HEALTH ALLIANCE PLAN OF MICHIGAN: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH ALLIANCE PLAN OF MICHIGAN (EIN 38-2242827)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201503179349300230
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T08:28:44-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Renaissance Center Suite 3900 | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48243 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382242827 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH ALLIANCE PLAN OF MICHIGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 3136648559 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2850 WEST GRAND BOULEVARD | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Todd Hutchison | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3136648559 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lori Boyce | PreparerPersonNm |
| PTIN | P00121981 | PTIN |
| Phone | 3133963000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James M Connelly | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2850 WEST GRAND BOULEVARD | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,238,026,231 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.hap.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | Provide access to quality health care coverage. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1080 | TotalEmployeeCnt |
| Total Volunteers | 99 | TotalVolunteersCnt |
| Total Gross UBI | $8,019 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,167 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,858,618,706 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,751,185,042 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,323,581 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,827,514 | CYInvestmentIncomeAmt |
| PY Other Revenue | $141,755 | PYOtherRevenueAmt |
| CY Other Revenue | $265,966 | CYOtherRevenueAmt |
| PY Total Revenue | $1,864,084,042 | PYTotalRevenueAmt |
| CY Total Revenue | $1,754,278,522 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $396,514 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,665,521,945 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,541,806,725 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $89,986,791 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $91,568,154 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $89,301,935 | PYOtherExpensesAmt |
| CY Other Expenses | $126,646,328 | CYOtherExpensesAmt |
| PY Total Expenses | $1,844,810,671 | PYTotalExpensesAmt |
| CY Total Expenses | $1,760,417,721 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,273,371 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,139,199 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $607,788,706 | TotalAssetsBOYAmt |
| Total Assets EOY | $620,761,645 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $246,274,014 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $262,294,972 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $361,514,692 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $358,466,673 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To improve the health status of the residents in all of the communities we serve. We accomplish this through innovative programs to provide health care coverage with an emphasis on preventative care as well as outreach programs to the communities aimed at enhancing and promoting healthier communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,731,018,794 | ExpenseAmt |
| Grant | $396,514 | GrantAmt |
| Revenue | $1,751,185,042 | RevenueAmt |
| Desc | Health Alliance Plan (HAP) is a nonprofit, regional health maintenance organization based in Detroit that provides health coverage to individuals and employers of all sizes. HAP is a subsidiary of the Henry Ford Health System, one of the nation's leading health care systems. A leader in personalized customer service, disease management and wellness programs, HAP works with physicians, employers and community organizations to improve the health and well-being of the community.HAP is a full service, nonprofit health insurance company with 3 distinct product portfolios: 1) Group Fully Insured 2) Personal Alliance for individuals and families 3) MedicareParticipating Physicians and Ancillary Providers: HAP contracts with Michigan's leading healthcare providers to provide medical services to its members. HAP's robust provider networks include the leading Michigan doctors, hospitals and health systems: Beaumont, Detroit Medical Center, St. Joseph Mercy, St. John/Providence, Henry Ford Health System, Genesys, McLaren and the University of Michigan. Statewide and national provider network solutions are available through strategic partnerships with Physicians Care Network, CIGNA and NationCare for companies with multiple locations.HAP contracts with urgent care centers, pharmacies and ancillary providers to serve its membership. At the end of 2014, HAP's HMO membership enrollment was 271,908; HAP serviced 3,529,098 member months.Members worked with their chosen healthcare providers to maintain a healthy lifestyle or manage their chronic conditions. The following statistics reflect utilization for the HMO product: HAP HMO members incurred 13,301 hospital stay admissions in 2014 for medical/surgical procedures, and 1,478 hospital admissions for behavioral health-related issues . HAP and its providers encourage members to seek routine services and preventive health screenings to maintain their health and meet their personal health goals. The majority of these services are obtained in their physician offices. HAP spends 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:1) Personal Service Coordinators who are assigned to members during the first two years of membership to help them understand their HAP coverage and navigate the healthcare system.2) Online health risk assessment and digital coaching tools 3) Member events and educational resources: smoking cessation, stress reduction, nutrition, physical fitness coaching, women and heart disease, and BrainHealth events and educational resources, preventive services guidelines, Balanced Living magazine4) Preventive Services - HAP covers cancer screenings, annual physicals, immunizations and a variety of other preventive services.5) Weight Watchers discounts and weight management programs promote lasting weight control.6) Global Emergency Services through Assist America - Urgent care and emergency services are covered worldwide. Our contract with Assist America provides a full range of emergency medical services to help with difficulties while traveling 100+ miles away from home, or in another country, and free identity theft protection.7) Comfort care and palliative care programs8) Care for chronic conditions - HAP's Restore CareTrack disease management program matches chronically ill members with the resources they need to reach their personal health goals, from personalized health information to inspirational nurse health coaching.9) Behavioral Health - Specially trained social workers, psychologists and counselors provide integrated behavioral and medical disease management services to members with mental health and substance abuse conditions.10) Pharmacy Initiatives - HAP pharmacists ensure members have access to safe, effective medications.11) Medication Therapy Management Program - HAP pharmacists counsel seniors with chronic conditions and work with their physicians to make taking multiple medications safer and more effective and address the barriers to medication therapy adherence.12) Worksite Wellness programs bring free or low-cost preventive services and health education to the workplace tailored to the needs of each employer group. HAP offers: workshops on a variety of health and wellness topics, behavior change programs, health screenings, health fairs and an employee assistance program, newsletters and wellness forums for employer groups.Community Stewardship: HAP is known for community giving and volunteerism. Signature programs include free community water aerobics and Enhance Fitness classes, Ready, Set, Cook! classes for kids, and Connect 4, a faith-based health and wellness program provided through local religious establishments. HAP employees also volunteer for many community events each year and the company has a matching gifts program for employee donations. HAP's charitable giving and community outreach focuses on wellness, youth, education, diversity, community development, arts and culture.Partnering With the Community - Always Giving Back HAP is known for community giving and volunteerism, with a focus on four key areas: - Improving health through wellness programs - Equipping youth with the skills they need to succeed - Making arts and culture accessible to diverse audiences - Supporting community development, enrichment and diversity HAP executives serve on the boards of directors of more than 40 nonprofit and civic organizations throughout Michigan. Signature Community Programs:HAP 5K Challenge: Many chronic health conditions could be avoided through a healthier lifestyle. Yet lifestyle changes are especially difficult for people who lack support, motivation or financial resources. For this reason, HAP developed a free program designed to turn "couch potatoes" into runners. Launched in 2013, HAP's 9-week 5K Challenge offered support to first-time runners in southeast Michigan through in-person group training sessions with a licensed instructor, combined with online support, activity tracking tools and engagement with coaches and peers. Interest in the program far exceeded expectations. RSVPs for the kickoff were 33% higher than capacity, resulting in a wait list. Participants who completed the program and ultimately competed in the 5K run reported lower blood pressure, increased stamina and weight loss. Due to the popularity of this program, HAP began offering two 5K Challenge sessions per year starting in 2014. The program has remained successful.Splash Bash: After learning that Detroit residents were not taking advantage of available aquatic recreational opportunities, HAP launched a free water aerobics program - Splash Bash - that gives adults free access to water aerobics classes in the following locations: Detroit, Flint, Livonia, Marine City, Southfield, Troy, Warren and Wayne. Classes are open to the public - not just HAP members. Ready, Set, Cook: This free after-school program, Ready, Set, Cook, addresses childhood obesity by teaching children ages 8-14 how to use healthy, simple recipes and inspires the whole family to eat healthier, use fewer processed foods and eat out less often - improving their health and saving money while doing it.Enhance Fitness: HAP partners with the National Kidney Foundation of Michigan to bring Enhance Fitness to the community. Enhance Fitness is a free physical activity program geared toward improving the overall functional fitness and well-being of older adults. However, adults of any age are welcome.HAP Matching Gifts Program: HAP provides matching gifts to support employee giving to the causes and organizations they care about. The Program also reflects our core values of respect for people and a social conscience in our communities. HAP encourages employee philanthropy through the matching gifts program. In 2014, HAP matched $3,075 in employee donations to 16 different community organizations.START! Heart Walk (Detroit): In 2014, 75 HAP walkers and volunteers raised more than $12,000 to support the American Heart Association's efforts to fight heart disease and stroke.Bowling for Kids' Sake (Sterling Heights): In 2014, HAP volunteers raised more than $10,000 in support of Big Brothers Big Sisters of Metropolitan Detroit at their annual Bowl for Kids' Sake bowling event. Also for the 2014-2015 school year, 17 HAP volunteers participated in the Site Based Mentoring program with Big Brothers Big Sisters.Kidney WalkHAP's support of the Kidney Walk, including employee walkers and volunteers, has resulted in one of the largest walks in the country to support the National Kidney Foundation. Funds raised from the walk are used toward programs that address obesity, diabetes and hypertension - all leading causes of kidney disease. | Desc |
| Total Program Service Expenses | $1,731,018,794 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8789 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1080 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Todd Hutchison | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3136648559 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2850 West Grand Boulevard | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Marvin Beatty | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Susan Wells | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Jack Martin | ||||||||||
| Chairperson | 2.00 | Yes (X) | $0 | $0 | $0 | 4.00 | Yes (X) | |||
| Nancy Schlichting | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $3,509,986 | $53,427 | 62.00 | ||||
| James M Connelly | ||||||||||
| President & CEO | 50.00 | Yes (X) | $0 | $1,328,462 | $41,461 | 13.00 | Yes (X) | |||
| Shari L Burgess | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Joyce V Hayes Giles | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Jamie C Hsu PhD | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Sandra A Cavette MPH RDH | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Marquerite S Rigby | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Harvey Hollins III | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Colleen M Ezzeddine PhD | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Judith S Milosic | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Paul Hughes-Cromwick | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Susanne M Mitchell | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Michelle B Schreiber | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $365,881 | $66,084 | 60.00 | ||||
| James G Vella | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Kim E Schatzel PhD | ||||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Kirk J Lewis | ||||||||||
| Director until Nov. 2014 | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dianna L Ronan | ||||||||||
| Treasurer - Part Year | 55.00 | $257,142 | $0 | $54,201 | 5.00 | Yes (X) | ||||
| Dan E Champney | ||||||||||
| Assistant Secretary | 55.00 | $236,299 | $0 | $32,979 | 5.00 | Yes (X) | ||||
| Edith L Esienmann | ||||||||||
| Secretary | 1.00 | $0 | $237,876 | $33,113 | 62.00 | Yes (X) | ||||
| Todd Hutchison | ||||||||||
| Treasurer - Part Year | 55.00 | $315,672 | $0 | $37,406 | 5.00 | Yes (X) | ||||
| Naim Munir | ||||||||||
| SVP & Chief Health Officer | 55.00 | $628,529 | $0 | $39,985 | 5.00 | Yes (X) | ||||
| Christopher Pike | ||||||||||
| Sr VP & Chief Information Officer (Part Year) | 55.00 | $349,965 | $0 | $26,128 | 5.00 | Yes (X) | ||||
| Mary Ann Tournoux | ||||||||||
| Sr VP & Chief Marketing Officer | 55.00 | $404,098 | $0 | $35,630 | 5.00 | Yes (X) | ||||
| Annette M Marcath | ||||||||||
| VP & Chief Information Officer | 55.00 | $267,130 | $0 | $62,391 | 5.00 | Yes (X) | ||||
| Matthew M Walsh | ||||||||||
| SVP & Chief Operating Officer | 55.00 | $206,021 | $206,021 | $40,129 | 5.00 | Yes (X) | ||||
| Balakrishna Pai | ||||||||||
| Sr Medical Director | 60.00 | $333,759 | $0 | $65,429 | Yes (X) | |||||
| Karen Wintringham | ||||||||||
| VP Medicare Advantage Prog | 60.00 | $278,338 | $0 | $38,888 | Yes (X) | |||||
| Gregory Buran | ||||||||||
| VP Utilization Mgt. Phys | 60.00 | $352,708 | $0 | $50,716 | Yes (X) | |||||
| John D Calabria | ||||||||||
| Sr Medical Director | 60.00 | $276,292 | $0 | $40,196 | Yes (X) | |||||
| Robin D Kelmenson | ||||||||||
| SR Medical Director | 60.00 | $296,402 | $0 | $23,203 | Yes (X) | |||||
| Derick Adams | ||||||||||
| Former VP Human Resources (Until April 2013) | 20.00 | $0 | $226,543 | $41,946 | 40.00 | Yes (X) | ||||
| Howard M Flasch | ||||||||||
| Former VP Corporate Initiative (Until July 2013) | 60.00 | $223,014 | $0 | $0 | Yes (X) | |||||
| Randy Walker | ||||||||||
| Former Sr VP Health Care Management | 0.00 | $0 | $556,421 | $32,871 | 60.00 | Yes (X) | ||||
| Jeanne Dunk | ||||||||||
| Former SVP General Counsel (Until December 2013) | 60.00 | $166,504 | $0 | $0 | Yes (X) | |||||
| William R Alvin | ||||||||||
| Former President & CEO (Until March 2013) | 0.00 | $0 | $21,668 | $234,557 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,591,873 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,452,858 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,050,740 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 137 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Accenture LLP | |||||
| PO Box 70629 | Chicago | IL | 60673 | Software support & consulting | $24,631,386 |
| Patricia N Harrison | |||||
| 24416 Crocker Blvd | Clinton Twp | CO | 80111 | Advertising | $7,822,197 |
| Hightpoint Solutions LLC | |||||
| 301 E Germantown Pike | East Norriton | PA | 19401 | Software support & consulting | $3,615,217 |
| Brian Unlimited Distribution Company | |||||
| 13700 Oakland Ave | Highland Park | MI | 48203 | Billing and documentation services | $3,312,979 |
| Ideal Contracting LLC | |||||
| 2525 Clark Street | Detroit | MI | 48209 | General Contracting | $2,593,497 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 114 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Health Care Premiums | 524114 | $1,741,770,793 | $1,741,770,793 |
| Hlth Ins Claims Assessmt | 624110 | $9,414,249 | $9,414,249 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,751,185,042 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,104,880 | TotalRevenueColumnAmt |
| Exclusion | $3,104,880 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $483,470,343 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $482,320,839 | SecuritiesAmt |
| Other | $1,426,870 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,149,504 | SecuritiesAmt |
| Other | -$1,426,870 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$277,366 | TotalRevenueColumnAmt |
| Exclusion | -$277,366 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Member Income | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $8,019 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $8,019 | UnrelatedBusinessRevenueAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $257,947 | TotalRevenueColumnAmt |
| Exclusion | $257,947 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $265,966 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,754,278,522 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,751,185,042 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,019 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,085,461 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,514 | TotalAmt |
| Program Services | $396,514 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,541,806,725 | TotalAmt |
| Program Services | $1,541,806,725 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,590,404 | TotalAmt |
| Program Services | $2,009,783 | ProgramServicesAmt |
| Management And General | $580,621 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,093 | TotalAmt |
| Program Services | $376,093 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,971,711 | TotalAmt |
| Program Services | $64,838,736 | ProgramServicesAmt |
| Management And General | $5,132,975 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,763,342 | TotalAmt |
| Program Services | $5,284,971 | ProgramServicesAmt |
| Management And General | $478,371 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,372,526 | TotalAmt |
| Program Services | $6,760,589 | ProgramServicesAmt |
| Management And General | $611,937 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,494,078 | TotalAmt |
| Program Services | $5,038,056 | ProgramServicesAmt |
| Management And General | $456,022 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,267 | TotalAmt |
| Management And General | $956,267 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,410 | TotalAmt |
| Management And General | $276,410 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,578 | TotalAmt |
| Management And General | $444,578 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,175,149 | TotalAmt |
| Program Services | $4,175,149 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,577,875 | TotalAmt |
| Program Services | $23,576,197 | ProgramServicesAmt |
| Management And General | $1,678 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,768,691 | TotalAmt |
| Program Services | $5,756,628 | ProgramServicesAmt |
| Management And General | $12,063 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,306,815 | TotalAmt |
| Program Services | $31,280,435 | ProgramServicesAmt |
| Management And General | $26,380 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,180,286 | TotalAmt |
| Program Services | $2,062,374 | ProgramServicesAmt |
| Management And General | $117,912 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,591 | TotalAmt |
| Program Services | $542,411 | ProgramServicesAmt |
| Management And General | $28,180 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,185 | TotalAmt |
| Program Services | $204,979 | ProgramServicesAmt |
| Management And General | $19,206 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,352,812 | TotalAmt |
| Management And General | $2,352,812 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,074,433 | TotalAmt |
| Program Services | $12,933,316 | ProgramServicesAmt |
| Management And General | $3,141,117 | ManagementAndGeneralAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,738,236 | TotalAmt |
| Program Services | $23,975,838 | ProgramServicesAmt |
| Management And General | $14,762,398 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,760,417,721 | TotalAmt |
| Program Services | $1,731,018,794 | ProgramServicesAmt |
| Management And General | $29,398,927 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,740,390 | BOYAmt |
| EOY | $28,840,071 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,956,444 | BOYAmt |
| EOY | $141,697,847 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,736,708 | BOYAmt |
| EOY | $66,667,391 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,188,347 | BOYAmt |
| EOY | $3,353,161 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $157,336,410 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $56,061,645 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,169,184 | BOYAmt |
| EOY | $101,274,765 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,280,270 | BOYAmt |
| EOY | $129,835,244 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,161,113 | BOYAmt |
| EOY | $133,393,700 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,732,038 | BOYAmt |
| EOY | $6,875,254 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,824,212 | BOYAmt |
| EOY | $8,824,212 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,788,706 | BOYAmt |
| EOY | $620,761,645 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,359,802 | BOYAmt |
| EOY | $52,710,718 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,401,360 | BOYAmt |
| EOY | $14,098,135 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,512,852 | BOYAmt |
| EOY | $195,486,119 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,274,014 | BOYAmt |
| EOY | $262,294,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,514,692 | BOYAmt |
| EOY | $358,466,673 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,514,692 | BOYAmt |
| EOY | $358,466,673 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,788,706 | BOYAmt |
| EOY | $620,761,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,139,199 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$351,520 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,442,700 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $380,336 | OtherCostOrOtherBasisAmt |
| Book Value | $380,336 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,534,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,849,124 | DepreciationAmt |
| Book Value | $3,685,474 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,040,599 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,987,449 | DepreciationAmt |
| Book Value | $8,053,150 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,324,750 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,554,182 | DepreciationAmt |
| Book Value | $11,770,568 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,056,127 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,670,890 | DepreciationAmt |
| Book Value | $77,385,237 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $101,274,765 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $133,393,700 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $133,393,700 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Medical Claims | $124,720,815 |
| Capital Lease | $38,267,492 |
| Retiree Benefits | $1,840,072 |
| Pension | $30,657,740 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $195,486,119 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | HAP is an entity described under Internal Revenue Code Section 501(c)(4) and as such is exempt from federal and state income taxes. Any income not substantially related to the organization's exempt purpose may be considered unrelated business income (UBI) under IRC Section 511 and, as such, subject to tax at normal corporate rates. HAP has concluded that there are no material uncertain tax positions as of December 31, 2014 and 2013. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| NATIONAL KIDNEY FOUNDATION OF MICHIGAN | |||||||
| 1169 Oak Valley Drive | Ann Arbor | MI | 48108 | 381559941 | 501(C)(3) | $46,530 | Organizational Support |
| MACOMB COUNTY CHAMBER OF COMMERCE | |||||||
| 28 First Street Suite B | Mt Clemens | MI | 48043 | 380855880 | 501(C)(3) | $13,875 | Organizational Support |
| WAYNE STATE UNIVERSITY | |||||||
| 656 W Kirby | Detroit | MI | 48202 | 386028429 | 501(C)(3) | $7,500 | Organizational Support |
| LEADERSHIP OAKLAND | |||||||
| 4555 Investment Drive | Troy | MI | 48098 | 383390575 | 501(C)(3) | $9,500 | Organizational Support |
| REGENTS OF THE UNIVERSITY OF MICHIGAN | |||||||
| 303 E Kearsley St | Flint | MI | 48502 | 386006309 | 501(C)(3) | $8,344 | Organizational Support |
| CITY OF TROY | |||||||
| 3179 Livernois | Troy | MI | 48083 | 386027333 | 501(C)(3) | $8,000 | Organizational Support |
| CITY OF WARREN | |||||||
| 5460 Arden Rd | Warren | MI | 48092 | 386006931 | 501(C)(3) | $8,000 | Organizational Support |
| 100 BLACK MEN OF GREATER DETROIT INC | |||||||
| 1 Ford Place | Detroit | MI | 48202 | 383124115 | 501(C)(3) | $7,500 | Organizational Support |
| LEBANESE AMERICAN HERITAGE CLUB | |||||||
| 4337 Maple St | Dearborn | MI | 48126 | 383081799 | 501(C)(3) | $7,500 | Organizational Support |
| DETROIT URBAN LEAGUE | |||||||
| 208 Mack Avenue | Detroit | MI | 48201 | 381358387 | 501(C)(3) | $5,250 | Organizational Support |
| HAVEN | |||||||
| 30400 Telegraph Rd | Bingham Farms | MI | 48025 | 382426175 | 501(C)(3) | $5,250 | Organizational Support |
| YMCA OF METROPOLITAN DETROIT | |||||||
| 1401 Broadway | Detroit | MI | 48226 | 381358055 | 501(C)(3) | $5,250 | Organizational Support |
| CITY OF DETROIT TREASURER | |||||||
| 18100 Meyers | Detroit | MI | 48234 | 386004606 | 501(C)(3) | $5,000 | Organizational Support |
| CLARK PARK COAL | |||||||
| 1130 Clark Street | Detroit | MI | 48209 | 383462192 | 501(C)(3) | $5,000 | Organizational Support |
| THE ECONOMIC CLUB OF DETROIT | |||||||
| 211 West Fort Street | Detroit | MI | 48226 | 380508823 | 501(C)(3) | $5,000 | Organizational Support |
| FRANKLIN-WRIGHT SETTLEMENT INC | |||||||
| 3360 Charlevoix | Detroit | MI | 48207 | 381845857 | 501(C)(3) | $5,000 | Organizational Support |
| FRIENDS OF DETROIT & TRI COUNTIES | |||||||
| 8230 E Forest | Detroit | MI | 48214 | 383155171 | 501(C)(3) | $5,000 | Organizational Support |
| GREATER FLINT ARTS COUNCIL | |||||||
| 816 S Saginaw Street | Flint | MI | 48502 | 382156116 | 501(C)(3) | $5,000 | Organizational Support |
| M & L ONLINE LLC | |||||||
| PO Box 9072 | Farmington Hills | MI | 48333 | 383538481 | 501(C)(3) | $5,000 | Organizational Support |
| MICHIGAN CHRONICLE | |||||||
| 479 Ledyard | Detroit | MI | 48201 | 380826530 | 501(C)(3) | $5,000 | Organizational Support |
| OAK APPLE INC | |||||||
| 320 West Seventh Street | Royal Oak | MI | 48067 | 205076390 | 501(C)(3) | $5,000 | Organizational Support |
| THE ROSEMARY A HOCKNEY MEMORIAL FOUNDATION | |||||||
| 47496 Greenbriar | Macomb | MI | 48044 | 043795236 | 501(C)(3) | $5,000 | Organizational Support |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The community outreach department monitors grants paid to charitable and governmental entities. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nancy Schlichting | ||||||||||||||
| Director | $0 | $1,441,266 | $0 | $1,361,528 | $0 | $707,192 | $0 | $23,985 | $0 | $29,442 | $0 | $3,563,413 | $0 | $0 |
| James M Connelly | ||||||||||||||
| President & CEO | $0 | $750,607 | $0 | $357,346 | $0 | $220,509 | $0 | $23,985 | $0 | $17,476 | $0 | $1,369,923 | $0 | $0 |
| Michelle B Schreiber | ||||||||||||||
| Director | $0 | $284,693 | $0 | $66,515 | $0 | $14,673 | $0 | $25,285 | $0 | $40,799 | $0 | $431,965 | $0 | $0 |
| Dianna L Ronan | ||||||||||||||
| Treasurer - Part Year | $227,656 | $0 | $25,405 | $0 | $4,081 | $0 | $36,318 | $0 | $17,883 | $0 | $311,343 | $0 | $0 | $0 |
| Dan E Champney | ||||||||||||||
| Assistant Secretary | $207,082 | $0 | $29,217 | $0 | $0 | $0 | $13,882 | $0 | $19,097 | $0 | $269,278 | $0 | $0 | $0 |
| Edith L Esienmann | ||||||||||||||
| Secretary | $0 | $183,017 | $0 | $34,357 | $0 | $20,502 | $0 | $19,904 | $0 | $13,209 | $0 | $270,989 | $0 | $0 |
| Todd Hutchison | ||||||||||||||
| Treasurer - Part Year | $278,159 | $0 | $36,983 | $0 | $530 | $0 | $16,306 | $0 | $21,100 | $0 | $353,078 | $0 | $0 | $0 |
| Naim Munir | ||||||||||||||
| SVP & Chief Health Officer | $394,912 | $0 | $192,790 | $0 | $40,827 | $0 | $17,487 | $0 | $22,498 | $0 | $668,514 | $0 | $0 | $0 |
| Christopher Pike | ||||||||||||||
| Sr VP & Chief Information Officer (P | $158,346 | $0 | $49,929 | $0 | $141,690 | $0 | $15,454 | $0 | $10,674 | $0 | $376,093 | $0 | $0 | $0 |
| Mary Ann Tournoux | ||||||||||||||
| Sr VP & Chief Marketing Officer | $338,850 | $0 | $56,479 | $0 | $8,769 | $0 | $17,487 | $0 | $18,143 | $0 | $439,728 | $0 | $0 | $0 |
| Annette M Marcath | ||||||||||||||
| VP & Chief Information Officer | $238,422 | $0 | $28,170 | $0 | $538 | $0 | $45,303 | $0 | $17,088 | $0 | $329,521 | $0 | $0 | $0 |
| Matthew M Walsh | ||||||||||||||
| SVP & Chief Operating Officer | $135,749 | $135,749 | $66,146 | $66,146 | $4,126 | $4,126 | $10,463 | $10,463 | $10,315 | $8,888 | $226,799 | $225,372 | $0 | $0 |
| Balakrishna Pai | ||||||||||||||
| Sr Medical Director | $269,484 | $0 | $39,691 | $0 | $24,584 | $0 | $48,237 | $0 | $17,192 | $0 | $399,188 | $0 | $0 | $0 |
| Karen Wintringham | ||||||||||||||
| VP Medicare Advantage Prog | $151,611 | $0 | $33,820 | $0 | $92,907 | $0 | $25,382 | $0 | $13,506 | $0 | $317,226 | $0 | $0 | $0 |
| Gregory Buran | ||||||||||||||
| VP Utilization Mgt. Phys | $285,887 | $0 | $37,285 | $0 | $29,536 | $0 | $28,477 | $0 | $22,239 | $0 | $403,424 | $0 | $0 | $0 |
| John D Calabria | ||||||||||||||
| Sr Medical Director | $220,856 | $0 | $30,393 | $0 | $25,043 | $0 | $36,699 | $0 | $3,497 | $0 | $316,488 | $0 | $0 | $0 |
| Robin D Kelmenson | ||||||||||||||
| SR Medical Director | $255,670 | $0 | $17,732 | $0 | $23,000 | $0 | $17,068 | $0 | $6,135 | $0 | $319,605 | $0 | $0 | $0 |
| Derick Adams | ||||||||||||||
| Former VP Human Resources (Until Apr | $0 | $198,529 | $0 | $22,048 | $0 | $5,966 | $0 | $18,337 | $0 | $23,609 | $0 | $268,489 | $0 | $0 |
| Howard M Flasch | ||||||||||||||
| Former VP Corporate Initiative (Unti | $0 | $0 | $24,552 | $0 | $198,462 | $0 | $0 | $0 | $0 | $0 | $223,014 | $0 | $0 | $0 |
| Randy Walker | ||||||||||||||
| Former Sr VP Health Care Management | $0 | $180,486 | $0 | $42,968 | $0 | $332,967 | $0 | $18,255 | $0 | $14,616 | $0 | $589,292 | $0 | $0 |
| Jeanne Dunk | ||||||||||||||
| Former SVP General Counsel (Until De | $0 | $0 | $0 | $0 | $166,504 | $0 | $0 | $0 | $0 | $0 | $166,504 | $0 | $0 | $0 |
| William R Alvin | ||||||||||||||
| Former President & CEO (Until March | $0 | $0 | $0 | $0 | $0 | $21,668 | $0 | $234,557 | $0 | $0 | $0 | $256,225 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Part I - 1a: Tax indemnification and gross-up payments: 2 key employees received gross-up payments in regards to the supplemental executive retirement 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, Lines 4a-b | Part I - 4a: Christopher Pike - Severance .............. 140,769 Karen Wintringham - Severance ............. 90,597 Jeanne M. Dunk - Severance ................ 166,504 Howard Flasch - Severance ................. 189,231 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 of the company. 4b: Mary Ann Tournoux - SERP (vested - $8,769) Naim Munir MD - SERP (vested - $38,205) Todd Hutchison - SERP (non-vested) Annette Marcath - SERP (non-vested) Christopher Pike - SERP (non-Vested) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Walgreens | |||
| Nancy Schlichting - Director serves on the board of Walgreens | $25,715,394 | Pharmacy Claim Payments | 0 |
| Detroit Public Schools | |||
| Jack Martin - Emergency Manager of Detroit Public Schools | $37,673,869 | Premium revenue | 0 |
| Integrated Supply Chain Solutions LLC | |||
| Kirk J. Lewis - 15% Owner of Intgrated Supply Chain Solutions LLC | $85,050 | HAP Supplier of office supplies | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | HAP is a nonprofit member corporation. The responsibility for the overall governance of the corporation is shared between the Member and the Board of Directors. HAP's sole member is Henry Ford Health System (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 comprised of Eighteen Directors. Two Directors are ex officio Directors: the CEO of the Member and the President and CEO of HAP (also an employee of the Member). Six Directors are elected by the subscribers of HAP. Ten Directors are appointed by the Member's Board of Trustees, one of whom is a Quality Officer from HFHS. As indicated below, the Henry Ford Health System may remove the President and CEO of HAP, and may remove any of the appointed Directors, with the input of the HAP Board of Directors. The Member approves the recommendations of the HAP Board of Directors regarding the appointment/removal of the HAP President and CEO, amendments to the articles of incorporation and by-laws, the budget, mergers and acquisitions, potential Directors. |
| Form 990, Part VI, Section A, line 7b | The Member has the following reserved powers under the HAP By-laws: A) Appoint Chairperson of the HAP Board of Directors. B) Adopt agreement of merger or consolidation, or approve sale, lease or exchange of Corporation's property and assets. C) Approve the transfer of assets to other organizations or individuals if sum exceeds 5% of Corporation's total assets. D) Admit person/entity as new Member or terminate Member's membership. E) Amend HAP By-laws. F) Appoint/remove President of Corporation. G) Dissolve Corporation or revoke dissolution of Corporation. H) Approve capital and operating budgets. |
| Form 990, Part VI, Section B, line 11 | 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 the idea of 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 disclousre 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 -14,419,172. Unrelated Income from Limited Liability Partnership -8,019. Alliance Health & Life Insurance Co. Net Income -1,553,970. Midwest Health Plan, Inc. Net Income 15,500,864. Administration Systems Research Corporation Net Income 2,665,549. HAP Preferred Net Income 1,306,964. Dividends Paid -49,516. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Henry Ford Health System | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 381357020 | Healthcare Service Provider | MI | 501(c)(3) | Line 3 | N/A | 0 | |
| Henry Ford Macomb Hospital Corporation | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 382947657 | Healthcare Service Provider | DE | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Health System | |
| Henry Ford Health System Foundation | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 237383042 | Supporting Organization | MI | 501(c)(3) | Line 11a, I | Yes (1) | Henry Ford Health System | |
| Henry Ford Wyandotte Hospital | |||||||||||
| 2333 Biddle Ave | Wyandotte | MI | 48192 | 382791823 | Healthcare Service Provider | MI | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Health System | |
| HFHS Self Funded Liability | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 386553031 | Malpractice Insurance | MI | 501(c)(4) | N/A | Yes (1) | Henry Ford Health System | |
| Downriver Center for Oncology | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 383193008 | Healthcare Service Provider | MI | 501(c)(3) | Line 3 | Yes (1) | Henry Ford Health System | |
| Henry Ford Continuing Care | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 382433285 | Nursing Homes | MI | 501(c)(3) | Line 9 | Yes (1) | Henry Ford Health System | |
| HFII Corporation | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 900840304 | Scientific Research | MI | 501(c)(3) | Line 7 | Yes (1) | Henry Ford Health System | |
| Henry Ford Government Affairs Services | |||||||||||
| One Ford Place | Detroit | MI | 48202 | 464064067 | Advocacy Svs for HFHS & Affil's | MI | 501(c)(4) | N/A | Yes (1) | Henry Ford Health System | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Northwest Detroit Dialysis | ||||||||||
| 30100 Telegraph | Bingham Farms | MI | 48025 | 383232668 | Operate Dialysis Clinic | MI | Henry Ford Health System | Related | 0 | 0 |
| Dialysis Partners of NW Ohio | ||||||||||
| 30100 Telegraph | Bingham Farms | MI | 48025 | 341877956 | Operate Dialysis Clinic | OH | 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alliance Health and Life Insurance Company | ||||||||||||||||
| 2850 West Grand Boulevard | Detroit | MI | 48202 | 383291563 | Health Insurance | MI | Health Alliance Plan | C | -$1,553,970 | $70,657,999 | 1.00000 | Yes (1) | ||||
| HAP Preferred Inc | ||||||||||||||||
| 2850 West Grand Boulevard | Detroit | MI | 48202 | 382513504 | Provider Network Leasing | MI | Health Alliance Plan | C | $1,306,964 | $9,778,904 | 1.00000 | Yes (1) | ||||
| Sha Realty Inc | ||||||||||||||||
| One Ford Place | Detroit | MI | 48202 | 381378121 | Recreational Service - Golfing | MI | Henry Ford Health System | C | Yes (1) | |||||||
| Fairlane Health Services | ||||||||||||||||
| 30100 Telegraph | Bingham Farms | MI | 48025 | 382565235 | Healthcare Management | MI | Henry Ford Health System | C | Yes (1) | |||||||
| Horizon Properties Inc | ||||||||||||||||
| One Ford Place | Detroit | MI | 48202 | 382679527 | Real Estate - Lessor Buildings | MI | Henry Ford Macomb Hospital Group | C | Yes (1) | |||||||
| Onika Insurance Ltd | ||||||||||||||||
| Captive Insurance | Henry Ford Health System | C | Yes (1) | First Carribean House | Grand Cayman | CJ | CJ | |||||||||
| Midwest Health Plan Inc | ||||||||||||||||
| 4700 Schaefer Rd Suite 340 | Dearborn | MI | 48126 | 383123777 | Health Insurance | MI | Health Alliance Plan | C | $15,500,864 | $163,728,000 | 1.00000 | Yes (1) | ||||
| Administration Systems Research Corporation International | ||||||||||||||||
| 2850 West Grand Boulevard | Detroit | MI | 48202 | 382651185 | Third Party Administrator | MI | Health Alliance Plan | C | $1,777,033 | $10,014,176 | 0.66670 | Yes (1) | ||||
| Henry Ford Physician Network | ||||||||||||||||
| One Ford Place | Detroit | MI | 48202 | 320306774 | Physician Network | MI | Henry Ford Health System | C | 0 | |||||||
| HAP Community Alliance | ||||||||||||||||
| 2850 West Grand Boulevard | detroit | MI | 48202 | 270449055 | Management Company | MI | Health Alliance Plan | C | 1.00000 | Yes (1) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HAP Preferred Inc | ||
| Q | $5,753,050 | Fair market value |
| Alliance Health and Life Insurance Company | ||
| Q | $28,160,631 | Fair market value |
| Henry Ford Wyandotte Hospital | ||
| M | $28,779,687 | Fair market value |
| Henry Ford Macomb Hospital Corporation | ||
| M | $36,539,404 | Fair market value |
| Henry Ford Physician Network | ||
| M | $2,548,348 | Fair market value |
| Midwest Health Plan Inc | ||
| Q | $1,305,339 | Fair market value |
| Midwest Health Plan Inc | ||
| F | $9,439,000 | Fair market value |
| Administration Systems Research Corporation International | ||
| Q | $141,672 | Fair market value |
| Administration Systems Research Corporation International | ||
| F | $99,000 | Fair market value |
| Henry Ford Continuing Care Corporation | ||
| M | $1,072,449 | Fair market value |
| Downriver Center for Oncology | ||
| M | $601,909 | Fair market value |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| SCHEDULE R, PART V, LINE 1D & 1E: | The organization is a member of the Henry Ford Health System Obligated Group. Members of the Obligated Group are jointly and severally liable for outstanding obligations issued under the Bond Master Indenture. |