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HEALTH ALLIANCE PLAN OF MICHIGAN: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
HEALTH ALLIANCE PLAN OF MICHIGAN (EIN 38-2242827)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202043179349302274
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2020-11-12T07:50:32-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 Renaissance Center Suite 3900AddressLine1Txt
CityDetroitCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48243ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382242827EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH ALLIANCE PLAN OF MICHIGANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone3136648130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12850 WEST GRAND BOULEVARDAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLaurie DoranPersonNm
Person TitleCFOPersonTitleTxt
Phone2487764671PhoneNum
Signature2020-11-12SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAlicia JanischPreparerPersonNm
PTINP00741382PTIN
Phone3133963000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address150.198.64.200IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-12IPDt
IP Tm07:50:27IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id4D7818B4378CD12CB7018F8280EB59C545A2623BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLaurie DoranPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12850 WEST GRAND BOULEVARDAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,588,775,890GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.hap.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionProvide access to quality health care coverage.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1203TotalEmployeeCnt
Total Volunteers115TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$4,622NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,468,005,511PYProgramServiceRevenueAmt
CY Program Service Revenue$1,495,668,282CYProgramServiceRevenueAmt
PY Investment Income$5,202,961PYInvestmentIncomeAmt
CY Investment Income$14,275,712CYInvestmentIncomeAmt
PY Other Revenue$756,207PYOtherRevenueAmt
CY Other Revenue$783,883CYOtherRevenueAmt
PY Total Revenue$1,473,964,679PYTotalRevenueAmt
CY Total Revenue$1,510,727,877CYTotalRevenueAmt
PY Grants And Similar Paid$574,457PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$460,298CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,298,593,511PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,332,226,317CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$62,063,300PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$58,510,121CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$122,191,982PYOtherExpensesAmt
CY Other Expenses$102,179,836CYOtherExpensesAmt
PY Total Expenses$1,483,423,250PYTotalExpensesAmt
CY Total Expenses$1,493,376,572CYTotalExpensesAmt
PY Revenues Less Expenses-$9,458,571PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,351,305CYRevenuesLessExpensesAmt
Total Assets BOY$614,028,005TotalAssetsBOYAmt
Total Assets EOY$611,708,865TotalAssetsEOYAmt
Total Liabilities BOY$259,224,615TotalLiabilitiesBOYAmt
Total Liabilities EOY$239,103,671TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$354,803,390NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$372,605,194NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,464,849,820ExpenseAmt
Grant$460,298GrantAmt
Revenue$1,495,668,282RevenueAmt
DescHAP 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 - 2.1 Million member months and 1,100 employeesHAP is a full-service health insurance company with distinct product portfolios: -Employer group plans HMO, EPO, Choice Network and consumer-driven health plans. -Health Engagement program offers employees incentives to adopt a healthier lifestyle. -Individual plans HAP plans HMO, 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.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 Stewardship: HAP is known for community giving and volunteerism. HAP employees volunteer for many community events each year. HAP's charitable giving and community outreach focuses on wellness, youth, education, diversity, community development and arts and culture. Sponsorships and donations are focused on supporting primarily non-profit organizations actively engaged in community-based programs supporting the health and wellbeing of the communities we serve. Budget is allocated to support fundraising events and efforts for these organizations and their respective programs including dinners, galas, golf outings, 5K runs/walks, and other types of events. Establishing and managing relationships with non-profit organizations is an important part of the work being done by community outreach leading to recognition for support, business leads, and community brand recognition with over 150 organizations engaged with HAP in this way annually. Positioning HAP as a leader in the community through this support has been and will continue to be important to the growth of the organization. Sponsored events are attended by HAP leaders, employees, community and business partners interested in the cause or organization.Sponsorship opportunities are vetted by community outreach leadership and managed by assigned coordinators. Frequently there are sponsorships that are split with and managed in concert with Henry Ford Health System's community outreach team and used for dual marketing and exposure purposes.HAP leaders and employees are encouraged to serve on the boards and committees of non-profit community organizations. Monetary support is offered to organizations where board positions are held on an annual basis, at the discretion of the sitting board member. HAP employees log over 2,000 volunteer service hours each year with a variety of social service agencies, and charitable and civic organizations.Signature Programs and PartnersMoGo 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, wellbeing 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 is 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.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 Life Remodeled's 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 to support revitalization of Detroit neighborhoods. American Heart Association Heart and Stroke Walk: In 2019, HAP walkers and volunteers raised over $25,000 to support the AHA's efforts to combat heart disease and stroke, culminating in a 3-mile walk on the campus of Wayne State University. Mommy Talk: HAP partners with Hamilton Community Health Network, a federally qualified health center in Flint, Michigan, to present "Mommy Talk", a monthly support group for pregnant women and new moms to discuss the issues they face in a completely open, supportive, judgement-free setting. Participants occasionally receive diapers, baby supplies, car seats or medical equipment donated by partner agencies.Desc
Total Program Service Expenses$1,464,849,820TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9329IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1203EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laurie DoranBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3136648130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12850 West Grand BoulevardAddressLine1Txt
CityDetroitCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Wright L Lassiter III
Director1.0064.00Yes (X)$0$5,262,561$54,982
Adnan R Munkarah MD
Director1.0063.00Yes (X)$0$1,180,579$62,113
Michelle Johnson Tidjani Esq
Secretary2.0063.00$0$910,490$157,996Yes (X)
Teresa L Kline
Director/Pres. & CEO (Thru 6/2019)53.0012.00Yes (X)$0$897,071$29,978Yes (X)
Michael Genord MD
Director/Interim Pres.(Start 7/2019)55.005.00Yes (X)$705,787$0$78,432Yes (X)
J Douglas Clark
Treasurer/Int. CFO (4/2019 to 8/2019)30.0030.00$0$484,305$55,839Yes (X)
K Michael Treash
SVP & COO55.005.00$449,311$0$33,972Yes (X)
Peter Watson MD
VP-Care Mgmt & Outcomes60.000.00$421,259$11,275$35,786Yes (X)
Margaret M Anderson
SVP- Chief Sales & Marketing Officer55.005.00$428,595$0$22,060Yes (X)
Charles Bloom
CMO (Start 7/2019)60.000.00$430,324$0$14,684Yes (X)
Balakrishna Pai MD
VP- Quality & Disease Mgmt60.000.00$412,297$0$22,563Yes (X)
Todd Hutchison
Former Treasurer/CFO55.005.00$348,921$0$33,194Yes (X)
Annette M Marcath
VP & Chief Information Officer55.005.00$330,326$0$38,185Yes (X)
John D Calabria MD
Sr Medical Director60.000.00$326,867$0$38,610Yes (X)
William R Barnes
Assistant Secretary55.005.00$331,505$0$31,349Yes (X)
Laurie Doran
Treasurer/CFO (Start 8/2019)53.0012.00$276,503$0$12,722Yes (X)
Majorie A Staten JD
Assistant Secretary1.0059.00$0$166,055$13,156Yes (X)
Jeffrey A Chaffkin
Director1.000.00Yes (X)$0$0$0
Shari L Burgess
Director- Chair2.004.00Yes (X)$0$0$0Yes (X)
Joyce V Hayes Giles
Director1.000.00Yes (X)$0$0$0
Jamie C Hsu PhD
Director1.000.00Yes (X)$0$0$0
Sandra A Cavette MPH RDH
Director1.000.00Yes (X)$0$0$0
Harvey Hollins III
Director1.000.00Yes (X)$0$0$0
Richard Swift
Treasurer/CFO (Thru 3/2019)55.005.00$0$0$0Yes (X)
Judith S Milosic
Director1.000.00Yes (X)$0$0$0
Susanne M Mitchell
Director1.000.00Yes (X)$0$0$0
Jacalyn S Goforth
Director1.000.00Yes (X)$0$0$0
Raymond C Lope
Director1.000.00Yes (X)$0$0$0
John Gorman
Director1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,461,695TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,912,336TotReportableCompRltdOrgAmt
Total Other Compensation$735,621TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K203IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Accenture LLP
161 N Clark StChicagoIL60601Software support & consulting$5,899,769
Brogan & Partners Advertising
800 N Old Woodward Ave Suite 100BirminghamMI48009Advertising$4,088,734
Cornerstone Research Inc
2 Emparcardero CenterSan FranciscoCA94111Legal Counsel$3,217,513
Clarity Solution Group LLC
150 S Wacker St Sutie 2750ChicagoIL60606Consulting$3,093,484
Bloom Insurance Agency LLC
1331 S Curry PikeBloomingtonIN47403Sales Agency Support$2,982,401
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K127CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Health Care Premiums524114$1,491,043,368$1,491,043,368
Hlth Ins Claims Assessmt624110$4,624,914$4,624,914
FieldValueIRS element (for citing)
Total Program Service Revenue$1,495,668,282TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,823,619TotalRevenueColumnAmt
Exclusion$13,823,619ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$78,500,106SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$78,046,489SecuritiesAmt
Other$1,524OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$453,617SecuritiesAmt
Other-$1,524OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$452,093TotalRevenueColumnAmt
Exclusion$452,093ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$783,883TotalRevenueColumnAmt
Exclusion$783,883ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$783,883OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,510,727,877TotalRevenueColumnAmt
Related Or Exempt Func Income$1,495,668,282RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,059,595ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$460,298TotalAmt
Program Services$460,298ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$1,332,226,317TotalAmt
Program Services$1,332,226,317ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,111,480TotalAmt
Program Services$2,361,450ProgramServicesAmt
Management And General$1,750,030ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$382,115TotalAmt
Program Services$382,115ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,824,178TotalAmt
Program Services$32,491,531ProgramServicesAmt
Management And General$4,332,647ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,124,236TotalAmt
Program Services$5,624,044ProgramServicesAmt
Management And General$500,192ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,388,214TotalAmt
Program Services$4,029,810ProgramServicesAmt
Management And General$358,404ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,679,898TotalAmt
Program Services$6,137,427ProgramServicesAmt
Management And General$542,471ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,170,520TotalAmt
Management And General$7,170,520ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$116,111TotalAmt
Program Services$57,500ProgramServicesAmt
Management And General$58,611ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,672,650TotalAmt
Program Services$21,112,564ProgramServicesAmt
Management And General$1,560,086ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$18,062,335TotalAmt
Program Services$18,062,335ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,347,545TotalAmt
Program Services$6,319,487ProgramServicesAmt
Management And General$28,058ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,820,217TotalAmt
Program Services$12,784,217ProgramServicesAmt
Management And General$36,000ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,393,080TotalAmt
Program Services$5,118,234ProgramServicesAmt
Management And General$274,846ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$498,316TotalAmt
Program Services$447,911ProgramServicesAmt
Management And General$50,405ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$133,353TotalAmt
Program Services$111,494ProgramServicesAmt
Management And General$21,859ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$59,167TotalAmt
Management And General$59,167ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,293,280TotalAmt
Program Services$9,287,053ProgramServicesAmt
Management And General$1,006,227ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Admin Alloc Fees$5,518,652$5,518,652
ACA TAX$4,645,935$4,645,935
Eqp Rep / Maint$780,640$314,425$466,215
Bank Fees$436,651$436,331$320

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,231,384TotalAmt
Program Services$2,723,563ProgramServicesAmt
Management And General$4,507,821ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,493,376,572TotalAmt
Program Services$1,464,849,820ProgramServicesAmt
Management And General$28,526,752ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,458,637BOYAmt
EOY$8,482,492EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$196,124,093BOYAmt
EOY$167,180,918EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$72,856,000BOYAmt
EOY$56,916,460EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,220,526BOYAmt
EOY$5,809,862EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$188,884,085LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$127,485,408LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,465,014BOYAmt
EOY$61,398,677EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$114,823,092BOYAmt
EOY$124,525,663EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$97,036,872BOYAmt
EOY$114,306,754EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$33,714,335BOYAmt
EOY$48,219,096EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,329,436BOYAmt
EOY$24,868,943EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$614,028,005BOYAmt
EOY$611,708,865EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$71,257,363BOYAmt
EOY$44,165,828EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,948,725BOYAmt
EOY$12,620,432EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$178,018,527BOYAmt
EOY$182,317,411EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$259,224,615BOYAmt
EOY$239,103,671EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$354,803,390BOYAmt
EOY$372,605,194EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$354,803,390BOYAmt
EOY$372,605,194EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$614,028,005BOYAmt
EOY$611,708,865EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,351,305ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$450,499OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$851,336OtherCostOrOtherBasisAmt
Book Value$851,336BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,312,226OtherCostOrOtherBasisAmt
Depreciation$2,769,548DepreciationAmt
Book Value$2,542,678BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,170,420OtherCostOrOtherBasisAmt
Depreciation$5,520,883DepreciationAmt
Book Value$1,649,537BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,580,823OtherCostOrOtherBasisAmt
Depreciation$20,574,220DepreciationAmt
Book Value$8,006,603BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$146,969,280OtherCostOrOtherBasisAmt
Depreciation$98,620,757DepreciationAmt
Book Value$48,348,523BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$61,398,677TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
HAP Preferred, Inc.$12,919,028C
Alliance Health & Life Insurance Co.$61,352,280C
Midwest$25,073,092C
ASR$10,414,851C
Trusted$4,547,503C
FieldValueIRS element (for citing)
Total Book Value Securities$114,306,754TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Medical Claims$114,570,974
Operating & Finance Lease Payable$28,333,564
Pension$24,018,452
Capitation Payable$15,394,421
FieldValueIRS element (for citing)
Total Liability$182,317,411TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationHAP 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, 2019 and 2018.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
National Kidney Foundation Of Michigan Inc
1169 Oak Valley DriveAnn ArborMI48108381559941501 (c)(3)$9,650Organizational/Community Support
Area Agency On Aging 1-B
PO BOX 776319ChicagoIL606776319382729505501 (c)(3)$7,800Organizational/Community Support
100 Black Men
One Ford PlaceDetroitMI48202383124115501 (c)(3)$6,000Organizational/Community Support
Crim Fitness Foundation Inc
452 S Saginaw Street Suite 1FlintMI48502382595169501 (c)(3)$82,500Organizational/Community Support
Flint Cultural Center Corp
1221 E Kearsley StFlintMI48503386089075501 (c)(3)$40,000Organizational/Community Support
Economic Club of Detroit
211 West Fort St 710DetroitMI48226380508823501 (c)(3)$5,000Organizational/Community Support
Care Of Southeastern Michigan
31900 Utica RoadFraserMI48026382175274501 (c)(3)$9,000Organizational/Community Support
Playworks Education Energized
2990 W Grand Blvd Suite 231DetroitMI48202943251867501 (c)(3)$5,000Organizational/Community Support
Chaldean Chamber Of Commerce
30095 NW Hwy Ste 101Farmington HillsMI48334161657532501 (c)(6)$6,350Organizational/Community Support
Chaldean Community Foundation
3601 15 Mile RdSterling HeightsMI48310203963417501 (c)(3)$5,000Organizational/Community Support
Detroit Zoological Society
8450 W Ten Mile RdRoyal OakMI48067386027356501 (c)(3)$5,000Organizational/Community Support
Dearborn Public Schools Education Foundation
18700 Audette StreetDearbornMI48124363857599501 (c)(3)$6,500Organizational/Community Support
Gilda's Club Metro Detroit
3517 Rochester RdRoyal OakMI48073383150211501 (c)(3)$5,000Organizational/Community Support
Hannan Center
4750 Woodward AveDetroitMI48201814810239501 (c)(3)$12,500Organizational/Community Support
Henry Ford Health System
One Ford PlaceDetroitMI48202381357020501 (c)(3)$18,500Organizational/Community Support
Hurley Foundation
One Hurley PlazaFlintMI48503383085047501 (c)(3)$5,000Organizational/Community Support
Michigan Council For The Society Of HR Mgmt
PO Box 99463TroyMI48099383102772501 (c)(6)$7,500Organizational/Community Support
Michigan Institute Of Urology Men's Health Foundation
20952 12 Mile Rd Ste 200St Clair ShoresMI48081264340897501 (c)(3)$5,000Organizational/Community Support
Older Persons' Commission
650 Letica DrRochesterMI48307383215151115 Government$5,000Organizational/Community Support
Rocket Giving Fund
One Woodward Ave Ste 14002DetroitMI48226830870868501 (c)(3)$23,500Organizational/Community Support
Ruth Ellis Center Inc
77 Victor StHighland ParkMI48203383501697501 (c)(3)$7,500Organizational/Community Support
Senior Neighbors Inc
678 Front Ave NW Ste 205Grand RapidsMI49504237195491501 (c)(3)$5,000Organizational/Community Support
Southwest Solutions Inc
5716 Michigan Ave Ste 3000DetroitMI48210382672000501 (c)(3)$5,000Organizational/Community Support
Winning Futures
27500 CosgoveWarrenMI48092202263860501 (c)(3)$10,000Organizational/Community Support
Zehnder's Snowfest
730 S Main StFrankenmuthMI48734383312997501 (c)(3)$5,000Organizational/Community Support
FieldValueIRS element (for citing)
Total501c3 Org23Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe community outreach department monitors grants paid to charitable and governmental entities.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Wright L Lassiter III
Director$0$1,621,355$0$1,423,918$0$2,217,288$0$24,119$0$30,863$0$5,317,543$0$1,627,135
Adnan R Munkarah MD
Director$0$758,924$0$397,753$0$23,902$0$25,519$0$36,594$0$1,242,692$0$0
Michelle Johnson Tidjani Esq
Secretary$0$634,552$0$274,228$0$1,710$0$132,831$0$25,165$0$1,068,486$0$0
Teresa L Kline
Director/Pres. & CEO (Thru 6/2019)$0$429,472$0$467,599$0$0$0$24,119$0$5,859$0$927,049$0$0
Michael Genord MD
Director/Interim Pres.(Start 7/2019)$476,162$0$191,155$0$38,470$0$55,012$0$23,420$0$784,219$0$0$0
J Douglas Clark
Treasurer/Int. CFO (4/2019 to 8/2019$0$321,918$0$120,714$0$41,673$0$26,920$0$28,919$0$540,144$0$0
K Michael Treash
SVP & COO$319,261$0$126,220$0$3,830$0$4,900$0$29,072$0$483,283$0$0$0
Peter Watson MD
VP-Care Mgmt & Outcomes$298,624$11,275$89,425$0$33,210$0$6,706$0$29,080$0$457,045$11,275$0$0
Margaret M Anderson
SVP- Chief Sales & Marketing Officer$384,313$0$37,332$0$6,950$0$4,200$0$17,860$0$450,655$0$0$0
Charles Bloom
CMO (Start 7/2019)$310,439$0$89,425$0$30,460$0$4,360$0$10,324$0$445,008$0$0$0
Balakrishna Pai MD
VP- Quality & Disease Mgmt$155,430$0$89,036$0$167,831$0$11,738$0$10,825$0$434,860$0$0$0
Todd Hutchison
Former Treasurer/CFO$196,678$0$150,650$0$1,593$0$6,008$0$27,186$0$382,115$0$0$0
Annette M Marcath
VP & Chief Information Officer$263,980$0$65,768$0$578$0$13,763$0$24,422$0$368,511$0$0$0
John D Calabria MD
Sr Medical Director$234,717$0$59,863$0$32,287$0$10,384$0$28,226$0$365,477$0$0$0
William R Barnes
Assistant Secretary$277,524$0$46,457$0$7,524$0$4,900$0$26,449$0$362,854$0$0$0
Laurie Doran
Treasurer/CFO (Start 8/2019)$168,527$0$75,000$0$32,976$0$0$0$12,722$0$289,225$0$0$0
Majorie A Staten JD
Assistant Secretary$0$165,265$0$0$0$790$0$2,941$0$10,215$0$179,211$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aPart 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 3The 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, Lines 4a-bPart I- 4a Severance Payments: Balakrishna Pai $150,581 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 Michael Genord, M.D. - - 49,743 - 4b: HFHS SERP 457(f) PLAN Participant Accrual Distribution Non-Vested Reportable W-2 Wright L. Lassiter III 2,193,386 - - - 2,193,386 Michelle Johnson Tidjani- - 109,412 - Adnan R. Munkarah, M.D. - - 174,231 - 4b: HFHS Nonqualified 457(b) PLAN Employee Employer Medicare Reportable 2019 Contr. 2019 Contr. Tax gross-Up W-2 Amounts Wright L. Lassiter III 19,000 - - 19,000 J. Douglas Clark - 3 ,300 79 3,379 Adnan R. Munkarah, M.D. 19,000 - - 19,000

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Medwise PartnersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSee BelowRelationshipDescriptionTxt
Transaction$1,422,135TransactionAmt
TransactionSee BelowTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV - Business Transactions Involving Interested Persons:FormAndLineReferenceDesc
Explanation(A) Name Of Person: Medwise Consulting Partners Inc.(B) Relationship Between Interested Person and Organization: Owner/Officer(D) Description Of Transaction: Provided Management And Consulting ServicesExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Officers of the organization are employed by an unrelated third-party management company. The organization delegated control over management duties customarily performed by or under the direct supervision of officers or key employees to Medwise Consulting Partners Inc.,an unrelated third-party management company. Medwise Consulting Partners Inc.,assigned specific employees to serve in the capacity of Chief Financial Officer/Tresurer of the organization. The following officer, reported of from 990, Part VII, Section A, was employed by Medwise Consulting Partners Inc., and received the accompanying compensation from the management company during the calendar year. Richard E Swift, Chief Financial Officer/Treasurer: A. Regular Compensation- $289,900 B. Travel Reimbursement- $30,986
Form 990, Part VI, Section A, line 6HAP 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 7aThe HAP Board of Directors is currently comprised of 13 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 7bThe 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 assign(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 11bThe 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 12cThe 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 15Part 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 19The 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 -1,629,562. Change in value of subsidiaries 17,041,614. ASR Adjust Put Option -14,133,335. Dividends Paid ASR -828,218.
FORM 990, PART XII - LINE 2CHealth 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 12The Organization is an element of the external audit report obtained for the consolidated operations of Henry Ford Health System.
FORM 990, PART VIIAverage 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Henry Ford Health System
One Ford PlaceDetroitMI48202381357020Healthcare Service ProviderMI501(c)(3)Line 3N/A0
Henry Ford Macomb Hospital Corporation
One Ford PlaceDetroitMI48202382947657Healthcare Service ProviderMI501(c)(3)Line 3Yes (1)Henry Ford Health System
Henry Ford Health System Foundation
One Ford PlaceDetroitMI48202237383042Supporting OrganizationMI501(c)(3)Line 12a, IYes (1)Henry Ford Health System
Henry Ford Wyandotte Hospital
2333 Biddle AveWyandotteMI48192382791823Healthcare Service ProviderMI501(c)(3)Line 3Yes (1)Henry Ford Health System
Henry Ford Allegiance Health Group
205 N East AvenueJacksonMI49201382756428Healthcare Service ProviderMI501(c)(3)Line 12b, IIYes (1)Henry Ford Health System
HFII Corporation
One Ford PlaceDetroitMI48202900840304Scientific ResearchMI501(c)(3)Line 7Yes (1)Henry Ford Health System
Henry Ford Government Affairs Services
One Ford PlaceDetroitMI48202464064067Advocacy Svs for HFHS & Affil'sMI501(c)(4)N/AYes (1)Henry Ford Health System
Allegiance Health Foundation
205 N East AvenueJacksonMI49201383607833Supporting OrganizationMI501(c)(3)Line 12b, IIYes (1)Henry Ford Allegiance Health Group
Hospice of Jackson dba Allegiance Hospice
205 N East AvenueJacksonMI49201382336367Hospice CareMI501(c)(3)Line 7Yes (1)Healthlink
Healthlink
205 N East AvenueJacksonMI49201382756425Home Health CareMI501(c)(3)Line 12a, IYes (1)Henry Ford Allegiance Health Group
Carelink Of Jackson
110 North Elm AvenueJacksonMI49201381218485Long Term Acute HospitalMI501(c)(3)Line 3Yes (1)Henry Ford Allegiance Health Group
WA Foote Memorial Hospital
205 N East AvenueJacksonMI49201382027689Healthcare Service ProviderMI501(c)(3)Line 3Yes (1)Henry Ford Allegiance Health Group
The Clarence S Livingood Lectureship And Education Fund
3031 West Grand Boulevard No 800DetroitMI48202382682321Supporting OrganizationMI501(c)(3)Line 12b, IIYes (1)Henry Ford Health System

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Northwest Detroit Dialysis
30100 TelegraphBingham FarmsMI48025383232668Operate Dialysis ClinicMIHenry Ford Health SystemRelated00
Macomb Regional Dialysis Centers
16151 Nineteen Mile RdClinton TownshipMI48038260423581Operate Dialysis ClinicMIHenry Ford Health SystemRelated00
Foote Health Care Associates
1100 E Michigan AvenueJacksonMI49201383017711Lessor of Medical CondominiumsMIHenry Ford Allegiance Health GroupRelated00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Alliance Health and Life Insurance Company
2850 West Grand BoulevardDetroitMI48202383291563Health InsuranceMIHealth Alliance PlanC$319,902,250$139,578,4371.00000Yes (1)
HAP Preferred Inc
2850 West Grand BoulevardDetroitMI48202382513504Provider Network LeasingMIHealth Alliance PlanC$9,876,724$13,902,8551.00000Yes (1)
Sha Realty Inc
One Ford PlaceDetroitMI48202381378121Recreational Service - GolfingMIHenry Ford Health System FoundationCYes (1)
Fairlane Health Services
30100 TelegraphBingham FarmsMI48025382565235Healthcare ManagementMIHenry Ford Health SystemCYes (1)
Onika Insurance Ltd
Captive InsuranceHenry Ford Health SystemCYes (1)First Carribean HouseGrand CaymanCJCJ
HAP Empowered Health Plan Inc
2800 West Grand BoulevardDearbornMI48126383123777Health InsuranceMIHealth Alliance PlanC$117,630,944$73,853,9281.00000Yes (1)
Administration Systems Research Corporation International
2850 West Grand BoulevardDetroitMI48202382651185Third Party AdministratorMIHealth Alliance PlanC$36,156,006$16,362,7411.00000Yes (1)
Henry Ford Physician Network
One Ford PlaceDetroitMI48202320306774Physician NetworkMIHenry Ford Health SystemCYes (1)
Henry Ford Allegiance Pharmacy
205 N East AvenuejacksonMI49201383370242PharmacyMIHenry Ford Allegiance Health GroupCYes (1)
HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION
1150 ELIJAH MCCOY DRDETROITMI48202852144748CONDOMINUM ASSOCATIONMIHenry Ford Health System0.66660Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WA Foote Memorial Hospital
M$4,453,356Fair market value
Henry Ford Wyandotte Hospital
M$23,671,692Fair market value
Henry Ford Macomb Hospital Corporation
M$35,635,506Fair market value
Northwest Detroit Dialysis Center
M$2,560,265Fair market value
Macomb Regional Dialysis
M$425,219Fair market value
Alliance Health & Life Insurance Company
Q$66,699,561Fair market value
HAP PreferredInc
Q$6,532,098Fair market value
HAP Midwest Health Plan
Q$18,616,674Fair market value
Alliance Health & Life Insurance Company
M$828,378Fair market value

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.