2021-11-11T13:26:38-06:00 2020-12-31 861065772 Deloitte Tax LLP 200 Renaissance Center Suite 3900 Detroit MI 48243 990 2020-01-01 382242827 HEALTH ALLIANCE PLAN OF MICHIGAN HEAL 3136648130 2850 WEST GRAND BOULEVARD DETROIT MI 48202 Michael Genord MD CEO 2487764671 2021-11-11 0 Michael Genord MD 999009999 Alicia Janisch P00741382 3133963000 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Michael Genord MD 2850 WEST GRAND BOULEVARD DETROIT MI 48202 1606348611 0 X www.hap.org X 1979 MI Provide access to quality health care coverage. 12 9 1124 104 0 12637 0 0 1495668282 1511185534 14275712 11478230 783883 927825 1510727877 1523591589 460298 481445 1332226317 1308374990 58510121 53808205 0 0 0 102179836 101692354 1493376572 1464356994 17351305 59234595 611708865 726435984 239103671 302550904 372605194 423885080 X 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. 0 0 1444113165 481445 1511185534 HAP is a subsidiary of Henry Ford Health System 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 450,000 members including 178,000 HMO enrollees; serviced 2,154,477 member months and 1,100 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 29,000 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 nearly 6,000 primary care physicians, 18,000 specialists and 88 Michigan hospitals to serve its HMO 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. 2020 Activities and Accomplishments in Community Outreach-- Administered and managed nearly 130 grants, charitable donations and sponsorships with non-profit organizations and community partners, directly touching over 600,000 lives. 54 HAP grants were focused on health and human services, 35 went to civic and community activities, 22 supported the arts and 17 were for educational programs.-- HAP provided funding to help Henry Ford Health System and Gleaners Food Bank expand the "Henry's Groceries" program, delivering healthy food directly to the homes of more patients in broader age groups in Metro Detroit.-- Managed over 150 community events to support partner agencies and promote the HAP and HAP Empowered brands throughout the service area. --Performed over 3,000 check-in calls to at-risk Medicare and Medicaid members during the first wave of COVID-19 in the spring of 2020, connecting members to food and housing resources and scheduling doctor visits and pharmacy delivery. --Performed over 1,000 outreach calls to Medicaid members at special risk for contracting influenza to invite them to community events, at which our partners administered over 500 immunizations. With the help of our community partners and provider organizations, HAP distributed hundreds of holiday turkeys, personal items, coats, mittens, socks and hats in conjunction with the flu shot events.Signature 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 System and Health Alliance Plan (HAP), and a partnership with the City of Detroit Department of Transportation. MoGo operates in 10 neighborhoods in the greater downtown area of Detroit, as well as Northwest Detroit, Ferndale, Oak Park, Huntington Woods, Berkley, and Royal Oak. MoGo is available 24 hours a day, 7 days a week, 365 days a year.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. HAP members receive discounted registration for this 15-week guided training program designed for participants of all ages and fitness levels to help them prepare for the Crim 10 Mile, Half Crim 5 Mile, or 5K races held each August in Flint. The Crim Fitness Foundation also serves as the lead agency to implement Community Education in Flint schools. Full-time Community School Directors coordinate resources in 12 area Flint schools, delivering year-round programs for parents, youth, and community.Game On, Cancer: Game On Cancer, a unique collaboration between Henry Ford Health System, 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. HAP employees and leaders participate in a variety of activities to raise funds for this effort.CARE of SE Michigan: HAP is a major supporter and seminar presenter for CARE of Southeastern Michigan. CARE provides professional and emotional support services to those seeking to enhance their lives through a variety of servicesincluding Recovery United, outpatient counseling, employee assistance programs, early childhood and adolescent programming, parent education classes, community coalition and prevention work. 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.100 Black Men of Greater Detroit, Inc: The 100 Black Men of Greater Detroit, Inc. is a group of concerned African American men whose goal is to improve the quality of life in the African American community through their collective resources, abilities and experiences. The organization has committed to helping African American youth achieve success in four (4) main focus areas: Mentoring, Education, Health & Wellness and Economic Development. HAP has been the primary sponsor of the agency's annual Oratorical Contest, which awards college scholarships to young metro-Detroiters each year. HAP outreach staff are among those judging the Oratorical contest and participating in career day events. Life Remodeled 6-Day Project/313 Club: Life Remodeled focuses on the intentional and equitable revitalization of Detroit neighborhoods distinguished by their significant need and radical hope. Projects are determined by the community's needs and vision and focused in three areas: Renovating and repurposing former community assets, repairing owner-occupied homes, and mobilizing 10,000 volunteers to beautify the four-square mile area surrounding the Life Remodeled opportunity hub in six days. HAP employee volunteers assist with this effort to clear blighted alleyways within a four-square mile geography surrounding the Durfee Innovation Society in Detroit. HAP is also part of the corporate giving circle, the 313 Club, raising funds to support revitalization of Detroit neighborhoods. American Heart Association Heart and Stroke Walk: In 2020, HAP walkers and volunteers raised over $25,000 to support the AHA's efforts to combat heart disease and stroke, culminating in a "virtual" 3-mile walk. 1444113165 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 8553 0 1 1124 1 1 1 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Dianna Ronan 2484431093 2850 West Grand Boulevard Detroit MI 48202 Wright L Lassiter III Director 1.00 64.00 X 0 3857524 56246 Adnan R Munkarah MD Director 1.00 63.00 X 0 1258647 59792 Michael Genord MD Director/President 58.00 7.00 X X 93661 958441 193393 Jeffrey A Chaffkin Director 1.00 0.00 X 0 0 0 Shari L Burgess Director- Chair 2.00 3.00 X X 0 0 0 Joyce V Hayes Giles Director 1.00 0.00 X 0 0 0 Sandra A Cavette MPH RDH Director 1.00 0.00 X 0 0 0 Harvey Hollins III Director 1.00 0.00 X 0 0 0 Judith S Milosic Director 1.00 0.00 X 0 0 0 Jacalyn S Goforth Director 1.00 0.00 X 0 0 0 Raymond C Lope Director 1.00 0.00 X 0 0 0 John Gorman Director 1.00 0.00 X 0 0 0 Michelle Johnson Tidjani Esq Secretary 2.00 63.00 X 0 1012041 184055 William R Barnes Assistant Secretary 55.00 5.00 X 385930 0 22221 Laurie Doran Treasurer/CFO 55.00 5.00 X 516878 0 26954 Majorie A Staten JD Assistant Secretary 2.00 58.00 X 0 205420 12672 K Michael Treash SVP & COO 55.00 5.00 X 601254 0 79649 Margaret Anderson Chief Sales & Marketi 55.00 5.00 X 559827 0 70666 Charles Bloom DO CMO 55.00 5.00 X 548589 0 14727 Annette Marcath VP & Chief Information Officer 55.00 5.00 X 356084 0 39112 Peter Watson MD VP- Care Mgmt & Outcomes 60.00 0.00 X 453900 9810 35343 Steven Selinsky VP-Product Strategy MrktngComm 60.00 0.00 X 382282 0 34349 Marc Vanderburg VP- Acct Retention & Sales Ops 60.00 0.00 X 355529 0 22138 Yvonne T Sesi Medical Director 60.00 0.00 X 352743 0 6412 Seth A Crawford VP- Underwriting Services 60.00 0.00 X 347077 0 13887 Teresa L Kline Former Director/Pres. & CEO 0.00 0.00 X 0 226669 0 J Douglas Clark Former Treasurer/Int. CFO 0.00 60.00 X 0 481880 57029 Todd Hutchison Former Treasurer/CFO 55.00 5.00 X 305273 0 35050 5259027 8010432 963695 216 1 1 0 Accenture LLP 161 N Clark St Chicago IL 60601 Software support & consulting 6141282 Brogan & Partners Advertising 800 N Old Woodward Ave Suite 100 Birmingham MI 48009 Advertising 5206188 WEST MONROE PARTNERS LLC 311 Monroe St 14th Floor Chicago IL 60606 Consulting 3087650 SOURCELINK OHIO LLC 3303 W Tech Rd Miamisburg OH 453 Miamisburg MI 45342 Printing/Mailing Support 2740151 HGS HEALTHCARE LLC 9091 Payshere Circle Chicago IL 606749091 Call Center Support 2583637 142 Health Care Premiums 524114 1508150254 1508150254 Hlth Ins Claims Assessmt 624110 3035280 3035280 1511185534 8814723 8814723 85420529 82757022 2663507 2663507 2663507 927825 927825 927825 1523591589 1511185534 0 12406055 481445 481445 1308374990 1308374990 4467386 2552204 1915182 566993 453658 113335 33281766 28554479 4727287 4519293 4129479 389814 4311403 3939521 371882 6661364 6086785 574579 2350258 2350258 78085 78085 463844 463844 24211503 20793253 3418250 19876817 19876817 2476063 2444910 31153 9977402 9935660 41742 6080375 5774229 306146 139464 125012 14452 34701 22437 12264 104547 104547 10231287 9324771 906516 ACA TAX 17681378 17681378 Admin Alloc Fees 3329717 3329717 Eqp Rep / Maint 563687 474954 88733 Bank Fees 414875 320 414555 3678351 3086863 591488 1464356994 1444113165 20243829 0 8482492 39517751 167180918 225454987 56916460 72511242 5809862 6025678 194477283 139574471 61398677 54902812 124525663 144476594 48219096 44967350 139175697 138579570 611708865 726435984 44165828 57341681 12620432 14250085 182317411 230959138 239103671 302550904 X 372605194 423885080 372605194 423885080 611708865 726435984 X 59234595 -7954709 X X 0 1 X 1 0 851336 851336 5312226 3114848 2197378 7577236 5580619 1996617 29627811 21815374 7812437 151108674 109063630 42045044 54902812 HAP Preferred, Inc. 3208549 Alliance Health & Life Insurance Co. 66842462 HAP Empowered 31043690 ASR 12434556 Restricted Cash 1000000 Right Of Use Leases 24050313 138579570 Medical Claims 140689113 Operating & Finance Lease Payable 29834293 Pension 23936522 Capitation Payable 35114264 Retiree Benefits 1384946 230959138 X Part X, Line 2: 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, 2020 and 2019. 0 American Heart Association Inc 7272 Greenville Ave Dallas TX 75231 135613797 501 (c)(3) 12500 Organizational/Community Support Valley Agency On Aging 225 E 5th Street Ste 200 Flint MI 48502 382121108 501 (c)(3) 5000 Organizational/Community Support 100 Black Men One Ford Place Detroit MI 48202 383124115 501 (c)(3) 6000 Organizational/Community Support Crim Fitness Foundation Inc 452 S Saginaw Street Suite 1 Flint MI 48502 382595169 501 (c)(3) 80000 Organizational/Community Support Asbury Community Development Corp 1653 Davison Rd Flint MI 48506 454234550 501 (c)(3) 5000 Organizational/Community Support Economic Club of Detroit 211 West Fort St 710 Detroit MI 48226 380508823 501 (c)(3) 5000 Organizational/Community Support Care Of Southeastern Michigan 31900 Utica Road Fraser MI 48026 382175274 501 (c)(3) 9000 Organizational/Community Support Gilda's Club Grand Rapids 1806 Bridge St NW Grand Rapids MI 49054 383367525 501 (c)(3) 5590 Organizational/Community Support Detroit Regional Chamber PO Box 77359 Detroit MI 482770359 380477570 501 (c)(6) 10000 Organizational/Community Support Leadership Oakland 1500 University Dr Ste 203 Auburn Hills MI 48326 383390575 501 (c)(3) 6750 Organizational/Community Support DPP Bike Share Corporation One Campus Martius Ste 380 Detroit MI 48226 811577310 501 (c)(3) 250000 Organizational/Community Support Dearborn Public Schools Education Foundation 18700 Audette Street Dearborn MI 48124 363857599 501 (c)(3) 5000 Organizational/Community Support Gilda's Club Metro Detroit 3517 Rochester Rd Royal Oak MI 48073 383150211 501 (c)(3) 7000 Organizational/Community Support Forgotten Harvest 21800 Greenfield Rd Oak Park MI 48237 382926476 501 (c)(3) 9900 Organizational/Community Support Charter Township of Flint 1490 S Dye Rd Flint MI 48532 386005302 115 Government 6000 Organizational/Community Support Hurley Foundation One Hurley Plaza Flint MI 48503 383085047 501 (c)(3) 5000 Organizational/Community Support Rocket Giving Fund One Woodward Ave Ste 14002 Detroit MI 48226 830870868 501 (c)(3) 24205 Organizational/Community Support Senior Neighbors Inc 678 Front Ave NW Ste 205 Grand Rapids MI 49504 237195491 501 (c)(3) 6000 Organizational/Community Support Winning Futures 27500 Cosgove Warren MI 48092 202263860 501 (c)(3) 10000 Organizational/Community Support 17 2 Part I, Line 2: The community outreach department monitors grants paid to charitable and governmental entities. X 1 1 0 1 0 0 0 0 0 0 0 Wright L Lassiter III Director 0 1754642 0 1441274 0 661608 0 24441 0 31805 0 3913770 0 0 Adnan R Munkarah MD Director 0 808899 0 425346 0 24402 0 25866 0 33926 0 1318439 0 0 Michael Genord MD Director/President 87163 693365 0 248857 6498 16219 383 166005 4578 22427 98622 1146873 0 0 Michelle Johnson Tidjani Esq Secretary 0 705834 0 293497 0 12710 0 152227 0 31828 0 1196096 0 0 K Michael Treash SVP & COO 406115 0 195139 0 0 0 48917 0 30732 0 680903 0 0 0 Margaret Anderson Chief Sales & Marketi 376312 0 180893 0 2622 0 44618 0 26048 0 630493 0 0 0 Charles Bloom DO CMO 364205 0 134138 0 50246 0 4441 0 10286 0 563316 0 0 0 Laurie Doran Treasurer/CFO 442227 0 72029 0 2622 0 4988 0 21966 0 543832 0 0 0 J Douglas Clark Former Treasurer/Int. CFO 0 325681 0 138049 0 18150 0 27291 0 29738 0 538909 0 0 Peter Watson MD VP- Care Mgmt & Outcomes 305596 0 120844 0 27460 9810 390 6863 28090 0 482380 16673 0 0 Steven Selinsky VP-Product Strategy MrktngComm 238146 0 142603 0 1533 0 5552 0 28797 0 416631 0 0 0 William R Barnes Assistant Secretary 284236 0 94170 0 7524 0 4988 0 17233 0 408151 0 0 0 Annette Marcath VP & Chief Information Officer 266609 0 88876 0 599 0 14131 0 24981 0 395196 0 0 0 Marc Vanderburg VP- Acct Retention & Sales Ops 206238 0 148246 0 1045 0 7833 0 14305 0 377667 0 0 0 Seth A Crawford VP- Underwriting Services 249837 0 96688 0 552 0 4988 0 8899 0 360964 0 0 0 Yvonne T Sesi Medical Director 249875 0 79868 0 23000 0 6412 0 0 0 359155 0 0 0 Todd Hutchison Former Treasurer/CFO 221869 0 83404 0 0 0 6700 0 28350 0 340323 0 0 0 Teresa L Kline Former Director/Pres. & CEO 0 0 0 226669 0 0 0 0 0 0 0 226669 0 0 Majorie A Staten JD Assistant Secretary 0 167759 0 36162 0 1499 0 2978 0 9694 0 218092 0 0 Part I, Line 1a Part I - 1a: Tax indemnification and gross-up payments: Certain members of the organization's senior leadership received gross-up payments in regards to the supplemental executive retirement SERP 457 (f) plan. Part I, Line 3 The Chief Executive Officer for Health Alliance Plan is an employee of Henry Ford Health System, HAP's parent company. Henry Ford Health System 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, Line 4b 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. 4b: HAP SERP 457(f) PLAN Participant Accrual Distribution Non-Vested Reportable W-2 K. Michael Treash - - 43,929 - Margaret Anderson - - 40,343 - 4b: HFHS SERP 457(f) PLAN Participant Accrual Distribution Non-Vested Reportable W-2 Wright L. Lassiter III 637,206 - - - 637,206 Michelle Johnson Tidjani- - 128,499 - Adnan R. Munkarah, M.D. - - 191,258 - Michael Genord, M.D. - - 161,017 - 4b: HFHS Nonqualified 457(b) PLAN Employee Employer Medicare Reportable 2020 Contr. 2020 Contr. Tax gross-Up W-2 Amounts Wright L. Lassiter III 19,500 - - 19,500 J. Douglas Clark - 3 ,586 86 3,672 Adnan R. Munkarah, M.D. 19,500 - - 19,500 Michael Genord, M.D. 14,000 - - 14,000 Michelle Johnson Tidjani 11,000 - - 11,000 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 (HFHS), a 501(c)(3) corporation. The President and CEO of HFHS serves on the HAP Board of Directors. The President and CEO of HAP, who is also an employee of HFHS, serves on the HAP Board of Directors. Form 990, Part VI, Section A, line 7a The HAP Board of Directors is currently comprised of 12 Directors. Two Directors are ex officio Directors: CEO of the Member (HFHS) and President of HAP (also an employee of the Member). All Directors are appointed by the Member's Board of Directors and include an HFHS Appointed Enrollee Representative (an individual who represents the health maintenance organization's membership of HAP) and a HFHS Appointed Physician Director (a member of the Henry Ford Medical Group, or credentialed within the HFHS). 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 (HFHS) who has the responsibility to oversee the compensation practice of the Organization. HFHS 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 -4,128,760. Change in value of subsidiaries -3,825,949. FORM 990, PART XII - LINE 2C Health Alliance Plan of Michigan is included in the consolidated financial statements of Henry Ford Health System. The governing body of HFHS 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 System. FORM 990, PART VII Average hours per week devoted to related organizations: Many executive employees of Henry Ford Health System and affiliates provide services to multiple affiliated entities. Henry Ford Health System 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. 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 MI 501(c)(3) Line 3 Henry Ford Health System 1 Henry Ford Health System Foundation One Ford Place Detroit MI 48202 237383042 Supporting Organization MI 501(c)(3) Line 12a, I Henry Ford Health System 1 Henry Ford Wyandotte Hospital 2333 Biddle Ave Wyandotte MI 48192 382791823 Healthcare Service Provider MI 501(c)(3) Line 3 Henry Ford Health System 1 Henry Ford Allegiance Health Group 205 N East Avenue Jackson MI 49201 382756428 Healthcare Service Provider MI 501(c)(3) Line 12b, II Henry Ford Health System 1 HFII Corporation One Ford Place Detroit MI 48202 900840304 Scientific Research MI 501(c)(3) Line 7 Henry Ford Health System 1 Henry Ford Government Affairs Services One Ford Place Detroit MI 48202 464064067 Advocacy Svs for HFHS & Affil's MI 501(c)(4) N/A Henry Ford Health System 1 Allegiance Health Foundation 205 N East Avenue Jackson MI 49201 383607833 Supporting Organization MI 501(c)(3) Line 12b, II Henry Ford Allegiance Health Group 1 Hospice of Jackson dba Allegiance Hospice 205 N East Avenue Jackson MI 49201 382336367 Hospice Care MI 501(c)(3) Line 7 Healthlink 1 Healthlink 205 N East Avenue Jackson MI 49201 382756425 Home Health Care MI 501(c)(3) Line 12a, I Henry Ford Allegiance Health Group 1 Carelink Of Jackson 110 North Elm Avenue Jackson MI 49201 381218485 Long Term Acute Hospital MI 501(c)(3) Line 3 Henry Ford Allegiance Health Group 1 WA Foote Memorial Hospital 205 N East Avenue Jackson MI 49201 382027689 Healthcare Service Provider MI 501(c)(3) Line 3 Henry Ford Allegiance Health Group 1 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 Henry Ford Health System 1 Northwest Detroit Dialysis 30100 Telegraph Bingham Farms MI 48025 383232668 Operate Dialysis Clinic MI Henry Ford Health System Related 0 0 Macomb Regional Dialysis Centers 16151 Nineteen Mile Rd Clinton Township MI 48038 260423581 Operate Dialysis Clinic MI Henry Ford Health System Related 0 0 Foote Health Care Associates 1100 E Michigan Avenue Jackson MI 49201 383017711 Lessor of Medical Condominiums MI Henry Ford Allegiance Health Group Related 0 0 Alliance Health and Life Insurance Company 2850 West Grand Boulevard Detroit MI 48202 383291563 Health Insurance MI Health Alliance Plan C 308639328 150362770 1.00000 1 HAP Preferred Inc 2850 West Grand Boulevard Detroit MI 48202 382513504 Provider Network Leasing MI Health Alliance Plan C 3756044 9324076 1.00000 1 Sha Realty Inc One Ford Place Detroit MI 48202 381378121 Recreational Service - Golfing MI Henry Ford Health System Foundation C 1 Fairlane Health Services 30100 Telegraph Bingham Farms MI 48025 382565235 Healthcare Management MI Henry Ford Health System C 1 Onika Insurance Ltd First Carribean House Grand Cayman CJ Captive Insurance CJ Henry Ford Health System C 1 HAP Empowered Health Plan Inc 2800 West Grand Boulevard Dearborn MI 48126 383123777 Health Insurance MI Health Alliance Plan C 182653915 88718831 1.00000 1 Administration Systems Research Corporation International 2850 West Grand Boulevard Detroit MI 48202 382651185 Third Party Administrator MI Health Alliance Plan C 34944654 19443903 1.00000 1 Henry Ford Physician Network One Ford Place Detroit MI 48202 320306774 Physician Network MI Henry Ford Health System C 1 Henry Ford Allegiance Pharmacy 205 N East Avenue jackson MI 49201 383370242 Pharmacy MI Henry Ford Allegiance Health Group C 1 HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION 1150 ELIJAH MCCOY DR DETROIT MI 48202 852144748 CONDOMINUM ASSOCATION MI Henry Ford Health System 1 0 0 0 0 1 0 0 0 0 1 0 1 1 1 0 1 1 1 1 WA Foote Memorial Hospital M 3596182 Fair market value Henry Ford Wyandotte Hospital M 22262278 Fair market value Henry Ford Macomb Hospital Corporation M 31218997 Fair market value Northwest Detroit Dialysis Center M 2455650 Fair market value Macomb Regional Dialysis M 492718 Fair market value Alliance Health & Life Insurance Company Q 65845218 Fair market value HAP PreferredInc Q 6304068 Fair market value HAP Empowered Health Plan Q 25454346 Fair market value Alliance Health & Life Insurance Company M 537617 Fair market value Administrative Systems Research Q 2012785 fair market value 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 HFHS Bond Master Indenture. 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.