Totals
- Total revenue
- $4,804,963,335
- Total expenses
- $5,047,420,488
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $4,701,770,256
- Investment income
- $103,193,079
- Other revenue
- $0
- Total assets, end of year
- $2,410,029,020
- Total liabilities, end of year
- $883,770,301
- Net assets or fund balances, end of year
- $1,526,258,719
- Program services expenses (Part IX)
- $4,431,091,454
- Management and general expenses
- $616,329,034
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,431,091,454
Program services were 87.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1a · Federated campaigns
$0
-
1b · Membership dues
$0
-
1c · Fundraising events
$0
-
1d · Related organizations
$0
-
1e · Government grants (contributions)
$0
-
1f · All other contributions, gifts and grants
$0
-
1g · Noncash contributions included above
$0
-
2a · Program service revenue: PREPAID HEALTH CARE
total $4,650,398,962 · related or exempt $4,650,398,962
-
2b · Program service revenue: SELF-FUNDED REVENUE
total $51,355,790 · related or exempt $51,355,790
-
2c · Program service revenue: NON-SUBSCRIBER REVENUE
total $15,504 · related or exempt $15,504
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $64,356,492 · unrelated business -$533,970 · excluded $64,890,462
-
4 · Income from investment of tax-exempt bond proceeds
total $0 · related or exempt $0
-
5 · Royalties
total $0 · related or exempt $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0 · related or exempt $0
-
7a · Gross sales of assets other than inventory
securities $12,126,279,124 · other assets $0
-
7b · Less cost or other basis and sales expenses
securities $12,087,442,537 · other assets $0
-
7c · Gain or loss
securities $38,836,587 · other assets $0
-
7d · Net gain or loss
total $38,836,587 · related or exempt $0 · unrelated business $1,578,113 · excluded $37,258,474
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
4 · Benefits paid to or for members
total $4,227,523,677 · program services $4,227,523,677
-
5 · Compensation of officers, directors and key employees
total $355,824 · program services $355,824
-
7 · Other salaries and wages
total $305,206,665 · program services $123,288,549 · management and general $181,918,116
-
10 · Payroll taxes
total $15,513,918 · program services $6,279,875 · management and general $9,234,043
-
11b · Fees: legal
total $44,477,631 · program services $1,207,594 · management and general $43,270,037
-
11c · Fees: accounting
total $16,685,776 · program services $7,032,391 · management and general $9,653,385
-
11f · Fees: investment management
total $4,029,609 · management and general $4,029,609
-
11g · Fees: other
total $0 · program services $0 · management and general $0 · fundraising $0
-
12 · Advertising and promotion
total $5,928,543 · program services $2,399,813 · management and general $3,528,730
-
13 · Office expenses
total $9,511,728 · program services $3,850,250 · management and general $5,661,478
-
16 · Occupancy
total $6,399,188 · program services $2,697,464 · management and general $3,701,724
-
17 · Travel
total $2,801,448 · program services $1,133,997 · management and general $1,667,451
-
22 · Depreciation, depletion and amortization
total $58,943,849 · program services $23,859,865 · management and general $35,083,984
-
23 · Insurance
total $1,584,837 · program services $550,448 · management and general $1,034,389
-
24a · Other expenses: AGENT/BROKER FEES
total $106,931,989 · program services $300 · management and general $106,931,689
-
24b · Other expenses: ALL OTHER EXPENSES
total $103,446,161 · program services $1,455,278 · management and general $101,990,883
-
24c · Other expenses: CLAIMS ADJUSTMENTS
total $58,368,150 · program services $27,781,391 · management and general $30,586,759
-
24d · Other expenses: PREMIUM DEFICIENCY RESERVE
total $34,465,092 · management and general $34,465,092
-
24e · All other expenses
total $45,246,403 · program services $1,674,738 · management and general $43,571,665 · fundraising $0
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $61,348,005 · end of year $187,478,333
-
4 · Accounts receivable
beginning of year $367,150,278 · end of year $311,235,871
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10b · Land, buildings and equipment: accumulated depreciation
$0
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
11 · Investments: publicly traded securities
beginning of year $2,191,030,845 · end of year $1,911,314,616
-
12 · Investments: other securities
beginning of year $200 · end of year $200
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $0 · end of year $0
-
17 · Accounts payable and accrued expenses
beginning of year $333,099,298 · end of year $405,796,219
-
19 · Deferred revenue
beginning of year $92,744,204 · end of year $101,644,971
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $50,044,625 · end of year $0
-
25 · Other liabilities
beginning of year $359,407,221 · end of year $376,329,111
-
29 · Capital stock, trust principal or current funds
beginning of year $10,000 · end of year $10,000
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $152,249,736 · end of year $152,249,736
-
31 · Retained earnings, endowment or other funds
beginning of year $1,631,974,244 · end of year $1,373,998,983
Mission and programs · 2024
Mission
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.
Activities or mission (Part I)
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.
-
BCN'S PROGRAM SERVICE ACCOMPLISHMENTS: BCN IS COMMITTED TO SUPPORT PEOPLE HELPING PEOPLE, TO PROMOTE HEALTH AND PEACE OF MIND THROUGH HIGH QUALITY CARE AND SERVICE, AND PARTNERING TO MANTAIN AND IMPROVE HEALTH. BCN 2024 STATISTICS: HEALTH CARE SERVICES-MEMBER BASED AS WELL AS FEE-FOR-SERVICE, 655,815 MEMBERS AND 7,274,593 AMBULATORY ENCOUNTERS. 2024 COMMUNITY BENEFIT - BCN PARTIPATED IN 68 SEPARATE ACTIVITIES, TOTALING OVER $323,027. THIS WAS ACCOMPLISHED THROUGH COMMUNITY OUTREACH AND CHARITABLE CONTRIBUTIONS, TO BENEFIT THE GENERAL PUBLIC AND SUPPORT WELLNESS. CONNECTIONS WITH INDIVIDUALS AND SMALL BUSINESSES HELPED SUPPORT MULTIPLE HEALTH INITIATIVES. 2024 SOCIAL MISSION AND PUBLIC AFFAIRS - BCN IS COMMITTED TO IMPROVE THE HEALTH OF MICHIGAN RESIDENTS, WITH SPECIAL EMPHASIS ON THE HEALTH AND WELLNESS OF CHILDREN AND SENIORS, WHILE REDUCING THE COST OF HEALTH CARE. PROACTIVE INITIATIVES INCLUDE NUTRITION AND HEALTHY LIFESTYLES, HEALTHY AGING AND MENTAL HEALTH. PRINCIPLES INCLUDE EMPOWERING INDIVIDUALS AND COMMUNITIES TO TAKE ACTIVE ROLES IN CREATING A CULTURE OF HEALTH; PROVIDING LEADERSHIP AS AN INFORMED CONVENER AND EDUCATOR TO HELP RAISE AWARENESS AND UNDERSTANDING OF IMPORTANT HEALTH ISSUES AND EFFECTIVE APPROACHES.
Expenses $4,369,201,004 · Revenue $4,643,915,372
-
PROGRAM EXPENSES RELATED TO SELF-FUNDED BUSINESS AS A RESULT OF A RECENT CHANGE IN THE MICHIGAN INSURANCE CODE. HEALTH MAINTENANCE ORGANIZATIONS ARE PERMITTED TO DIRECTLY CONTRACT WITH GROUPS TO ADMINISTER SELF-FUNDED GROUP HEALTH PLANS. EFFECTIVE JANUARY 1, 2018 BCN BEGAN PROVIDING ADMINISTERING SERVICE ONLY (ASO) PLANS THAT ARE SUBSTANTIALLY RELATED TO BCN'S EXEMPT PURPOSES. AS A 501(C)(4) ENTITY BCN IS PROVIDING THE SAME CLAIMS PROCESSING, ADMINISTRATIVE SERVICES AND PROVIDER NETWORK FOR ITS ASO CUSTOMERS AS IT DOES FOR THE UNDERWRITTEN CUSTOMERS.
Expenses $61,890,450 · Revenue $57,854,884
As filed on the 2024 return.
Listed in Part VII
-
Kathryn Levine
VP & Pres & CEO BCN
- Total calculated
- $2,129,807
- From this org
- $0
- From related orgs
- $1,751,614
- Other
- $378,193
- Hours/week
- 25 + 30 related
Schedule J breakdown matched by us
- Base
- $0 + $674,514 related
- Bonus
- $0 + $904,384 related
- Other
- $0 + $172,716 related
- Deferred
- $0 + $325,531 related
- Nontaxable benefits
- $0 + $52,662 related
- Filer's total
- $0 + $2,129,807 related
-
Paul Mozak
Director & Officer - EVP & CFO
- Total calculated
- $4,463,991
- From this org
- $0
- From related orgs
- $3,958,896
- Other
- $505,095
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $944,712 related
- Bonus
- $0 + $2,779,972 related
- Other
- $0 + $234,212 related
- Deferred
- $0 + $475,977 related
- Nontaxable benefits
- $0 + $29,118 related
- Filer's total
- $0 + $4,463,991 related
-
Bruce Wolf
Director
- Total calculated
- $105,231
- From this org
- $75,231
- From related orgs
- $30,000
- Other
- $0
- Hours/week
- 1 + 1 related
-
Gregory Sudderth
Director
- Total calculated
- $67,737
- From this org
- $67,737
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Julie Angott
Director
- Total calculated
- $75,352
- From this org
- $75,352
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Kenneth Dallafior
EVP President Hlth Plan Bus
- Total calculated
- $5,825,198
- From this org
- $0
- From related orgs
- $5,442,447
- Other
- $382,751
- Hours/week
- 3 + 52 related
Schedule J breakdown matched by us
- Base
- $0 + $1,069,167 related
- Bonus
- $0 + $3,982,694 related
- Other
- $0 + $390,586 related
- Deferred
- $0 + $320,740 related
- Nontaxable benefits
- $0 + $62,011 related
- Filer's total
- $0 + $5,825,198 related
-
Mary Ann Weaver
Director
- Total calculated
- $67,572
- From this org
- $67,572
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Masao Roy Wilson MD
Director
- Total calculated
- $75,324
- From this org
- $75,324
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Melvin Larsen
Director chairperson
- Total calculated
- $75,072
- From this org
- $75,072
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Paula Manderfield
Director
- Total calculated
- $75,636
- From this org
- $75,636
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Richard Posthumus
Director
- Total calculated
- $67,572
- From this org
- $67,572
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Robert Paul Kelch
Director
- Total calculated
- $67,572
- From this org
- $67,572
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Sarah Doyle
Director
- Total calculated
- $67,542
- From this org
- $67,542
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Valeriah A Holmon
Director
- Total calculated
- $67,954
- From this org
- $67,954
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
William Black
Director chairperson
- Total calculated
- $107,542
- From this org
- $107,542
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Brian Mac Lean
VP Finance
- Total calculated
- $586,265
- From this org
- $0
- From related orgs
- $315,255
- Other
- $271,010
- Hours/week
- 7 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $258,696 related
- Bonus
- $0 + $40,560 related
- Other
- $0 + $15,999 related
- Deferred
- $0 + $243,892 related
- Nontaxable benefits
- $0 + $27,118 related
- Filer's total
- $0 + $586,265 related
-
Sheela Manyam
Sr Dir Corp Performance & Admin
- Total calculated
- $332,365
- From this org
- $0
- From related orgs
- $272,713
- Other
- $59,652
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $208,670 related
- Bonus
- $0 + $52,020 related
- Other
- $0 + $12,023 related
- Deferred
- $0 + $24,117 related
- Nontaxable benefits
- $0 + $35,535 related
- Filer's total
- $0 + $332,365 related
-
Waymond Harris
Officer - SVP & Treasurer
- Total calculated
- $1,957,800
- From this org
- $0
- From related orgs
- $1,809,270
- Other
- $148,530
- Hours/week
- 20 + 35 related
Schedule J breakdown matched by us
- Base
- $0 + $594,770 related
- Bonus
- $0 + $1,089,471 related
- Other
- $0 + $125,029 related
- Deferred
- $0 + $118,412 related
- Nontaxable benefits
- $0 + $30,118 related
- Filer's total
- $0 + $1,957,800 related
-
Duwayne Mills
VP Enrollment Billing and FEP
- Total calculated
- $441,264
- From this org
- $0
- From related orgs
- $367,587
- Other
- $73,677
- Hours/week
- 14 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $267,430 related
- Bonus
- $0 + $80,886 related
- Other
- $0 + $19,271 related
- Deferred
- $0 + $55,989 related
- Nontaxable benefits
- $0 + $17,688 related
- Filer's total
- $0 + $441,264 related
-
Jac Amerell
VP & Controller
- Total calculated
- $972,060
- From this org
- $0
- From related orgs
- $878,042
- Other
- $94,018
- Hours/week
- 9 + 32 related
Schedule J breakdown matched by us
- Base
- $0 + $405,624 related
- Bonus
- $0 + $438,612 related
- Other
- $0 + $33,806 related
- Deferred
- $0 + $83,171 related
- Nontaxable benefits
- $0 + $10,847 related
- Filer's total
- $0 + $972,060 related
-
Lisa Hardy
VP Bus Perf & Execution BCN
- Total calculated
- $709,945
- From this org
- $0
- From related orgs
- $612,835
- Other
- $97,110
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $296,266 related
- Bonus
- $0 + $288,695 related
- Other
- $0 + $27,874 related
- Deferred
- $0 + $66,072 related
- Nontaxable benefits
- $0 + $31,038 related
- Filer's total
- $0 + $709,945 related
-
Peter Graham
Clinical Director BCN
- Total calculated
- $495,796
- From this org
- $0
- From related orgs
- $440,358
- Other
- $55,438
- Hours/week
- 44 + 11 related
Schedule J breakdown matched by us
- Base
- $0 + $354,136 related
- Bonus
- $0 + $70,000 related
- Other
- $0 + $16,222 related
- Deferred
- $0 + $31,935 related
- Nontaxable benefits
- $0 + $23,503 related
- Filer's total
- $0 + $495,796 related
-
Yaniv Ribon
Sr Director, BCN Value and Stakeholder exper.
- Total calculated
- $330,753
- From this org
- $0
- From related orgs
- $267,065
- Other
- $63,688
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $205,648 related
- Bonus
- $0 + $51,250 related
- Other
- $0 + $10,167 related
- Deferred
- $0 + $34,031 related
- Nontaxable benefits
- $0 + $29,657 related
- Filer's total
- $0 + $330,753 related
-
Carl Siebers
Former VP Claims Operations
- Total calculated
- $969,093
- From this org
- $0
- From related orgs
- $780,907
- Other
- $188,186
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $386,076 related
- Bonus
- $0 + $352,753 related
- Other
- $0 + $42,078 related
- Deferred
- $0 + $149,887 related
- Nontaxable benefits
- $0 + $38,299 related
- Filer's total
- $0 + $969,093 related
-
James P Kallas
Former VP and Treasurer BCN
- Total calculated
- $196,452
- From this org
- $0
- From related orgs
- $196,452
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $196,452 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $196,452 related
-
Joseph J Radtka
Former VP Enterprise Finance and Chief Risk Officer
- Total calculated
- $1,121,327
- From this org
- $0
- From related orgs
- $1,032,566
- Other
- $88,761
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $411,922 related
- Bonus
- $0 + $551,534 related
- Other
- $0 + $69,110 related
- Deferred
- $0 + $58,992 related
- Nontaxable benefits
- $0 + $29,769 related
- Filer's total
- $0 + $1,121,327 related
-
Kevin Klobucar
Former EVP Health Care Value
- Total calculated
- $592,551
- From this org
- $0
- From related orgs
- $592,551
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $589,470 related
- Other
- $0 + $3,081 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $592,551 related
-
Mark Bartlett
Former Officer
- Total calculated
- $2,807,156
- From this org
- $0
- From related orgs
- $2,807,156
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $2,801,260 related
- Other
- $0 + $5,896 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $2,807,156 related
-
Mark Keshishian MD
Former VP HL & CLN AFS & BCN SVP CMO
- Total calculated
- $305,963
- From this org
- $0
- From related orgs
- $305,963
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $299,165 related
- Other
- $0 + $6,798 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $305,963 related
-
Phillip Gillespie
Former VP Bus & Program Dev &Reg Exec
- Total calculated
- $590,388
- From this org
- $0
- From related orgs
- $509,149
- Other
- $81,239
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $238,716 related
- Bonus
- $0 + $234,540 related
- Other
- $0 + $35,893 related
- Deferred
- $0 + $50,470 related
- Nontaxable benefits
- $0 + $30,769 related
- Filer's total
- $0 + $590,388 related
-
Rajesh Vunnam
Former Sr Director BCN IT
- Total calculated
- $477,510
- From this org
- $0
- From related orgs
- $426,992
- Other
- $50,518
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $328,740 related
- Bonus
- $0 + $79,423 related
- Other
- $0 + $18,829 related
- Deferred
- $0 + $39,924 related
- Nontaxable benefits
- $0 + $10,594 related
- Filer's total
- $0 + $477,510 related
-
Tiffany Otis-Albert
Former SVP Health Plan Business Officer
- Total calculated
- $2,194,746
- From this org
- $0
- From related orgs
- $2,031,294
- Other
- $163,452
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $678,818 related
- Bonus
- $0 + $1,166,855 related
- Other
- $0 + $185,621 related
- Deferred
- $0 + $132,773 related
- Nontaxable benefits
- $0 + $30,679 related
- Filer's total
- $0 + $2,194,746 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, and on a Form 990-PF Part VIII's — 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
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 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
- 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 MUTUAL INSURANCE COMPANY (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE. THE ORGANIZATION'S PRESIDENT/CEO IS ALSO AN EXECUTIVE OF THE PARENT, BCBSM, AND AS SUCH, THE COMPENSATION IS SUBJECT TO REVIEW BY THE BCBSM EXECUTIVE COMMITTEE.
- 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 2024. TIFFANY OTIS-ALBERT - $88,072 JAC AMERELL - $16,556 SCOTT BETZELOS - $3,676 KENNETH DALLAFIOR - $543,616 PHILLIP GILLESPIE - $593 PETER GRAHAM - $4,061 LISA HARDY - $7,615 WAYMOND HARRIS - $63,079 KATHRYN LEVINE - $166,874 PAUL MOZAK - $211,397 DUWAYNE MILLS - $524 CARL SIEBERS - $25,723 JOSEPH J RADTKA - $35,913 RAJESH VUNNAM - $5,105
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.
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501(c)(3) · GRANTS · MI · controlled entity
Directly controlled by BCN
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
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BLUE CROSS BLUE SHIELD OF MICHIGAN
C Corporation · INSURANCE · MI
Directly controlled by NA
-
ACCIDENT FUND INSURANCE CO-AMERICA
C Corporation · INSURANCE · MI
Directly controlled by NA
-
LIFESECURE INSURANCE COMPANY
C Corporation · INSURANCE · MI
Directly controlled by NA
-
BLUE CROSS COMPLETE OF MICHIGAN LLC
C Corporation · HMO · MI
Directly controlled by NA
-
WOODWARD STRAITS INSURANCE COMPANY
C Corporation · INSURANCE · MI
Directly controlled by NA
-
AMERIHEALTH CARITAS HEALTH PLAN
C Corporation · CARE MGT · PA
Directly controlled by NA
-
COBX CO
C Corporation · CARE MGT · MI
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 13 November 2025
- IRS schema version
- 2024v5.1
- Source object
- 202513179349309601
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