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← BLUE CROSS AND BLUE SHIELD OF MICHIGAN FOUNDATION

Form 990 for tax year 2023

Filed by BLUE CROSS AND BLUE SHIELD OF MICHIGAN FOUNDATION.

Totals

Total revenue
$1,117,173
Total expenses
$3,245,936
Contributions and grants received
$17,808
Grants paid
$1,525,128
Program services expenses (Part IX)
$2,489,300
Management and general expenses
$756,636
Fundraising expenses
$0
Program service expenses (Part III)
$2,489,300

Program services were 76.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAMES HAVEMAN

    TREASURER & DIRECTOR

    Total calculated
    $35,072
    From this org
    $35,072
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • JOEL FERGUSON

    DIRECTOR & VICE-CHAIR

    Total calculated
    $25,072
    From this org
    $25,072
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • LYNDA ROSSI

    PRESIDENT & EXEC VP

    Total calculated
    $5,074,955
    From this org
    $0
    From related orgs
    $4,433,228
    Other
    $641,727
    Hours/week
    1 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $841,678 related
    Bonus
    $0 + $3,332,739 related
    Other
    $0 + $258,811 related
    Deferred
    $0 + $613,300 related
    Nontaxable benefits
    $0 + $28,427 related
    Filer's total
    $0 + $5,074,955 related

  • SHAUNA RYDER DIGGS MD

    CHAIR & DIRECTOR

    Total calculated
    $45,000
    From this org
    $45,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • BRUCE WOLF

    DIRECTOR

    Total calculated
    $30,000
    From this org
    $30,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • FARIS AHMAD MD

    DIRECTOR (Thru 4/23) & MEDICAL DIRECTOR

    Total calculated
    $460,764
    From this org
    $0
    From related orgs
    $399,165
    Other
    $61,599
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $293,952 related
    Bonus
    $0 + $89,362 related
    Other
    $0 + $15,851 related
    Deferred
    $0 + $37,690 related
    Nontaxable benefits
    $0 + $23,909 related
    Filer's total
    $0 + $460,764 related

  • HAIFA FAKHOURI PHD

    DIRECTOR

    Total calculated
    $25,072
    From this org
    $25,072
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • JAMES GRANT MD

    DIRECTOR & SVP

    Total calculated
    $2,126,018
    From this org
    $0
    From related orgs
    $2,105,384
    Other
    $20,634
    Hours/week
    1 + 63.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $702,260 related
    Bonus
    $0 + $1,048,731 related
    Other
    $0 + $354,393 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,634 related
    Filer's total
    $0 + $2,126,018 related

  • PAUL HILLEGONS

    DIRECTOR

    Total calculated
    $25,072
    From this org
    $25,072
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • AUDREY J HARVEY

    EXECUTIVE DIRECTOR & CEO

    Total calculated
    $1,007,427
    From this org
    $0
    From related orgs
    $836,719
    Other
    $170,708
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $333,731 related
    Bonus
    $0 + $455,594 related
    Other
    $0 + $47,394 related
    Deferred
    $0 + $139,747 related
    Nontaxable benefits
    $0 + $30,961 related
    Filer's total
    $0 + $1,007,427 related

  • Benjamin Grier

    TREASURER

    Total calculated
    $374,204
    From this org
    $0
    From related orgs
    $320,221
    Other
    $53,983
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $47,084 related
    Bonus
    $0 + $56,844 related
    Other
    $0 + $216,293 related
    Deferred
    $0 + $48,134 related
    Nontaxable benefits
    $0 + $5,849 related
    Filer's total
    $0 + $374,204 related

  • THOMAS SIMMER

    SVP & CHIEF MEDICAL OFFICER

    Total calculated
    $520,455
    From this org
    $0
    From related orgs
    $520,455
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $514,062 related
    Other
    $0 + $6,393 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $520,455 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION PROCESS FOR TOP OFFICIAL 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 EXECUTIVE DIRECTOR AND CEO'S COMPENSATION. THE COMPENSATION RECOMMENDATIONS ARE REVIEWED BY BLUE CROSS BLUE SHIELD OF MICHIGAN (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control payment
BENJAMIN GRIER - $183,367
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE NONQUALIFIED PENSION PLAN PROVIDES RETIREMENT BENEFITS FOR A GROUP OF KEY EMPLOYEES UNDER NONQUALIFIED DEFINED PENSION PLANS. THE GENERAL PURPOSE OF THE PLAN IS TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO PARTICIPANTS WHO ARE SUBJECT TO THE CONTRIBUTION AND BENEFIT LIMITATION APPLICABLE TO TAX-QUALIFIED PLANS UNDER IRC. BENEFITS UNDER THE PLAN ARE FUNDED AND PAID OUT OF THE GENERAL ASSETS OF THE CORPORATION. THESE AMOUNTS ARE ACCRUED AND ELIGIBLE TO BE PAID OUT WITHIN 2023. AUDREY J. HARVEY - NONQUALIFIED- 32,846 LYNDA ROSSI - NONQUALIFIED- 392,407 FARIS AHMAD, M.D. - NONQUALIFIED- 3,487

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202403209349312680

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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