reported as taxable income to the individual and included in the determination of reasonable compensation. See q. 4b for the required listing of the participating individuals. |
| Part I, Line 3 | The Chief Executive Officer for Health Alliance Plan is an employee of Henry Ford Health System dba Henry Ford Health, HAP's parent company. Henry Ford Health has a Compensation Committee of the Board of Trustees consisting of all independent trustees. The committee meets throughout the year and is charged with the approval of the organization's overall compensation and benefit programs as well as the specific review and approval of the compensation of certain employees including the Chief Executive Officer of HAP. The committee directly engages an independent compensation advisor to assist with this process. The process includes evaluation of the individual's performance, utilization of compensation studies of similarly situated positions as well as comparisons to compensation as reported by other health care organizations. The reasonableness of compensation is evaluated based upon these and other factors. |
| Part I, Lines 4a-b | Part I - 4b: Certain members of the organization's senior leadership team participate in a supplemental retirement program (SERP 457(f) Plan) that results in reportable taxable income as the benefits accrue, rather than as they are paid. It is an element of the plan design to absorb the advance tax impact of these plans for the participants. In such cases the related amounts are reported as taxable income to the individual and included in the determination of reasonable compensation. The employees that received this taxable benefit are also officers and or key employees of the company. Part I, LINES 4A: Severance Payments Laurie Doran $264,812 4b: HAP SERP 457(f) PLAN Participant Accrual Distribution Non-Vested Reportable W-2 K. Michael Treash 178,539 - - 178,539 Margaret Anderson - - 48,328 - Charles Bloom - - 63,253 - Christine Harder - - 22,087 - 4b: HFH SERP 457(f) PLAN Participant Accrual Taxable Non-Taxable Non-Vested Reportable - Distribution Distribution W-2 Wright L. Lassiter III 523,447 107,645 1,947,928 - 631,092 Michelle Johnson Tidjani 211,041 - - - 211,041 Adnan R. Munkarah, M.D. 991,756 - - - 991,756 Michael Genord, M.D. 224,188 - - - 224,188 J Douglas Clark 45,783 - - - 45,783 Robin Damschroder 827,133 - - - 827,133 Robert Riney 463,649 - - - 463,649 4b: HFH Nonqualified 457(b) PLAN Employee Employer Medicare Reportable 2022 Contr. 2022 Contr. Tax gross-Up W-2 Amounts Wright L. Lassiter III 12,616 - - 12,616 J. Douglas Clark 20,500 - - 20,500 Adnan R. Munkarah, M.D. 20,500 - - 20,500 Michael Genord, M.D. 20,500 - - 20,500 Michelle Johnson Tidjani 20,500 - - 20,500 Robert Riney 20,500 - - 20,500 Robin Damschroder 20,500 - - 20,500 4b: HAP Nonqualified 457(b) PLAN Employee Employer Medicare Reportable 2022 Contr. 2022 Contr. Tax gross-Up W-2 Amounts Gordon Salm 20,500 - - 20,500 Christine Harder 20,500 - - 20,500 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | HAP is a nonprofit member corporation. The responsibility for the overall governance of the corporation is shared between the Member and the Board of Directors. HAP's sole member is Henry Ford Health System dba Henry Ford Health ("HF Health"), a 501(c)(3) corporation. The President and CEO of HF HEALTH serves on the HAP Board of Directors. The President and CEO of HAP, who is also an employee of HF HEALTH, serves on the HAP Board of Directors. |
| Form 990, Part VI, Section A, line 7a | The HAP Board of Directors is currently comprised of 14 Directors. Two Directors are ex officio Directors: CEO of the Member (HF HEALTH) and President of HAP (also an employee of the Member). All Directors are appointed by the Member's Board of Directors and include an HF HEALTH Appointed Enrollee Representative (an individual who represents the health maintenance organization's membership of HAP) and a HF HEALTH Appointed Physician Director (a member of the Henry Ford Medical Group, or credentialed within HF HEALTH). As indicated below, the Member may remove the HAP President and CEO and any of the Appointed Director, with or without cause. The Member approves recommendations of the HAP Board of Directors regarding the appointment/removal of the HAP President and CEO, amendments to the HAP articles of incorporation and bylaws, budget, mergers and acquisitions and potential Directors. |
| Form 990, Part VI, Section A, line 7b | The Member has the following reserved powers under the HAP Bylaws: 1)Appoint the Chairperson of the HAP Board of Directors. 2)Adopt an agreement of merger or consolidation, or approve the sale, lease or exchange of all or substantially all of HAP's property and assets. 3)Approve the transfer of assets to other organizations and individuals if such transfers in any fiscal year exceed five percent (5%) of the HAP's total assets. 4)Admit a person or entity as a new Member or terminate the membership of a Member. 5)Amend HAP's Articles of Incorporation or Bylaws upon approval by the HAP Board of Directors. 6)Appoint or remove the HAP President. 7)Dissolve or revoke the dissolution of HAP. 8)Approve HAP's capital and operating budgets. 9)Transfer assets of HAP, or to require HAP to transfer assets, to the Member or its assignee(s) or designee(s) upon demand, whether within or without the state of domicile of the Corporation, to the extent necessary to accomplish the Member's goals and objectives. |
| Form 990, Part VI, Section B, line 11b | The process the organization uses to review Form 990 prior to filing with the IRS: - Review of the entire return with the organization's chief financial officer, chief operating officer and chief executive officer. - Review of all compensation matters and disclosures with the compensation committee of the organization's board of trustees. - Review of the return with the HAP finance committee of the board of trustees. - Provide a copy of the return to the board of trustees. |
| Form 990, Part VI, Section B, line 12c | The process for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy for all directors and officers: HAP has a robust compliance program. The program requires all directors and officers of HAP to complete a conflict of interest document. The documents are reviewed and maintained by the Compliance Officer. In addition, HAP is required to submit Board disclosure statements to the Michigan Office of Finance and Insurance Regulations. Thus, on an annual basis, all Directors, Officers, and key employees, and others subject to IRS Form 990 reporting are requested to complete the Conflict of Interest Questionnaire. In addition, they are provided a copy of the policy. The Compliance Officer tracks receipt of the Conflict of Interest Questionnaire and follows-up on any identified conflicts. All conflicts are reported to the HAP Board of Directors' Audit Committee, and the President and CEO for review and resolution. All Directors and Officers are required, under the policy, to report to the Compliance Officer any conflicts that may arise during the year. Violations of the Conflicts of Interest Policy - The board determines if the member has in fact failed to disclose an actual or possible conflict of interest and it shall take appropriate disciplinary and corrective action. |
| Form 990, Part VI, Section B, line 15 | Part VI Section B, Question 15a & b The Organization is an affiliate of Henry Ford Health System dba Henry Ford Health ("HF HEALTH") who has the responsibility to oversee the compensation practice of the Organization. HF HEALTH has a compensation committee of the board of trustees consisting of all external trustees. They meet periodically throughout the year. They are charged with approval of the Organization's overall compensation and benefit programs as well as the specific review and approval of the compensation of certain employees including the CFO, all officers and key employees of the Organization. They directly engage an independent compensation advisor to assist with this process. The process includes evaluation of the individual's performance, utilization of compensation studies of similarly situated positions, as well as comparisons to compensation as reported by other health care organizations. The reasonableness of compensation is evaluated based upon these and other factors. The committee also reviews the compensation disclosure to be made on Form 990 in advance of filing. |
| Form 990, Part VI, Section C, line 19 | The process of making governing documents, conflict of interest policy and financial statements available to the public: HAP is committed to transparency. Therefore, HAP consistently and regularly discloses most information to our providers, consumers, and employer groups. HAP's governing documents and conflict of interest policy are available on the internet. HAP Bylaws, Articles of Incorporation, and financial statements are submitted to the Michigan Office of Financial and Insurance Regulations. They are available to the public through a Freedom of Information Act request to this agency. Also, financial statements, conflict of interest policy and governing documents are available upon request for the same period of disclosure as set forth in IRC Section 6104(d). In addition, HAP will provide its Form 990 to anyone who requests to view it or to receive a copy of the Form 990. The Form 990 is also available for viewing on the following website: www.guidestar.org |
| Form 990, Part XI, line 9: | HAP Pension Adjustment 8,747,938. Change in value of subsidiaries -5,737,295. |
| FORM 990, PART XII - LINE 2C | Health Alliance Plan of Michigan is included in the consolidated financial statements of Henry Ford Health. The governing body of HF HEALTH has delegated the oversight of the financial statements, including the choice of independent auditors, to its audit committee. |
| PART IV, LINE 12 | The Organization is an element of the external audit report obtained for the consolidated operations of Henry Ford Health. |
| FORM 990, PART VII | Average hours per week devoted to related organizations: Many executive employees of Henry Ford Health and affiliates provide services to multiple affiliated entities. Henry Ford Health and affiliates use estimates for reporting average hours per week in all sections of Form 990. Generally 60 hours are reported for the hours associated for the organization that the individual has principal responsibility for. Hours associated with other hospitals or affiliates are reported at between 1 to 5 hours per week. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Henry Ford Health System | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 381357020 | Healthcare Service Provider | MI | 501(c)(3) | Line 3 | N/A | 0 | |
| Henry Ford Macomb Hospital Corporation | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 382947657 | Healthcare Service Provider | DE | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Health System | |
| Henry Ford Health System Foundation | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 237383042 | Supporting Organization | MI | 501(c)(3) | Line 12a, I | Yes (1) | Henry Ford Health System | |
| Henry Ford Wyandotte Hospital | |||||||||||
| 2333 Biddle Ave | Wyandotte | MI | 48192 | 382791823 | Healthcare Service Provider | MI | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Health System | |
| Henry Ford Allegiance Health Group | |||||||||||
| 205 N East Avenue | Jackson | MI | 49201 | 382756428 | Exempt Organization | MI | 501(c)(3) | Line 12b, II | Yes (1) | Henry Ford Health System | |
| HFII Corporation | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 900840304 | Scientific Research | MI | 501(c)(3) | Line 7 | Yes (1) | Henry Ford Health System | |
| Henry Ford Government Affairs Services | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 464064067 | Advocacy Services for HF Health and Affiliates | MI | 501(c)(4) | N/A | Yes (1) | Henry Ford Health System | |
| Allegiance Health Foundation | |||||||||||
| 205 N East Avenue | Jackson | MI | 49201 | 383607833 | Supporting Organization | MI | 501(c)(3) | Line 12b, II | Yes (1) | Henry Ford Allegiance Health Group | |
| Hospice of Jackson dba Allegiance Hospice | |||||||||||
| 205 N East Avenue | Jackson | MI | 49201 | 382336367 | Hospice Care | MI | 501(c)(3) | Line 7 | Yes (1) | Healthlink | |
| Healthlink | |||||||||||
| 205 N East Avenue | Jackson | MI | 49201 | 382756425 | Home Health Care | MI | 501(c)(3) | Line 12a, I | Yes (1) | Henry Ford Allegiance Health Group | |
| Carelink Of Jackson | |||||||||||
| 110 North Elm Avenue | Jackson | MI | 49201 | 381218485 | Long Term Acute Hospital | MI | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Allegiance Health Group | |
| WA Foote Memorial Hospital dba Henry Ford Health Jackson Hospital | |||||||||||
| 205 N East Avenue | Jackson | MI | 49201 | 382027689 | Healthcare Service Provider | MI | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Allegiance Health Group | |
| The Clarence S Livingood Lectureship And Education Fund | |||||||||||
| 3031 West Grand Boulevard No 800 | Detroit | MI | 48202 | 382682321 | Supporting Organization | MI | 501(c)(3) | Line 12b, II | Yes (1) | Henry Ford Health System | |
| Henry Ford Physician Partners | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 871633901 | Physician Services | MI | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Health System | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Northwest Detroit Dialysis | |||||||||
| 30100 Telegraph | Bingham Farms | MI | 48025 | 383232668 | Operate Dialysis Clinic | MI | N/A | 0 | 0 |
| Macomb Regional Dialysis Centers | |||||||||
| 16151 Nineteen Mile Rd | Clinton Township | MI | 48038 | 260423581 | Operate Dialysis Clinic | MI | N/A | 0 | 0 |
| Foote Health Care Associates | |||||||||
| 1100 E Michigan Avenue | Jackson | MI | 49201 | 383017711 | Lessor of Medical Condominiums | MI | N/A | 0 | 0 |
| HFHS-SCA Holdings LLC | |||||||||
| 569 Brookwood Village Suite 901 | Birmingham | AL | 35209 | 465291602 | Outpatient surgery clinics | MI | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alliance Health and Life Insurance Company | ||||||||||||||||
| 2850 West Grand Boulevard | Detroit | MI | 48202 | 383291563 | Health Insurance | MI | Health Alliance Plan | C | $388,581,265 | $137,648,557 | 1.00000 | Yes (1) | ||||
| HAP Preferred Inc | ||||||||||||||||
| 2850 West Grand Boulevard | Detroit | MI | 48202 | 382513504 | Provider Network Leasing | MI | Health Alliance Plan | C | 1.00000 | Yes (1) | ||||||
| Sha Realty Inc | ||||||||||||||||
| One Ford Place | Detroit | MI | 48202 | 381378121 | Real Estate Holding | MI | Henry Ford Health System | C | Yes (1) | |||||||
| Fairlane Health Services | ||||||||||||||||
| 30100 Telegraph | Bingham Farms | MI | 48025 | 382565235 | Healthcare Management | MI | Henry Ford Health System | C | Yes (1) | |||||||
| Onika Insurance Ltd | ||||||||||||||||
| Captive Insurance | Henry Ford Health System | C | Yes (1) | First Carribean House | Grand Cayman | CJ | CJ | |||||||||
| HAP CareSource | ||||||||||||||||
| 2850 West Grand Boulevard | Detroit | MI | 48202 | 383123777 | Health Insurance | MI | Health Alliance Plan | C | $261,461,064 | $92,379,854 | 1.00000 | Yes (1) | ||||
| Administration Systems Research Corporation | ||||||||||||||||
| 2850 West Grand Boulevard | Detroit | MI | 48202 | 382651185 | Third Party Administrator | MI | Health Alliance Plan | C | $32,699,593 | $3,679,493 | 1.00000 | Yes (1) | ||||
| Henry Ford Physician Network | ||||||||||||||||
| One Ford Place | Detroit | MI | 48202 | 320306774 | Physician Network | MI | Henry Ford Health System | C | Yes (1) | |||||||
| Henry Ford Allegiance Pharmacy | ||||||||||||||||
| 205 N East Avenue | jackson | MI | 49201 | 383370242 | Pharmacy | MI | Henry Ford Allegiance Health Group | C | Yes (1) | |||||||
| HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION | ||||||||||||||||
| 1150 ELIJAH MCCOY DR | DETROIT | MI | 48202 | 852144748 | CONDOMINUM ASSOCATION | MI | Henry Ford Health System | C | Yes (1) | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WA Foote Memorial Hospital | ||
| M | $6,543,205 | Fair market value |
| Henry Ford Wyandotte Hospital | ||
| M | $24,739,099 | Fair market value |
| Henry Ford Macomb Hospital Corporation | ||
| M | $37,957,985 | Fair market value |
| Northwest Detroit Dialysis Center | ||
| M | $2,182,707 | Fair market value |
| Macomb Regional Dialysis | ||
| M | $253,584 | Fair market value |
| Alliance Health & Life Insurance Company | ||
| Q | $68,567,694 | Fair market value |
| Administrative Systems Research | ||
| Q | $3,258,847 | fair market value |
| HAP Empowered Health Plan | ||
| Q | $31,459,356 | Fair market value |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART V, LINE 1D & 1E: | The organization, as a Designated Affiliate, is a member of the Henry Ford Health System Credit Group. Members of the Credit Group are jointly and severally liable for outstanding obligations issued under the 2016, 2019 and 2022 HFHS Bond Master Indentures. |
| SCHEDULE R, PART V, LINE 2, COL. C: | All transactions involved cash transfers at the time of services rendered or received. Therefore, the cash value at the time of the transactions is considered the fair market value. |