BLUE CARE NETWORK OF MICHIGAN: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BLUE CARE NETWORK OF MICHIGAN (EIN 38-2359234)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201223209349302347
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-11-15T08:06:51-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382359234 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE CARE NETWORK OF MICHIGAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLUE | NameControl |
| Phone | 2487996730 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20500 CIVIC CENTER DR MC C455 | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 48076 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN A KLUGE | Name |
| Title | CFO & TREASURER | Title |
| Phone | 2487996730 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2012-11-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SUSAN A KLUGE CFO TREASURER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20500 CIVIC CENTER DR | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 48076 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4851256544 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MIBCN.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | BLUE CARE NETWORK PROVIDES HEALTH CARE SERVICES TO SUBSCRIBERS THROUGH CONTRACTS IT HAS ENTERED INTO WITH VARIOUS PHYSICIAN GROUPS, HOSPITALS, AND OTHER HEALTH CARE PROVIDERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 38645489 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1271153 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2384648997 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2647081152 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 26364737 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25643482 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10191497 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14902206 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2421205231 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2687626840 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 2040595116 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 2226539279 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 107105368 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 116051229 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 161766184 | OtherExpensePriorYear |
| Other Expenses Current Year | 176087166 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2309466668 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2518677674 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 111738563 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 168949166 | RevenuesLessExpensesCY |
| Total Assets BOY | 1069174508 | TotalAssetsBOY |
| Total Assets EOY | 1309143675 | TotalAssetsEOY |
| Total Liabilities BOY | 519450879 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 597526529 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 549723629 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 711617146 | NetAssetsOrFundBalancesEOY |
| Mission Description | BLUE CARE NETWORK PROVIDES HEALTH CARE SERVICES TO SUBSCRIBERS THROUGH CONTRACTS IT HAS ENTERED INTO WITH VARIOUS PHYSICIAN GROUPS, HOSPITALS, AND OTHER HEALTH CARE PROVIDERS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2388623520 | Expense |
| Revenue | 2667500527 | Revenue |
| Description | HEALTH CARE SERVICES-MEMBER BASED AS WELL AS FEE-FOR-SERVICE; 569,229 MEMBERS AND 4,640,483 AMBULATORY ENCOUNTERS. | Description |
| Total Program Service Expense | 2388623520 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 8293 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LISA ZIEGLER FINANCE SUPERVISOR | NamePerson |
| Telephone Number | 2484553403 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20500 CIVIC CENTER DR MC C455 | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 48076 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (45 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| MARK R BARTLETT CPA | |||||||||
| DIRECTOR | 1.00 | X | 0 | 1436686 | 443053 | ||||
| KEVIN JAMES KLOBUCAR CPA | |||||||||
| CEO & PRES | 40.00 | X | 0 | 521806 | 311237 | X | |||
| GREGORY A SUDDERTH | |||||||||
| VICECHAIR & | 1.00 | X | 11800 | 98947 | 73211 | X | |||
| WILLIAM H BLACK | |||||||||
| CHAIR & DIR | 1.00 | X | 36550 | 66239 | 0 | X | |||
| SARAH DOYLE | |||||||||
| DIRECTOR | 1.00 | X | 9650 | 50989 | 0 | ||||
| MELVIN L LARSEN | |||||||||
| DIRECTOR | 1.00 | X | 24300 | 29374 | 67167 | ||||
| SHAUNA RYDER DIGGS MD | |||||||||
| DIRECTOR | 1.00 | X | 24300 | 25852 | 0 | ||||
| D BONTA HISCOE MD | |||||||||
| DIRECTOR | 1.00 | X | 28300 | 3197 | 0 | ||||
| DIANA L WATSON | |||||||||
| DIRECTOR | 1.00 | X | 25550 | 72 | 0 | ||||
| JAMES ROBERT DIETZ | |||||||||
| DIRECTOR | 1.00 | X | 25550 | 72 | 0 | ||||
| BARRY NEWCOMB | |||||||||
| DIRECTOR | 1.00 | X | 25550 | 72 | 0 | ||||
| JANET L HARDEN PHD | |||||||||
| DIRECTOR | 1.00 | X | 24300 | 72 | 0 | ||||
| TEOLA PEARL HUNTER | |||||||||
| DIRECTOR | 1.00 | X | 24300 | 72 | 0 | ||||
| VALERIAH ANN HOLMON RN | |||||||||
| DIRECTOR | 1.00 | X | 21800 | 72 | 0 | ||||
| ROBERT KELCH | |||||||||
| DIRECTOR | 1.00 | X | 20550 | 72 | 0 | ||||
| KENDRICK ADKINS | |||||||||
| DIRECTOR | 1.00 | X | 20550 | 72 | 0 | ||||
| CALVIN T RAPSON | |||||||||
| DIRECTOR | 1.00 | X | 11167 | 8320 | 0 | ||||
| JULIE A ANGOTT | |||||||||
| DIRECTOR | 1.00 | X | 14900 | 4447 | 14900 | ||||
| GERALD KARIEM | |||||||||
| DIRECTOR | 1.00 | X | 11617 | 48 | 0 | ||||
| DONALD G OETMAN | |||||||||
| DIRECTOR | 1.00 | X | 0 | 24 | 8933 | ||||
| MARC KESHISHIAN MD | |||||||||
| CMO/SR. VP | 40.00 | 618741 | 0 | 87405 | X | ||||
| SUSAN A KLUGE | |||||||||
| CFO & TREAS | 40.00 | 476005 | 0 | 90707 | X | ||||
| JULIE C SWANTEK | |||||||||
| SECRETARY | 40.00 | 99532 | 0 | 56348 | X | ||||
| JANET MACQUEEN | |||||||||
| CIO & VP | 40.00 | 409304 | 0 | 73030 | X | ||||
| CARL SIEBERS | |||||||||
| VP | 40.00 | 327340 | 0 | 89496 | X | ||||
| GAIL ROSS | |||||||||
| VP | 40.00 | 319931 | 0 | 101379 | X | ||||
| CARLA CHAMBERS | |||||||||
| VP | 40.00 | 319530 | 0 | 82479 | X | ||||
| ALISON POLLARD | |||||||||
| VP | 40.00 | 316032 | 0 | 94169 | X | ||||
| SETH CRAWFORD | |||||||||
| VP | 40.00 | 303407 | 0 | 56477 | X | ||||
| ELANA KOZIK | |||||||||
| VP | 40.00 | 265936 | 0 | 105799 | X | ||||
| PHILLIP GILLESPIE | |||||||||
| VP | 40.00 | 208212 | 0 | 71341 | X | ||||
| HASHIM YAR | |||||||||
| REG MED DIR | 40.00 | 283633 | 0 | 83681 | X | ||||
| ROBERT GOODMAN | |||||||||
| REG MED DIR | 40.00 | 282173 | 0 | 77888 | X | ||||
| DUANE DIFRANCO | |||||||||
| REG MED DIR | 40.00 | 259698 | 0 | 59553 | X | ||||
| BARB DERIAN | |||||||||
| SR DIR BUSIN | 40.00 | 224368 | 0 | 95538 | X | ||||
| ROBERT KLIMEK | |||||||||
| REG MED DIR | 40.00 | 209031 | 0 | 63445 | X | ||||
| DANIEL LOEPP | |||||||||
| FORMER DIREC | 0.00 | 0 | 3270176 | 947880 | X | ||||
| KEVIN L SEITZ | |||||||||
| FORMER DIREC | 0.00 | 0 | 576250 | 5738 | X | ||||
| DAVID NELSON | |||||||||
| FORMER OFFIC | 0.00 | 0 | 543734 | 289404 | X | ||||
| SANDRA BOOZER | |||||||||
| FORMER KEY E | 0.00 | 0 | 275765 | 0 | X | ||||
| JEANNE H CARLSONCPA | |||||||||
| FORMER OFFIC | 0.00 | 0 | 223678 | 1183 | X | ||||
| LAURIE WESTFALL | |||||||||
| FORMER OFFIC | 0.00 | 180864 | 0 | 11869 | X | ||||
| DOUGLAS WOLL MD | |||||||||
| FORMER OFFIC | 0.00 | 176419 | 0 | 0 | X | ||||
| JOAN MOREHEAD | |||||||||
| FORMER KEY E | 0.00 | 112539 | 0 | 5798 | X | ||||
| CHARLES BURKETT | |||||||||
| FORMER DIREC | 0.00 | 0 | 22825 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5753429 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7158933 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3469108 | TotalOtherCompensation |
| Number Individuals GT100 K | 113 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 | Address Line1AddressOfContractor/AddressUS/AddressLine1 | Address Line2AddressOfContractor/AddressUS/AddressLine2 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|---|
| TRIZETTO GROUP INC | |||||||
| TRIZETTO GROUP INC | DEPT 2140 PO BOX 122140 | DEPT 2140 PO BOX 122140 | DALLAS | TX | 75312 | SOFTWARE ADMIN | 10250795 |
| MEDASSURANT INC | |||||||
| MEDASSURANT INC | 4321 COLLINGTON RD STE 100 | 4321 COLLINGTON RD STE 100 | BOWIE | MD | 20716 | RISK ADJUSTMENT | 7812531 |
| ICONMA LLC | |||||||
| ICONMA LLC | 850 STEPHENSON HWY STE 612 | 850 STEPHENSON HWY STE 612 | TROY | MI | 48083 | TECHNOLOGY SERV | 1997934 |
| ACCENTURE LLP | |||||||
| ACCENTURE LLP | PO BOX 70629 | PO BOX 70629 | CHICAGO | IL | 60673 | TECHNOLOGY SERV | 1850120 |
| IHT SERVICES LLC | |||||||
| IHT SERVICES LLC | 115 PERIMETER CENTER PLACE STE 700 | 115 PERIMETER CENTER PLACE STE 700 | ATLANTA | GA | 30346 | CLAIMS MGT SERV | 1816667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 45 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PREPAID HEALTH CARE | 524298 | 2608685945 | 2608685945 | |
| ADMINISTRATIVE&SUPPORT SERV | 561000 | 38357989 | 38357989 | |
| NON-SUBSCRIBER REVENUE | 524298 | 37218 | 37218 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2647081152 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20413813 | TotalRevenueColumn |
| Unrelated Business Revenue | 287500 | UnrelatedBusinessRevenue |
| Exclusion | $20,126,313 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2168858373 | Securities |
| Other | 1000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2163629704 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5228669 | Securities |
| Other | 1000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5229669 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5229669 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET INCOME-STOP LOSS TRUST | 900099 | 10948103 | 10948103 |
| NET INCOME-MED MALPRAC TRUST | 900099 | 3954103 | 3954103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14902206 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2687626840 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2628855038 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 38645489 | UnrelatedBusinessRevenue |
| Exclusion | $20,126,313 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2226539279 | Total |
| Program Services | 2226539279 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5753429 | Total |
| Program Services | 3494189 | ProgramServices |
| Management And General | 2259240 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75174444 | Total |
| Program Services | 45655156 | ProgramServices |
| Management And General | 29519288 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6234308 | Total |
| Program Services | 2511797 | ProgramServices |
| Management And General | 3722511 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23047783 | Total |
| Program Services | 13562797 | ProgramServices |
| Management And General | 9484986 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5841265 | Total |
| Program Services | 3809531 | ProgramServices |
| Management And General | 2031734 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25976 | Total |
| Management And General | 25976 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 548807 | Total |
| Program Services | 39705 | ProgramServices |
| Management And General | 509102 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2821180 | Total |
| Program Services | 8649 | ProgramServices |
| Management And General | 2812531 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7606442 | Total |
| Program Services | 1499978 | ProgramServices |
| Management And General | 6106464 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13564905 | Total |
| Program Services | 9167167 | ProgramServices |
| Management And General | 4397738 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5850248 | Total |
| Program Services | 3737071 | ProgramServices |
| Management And General | 2113177 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 731679 | Total |
| Program Services | 393170 | ProgramServices |
| Management And General | 338509 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221561 | Total |
| Program Services | 179167 | ProgramServices |
| Management And General | 42394 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132570 | Total |
| Management And General | 132570 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10335097 | Total |
| Program Services | 2707480 | ProgramServices |
| Management And General | 7627617 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128772 | Total |
| Management And General | 128772 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 60076103 | 10416130 | 49659973 |
| AGENT/BROKER FEES | 59818942 | 59818942 | |
| EQUIPMENT RENTAL AND MAIN | 6159973 | 4750103 | 1409870 |
| UNRELATED BUS INCOME TAX | 449059 | 449059 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7615852 | Total |
| Program Services | 333209 | ProgramServices |
| Management And General | 7282643 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2518677674 | Total |
| Program Services | 2388623520 | ProgramServices |
| Management And General | 130054154 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68545786 | BOY |
| EOY | 41876924 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71722719 | BOY |
| EOY | 121416735 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3783593 | BOY |
| EOY | 1154427 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 65753796 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 53057218 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11096029 | BOY |
| EOY | 12696578 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 818438046 | BOY |
| EOY | 1041083203 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9886784 | BOY |
| EOY | 11414257 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85701551 | BOY |
| EOY | 79501551 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1069174508 | BOY |
| EOY | 1309143675 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244139076 | BOY |
| EOY | 257819386 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42188974 | BOY |
| EOY | 45418349 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 50000000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233122829 | BOY |
| EOY | 244288794 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 519450879 | BOY |
| EOY | 597526529 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10000 | BOY |
| EOY | 10000 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15643045 | BOY |
| EOY | 15643045 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 534070584 | BOY |
| EOY | 695964101 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 549723629 | BOY |
| EOY | 711617146 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1069174508 | BOY |
| EOY | 1309143675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 168949166 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -7055649 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 10254818 | InvestmentCostOrOtherBasis |
| Depreciation | 9925361 | Depreciation |
| Book Value | 329457 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 16358287 | InvestmentCostOrOtherBasis |
| Depreciation | 16212995 | Depreciation |
| Book Value | 145292 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 39140691 | InvestmentCostOrOtherBasis |
| Depreciation | 26918862 | Depreciation |
| Book Value | 12221829 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12696578 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 5326 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INCURRED BENEFITS NOT YET REPORTED | Description |
| Amount | $244,283,468 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 244288794 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | ON EXAMINATION OF ALL RELEVANT FACTS AND CIRCUMSTANCES FOR THE COMPANY'S TAX ISSUES, IT WAS DETERMINED THAT THERE WERE NO UNCERTAIN POSITIONS FOR THE PERIOD ENDED DECEMBER 31, 2011. THE COMPANY BELIEVES THAT THE LIABILITY BALANCE FOR UNCERTAIN TAX POSITIONS WILL NOT SIGNIFICANTLY INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK R BARTLETT CPA | |||||||||||
| 648900 | 689842 | 97944 | 392983 | 50070 | 1879739 | ||||||
| KEVIN JAMES KLOBUCAR CPA | |||||||||||
| 285175 | 189927 | 46704 | 274882 | 36355 | 833043 | ||||||
| GREGORY A SUDDERTH | |||||||||||
| 98875 | 72 | 60711 | 159658 | 11800 | 12500 | 24300 | |||||
| MARC KESHISHIAN MD | |||||||||||
| 313850 | 54175 | 706146 | 260666 | 44225 | 33230 | ||||||
| SUSAN A KLUGE | |||||||||||
| 265147 | 58279 | 566712 | 178619 | 32239 | 32428 | ||||||
| JULIE C SWANTEK | |||||||||||
| 90891 | 38395 | 155880 | 8814 | -173 | 17953 | ||||||
| JANET MACQUEEN | |||||||||||
| 225060 | 53494 | 482334 | 156696 | 27548 | 19536 | ||||||
| CARL SIEBERS | |||||||||||
| 184129 | 65841 | 416836 | 124136 | 19075 | 23655 | ||||||
| GAIL ROSS | |||||||||||
| 181634 | 85603 | 421310 | 119907 | 18390 | 15776 | ||||||
| CARLA CHAMBERS | |||||||||||
| 182404 | 66484 | 402009 | 119822 | 17304 | 15995 | ||||||
| ALISON POLLARD | |||||||||||
| 180850 | 64789 | 410201 | 121921 | 13261 | 29380 | ||||||
| SETH CRAWFORD | |||||||||||
| 187996 | 47747 | 359884 | 96865 | 18546 | 8730 | ||||||
| ELANA KOZIK | |||||||||||
| 148713 | 77137 | 371735 | 104224 | 12999 | 28662 | ||||||
| PHILLIP GILLESPIE | |||||||||||
| 162400 | 50351 | 279553 | 34340 | 11472 | 20990 | ||||||
| HASHIM YAR | |||||||||||
| 225876 | 57746 | 367314 | 47039 | 10718 | 25935 | ||||||
| ROBERT GOODMAN | |||||||||||
| 223181 | 66084 | 360061 | 46478 | 12514 | 11804 | ||||||
| DUANE DIFRANCO | |||||||||||
| 210953 | 36917 | 319251 | 43932 | 4813 | 22636 | ||||||
| BARB DERIAN | |||||||||||
| 171976 | 75919 | 319906 | 43537 | 8855 | 19619 | ||||||
| ROBERT KLIMEK | |||||||||||
| 131777 | 47081 | 272476 | 45675 | 31579 | 16364 | ||||||
| DANIEL LOEPP | |||||||||||
| 1387107 | 1585172 | 297897 | 849912 | 97968 | 4218056 | ||||||
| KEVIN L SEITZ | |||||||||||
| 7750 | 344361 | 224139 | 5738 | 581988 | |||||||
| DAVID NELSON | |||||||||||
| 288915 | 216095 | 38724 | 248614 | 40790 | 833138 | ||||||
| SANDRA BOOZER | |||||||||||
| 63585 | 212180 | 275765 | |||||||||
| JEANNE H CARLSONCPA | |||||||||||
| 219691 | 3987 | 1183 | 224861 | ||||||||
| LAURIE WESTFALL | |||||||||||
| 10813 | 192733 | 180864 | 1056 | ||||||||
| DOUGLAS WOLL MD | |||||||||||
| 176419 | 104020 | 72399 | |||||||||
| JOAN MOREHEAD | |||||||||||
| 60 | 118337 | 112539 | 5738 | ||||||||
| CHARLES BURKETT | |||||||||||
| 22753 | 72 | 22825 | |||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | MARK R. BARTLETT, CPA 0 330,246 0 KEVIN JAMES KLOBUCAR, CPA 0 121,292 0 MARC KESHISHIAN, MD 0 34,366 0 SUSAN A. KLUGE 0 20,542 0 JANET MACQUEEN 0 9,281 0 CARL SIEBERS 0 1,750 0 GAIL ROSS 0 837 0 CARLA CHAMBERS 0 1,128 0 ALISON POLLARD 0 747 0 SETH CRAWFORD 0 762 0 HASHIM YAR 0 2,865 0 ROBERT GOODMAN 0 3,680 0 DUANE DIFRANCO 0 666 0 ROBERT KLIMEK 0 50 0 DANIEL LOEPP 0 743,752 0 DAVID NELSON 0 137,959 0 SANDRA BOOZER 212,180 0 0 LAURIE WESTFALL 180,864 3,522 0 JOAN MOREHEAD 112,539 0 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | FORM 990, SCHEDULE J, LINE 6A AND 6B THE ORGANIZATION DOES NOT HAVE A COMPENSATION PROGRAM BASED ON A PERCENTAGE OF NET INCOME; HOWEVER, THERE IS A COMPENSATION PROGRAM THAT IS A CAPPED PERCENTAGE OF SALARY BASED UPON A MINIMUM AND MAXIMUM NET INCOME RANGE OF THE CONTROLLED ENTITIES. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | ||
| BUSRELATIONSHIP | SEE SCH R PART V | false |
| BCN SERVICE COMPANY | ||
| BUSRELATIONSHIP | SEE SCH R PART V | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | KEVIN JAMES KLOBUCAR, CPA SUSAN A. KLUGE CEO & PRES CFO & TREAS BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA JULIA C. SWANTEK CEO & PRES SECRETARY BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA MARC C. KESHISHIAN, MD CEO & PRES CMO BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA JULIE A. ANGOTT CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA WILLIAM H. BLACK CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA GREGORY A. SUDDERTH CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA CALVIN T. RAPSON CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA MARK R. BARTLETT CEO & PRES DIRECTOR BUSINESS RELATIONSHIP SUSAN A. KLUGE JULIA C. SWANTEK CFO & TREAS SECRETARY BUSINESS RELATIONSHIP SUSAN A. KLUGE MARC KESHISHIAN, MD CFO & TREAS CMO BUSINESS RELATIONSHIP SUSAN A. KLUGE JULIE A. ANGOTT CFO & TREAS DIRECTOR BUSINESS RELATIONSHIP JULIA C. SWANTEK MARC KESHISHIAN, MD SECRETARY CMO BUSINESS RELATIONSHIP JULIA C. SWANTEK JULIE A. ANGOTT SECRETARY DIRECTOR BUSINESS RELATIONSHIP MARC KESHISHIAN, MD JULIE A. ANGOTT CMO DIRECTOR BUSINESS RELATIONSHIP WILLIAM H. BLACK GREGORY A. SUDDERTH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WILLIAM H. BLACK CALVIN T. RAPSON DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GREGORY A. SUDDERTH CALVIN T. RAPSON DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GREGORY A. SUDDERTH MARK R. BARTLETT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA MELVIN LARSEN CEO & PRES DIRECTOR BUSINESS RELATIONSHIP MELVIN LARSEN MARK R. BARTLETT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP MELVIN LARSEN CALVIN T. RAPSON DIRECTOR DIRECTOR BUSINESS RELATIONSHIP MELVIN LARSEN WILLIAM H. BLACK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP MELVIN LARSEN GREGORY A. SUDDERTH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP MARK R. BARTLETT CALVIN T. RAPSON DIRECTOR DIRECTOR BUSINESS RELATIONSHIP MARK R. BARTLETT WILLIAM H. BLACK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR, CPA SARAH DOYLE CEO & PRES DIRECTOR BUSINESS RELATIONSHIP MELVIN LARSEN SARAH DOYLE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP WILLIAM H. BLACK SARAH DOYLE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GREGORY A. SUDDERTH SARAH DOYLE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP MARK R. BARTLETT SARAH DOYLE DIRECTOR DIRECTOR BUSINESS RELATIONSHIP |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | 100% STOCKHOLDER: BLUE CROSS BLUE SHIELD OF MICHIGAN |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | BLUE CROSS BLUE SHIELD OF MICHIGAN IS A 100% STOCKHOLDER AND HAS THE RIGHT TO APPOINT BOARD DIRECTORS. BCN'S MEMBERS ELECT THE REMAINING BOARD DIRECTORS. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS CONDUCTED BY THE GOVERNING BODY. THE CFO & TREASURER, SUSAN A. KLUGE, REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | EACH BOARD MEMBER AND CORPORATE OFFICER ANNUALLY COMPLETES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. THE QUESTIONNAIRES ARE REVIEWED TO IDENTIFY ANY POSSIBLE CONFLICTS AND DETERMINE HOW TO RESOLVE THEM. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION STRATEGY IS DESIGNED TO ENSURE THAT AN APPROPRIATE BALANCE EXISTS BETWEEN INTERNAL EQUITY CONSIDERATIONS AND MARKET COMPENSATION FACTORS AND PRACTICES. MARKET DATA FROM THIRD PARTY EXECUTIVE COMPENSATION SURVEYS AND INDEPENDENT COMPENSATION CONSULTANTS ARE USED TO DETERMINE THE PRESIDENT/CEO'S COMPENSATION. THE COMPENSATION RECOMMENDATIONS ARE REVIEWED BY BLUE CROSS BLUE SHIELD OF MICHIGAN'S (BCBSM) PERSONNEL AND COMPENSATION SUBCOMMITTEE. THE ORGANIZATION'S PRESIDENT/CEO IS ALSO AN EXECUTIVE OF THE PARENT, BCBSM, AND AS SUCH, THE COMPENSATION MUST BE PRESENTED TO THE BCBSM EXECUTIVE COMMITTEE AND BCBSM BOARD OF DIRECTORS. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION RECOMMENDATIONS FOR BLUE CARE NETWORK'S OFFICERS ARE REVIEWED AND APPROVED BY THE BLUE CROSS BLUE SHIELD OF MICHIGAN (BCBSM) PERSONNEL AND COMPENSATION SUBCOMMITTEE AND BY THE BLUE CARE NETWORK'S BOARD OF DIRECTORS. COMPENSATION RECOMMENDATIONS FOR BLUE CARE NETWORK'S KEY EMPLOYEE EXECUTIVES ARE REVIEWED AND APPROVED BY THE BCBSM PERSONNEL AND COMPENSATION SUBCOMMITTEE AND REQUIRES ACTION FROM THE BLUE CARE NETWORK OF MICHIGAN BOARD OF DIRECTORS. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS - NO DOCUMENTS AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY - NO DOCUMENTS AVAILABLE TO THE PUBLIC. AUDITED FINANCIALS - AUDITED STATUTORY-BASIS FINANCIALS ARE AVAILABLE FROM THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS AND THE OFFICE OF FINANCIAL AND INSURANCE REGULATION. |
| RELATED ORGANIZATIONS | FORM 990, PAGE 7, PART VII | CURRENT OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES THAT ARE EMPLOYED BY THE FILING ORGANIZATION OR BY A RELATED ORGANIZATION TYPICALLY WORK 40+ HOURS PER WEEK, WITH TIME SPLIT AS NEEDED BETWEEN THE FILING ENTITY AND THE RELATED ORGANIZATION. A PER WEEK ESTIMATE FOR THE FILING ORGANIZATION IS REFLECTED ON THE FILING ENTITY'S PART VII, COLUMN B, WITH THE COMPLETE REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION AND RELATED ORGANIZATION REFLECTED IN COLUMN D AND COLUMN E AS APPROPRIATE. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE UNREALIZED GAINS ON INVESTMENTS OF 6,319,084, CONSOLIDATED SUBSIDIARIES BOOK NET INCOME OF 1,527,473, MALPRACTICE TRUST NET INCOME OF (3,954,103), AND STOP-LOSS TRUST NET INCOME OF (10,948,103). |
| ADDITIONAL INFORMATION | FORM 990, PART XII | FORM 990 IS FILED BASED ON THE GAAP METHOD OF ACCOUNTING. NO SEPARATE GAAP BASIS AUDITED FINANCIAL STATEMENTS WERE ISSUED. HOWEVER, THE GAAP TRIAL BALANCE, WITH ADDITIONAL STATUTORY BASIS ADJUSTMENTS, WAS UTILIZED BY THE INDEPENDENT AUDITORS AS A BASIS FOR THE ISSUED AUDITED STATUTORY-BASIS FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Business Name Line2NameOfDisregardedEntity/BusinessNameLine2 | Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE CROSS COMPLETE OF MICHIGAN | ||||||||||||
| BLUE CROSS COMPLETE OF MICHIGAN | 20500 CIVIC CENTER DRIVE | 20500 CIVIC CENTER DRIVE | SOUTHFIELD | MI | 48076 | 320026448 | HMO | MI | 501C4 | N/A | false | |
| BLUE CARE OF MICHIGAN INC | ||||||||||||
| BLUE CARE OF MICHIGAN INC | 20500 CIVIC CENTER DRIVE | 20500 CIVIC CENTER DRIVE | SOUTHFIELD | MI | 48076 | 382536979 | INSURANCE | MI | 501C4 | N/A | false | |
| BCBS FOUNDATION OF MICHIGAN | ||||||||||||
| BCBSM FOUNDATION OF MICHIGAN | 600 LAFAYETTE BLVD EAST | 600 LAFAYETTE BLVD EAST | DETROIT | MI | 48226 | 382338506 | INSURANCE | MI | 501C3 | N/A | false | 11A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Business Name Line2NameOfRelatedOrg/BusinessNameLine2 | Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| BCN SERVICE COMPANY | |||||||||
| BCN SERVICE COMPANY | 20500 CIVIC CENTER DRIVE | 20500 CIVIC CENTER DRIVE | SOUTHFIELD | MI | 48076 | 383134881 | TPA | MI | N/A |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||||||||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | 600 LAFAYETTE EAST | 600 LAFAYETTE EAST | DETROIT | MI | 48226 | 382069753 | INSURANCE | MI | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (48 entries)
| Business Name Line2NameOfOtherOrganization/BusinessNameLine2 | Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|---|
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | M | 2219213 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | N | 14872936 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | P | 193844748 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | Q | 4143155 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | M | 488747 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | N | 2036517 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | P | 3713932 | INTERCOMPANY AGREEMENTS |
| BLUE CARE OF MICHIGAN INC | |||
| BLUE CARE OF MICHIGAN INC | P | 58805 | INTERCOMPANY AGREEMENTS |
| BLUE CARE OF MICHIGAN INC | |||
| BLUE CARE OF MICHIGAN INC | K | 118774 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | R | 35495452 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Q | 130011446 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | J | 1127639 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | O | 936625377 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | P | 13771308 | INTERCOMPANY AGREEMENTS |
| LIFESECURE INSURANCE COMPANY | |||
| LIFESECURE INSURANCE COMPANY | R | 79106 | INTERCOMPANY AGREEMENTS |
| ACCIDENT FUND INS CO OF AMERICA | |||
| ACCIDENT FUND INS CO OF AMERICA | R | 3035794 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | M | 2219213 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | N | 14872936 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | P | 193844748 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | Q | 4143155 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | M | 488747 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | N | 2036517 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | P | 3713932 | INTERCOMPANY AGREEMENTS |
| BLUE CARE OF MICHIGAN INC | |||
| BLUE CARE OF MICHIGAN INC | P | 58805 | INTERCOMPANY AGREEMENTS |
| BLUE CARE OF MICHIGAN INC | |||
| BLUE CARE OF MICHIGAN INC | K | 118774 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | R | 35495452 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Q | 130011446 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | J | 1127639 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | O | 936625377 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | P | 13771308 | INTERCOMPANY AGREEMENTS |
| LIFESECURE INSURANCE COMPANY | |||
| LIFESECURE INSURANCE COMPANY | R | 79106 | INTERCOMPANY AGREEMENTS |
| ACCIDENT FUND INS CO OF AMERICA | |||
| ACCIDENT FUND INS CO OF AMERICA | R | 3035794 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | M | 2219213 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | N | 14872936 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | P | 193844748 | INTERCOMPANY AGREEMENTS |
| BCN SERVICE COMPANY | |||
| BCN SERVICE COMPANY | Q | 4143155 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | M | 488747 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | N | 2036517 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS COMPLETE OF MICHIGAN | |||
| BLUE CROSS COMPLETE OF MICHIGAN | P | 3713932 | INTERCOMPANY AGREEMENTS |
| BLUE CARE OF MICHIGAN INC | |||
| BLUE CARE OF MICHIGAN INC | P | 58805 | INTERCOMPANY AGREEMENTS |
| BLUE CARE OF MICHIGAN INC | |||
| BLUE CARE OF MICHIGAN INC | K | 118774 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | R | 35495452 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Q | 130011446 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | J | 1127639 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | O | 936625377 | INTERCOMPANY AGREEMENTS |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| BLUE CROSS BLUE SHIELD OF MICHIGAN | P | 13771308 | INTERCOMPANY AGREEMENTS |
| LIFESECURE INSURANCE COMPANY | |||
| LIFESECURE INSURANCE COMPANY | R | 79106 | INTERCOMPANY AGREEMENTS |
| ACCIDENT FUND INS CO OF AMERICA | |||
| ACCIDENT FUND INS CO OF AMERICA | R | 3035794 | INTERCOMPANY AGREEMENTS |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | FORM 990 PART I SUMMARY AND PART VIII LINE 12 BLUE CARE NETWORK OF MICHIGAN BCN IS A GRANTOR IN TWO GRANTOR TRUSTS BLUE CARE NETWORK MEDICAL MALPRACTICE SELFINSURANCE TRUST EIN XXX-XX-XXXX AND BLUE CARE NETWORK STOPLOSS CASUALTY SELFINSURANCE TRUST EIN XXX-XX-XXXX AS SUCH BCN IS REQUIRED TO INCLUDE AND REPORT THEIR ALLOCABLE SHARE OF ALL GRANTOR TRUST INCOME AND EXPENSES IN THEIR INDIVIDUAL TAX RETURN SUMMARIZED BELOW ARE THE INCOME AND EXPENSE ITEMS FROM THESE TWO TRUSTS THAT HAVE BEEN INCLUDED IN PART 1 SUMMARY AND PART VIII LINE 12 OF FORM 990 FOR BCN FOR 2011 MEDICAL STOP MALPRACTICE LOSS TRUST TRUST TOTAL DESCRIPTION INVESTMENT INCOME INTEREST INCOME 2668435 1343072 4011507 CAPITAL GAINSLOSSES SHORTTERM 130042 51854 181896 LONGTERM 822075 96435 918510 TOTAL INVESTMENT INCOME 3620552 1491361 5111913 OTHER INCOME PREMIUM RECEIVED 961 34876906 34877867 TOTAL INCOME 3621513 36368267 39989780 EXPENSES CLAIMS EXPENSE 430120 25327545 24897425 MANAGEMENT FEES 89649 86164 175813 GENERAL ADMINISTRATIVE 7881 6455 14336 TOTAL EXPENSES 332590 25420164 25087574 NET INCOMELOSS 3954103 10948103 14902206 | Explanation |