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      <Description>Health Alliance Plan (HAP) is a nonprofit, regional health plan based in Detroit that provides health coverage to individuals and companies. 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 partners with physicians, employers and community organizations to improve the health and well-being of the community.Participating Physicians and Ancillary Providers: HAP contracts with Michigaan's leading healthcare providers to provide medical services to its members. Approximately 91 percent of HAP's revenue is paid to the contracted healthcare providers for administering care. More than 11,000 physicians affiliated with 52 hospitals administered healthcare to HMO members. HAP's robust provider networks include the leading Michigan doctors, hospitals and health systems: Beaumont,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 2011, HAP's HMO membership enrollment was 331,214; HAP serviced 3,985,522 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 18,075 hospital stay admissions in 2011 for medical/surgical procedures, and 239 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 obtains 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. Examples of member communications includes:1)Personal Service Coordinators who are assigned to members during the first two years of membership to help them maximize their HAP coverage and navigate the healthcare system.2)State-of-the-art wellness tools to help members manage their health, such as the online health coaching software, iStrive for better health. HAP's website, hap.org links to smoking cessation, stress reduction and weight loss programs, to name a few.3)Health and Wellness Programs provided at the workplace and on-line.Global Emergency Services and 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.* Care for Chronic Conditions - HAP's CareTrackTM 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.* 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.* Pharmacy Initiatives - HAP pharmacists ensure members have access to safe, effective medications.* Medication Therapy Management Program - HAP pharmacists counsel seniors with chronic conditions and their physicians to make taking multiple medications safer and more effective.HAP is a full service health maintenance organization with distinctproduct portfolios:* Group Plans - PPO, EPO and HMO; Health Engagement programs offer employees incentives to adopt a healthier lifestyle.* Personal plans - HAP Personal Alliance PPO, HSA and Short-Term health plans are for individuals and families not covered through employer health insurance.* Medicare Solutions - HAP Medicare Solutions offer PPO and HMO plans, prescription drug plans, and Medicare Supplement plans for individuals and employer-sponsored retirees.Community Stewardship: After learning that Detroit residents were not taking advantage of available aquatic recreational opportunities, HAP launched a free water aerobics program - Senior Splash Bash &amp; Moms in Motion - at four Detroit recreation centers. Boots for Kids: HAP's East Central Region office in Flint launched the "Boots for Kids" winter boot drive in 2008 to prevent local children from facing a bitter cold winter without a warm pair of boots to protect their feet. In 2011, HAP developed a program guide, promotional videos and social media tactics to boost community support. Boots for Kids collected more than 650 pairs of boots ($16,000 estimated value) in 2011. In 2011, the number of community partners grew to more than 30.Ready, Set, Cook: The program, "Ready, Set, Cook", teaches 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. In 2011, 70 children at three Boys &amp; Girls Clubs sites participated in the pilot program.Happy Together Summer Fest: In 2011, "together" with our employees, customers and community partners, HAP celebrated its 50th anniversary with four Happy Together Summer Fest events in West Bloomfield, Flint, Detroit and Warren. The events were free and open to the public, and featured health screenings, healthy cooking demonstrations.- More than 11,000 adults and children attended the four Summer Fest events.- More than 250 health screenings (blood pressure, BMI) were completed.- HAP volunteers contributed 240 hours.START! Heart Walk (Detroit: In 2011, 103 HAP volunteers raised more than $40,000 to support the American Heart Association's efforts to fight heart disease and stroke.Bowling for Kids' Sake (Sterling Heights): In 2011, 101 HAP volunteers raised $15,000 in support of the Big Brothers Big Sisters of Metropolitan Detroit's efforts to recruit, enroll and pair volunteers with children who need them most. Walk to End Alzheimer's (Royal Oak): More than 80 HAP employees and family members participated in the 20th Annual Walk to End Alzheimer's, raising nearly $10,000 to support progress in prevention, treatment and an eventual cure, as well as those affected by the disease.Annual Holiday Drive: In 2011, HAP employees once again exhibited the true spirit of the season by filling approximately 20 boxes with personal care items, pillows, blankets and sheets for the Coalition On Temporary Shelter (COTS) in Detroit. HAP departments also sponsor families through organizations like Orchard's Children's Services and collect food and other items for organizations such as Forgotten Harvest.Imagine Fund Scholarship: HAP is pleased to support and extend the work of The Imagine Fund by funding a scholarship to promote diversity in health care professions. The Health Alliance Plan Scholarship is awarded to a Black or Latino full-time student who is currently enrolled at a Michigan public university pursuing a degree in the health care profession. Applicants must demonstrate financial need.Michigan Colleges Foundation Scholarship: The Health Alliance Plan Scholarship awarded to students from Wayne, Oakland or Macomb counties enrolled in nursing, clinical laboratory science, health-fitness, dietetics or physical therapy coursework at Madonna University and Marygrove College.The Arab Community Center for Economic &amp; Social Services (ACCESS): In an effort to reduce health disparities and increase access to care in minority communities - especially among Arab Americans - HAP partnered with The Arab Community Center for Economic &amp; Social Services (ACCESS) in October 2011 to provide free health services at the ACCESS Community Health Center in Dearborn. A total of 87 participants attended the event; 78 percent were Arab American or Chaldean, and the majority or participants were uninsured.</Description>
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        <Explanation>HAP adopted the provisions of Financial Accounting Standards Board (FASB) Interpretation 48, Accounting for Uncertainty in Income Taxes (FIN 48)- an interpretation of FASB Statement No. 109 effective January 1, 2008. Any differences between the amounts recognized in the statements of financial position prior to the adoption of FIN No. 48 and the amounts reported after adoption are generally accounted for as a cumulative effect adjustment recorded to the beginning balance of HAP's reserves. HAP adopted the provisions of FIN No. 48 effective January 1, 2008, and its adoption did not have a material impact on HAP's consolidated financial statements.</Explanation>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Tax indemnification and gross-up payments: The organization offers a Supplemental Executive Retirement Program for a limited number of employees. The employees that receive this taxable benefit include 1 officer and 1 highly compensated employee. In addition, 11 Directors received taxable income on travel and entertainment expenses paid by the organization associated with their attendance at a Board of Directors retreat. Part I - 4a: Mary Beth Bolton, M.D. - 64 weeks,(Severance &amp; COBRA) .........$ 328,326 Start date 9-26-10 (Total = $422,228) John Clement - 52 weeks (Severance &amp; COBRA) ................... 226,987 Start date 1-2/11 (Total = $251,038) Maurice McMurray - 80 weeks (Severance &amp; COBRA) .............. 271,405 Start date 2-1-11 (Total = $514,608) 4b: Ronald Berry - SERP &amp; 457(b) Plan(vested)..........$ 95,726 Jamie Spriet - SERP &amp; 457(b) Plan(vested).......... 22,514 Naim Munir MD - SERP &amp; 457(b) Plan(participant, non-vested) Derick Adams - SERP &amp; 457(b) Plan(participant, non-vested) Jeanne M Dunk - SERP &amp; 457(b) Plan(participant, non-vested) Christopher Pike - SERP &amp; 457(b) Plan(participant, non-vested) Mary Ann Tournoux - SERP &amp; 457(b) Plan(participant, non-vested) Maurice E McMurray - 457(b) Plan Balakrishna Pai - 457(b) Plan</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 3</ReturnReference>
        <Explanation>The Chief Executive Officer for Health Alliance Plan is an employee of Henry Ford Health System, HAPs parent company. Henry Ford Health System has a Compensation Committee of the Board of Trustees consisting of all external trustees. They meet periodically throughout the year and are charged with the approval of the organizations 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. They directly engage an independent compensation advisor to assist with this process. The process includes evaluation of the individuals 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Walgreens</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Board Member/Board Member</Relationship>
        <AmountOfTransaction>22726995</AmountOfTransaction>
        <DescriptionOfTransaction>Pharmacy Claim Payments</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI</ReturnReference>
        <Explanation>Form 990, Part VII Average hours per week devoted to related organizations: William Alvin 5hrs Nancy Schlicting 60hrs William Conway 50hrs</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>Nancy Schlicting, President &amp; CEO of Henry Ford Health System serves on the HAP Board of Directors. Dr. William Conway, Chief Medical Officer of Henry Ford Health System also serves on the HAP Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>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, a 501(c)(3) corporation. The President and CEO of Henry Ford Health System 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The HAP Board of Directors is comprised of nineteen Directors. Two Directors are ex officio Directors: President and 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. Nine Directors are appointed by the Member's Board of Trustees. The President of HAP may appoint a Quality Officer from HFHS. As indicated above, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The process the organization uses to review Form 990 prior to filing with the IRS: Prior to submission of the IRS Form 990, Health Alliance Plan provided the Form 990 to the Finance Committee of the HAP Board of Directors for their review. All the voting members of the Board received a complete copy of the Form 990 prior to its filing and received a written report from the Finance Committee on the results of the committee's review of the Form 990 at the October Board meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The process for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy for all directors, officers and key employees: HAP has a robust compliance program. The program requires all employees and directors 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 will be requested to complete the Conflict of Interest Questionnaire. In addition, they will be 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, Officers, and key employees are required, under the policy, to report to the Compliance Officer any conflicts that may arise during the year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Question 15a The Chief Executive Officer for Health Alliance Plan is an employee of Henry Ford Health System, HAPs parent company. Henry Ford Health System has a Compensation Committee of the Board of Trustees consisting of all external trustees. They meet periodically throughout the year and are charged with the approval of the organizations 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. They directly engage an independent compensation advisor to assist with this process. The process includes evaluation of the individuals 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 VI Section B, Question 15b HAPs process for determining compensation for officers (with the exception of the CEO) is designed to meet the requirements for rebuttable presumption of reasonableness under Section 4958. The process includes review and approval by independent persons, market research data prepared and presented by an independent consultant and contemporaneous substantiation of the deliberation and decision. Hap compares compensation of the officers to other HMOs in the surrounding local area with the same or similar title and documents the decisions on compensation in the Executive and Compensation Committee minutes. The HAP Executive and Compensation Committee is responsible for assuring that the Officers compensation is competitive, meets the guidelines under the HAP Compensation Philosophy, is not considered to be excess compensation and is aligned within their respective pay grades. Key Employees compensation is based upon their pay grade, performance and the HAP Compensation Philosophy. Their performance is evaluated by their immediate supervisor and any increase is based upon the salary increase range approved by the HAP Executive and Compensation Committee. These activities are coordinated by the HAP Human Resources department.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>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. 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 SCHEDULE R, PART V, LINE 1D &amp; 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. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 2,515,646. HAP Pension Adjustment 1,138,551. Unrelated Income from Joint Ventures -21,898. Noncontrolling interest in ASR 4,280,000. ASR controling Income adjustment 186,655. HPI Pension Adjustment -635,715. HAP Preferred Net Income 204,656. Alliance Health &amp; Life Insurance Co. Net Income 4,642,549. Midwest Health Plan, Inc. Net Income 974,855. Administration Systems Research Corporation Net Income 376,301. Total to Form 990, Part XI, Line 5: 13,661,600.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Physicians Care Health Management</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2850 W Grand Blvd</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>208423038</EIN>
        <PrimaryActivities>Medical Case Management</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <TotalIncome>613333</TotalIncome>
        <EOYAssets>86720</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>Health Alliance Plan</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>381357020</EIN>
        <PrimaryActivities>Healthcare Service Provider</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Henry Ford Macomb Hospital Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>382947657</EIN>
        <PrimaryActivities>Healthcare Service Provider</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Henry Ford Health System Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>237383042</EIN>
        <PrimaryActivities>Supporting Organization</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a-Type 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Henry Ford Wyandotte Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2333 Biddle Ave</AddressLine1>
          <City>Wyandotte</City>
          <State>MI</State>
          <ZIPCode>48192</ZIPCode>
        </AddressUS>
        <EIN>382791823</EIN>
        <PrimaryActivities>Healthcare Service Provider</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HFHS Self Funded Liability</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>386553031</EIN>
        <PrimaryActivities>Malpractice Insurance</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(4)</ExemptCodeSection>
        <PublicCharityStatus>n/a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Downriver Center for Oncology</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>383193008</EIN>
        <PrimaryActivities>Healthcare Service Provider</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Henry Ford Continuing Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>382433285</EIN>
        <PrimaryActivities>Nursing Homes</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Northwest Detroit Dialysis</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30100 Telegraph</AddressLine1>
          <City>Bingham Farms</City>
          <State>MI</State>
          <ZIPCode>48025</ZIPCode>
        </AddressUS>
        <EIN>383232668</EIN>
        <PrimaryActivity>Operate Dialysis Clinic</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Dialysis Partners of NW Ohio</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30100 Telegraph</AddressLine1>
          <City>Bingham Farms</City>
          <State>MI</State>
          <ZIPCode>48025</ZIPCode>
        </AddressUS>
        <EIN>341877956</EIN>
        <PrimaryActivity>Operate Dialysis Clinic</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Macomb Regional Dialysis Centers</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>16151 Nineteen Mile Rd</AddressLine1>
          <City>Clinton Township</City>
          <State>MI</State>
          <ZIPCode>48038</ZIPCode>
        </AddressUS>
        <EIN>260423581</EIN>
        <PrimaryActivity>Operate Dialysis Clinic</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Alliance Health and Life Insurance Company</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2850 West Grand Boulevard</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>383291563</EIN>
        <PrimaryActivity>Health Insurance</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>4643549</ShareOfTotalIncome>
        <ShareOfEOYAssets>57391049</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAP Preferred Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2850 West Grand Boulevard</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>382513504</EIN>
        <PrimaryActivity>Provider Network Leasing</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>204656</ShareOfTotalIncome>
        <ShareOfEOYAssets>7531422</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Sha Realty Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>381378121</EIN>
        <PrimaryActivity>Recreational Service - Golfing</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System Foundation</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Fairlane Health Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30100 Telegraph</AddressLine1>
          <City>Bingham Farms</City>
          <State>MI</State>
          <ZIPCode>48025</ZIPCode>
        </AddressUS>
        <EIN>382565235</EIN>
        <PrimaryActivity>Healthcare Management</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Horizon Properties Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>382679527</EIN>
        <PrimaryActivity>Real Estate - Lessor Buildings</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Detroit Osteopathic Hospital Corp</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>First Optometry Eye Care Centers Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>655 W13 Mile Rd</AddressLine1>
          <City>Madison Heights</City>
          <State>MI</State>
          <ZIPCode>48071</ZIPCode>
        </AddressUS>
        <EIN>382299059</EIN>
        <PrimaryActivity>Franchising Eye Care Centers</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>First Optometry Vision Plans Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>655 W13 Mile Rd</AddressLine1>
          <City>Madison Heights</City>
          <State>MI</State>
          <ZIPCode>48071</ZIPCode>
        </AddressUS>
        <EIN>382594841</EIN>
        <PrimaryActivity>Vision Care Plans</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Onika Insurance Ltd</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>One Ford Place</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <PrimaryActivity>Captive Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>Henry Ford Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Midwest Health Plan Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4700 Schaefer Rd Suite 340</AddressLine1>
          <City>Dearborn</City>
          <State>MI</State>
          <ZIPCode>48126</ZIPCode>
        </AddressUS>
        <EIN>383123777</EIN>
        <PrimaryActivity>Health Insurance</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>974855</ShareOfTotalIncome>
        <ShareOfEOYAssets>109896537</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Administration Systems Research Corporation International</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2850 West Grand Boulevard</AddressLine1>
          <City>Detroit</City>
          <State>MI</State>
          <ZIPCode>48202</ZIPCode>
        </AddressUS>
        <EIN>382651185</EIN>
        <PrimaryActivity>Third Party Administrator</PrimaryActivity>
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      <TransactionsRelatedOrgsTable>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>