2024-11-07T13:30:51-06:00 2023-12-31 861065772 DELOITTE TAX LLP 1001 WOODWARD AVENUE SUITE 700 DETROIT MI 48226 990 2023-01-01 382242827 HEALTH ALLIANCE PLAN OF MICHIGAN HEAL 2487763530 3031 W GRAND BLVD DETROIT MI 48202 MERRILL HAUSENFLUCK CFO 2487763530 2024-11-07 0 0 ALICIA JANISCH P00741382 3133963000 2023 2024-10-15 13:58:12Z X MERRILL HAUSENFLUCK 3031 W GRAND BLVD DETROIT MI 48202 1722220872 0 X WWW.HAP.ORG X 1979 MI PROVIDE ACCESS TO QUALITY HEALTH CARE COVERAGE. 16 13 1140 101 57121 16338 0 0 1539465822 1607176310 3590078 13932784 23022053 861064 1566077953 1621970158 182350 508900 1363172793 1459182855 48458328 50535785 0 0 0 98092845 112057756 1509906316 1622285296 56171637 -315138 614290528 668623512 305549901 335076517 308740627 333546995 X TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS IN ALL OF THE COMMUNITIES WE SERVE. WE ACCOMPLISH THIS THROUGH INNOVATIVE PROGRAMS TO PROVIDE HEALTH CARE COVERAGE WITH AN EMPHASIS ON PREVENTATIVE CARE AS WELL AS OUTREACH PROGRAMS TO THE COMMUNITIES AIMED AT ENHANCING AND PROMOTING HEALTHIER COMMUNITIES. 0 0 1595577641 508900 1608034032 CORPORATE OVERVIEWHAP IS A SUBSIDIARY OF HENRY FORD HEALTH ONE OF THE NATION'S LEADING HEALTH CARE SYSTEMS. HAP PROVIDES COVERAGE TO INDIVIDUALS, COMPANIES AND ORGANIZATIONS. WE PARTNER WITH DOCTORS, EMPLOYERS AND COMMUNITY GROUPS TO IMPROVE THE OVERALL HEALTH OF EVERY COMMUNITY WE SERVE. OUR MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE LIVES WE TOUCH.COMPANY HIGHLIGHTS: FOUNDED IN 1960 BASED IN DETROIT, MICHIGAN 419,994 MEMBERS AND 900 PLUS EMPLOYEESIN AUGUST 2023, HAP AND CARESOURCE, AN OHIO-BASED NONPROFIT MANAGED CARE HEALTH PLAN, ENTERED INTO AN AGREEMENT TO FORM A JOINT VENTURE. THE GOAL OF THE JOINT VENTURE IS TO BRING HIGH-QUALITY COVERAGE TO MORE MICHIGAN RESIDENTS. THIS POSITIONS HENRY FORD HEALTH AND THE JOINT VENTURE IN AN EXTREMELY STRONG STRATEGIC POSITION FOR A SUCCESSFUL MEDICAID PROCUREMENT (WITH THE RESPONSE TO THE RFP CURRENTLY UNDERWAY), STATEWIDE MEDICAID GROWTH, AND RE-ENTRY INTO THE ON-EXCHANGE INDIVIDUAL MARKET. CARESOURCE'S SCALE AND INNOVATION BRINGS A MEANINGFUL ACCELERANT/ENABLER TO FURTHER OUR DEIJ MISSION AND COMMITMENT. HAP IS A FULL-SERVICE HEALTH INSURANCE COMPANY WITH DISTINCT PRODUCT PORTFOLIOS: EMPLOYER GROUP PLANS HMO, PPO, EPO, NARROW NETWORK AND CONSUMER-DRIVEN HEALTH PLANS. HEALTH ENGAGEMENT PROGRAM OFFERS EMPLOYEES INCENTIVES TO ADOPT A HEALTHIER LIFESTYLE. INDIVIDUAL PLANS HAP PLANS HMO, PPO AND HEALTH SAVINGS ACCOUNT ARE FOR INDIVIDUALS AND FAMILIES NOT COVERED THROUGH EMPLOYER HEALTH INSURANCE. MEDICARE HAP MEDICARE SOLUTIONS OFFER HMO AND PPO HEALTH PLANS, PRESCRIPTION DRUG PLANS AND MEDICARE SUPPLEMENT PLANS FOR INDIVIDUALS AND EMPLOYER-SPONSORED EMPLOYEES AND RETIREES. MEDICAID HAP EMPOWERED HEALTH PLAN IS AN HMO BASED IN SOUTHEAST MICHIGAN WITH ABOUT 33,383 ENROLLEES. SELF-FUNDED ASO AND ASR HEALTH BENEFITS OFFER COMPETITIVE OPTIONS FOR EMPLOYERS AND HEALTH AND WELFARE FUNDS SEEKING TO SELF-FUND THEIR HEALTH BENEFIT COSTS. NETWORK LEASING HAP PREFERRED, INC. IS A PPO NETWORK THAT CAN BE ADMINISTERED BY THIRD-PARTY ADMINISTRATORS AND HEALTH AND WELFARE FUNDS.PARTICIPATING PHYSICIANS AND ANCILLARY PROVIDERS: HAP'S ROBUST PROVIDER NETWORKS INCLUDE THE LEADING MICHIGAN DOCTORS, HOSPITALS, AND HEALTH SYSTEMS: HAP CONTRACTS WITH MORE THAN 50,000 PROVIDER PARTNERS AND 88 PLUS MICHIGAN HOSPITALS TO SERVE ITS MEMBERS. STATEWIDE AND NATIONAL PROVIDER NETWORK SOLUTIONS ARE AVAILABLE FOR OTHER PRODUCT LINES THROUGH STRATEGIC PARTNERSHIPS FOR COMPANIES WITH MULTIPLE LOCATIONS. HAP EXPENDS A CONSIDERABLE AMOUNT OF RESOURCES COMMUNICATING WITH MEMBERS AND PROVIDING SUPPORTIVE HEALTH PROGRAMS AND RESOURCES TO HELP THEM ACHIEVE SUSTAINABLE HEALTHY HABITS AND MANAGE CHRONIC CONDITIONS. EXAMPLES OF HEALTH AND WELLNESS PROGRAMS AND RESOURCES INCLUDE: PREVENTIVE AND WELLNESS SERVICES: HAP COVERS PREVENTIVE SERVICES, INCLUDING CANCER SCREENINGS, PHYSICALS, FLU SHOTS AND MORE. WORKSITE WELLNESS PROGRAMS: FREE OR LOW-COST PREVENTIVE SERVICES AND HEALTH EDUCATION FOR THE WORKPLACE. ISTRIVE FOR BETTER HEALTH: ONLINE HEALTH ASSESSMENT AND DIGITAL COACHING. EASY-TO-UNDERSTAND EDUCATIONAL TOOLS: WE HELP MEMBERS MANAGE THEIR PLAN BENEFITS AND OVERALL HEALTH.COMMUNITY OUTREACH OVERVIEW & INITIATIVESESTABLISHING AND MANAGING RELATIONSHIPS WITH NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY HEALTH AND WELL-BEING IS AN INTEGRAL PART OF THE MISSION AND VISION OF HAP'S COMMUNITY OUTREACH DEPARTMENT. 2023 ACTIVITIES AND ACCOMPLISHMENTS IN COMMUNITY OUTREACHKEY INITIATIVES: ESTABLISH AND MANAGE RELATIONSHIPS WITH HUMAN SERVICE AGENCIES AND NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY HEALTH AND WELL-BEING. SUPPORT PROGRAMS AT SENIOR CENTERS, AREA AGENCIES ON AGING AND VETERANS AFFAIRS ORGANIZATIONS TO KEEP THE HAP BRAND TOP OF MIND AMONG MEDICARE ADVANTAGE PROSPECTS. DEVELOP AND PRESENT MEMBER ENGAGEMENT ACTIVITIES TO AID IN RETENTION FOR ALL LINES OF BUSINESS. PARTNER WITH HENRY FORD HEALTH, OTHER CONTRACTED PROVIDERS AND ENROLLED EMPLOYER GROUPS TO PRESENT COMMUNITY EVENTS AND MEMBER ENGAGEMENT ACTIVITIES. COORDINATE MEDICAID AND MMP CONSUMER ADVISORY COUNCILS TO GATHER MEMBER FEEDBACK AND MEET CONTRACTUAL OBLIGATIONS. COLLABORATE WITH HAP HCM AND QUALITY TEAMS TO PRODUCE AND EXECUTE "CLINIC DAYS" TO CLOSE GAPS IN CARE FOR MEDICAID MEMBERS. IDENTIFY, PROMOTE, AND COORDINATE HAP EMPLOYEE VOLUNTEER OPPORTUNITIES. 1000 STAFF COMMUNITY VOLUNTEER HOURS WERE LOGGED IN 2023 MANAGE HIGH-PROFILE CORPORATE INITIATIVES SUCH AS THE AHA HEART WALK, THE HAP CRIM FESTIVAL OF RACES AND "GAME ON CANCER". ADMINISTERED AND MANAGED 260 GRANTS, CHARITABLE DONATIONS AND CORPORATE SPONSORSHIPS WITH NON-PROFIT ORGANIZATIONS AND COMMUNITY PARTNERS, DIRECTLY TOUCHING OVER 1,000,000 LIVES. ENGAGED WITH HENRY FORD HEALTH, FQHC PARTNERS AND MUNICIPAL HEALTH DEPARTMENTS AT COMMUNITY VACCINATION EVENTS AT ONE FORD PLACE, CHURCHES, COMMUNITY CENTERS IN UNDERSERVED COMMUNITIES. PRODUCED AND DELIVERED 28 MEDICARE MEMBER ENGAGEMENT EVENTS, ATTENDED BY 665 MEMBERS. THESE EVENTS BOTH VIRTUAL AND IN-PERSON HAVE ALSO PROVEN TO BE A RICH SOURCE OF MEMBER FEEDBACK AND TESTIMONIALS. TOTAL LIVES TOUCHED: 1,000,000SIGNATURE PROGRAMS AND PARTNERS:MOGO BIKES: WITH 620 BIKES AT 75 STATIONS, MOGO GIVES METRO-DETROITERS THE FREEDOM AND FLEXIBILITY TO MOVE AROUND AT PRICES THAT EVERYONE CAN AFFORD. MOGO IS MADE POSSIBLE THROUGH A SIGNIFICANT PARTNERSHIP WITH HENRY FORD HEALTH AND HEALTH ALLIANCE PLAN (HAP).CRIM FITNESS FOUNDATION: HAP PARTNERS WITH THIS FLINT-BASED AGENCY ON A VARIETY OF HEALTH, WELL-BEING AND COMMUNITY EDUCATION ENDEAVORS. MOST NOTABLY AS PRESENTING SPONSOR OF THE HAP CRIM FESTIVAL OF RACES AND CRIMFIT TRAINING PROGRAM. GAME ON, CANCER: GAME ON CANCER, A UNIQUE COLLABORATION BETWEEN HENRY FORD HEALTH, HAP, THE DETROIT LIONS AND THE DETROIT PISTONS, IS A PEER-TO-PEER TEAM-BASED FUNDRAISER DESIGNED TO ALLEVIATE BARRIERS CANCER PATIENTS FACE ON THEIR ROAD TO RECOVERY AND ADVANCE LEADING-EDGE RESEARCH. RUTH ELLIS CENTER: HAP PROVIDES SUPPORT ANNUALLY FOR THE RUTH ELLIS CENTER (REC), BASED IN HIGHLAND PARK. REC PROVIDES TRAUMA-INFORMED SERVICES FOR LESBIAN, GAY, BI-ATTRACTIONAL, TRANSGENDER AND QUESTIONING (LGBTQ+) YOUTH, AND YOUNG ADULTS, WITH AN EMPHASIS ON YOUNG PEOPLE OF COLOR, EXPERIENCING HOMELESSNESS, INVOLVED IN THE CHILD WELFARE SYSTEM, AND/OR EXPERIENCING BARRIERS TO HEALTH AND WELLBEING.DETROIT PUBLIC SCHOOLS: IN 2023 HAP DONATED $75,000 TO THE DETROIT PUBLIC SCHOOL COMMUNITY DISTRICT (DPSCD) FOUNDATION TO PURCHASE ALL-WEATHER COATS AND PERSONAL CARE ITEMS FOR STUDENTS. MORE THAN 35 SCHOOLS IN THE DISTRICT RECEIVED COAT DONATIONS. ADDITIONALLY BICYCLES AND HELMETS WERE DONATED TO THE CATHERINE BLACKWELL SCHOOL.HABITAT FOR HUMANITY: HABITAT FOR HUMANITY BELIEVES THAT EVERYONE EVERYWHERE SHOULD HAVE A HEALTHY, AFFORDABLE PLACE TO CALL HOME WHICH ALIGNS WELL WITH HAP'S MISSION TO CREATE HEALTHIER COMMUNITIES. IN SEPTEMBER IN FLINT, HAP PARTNERED WITH HABITAT FOR HUMANITY TO BUILD HOUSES. THROUGHOUT 2023, HAP JOINED WITH HENRY FORD HEALTH AND HABITAT FOR HUMANITY TO SUPPORT THE RETURN HOME SAFE PROGRAM WHICH IDENTIFIES AT-RISK SENIORS RETURNING FROM THE HOSPITAL WHO REQUIRE MINOR HOME REPAIRS. ONESIGHT: HAP PARTNERED WITH ONESIGHT ESSILOR LUXOTTICA FOUNDATION AND EYE MED FOR A TWO-DAY VISION CLINIC AT GRACE COMMUNITY CHURCH PROVIDING COMMUNITY RESIDENTS FREE EYE EXAMS AND EYEGLASSES.MEALS ON WHEELS WEST MICHIGAN & FOOD BANK OF EASTERN MICHIGAN: WITH OUR EXPANSION INTO MORE WESTERN MICHIGAN COUNTIES IN 2023 WE SPONSORED SEVERAL EVENTS RAISING MONEY TO HELP SUPPORT HAP'S SENIOR NUTRITION PROGRAMS INCLUDING HOME-DELIVERED MEALS, DINING SITES AND SENIOR FOOD PANTRIES.OTHER PROGRAMS WHICH HAP ENGAGED IN 2023 INCLUDE: LIFE REMODELED, AMERICAN HEART ASSOCIATION AND STROKE WALK, HURLEY FOUNDATION COMMUNITY PARTNERSHIP, CASS COMMUNITY SOCIAL SERVICES PARTNERSHIP AND NOAH PROJECT PARTNERSHIP. 1595577641 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 8638 0 1 1140 1 1 1 0 0 0 0 0 0 0 X 16 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MERRILL HAUSENFLUCK 2487763530 2850 WEST GRAND BOULEVARD DETROIT MI 48202 JEFFREY A CHAFFKIN DIRECTOR 1.00 0.00 X 0 0 0 MAMATHA CHAMARTHI DIRECTOR 1.00 0.00 X 0 0 0 JONI MT DAVIS JD DIRECTOR 1.00 0.00 X 0 0 0 CALEB DESROSIERS JD DIRECTOR 1.00 0.00 X 0 0 0 DENISE G ESSENBERG DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL GENORD MD DIRECTOR/PRESIDENT 58.00 7.00 X X 0 1525458 34016 JACALYN S GOFORTH DIRECTOR- CHAIR 2.00 4.00 X X 0 25000 0 JOHN K GORMAN DIRECTOR 1.00 0.00 X 0 0 0 GREGORY JACKSON DIRECTOR 1.00 0.00 X 0 0 0 RAYMOND C LOPE DIRECTOR 1.00 0.00 X 0 0 0 ADNAN R MUNKARAH MD DIRECTOR 1.00 64.00 X 0 2335257 68285 MEERAH RAJAVEL DIRECTOR 1.00 0.00 X 0 0 0 ROBERT G RINEY DIRECTOR 1.00 64.00 X 0 4467923 57039 FELIX M VALBUENA MD DIRECTOR 1.00 0.00 X 0 0 0 CHARLES R BROWNING DIRECTOR 1.00 0.00 X 0 0 0 MARGARET KENNEDY CPA DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY (THRU 9/2023) 2.00 63.00 X 0 1567789 47822 ARCHANA RAJENDRA JD ASSISTANT SECRETARY 55.00 5.00 X 292581 63455 16337 MAJORIE A STATEN JD SECRETARY (START 10/2023) 2.00 63.00 X 0 223236 14695 ROBIN S DAMSCHRODER TREASURER 2.00 63.00 X 0 2407031 61913 K MICHAEL TREASH SVP & COO 55.00 5.00 X 652119 0 32429 CHARLES BLOOM DO CMO 55.00 5.00 X 582673 0 108150 MARGARET ANDERSON CHIEF SALES & MKTING. 55.00 5.00 X 779420 0 41452 MERRILL HAUSENFLUCK CFO 55.00 5.00 X 545600 0 94543 CHRISTINE HARDER SR VP - NETWORK MGMT 55.00 5.00 X 372398 0 77047 PETER WATSON MD VP- CARE MGMT & OUTCOMES 60.00 0.00 X 479377 6762 41570 MARC VANDERBURG VP- ACCT RETENTION & SALES 60.00 0.00 X 446554 0 33935 CHARITY BENNETT VP- TRANSFORMATION 60.00 0.00 X 443060 0 29301 ANNETTE M MARCATH VP & CHIEF INFORMATION OFF 55.00 5.00 X 387272 0 51935 FRANK A BORSCHKE MEDICAL DIRECTOR-HCM 60.00 0.00 X 382446 0 49737 J DOUGLAS CLARK FORMER TREASURER/INT. CFO 0.00 60.00 X 0 652044 60816 5363500 13273955 921022 300 1 1 0 ACCENTURE INTERNATIONAL LIMITED PO BOX 29889 CHICAGO IL 606731289 SOFTWARE SUPPORT & CONSULTING 15993861 SAGILITY LLC 11000 WESTMORE CIRCLE STE 125 WESTMINSTER CO 80021 MAILING, ENROLLMENT SUPPORT 3556637 WEST MONROE PARTNERS LLC 311 MONROE ST 14TH FLOOR CHICAGO IL 60606 CONSULTING 3213102 HEALTH ALLIANCE ADMINISTRATORS INC 39500 HIGH PTE BLVD STE 400 NOVI MI 48075 MAILING/CALLING/ENROLLMENT SUPPORT 2161033 WEBMD HEALTH SERVICES GROUP INC 12186 COLLECTIONS CENTER DR CHICAGO IL 60693 MEDICARE MEMBER WELLNESS VISITS 2111591 183 HEALTH CARE PREMIUMS 524114 1604537217 1604537217 HLTH INS CLAIMS ASSESSMT 624110 2639093 2639093 1607176310 15391128 57121 15334007 98792370 99468889 781825 -676519 -781825 -1458344 -1458344 DELTA DENTAL COMMISSIONS 900099 857722 857722 3342 3342 861064 1621970158 1608034032 57121 13879005 508900 508900 1459182855 1459182855 5217679 2858429 2359250 25899253 19466849 6432404 5516229 4934489 581740 6550718 5859881 690837 7351906 6576576 775330 987262 987262 44000 44000 295902 295902 26632334 24364722 2267612 28809436 28596263 213173 1139398 1085501 53897 18615945 17145303 1470642 3378594 3185542 193052 487974 346627 141347 147738 118542 29196 13578 13578 17953472 16767327 1186145 ADMIN ALLOC FEES 6637584 6637584 ACA TAX 2934288 2934288 EQP REP / MAINT 489753 459749 30004 BANK FEES 477441 477441 3013057 1141798 1871259 1622285296 1595577641 26707655 0 41198799 52192400 202115216 218821941 75041048 79552575 10731216 14601849 228277154 169618893 62628770 58658261 83861255 88836370 38705895 35680518 100008329 120279598 614290528 668623512 67632401 67198955 17517215 14563052 220400285 253314510 305549901 335076517 X 308740627 333546995 308740627 333546995 614290528 668623512 X -315138 3807448 21314058 X X 0 1 X 1 0 976679 622913 353766 30763345 25875872 4887473 196537130 143120108 53417022 58658261 ALLIANCE HEALTH & LIFE INSURANCE CO. 62141433 HAP CARESOURCE 33738009 ASR 13981801 RESTRICTED CASH 1000000 RIGHT OF USE LEASES 9418355 120279598 MEDICAL CLAIMS 142756179 OPERATING & FINANCE LEASE PAYABLE 86760847 PENSION 6111427 CAPITATION PAYABLE 17092761 RETIREE BENEFITS 593296 253314510 X PART X, LINE 2: HAP IS AN ENTITY DESCRIBED UNDER INTERNAL REVENUE CODE SECTION 501(C)(4) AND AS SUCH IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ANY INCOME NOT SUBSTANTIALLY RELATED TO THE ORGANIZATION'S EXEMPT PURPOSE MAY BE CONSIDERED UNRELATED BUSINESS INCOME (UBI) UNDER IRC SECTION 511 AND, AS SUCH, SUBJECT TO TAX AT NORMAL CORPORATE RATES. HAP HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. 0 AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501 (C)(3) 17500 0 ORGANIZATIONAL/COMMUNITY SUPPORT GRAND RAPIDS CHAMBER OF COMMERCE 250 MONROE AVE NW STE 150 GRAND RAPIDS MI 49503 380592500 501 (C)(6) 13250 0 ORGANIZATIONAL/COMMUNITY SUPPORT HANNAN CENTER 4750 WOODWARD AVE DETROIT MI 48201 814810239 501 (C)(3) 7500 0 ORGANIZATIONAL/COMMUNITY SUPPORT GILDA'S CLUB GRAND RAPIDS 1806 BRIDGE ST NW GRAND RAPIDS MI 49504 383367525 501 (C)(3) 5500 0 ORGANIZATIONAL/COMMUNITY SUPPORT GREATER FLINT ARTS COUNCIL 816 SAGINAW ST FLINT MI 48502 382156116 501 (C)(3) 6000 0 ORGANIZATIONAL/COMMUNITY SUPPORT MEALS ON WHEELS WESTERN MICHIGAN 2900 WILSON AVE STE 500 GRANDVILLE MI 49418 382535537 501 (C)(3) 10000 0 ORGANIZATIONAL/COMMUNITY SUPPORT MICHIGAN HUMANE SOCIETY 30300 TELEGRAPH RD STE 220 BINGHAM FARMS MI 48025 381358206 501 (C)(3) 25000 0 ORGANIZATIONAL/COMMUNITY SUPPORT PONTIAC COMMUNITY FOUNDATION INC PO BOX 431362 PONTIAC MI 48343 825321502 501 (C)(3) 8500 0 ORGANIZATIONAL/COMMUNITY SUPPORT CRIM FITNESS FOUNDATION INC 452 S SAGINAW ST STE 1 FLINT MI 48502 382595169 501 (C)(3) 90000 0 ORGANIZATIONAL/COMMUNITY SUPPORT DDP BIKE SHARE CORPORATION ONE CAMPUS MARTIUS STE 380 DETROIT MI 48226 811577310 501 (C)(3) 150000 0 ORGANIZATIONAL/COMMUNITY SUPPORT GRAND BLANC CHAMBER OF COMMERCE 250 MONROE AVE NW STE 150 GRAND RAPIDS MI 49503 380592500 501 (C)(6) 7000 0 ORGANIZATIONAL/COMMUNITY SUPPORT HENRY FORD HEALTH SYSTEM 1 FORD PLACE 5A DETROIT MI 48202 381357020 501 (C)(3) 25000 0 ORGANIZATIONAL/COMMUNITY SUPPORT IZZO LEGACY 2299 W GRAND RIVER OKEMOS MI 48864 834132225 501 (C)(3) 25000 0 ORGANIZATIONAL/COMMUNITY SUPPORT LAHC LEADERS ADVANCING AND HELPING COMM 5275 KENILWORTH ST DEARBORN MI 48126 383081799 501 (C)(3) 8000 0 ORGANIZATIONAL/COMMUNITY SUPPORT LEADERSHIP OAKLAND 1500 UNIVERSITY DR STE 203 AUBURN HILLS MI 48326 383390575 501 (C)(3) 9500 0 ORGANIZATIONAL/COMMUNITY SUPPORT RUTH ELLIS CENTER INC 95 VICTOR ST HIGHLAND PARK MI 48203 383501697 501 (C)(3) 10000 0 ORGANIZATIONAL/COMMUNITY SUPPORT SENIOR NEIGHBORS INC 678 FRONT AVE NW STE 205 GRAND RAPIDS MI 49504 237155491 501 (C)(3) 6150 0 ORGANIZATIONAL/COMMUNITY SUPPORT UNIVERSITY OF DETROIT MERCY 4001 W MCNICHOLS RD DETROIT MI 48221 381360586 501 (C)(3) 20000 0 ORGANIZATIONAL/COMMUNITY SUPPORT UPTOWN REINVESTMENT CORPORATION 300 E FIRST ST FLINT MI 48502 383493359 501 (C)(3) 35000 0 ORGANIZATIONAL/COMMUNITY SUPPORT 17 2 PART I, LINE 2: THE COMMUNITY OUTREACH DEPARTMENT MONITORS GRANTS PAID TO CHARITABLE AND GOVERNMENTAL ENTITIES. X X X X 1 1 0 1 0 0 0 1 0 0 0 ROBERT G RINEY DIRECTOR 0 2165620 0 1535761 0 766542 0 27441 0 29598 0 4524962 0 0 ROBIN S DAMSCHRODER TREASURER 0 1396213 0 563406 0 447412 0 27441 0 34472 0 2468944 0 0 ADNAN R MUNKARAH MD DIRECTOR 0 1372925 0 523983 0 438349 0 27441 0 40844 0 2403542 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY (THRU 9/2023) 0 911978 0 367252 0 288559 0 22491 0 25331 0 1615611 0 0 MICHAEL GENORD MD DIRECTOR/PRESIDENT 0 880670 0 387967 0 256821 0 5399 0 28617 0 1559474 0 0 MARGARET ANDERSON CHIEF SALES & MKTING. 397891 0 140732 0 240797 0 16500 0 24952 0 820872 0 156875 0 J DOUGLAS CLARK FORMER TREASURER/INT. CFO 0 417150 0 149080 0 85814 0 27441 0 33375 0 712860 0 0 CHARLES BLOOM DO CMO 430022 0 150029 0 2622 0 70174 0 37976 0 690823 0 0 0 K MICHAEL TREASH SVP & COO 445795 0 151815 0 54509 0 4950 0 27479 0 684548 0 0 0 MERRILL HAUSENFLUCK CFO 421668 0 77253 0 46679 0 64233 0 30310 0 640143 0 0 0 PETER WATSON MD VP- CARE MGMT & OUTCOMES 347950 -138 128805 0 2622 6900 4950 311 36309 0 520636 7073 0 0 MARC VANDERBURG VP- ACCT RETENTION & SALES 200993 0 34167 0 211394 0 15473 0 18462 0 480489 0 0 0 CHARITY BENNETT VP- TRANSFORMATION 273803 0 145947 0 23310 0 15998 0 13303 0 472361 0 0 0 CHRISTINE HARDER SR VP - NETWORK MGMT 223589 0 95067 0 53742 0 45208 0 31839 0 449445 0 0 0 ANNETTE M MARCATH VP & CHIEF INFORMATION OFF 285134 0 76871 0 25267 0 23890 0 28045 0 439207 0 0 0 FRANK A BORSCHKE MEDICAL DIRECTOR-HCM 281772 0 76918 0 23756 0 16500 0 33237 0 432183 0 0 0 ARCHANA RAJENDRA JD ASSISTANT SECRETARY 194149 62512 64473 0 33959 943 9885 566 4754 1132 307220 65153 0 0 MAJORIE A STATEN JD SECRETARY (START 10/2023) 0 187185 0 33653 0 2398 0 2866 0 11829 0 237931 0 0 PART I, LINE 1A IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY, NO TAXABLE INCOME IS REPORTED. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP RECEIVE MEMBERSHIP TO SOCIAL CLUBS INTENDED TO FURTHER THE BUSINESS NEEDS OF THE ORGANIZATION. USAGE IS REIMBURSED ON A CASE-BY-CASE BASIS BASED UPON DOCUMENTATION OF BUSINESS PURPOSE. IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS, THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. PART I, LINE 3 THE CHIEF EXECUTIVE OFFICER FOR HEALTH ALLIANCE PLAN IS AN EMPLOYEE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH, HAP'S PARENT COMPANY. HENRY FORD HEALTH HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL INDEPENDENT TRUSTEES. THE COMMITTEE MEETS THROUGHOUT THE YEAR AND IS CHARGED WITH THE APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER OF HAP. THE COMMITTEE DIRECTLY ENGAGES AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. PART I, LINE 4B PART I - 4B: CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM (SERP 457(F) PLAN) THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE EMPLOYEES THAT RECEIVED THIS TAXABLE BENEFIT ARE ALSO OFFICERS AND OR KEY EMPLOYEES OF THE COMPANY. 4B: HAP SERP 457(F) PLAN PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 K. MICHAEL TREASH 54,509 - - 54,509 MARGARET ANDERSON 208,175 - - 208,175 CHARLES BLOOM, D.O. - - 65,224 - CHRISTINE HARDER - - 29,045 - MERRILL HAUSENFLUCK - - 47,733 - 4B: HFH SERP 457(F) PLAN PARTICIPANT ACCRUAL TAXABLE NON-TAXABLE NON-VESTED REPORTABLE - DISTRIBUTION DISTRIBUTION W-2 MICHELLE JOHNSON TIDJANI 220,161 - - - 220,161 ADNAN R. MUNKARAH, M.D. 359,641 - - - 359,641 MICHAEL GENORD, M.D. 228,968 - - - 228,968 J DOUGLAS CLARK 54,170 - - - 54,170 ROBIN DAMSCHRODER 370,240 - - - 370,240 ROBERT RINEY 736,518 - - - 736,518 4B: HFH NONQUALIFIED 457(B) PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2023 CONTR. TAX GROSS-UP W-2 AMOUNTS J. DOUGLAS CLARK 22,500 - - 22,500 ADNAN R. MUNKARAH, M.D. 22,500 - - 22,500 MICHAEL GENORD, M.D. 22,500 - - 22,500 MICHELLE JOHNSON TIDJANI 19,904 - - 19,904 ROBERT RINEY 22,500 - - 22,500 ROBIN DAMSCHRODER 22,500 - - 22,500 4B: HAP NONQUALIFIED 457(B) PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS CHRISTINE HARDER 22,500 - - 22,500 FORM 990, PART VI, SECTION A, LINE 6 HAP IS A NONPROFIT MEMBER CORPORATION. THE RESPONSIBILITY FOR THE OVERALL GOVERNANCE OF THE CORPORATION IS SHARED BETWEEN THE MEMBER AND THE BOARD OF DIRECTORS. HAP'S SOLE MEMBER IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"), A 501(C)(3) CORPORATION. THE PRESIDENT AND CEO OF HF HEALTH SERVES ON THE HAP BOARD OF DIRECTORS. THE PRESIDENT AND CEO OF HAP, WHO IS ALSO AN EMPLOYEE OF HF HEALTH, SERVES ON THE HAP BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE HAP BOARD OF DIRECTORS IS CURRENTLY COMPRISED OF 16 DIRECTORS. TWO DIRECTORS ARE EX OFFICIO DIRECTORS: CEO OF THE MEMBER (HF HEALTH) AND PRESIDENT OF HAP (ALSO AN EMPLOYEE OF THE MEMBER). ALL DIRECTORS ARE APPOINTED BY THE MEMBER'S BOARD OF DIRECTORS AND INCLUDE AN HF HEALTH APPOINTED ENROLLEE REPRESENTATIVE (AN INDIVIDUAL WHO REPRESENTS THE HEALTH MAINTENANCE ORGANIZATION'S MEMBERSHIP OF HAP) AND A HF HEALTH APPOINTED PHYSICIAN DIRECTOR (A MEMBER OF THE HENRY FORD MEDICAL GROUP, OR CREDENTIALED WITHIN HF HEALTH). AS INDICATED BELOW, THE MEMBER MAY REMOVE THE HAP PRESIDENT AND CEO AND ANY OF THE APPOINTED DIRECTOR, WITH OR WITHOUT CAUSE. THE MEMBER APPROVES RECOMMENDATIONS OF THE HAP BOARD OF DIRECTORS REGARDING THE APPOINTMENT/REMOVAL OF THE HAP PRESIDENT AND CEO, AMENDMENTS TO THE HAP ARTICLES OF INCORPORATION AND BYLAWS, BUDGET, MERGERS AND ACQUISITIONS AND POTENTIAL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING RESERVED POWERS UNDER THE HAP BYLAWS: 1)APPOINT THE CHAIRPERSON OF THE HAP BOARD OF DIRECTORS. 2)ADOPT AN AGREEMENT OF MERGER OR CONSOLIDATION, OR APPROVE THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF HAP'S PROPERTY AND ASSETS. 3)APPROVE THE TRANSFER OF ASSETS TO OTHER ORGANIZATIONS AND INDIVIDUALS IF SUCH TRANSFERS IN ANY FISCAL YEAR EXCEED FIVE PERCENT (5%) OF THE HAP'S TOTAL ASSETS. 4)ADMIT A PERSON OR ENTITY AS A NEW MEMBER OR TERMINATE THE MEMBERSHIP OF A MEMBER. 5)AMEND HAP'S ARTICLES OF INCORPORATION OR BYLAWS UPON APPROVAL BY THE HAP BOARD OF DIRECTORS. 6)APPOINT OR REMOVE THE HAP PRESIDENT. 7)DISSOLVE OR REVOKE THE DISSOLUTION OF HAP. 8)APPROVE HAP'S CAPITAL AND OPERATING BUDGETS. 9)TRANSFER ASSETS OF HAP, OR TO REQUIRE HAP TO TRANSFER ASSETS, TO THE MEMBER OR ITS ASSIGNEE(S) OR DESIGNEE(S) UPON DEMAND, WHETHER WITHIN OR WITHOUT THE STATE OF DOMICILE OF THE CORPORATION, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MEMBER'S GOALS AND OBJECTIVES. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS THE ORGANIZATION USES TO REVIEW FORM 990 PRIOR TO FILING WITH THE IRS: - REVIEW OF THE ENTIRE RETURN WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF EXECUTIVE OFFICER. - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES. - REVIEW OF THE RETURN WITH THE HAP FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. - PROVIDE A COPY OF THE RETURN TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE PROCESS FOR REGULARLY AND CONSISTENTLY MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FOR ALL DIRECTORS AND OFFICERS: HAP HAS A ROBUST COMPLIANCE PROGRAM. THE PROGRAM REQUIRES ALL DIRECTORS AND OFFICERS OF HAP TO COMPLETE A CONFLICT OF INTEREST DOCUMENT. THE DOCUMENTS ARE REVIEWED AND MAINTAINED BY THE COMPLIANCE OFFICER. IN ADDITION, HAP IS REQUIRED TO SUBMIT BOARD DISCLOSURE STATEMENTS TO THE MICHIGAN OFFICE OF FINANCE AND INSURANCE REGULATIONS. THUS, ON AN ANNUAL BASIS, ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, AND OTHERS SUBJECT TO IRS FORM 990 REPORTING ARE REQUESTED TO COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. IN ADDITION, THEY ARE PROVIDED A COPY OF THE POLICY. THE COMPLIANCE OFFICER TRACKS RECEIPT OF THE CONFLICT OF INTEREST QUESTIONNAIRE AND FOLLOWS-UP ON ANY IDENTIFIED CONFLICTS. ALL CONFLICTS ARE REPORTED TO THE HAP BOARD OF DIRECTORS' AUDIT COMMITTEE, AND THE PRESIDENT AND CEO FOR REVIEW AND RESOLUTION. ALL DIRECTORS AND OFFICERS ARE REQUIRED, UNDER THE POLICY, TO REPORT TO THE COMPLIANCE OFFICER ANY CONFLICTS THAT MAY ARISE DURING THE YEAR. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY - THE BOARD DETERMINES IF THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 PART VI SECTION B, QUESTION 15A & B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") WHO HAS THE RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICE OF THE ORGANIZATION. HF HEALTH HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL EXTERNAL TRUSTEES. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CFO, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURE TO BE MADE ON FORM 990 IN ADVANCE OF FILING. FORM 990, PART VI, SECTION C, LINE 19 THE PROCESS OF MAKING GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC: HAP IS COMMITTED TO TRANSPARENCY. THEREFORE, HAP CONSISTENTLY AND REGULARLY DISCLOSES MOST INFORMATION TO OUR PROVIDERS, CONSUMERS, AND EMPLOYER GROUPS. HAP'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE INTERNET. HAP BYLAWS, ARTICLES OF INCORPORATION, AND FINANCIAL STATEMENTS ARE SUBMITTED TO THE MICHIGAN OFFICE OF FINANCIAL AND INSURANCE REGULATIONS. THEY ARE AVAILABLE TO THE PUBLIC THROUGH A FREEDOM OF INFORMATION ACT REQUEST TO THIS AGENCY. ALSO, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). IN ADDITION, HAP WILL PROVIDE ITS FORM 990 TO ANYONE WHO REQUESTS TO VIEW IT OR TO RECEIVE A COPY OF THE FORM 990. THE FORM 990 IS ALSO AVAILABLE FOR VIEWING ON THE FOLLOWING WEBSITE: WWW.GUIDESTAR.ORG FORM 990, PART XI, LINE 9: HAP PENSION ADJUSTMENT 1,010,074. CHANGE IN VALUE OF SUBSIDIARIES 20,303,984. FORM 990, PART XII - LINE 2C HEALTH ALLIANCE PLAN OF MICHIGAN IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH. THE GOVERNING BODY OF HF HEALTH HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH. FORM 990, PART VII AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HENRY FORD HEALTH AND AFFILIATES PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH AND AFFILIATES USE ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITALS OR AFFILIATES ARE REPORTED AT BETWEEN 1 TO 5 HOURS PER WEEK. HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 N/A 0 HENRY FORD MACOMB HOSPITAL CORPORATION ONE FORD PLACE DETROIT MI 48202 382947657 HEALTHCARE SERVICE PROVIDER DE 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH SYSTEM FOUNDATION ONE FORD PLACE DETROIT MI 48202 237383042 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I HENRY FORD HEALTH SYSTEM 1 HENRY FORD WYANDOTTE HOSPITAL 2333 BIDDLE AVE WYANDOTTE MI 48192 382791823 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD ALLEGIANCE HEALTH GROUP 205 N EAST AVENUE JACKSON MI 49201 382756428 EXEMPT ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 HFII CORPORATION ONE FORD PLACE DETROIT MI 48202 900840304 SCIENTIFIC RESEARCH MI 501(C)(3) LINE 7 HENRY FORD HEALTH SYSTEM 1 HENRY FORD GOVERNMENT AFFAIRS SERVICES ONE FORD PLACE DETROIT MI 48202 464064067 ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 ALLEGIANCE HEALTH FOUNDATION 205 N EAST AVENUE JACKSON MI 49201 383607833 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD ALLEGIANCE HEALTH GROUP 1 HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE 205 N EAST AVENUE JACKSON MI 49201 382336367 HOSPICE CARE MI 501(C)(3) LINE 7 HEALTHLINK 1 HEALTHLINK 205 N EAST AVENUE JACKSON MI 49201 382756425 HOME HEALTH CARE MI 501(C)(3) LINE 12A, I HENRY FORD ALLEGIANCE HEALTH GROUP 1 CARELINK OF JACKSON 110 NORTH ELM AVENUE JACKSON MI 49201 381218485 LONG TERM ACUTE HOSPITAL MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 1 WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL 205 N EAST AVENUE JACKSON MI 49201 382027689 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 1 THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND 3031 WEST GRAND BOULEVARD NO 800 DETROIT MI 48202 382682321 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 HENRY FORD PHYSICIAN PARTNERS ONE FORD PLACE DETROIT MI 48202 871633901 PHYSICIAN SERVICES MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH PARENT ONE FORD PLACE- 5F DETROIT MI 48202 934079536 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 NORTHWEST DETROIT DIALYSIS 30100 TELEGRAPH BINGHAM FARMS MI 48025 383232668 OPERATE DIALYSIS CLINIC MI N/A 0 0 MACOMB REGIONAL DIALYSIS CENTERS 16151 NINETEEN MILE RD CLINTON TOWNSHIP MI 48038 260423581 OPERATE DIALYSIS CLINIC MI N/A 0 0 FOOTE HEALTH CARE ASSOCIATES 1100 E MICHIGAN AVENUE JACKSON MI 49201 383017711 LESSOR OF MEDICAL CONDOMINIUMS MI N/A 0 0 HFHS-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 465291602 OUTPATIENT SURGERY CLINICS MI N/A 0 0 HAP EMPOWERED HOLDING LLC 3031 WEST GRAND BOULEVARD DETROIT MI 48083 922877012 HOLDING COMPANY DE HEALTH ALLIANCE PLAN RELATED 20236867 0 1 0.60000 ALLIANCE HEALTH AND LIFE INSURANCE COMPANY 3031 WEST GRAND BOULEVARD DETROIT MI 48202 383291563 HEALTH INSURANCE MI HEALTH ALLIANCE PLAN C 454030706 151806995 1.00000 1 SHA REALTY INC ONE FORD PLACE DETROIT MI 48202 381378121 REAL ESTATE HOLDING MI HENRY FORD HEALTH SYSTEM C 1 FAIRLANE HEALTH SERVICES 30100 TELEGRAPH BINGHAM FARMS MI 48025 382565235 HEALTHCARE MANAGEMENT MI HENRY FORD HEALTH SYSTEM C 1 ONIKA INSURANCE LTD FIRST CARRIBEAN HOUSE GRAND CAYMAN CJ CAPTIVE INSURANCE CJ HENRY FORD HEALTH SYSTEM C 1 HAP CARESOURCE 3031 WEST GRAND BOULEVARD DETROIT MI 48202 383123777 HEALTH INSURANCE MI HEALTH ALLIANCE PLAN OF MICHIGAN C 185654411 62047858 0.60000 1 ADMINISTRATION SYSTEMS RESEARCH CORPORATION 3031 WEST GRAND BOULEVARD DETROIT MI 48202 382651185 THIRD PARTY ADMINISTRATOR MI HEALTH ALLIANCE PLAN C 32231000 16699000 1.00000 1 HENRY FORD PHYSICIAN NETWORK ONE FORD PLACE DETROIT MI 48202 320306774 PHYSICIAN NETWORK MI HENRY FORD HEALTH SYSTEM C 1 HENRY FORD ALLEGIANCE PHARMACY 205 N EAST AVENUE JACKSON MI 49201 383370242 PHARMACY MI HENRY FORD ALLEGIANCE HEALTH GROUP C 1 HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION 1150 ELIJAH MCCOY DR DETROIT MI 48202 852144748 CONDOMINUM ASSOCATION MI HENRY FORD HEALTH SYSTEM C 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 WA FOOTE MEMORIAL HOSPITAL M 7485894 FAIR MARKET VALUE HENRY FORD WYANDOTTE HOSPITAL M 25517039 FAIR MARKET VALUE HENRY FORD MACOMB HOSPITAL CORPORATION M 36042875 FAIR MARKET VALUE NORTHWEST DETROIT DIALYSIS CENTER M 1921255 FAIR MARKET VALUE MACOMB REGIONAL DIALYSIS M 312236 FAIR MARKET VALUE ALLIANCE HEALTH & LIFE INSURANCE COMPANY Q 71684654 FAIR MARKET VALUE ADMINISTRATIVE SYSTEMS RESEARCH Q 30005103 FAIR MARKET VALUE HAP CARESOURCE Q 3322177 FAIR MARKET VALUE SCHEDULE R, PART V, LINE 1D & 1E: THE ORGANIZATION, AS A DESIGNATED AFFILIATE, IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM CREDIT GROUP. MEMBERS OF THE CREDIT GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016, 2019 AND 2022 HFHS BOND MASTER INDENTURES. 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.