Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
BLUE CARE NETWORK OF MICHIGAN
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
20500 CIVIC CENTER DR MC C455
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SOUTHFIELD, MI48076
D Employer identification number

38-2359234
E Telephone number

G Gross receipts $ 4,980,601,782
F Name and address of principal officer:
JAMES P KALLAS VP FINANCE TREAS
 
 
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BCBSM.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1981
M State of legal domicile: MI
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6  
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 60,520,646
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 2,448,316
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) .........   0
9 Program service revenue (Part VIII, line 2g) ......... 3,018,668,733 3,297,152,661
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 32,961,140 35,437,699
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 29,509,541 18,953,175
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3,081,139,414 3,351,543,535
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 2,508,292,148 2,739,848,944
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 140,424,174 155,424,504
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 408,605,816 431,281,675
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,057,322,138 3,326,555,123
19 Revenue less expenses. Subtract line 18 from line 12....... 23,817,276 24,988,412
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,796,385,567 1,968,744,163
21 Total liabilities (Part X, line 26)............. 801,595,969 841,319,709
22 Net assets or fund balances. Subtract line 21 from line 20..... 994,789,598 1,127,424,454
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,066,868,745 including grants of $   ) (Revenue $ 3,323,180,606 )
BCN'S PROGRAM SERVICE ACCOMPLISHMENTS SUPPORT PEOPLE HELPING PEOPLE TO PROMOTE HEALTH AND PEACE OF MIND THROUGH HIGH QUALITY CARE AND SERVICE, PARTNERING TO MAINTAIN AND IMPROVE HEALTH. BCN 2015 HEALTH CARE SERVICES-MEMBER BASED AS WELL AS FEE-FOR-SERVICE; 670,254 MEMBERS AND 5,472,675 AMBULATORY ENCOUNTERS. 2015 COMMUNITY BENEFIT - BCN PARTICIPATED IN OVER 75 SEPARATE ACTIVITIES THROUGH COMMUNITY OUTREACH, TO BENEFIT THE GENERAL PUBLIC AND SUPPORT WELLNESS. 2015 SOCIAL MISSION AND PUBLIC AFFAIRS - BCN COMMITTED OVER 1.5 MILLION TO SUPPORT SOCIAL MISSION AND CHARITABLE CONTRIBUTIONS, INCLUDING CONNECTING TO INDIVIDUALS AND SMALL BUSINESSES, SUPPORTING MULTIPLE HEALTH INITIATIVES.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet3,066,868,745
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
9,099
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletLISA ZIEGLER AUDIT TAX ADVISOR20500 CIVIC CENTER DR MC C455   SOUTHFIELD,MI48076 (248) 455-3403
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MARK R BARTLETT CPA......................................................................
DIRECTOR
 2.00
.................
48.00 		X           0 3,525,484 142,127
(2) KEVIN JAMES KLOBUCAR......................................................................
CEO & PRES
 42.00
.................
23.00 		X   X       1,604,442 0 90,831
(3) GREGORY A SUDDERTH......................................................................
VICECHAIR &
 5.00
.................
9.00 		X           30,000 209,572 145,425
(4) WILLIAM H BLACK......................................................................
CHAIR & DIR
 1.00
.................
3.00 		X           82,500 115,147 0
(5) SARAH DOYLE......................................................................
DIRECTOR
 1.00
.................
2.00 		X           43,750 102,122 0
(6) SHAUNA RYDER DIGGS MD......................................................................
DIRECTOR
 1.00
.................
1.00 		X           52,500 36,322 0
(7) JULIE A ANGOTT......................................................................
DIRECTOR
 1.00
.................
1.00 		X           38,500 31,572 18,000
(8) ROBERT KELCH......................................................................
DIRECTOR
 1.00
.................
1.00 		X           47,500 3,822 0
(9) JANET L HARDEN PHD......................................................................
DIRECTOR
 1.00
.................
  		X           46,250 72 0
(10) DIANA L WATSON......................................................................
DIRECTOR
 1.00
.................
  		X           46,250 72 0
(11) DAVID BING......................................................................
DIRECTOR
 1.00
.................
  		X           46,250 72 0
(12) JAMES ROBERT DIETZ......................................................................
DIRECTOR
 1.00
.................
  		X           46,250 72 0
(13) MELVIN L LARSEN......................................................................
DIRECTOR
 1.00
.................
3.00 		X           46,250 72 108,425
(14) VALERIAH ANN HOLMON RN......................................................................
DIRECTOR
 1.00
.................
  		X           45,000 72 0
(15) PAULA MANDERFIELD......................................................................
DIRECTOR
 1.00
.................
  		X           42,000 72 3,000
(16) MARY ANN WEAVER......................................................................
DIRECTOR
 1.00
.................
  		X           28,250 72 18,000
(17) GERALD KARIEM......................................................................
DIRECTOR
 1.00
.................
  		X           8,750 72 0
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) KEDRICK ADKINS........................................................................
DIRECTOR
 1.00
.......................   		X           8,750 30 0
(19) MARC KESHISHIAN MD........................................................................
CMO/SR. VP
 50.00
.......................21.00 		    X       841,574 0 86,682
(20) SUSAN A KLUGE........................................................................
CFO & TREAS
 62.00
.......................3.00 		    X       643,228 0 90,381
(21) LISA HARDY........................................................................
VP & SEC
 51.00
.......................2.00 		    X       323,295 0 37,941
(22) MICHELLE BILLINGSLEY........................................................................
CIO & VP
 50.00
.......................8.00 		      X     715,960 0 52,659
(23) SETH CRAWFORD........................................................................
VP
 37.00
.......................19.00 		      X     465,527 0 35,194
(24) JAMES PETER KALLAS........................................................................
VP
 55.00
.......................   		      X     437,893 0 12,429
(25) ALISON POLLARD........................................................................
VP
 35.00
.......................22.00 		      X     423,955 0 54,947
(26) CARL SIEBERS........................................................................
VP
 45.00
.......................15.00 		      X     420,399 0 36,252
(27) GAIL ROSS........................................................................
VP
 59.00
.......................1.00 		      X     417,703 0 96,919
(28) CARLA LAETHEM........................................................................
VP
 56.00
.......................2.00 		      X     415,220 0 52,669
(29) PHILLIP GILLESPIE........................................................................
VP
 50.00
.......................10.00 		      X     354,860 0 33,422
(30) ELANA KOZIK........................................................................
VP
 60.00
.......................   		      X     324,770 0 91,580
(31) DUANE DIFRANCO........................................................................
SR MED DIR
 50.00
.......................   		        X   396,386 0 50,322
(32) HASHIM YAR........................................................................
MED DIR
 45.00
.......................6.00 		        X   347,239 0 75,418
(33) ROBERT GOODMAN........................................................................
MED DIR
 40.00
.......................10.00 		        X   342,915 0 39,108
(34) RAJESH VUNNAM........................................................................
SR. DIRECTOR
 28.00
.......................20.00 		        X   310,003 0 22,918
(35) DENICE LOGAN........................................................................
MED DIR
 43.00
.......................2.00 		        X   309,912 0 50,412
(36) KEVIN L SEITZ........................................................................
FORMER DIREC
  
.......................   		          X 0 51,420 18,528
(37) JANET MACQUEEN........................................................................
FORMER CIO &
  
.......................   		          X 208,109 0 4,260
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 9,962,140 4,076,139 1,467,849
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet194
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
TRIZETTO CORPORATION
TRIZETTO CORPORATION
DEPT 2140 PO BOX 122140
DEPT 2140 PO BOX 122140
DALLAS,TX753122140 		SOFTWARE ADMIN 16,999,722
DUFFEY PETROSKY AND COMPANY LLC
DUFFEY PETROSKY AND COMPANY LLC
38505 COUNTRY CLUB DR SUITE 110
38505 COUNBTRY CLUB DR SUITE 110
FARMINGTON HILLS,MI483313403 		ADVERTISING 11,407,777
NOVO1 INC
NOVO1 INC
4301 CAMBRIDGE RD
4301 CAMBRIDGE RD
FORT WORTH,TX76155 		STRATEGIC PLAN 7,639,773
INVALON INC
INVALON INC
4321 COLLINGTON RD STE
4321 COLLINGTON RD
BOWIE,MD20716 		RISK ADJUSTMENT 5,895,993
ICONMA LLC
ICONMA LLC
850 STEPHENSON HWY 612
850 STEPHENSON HWY 612
TROY,MI48083 		STAFFING FIRM 4,829,757
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet190
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a PREPAID HEALTH CARE 524298 3,238,230,659 3,238,230,659    
b ADMINISTRATIVE AND SUPPORT 561000 58,876,989   58,876,989  
c NON-SUBSCRIBER REVENUE 524298 45,013 45,013    
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 3,297,152,661
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 30,057,629   1,694,700 28,362,929
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss)......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   1,634,438,317
b Less: cost or other basis and sales expenses   1,629,058,247
c Gain or (loss)   5,380,070
d Net gain or (loss).....MediumBullet 5,380,070 5,431,113 -51,043  
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a OTHER HEALTH CARE RELATED REV 524298 14,184,619 14,184,619    
b NET INCOME-STOP LOSS TRUST 900099 2,966,445 2,966,445    
c NET INCOME-MED MALPRAC TRUST 900099 1,802,111 1,802,111    
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 18,953,175
12 Total revenue. See Instructions......MediumBullet 3,351,543,535 3,262,659,960 60,520,646 28,362,929
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members 2,739,848,944 2,739,848,944
5 Compensation of current officers, directors, trustees, and key employees .... 9,962,140 6,074,499 3,887,641  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 94,752,530 57,776,192 36,976,338  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 10,758,654 6,784,541 3,974,113  
9 Other employee benefits ....... 32,517,369 19,460,355 13,057,014  
10 Payroll taxes ........... 7,433,811 4,652,406 2,781,405  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 699,782 43,223 656,559  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)        
12 Advertising and promotion .... 6,024,415 70,343 5,954,072  
13 Office expenses ....... 15,109,074 5,321,656 9,787,418  
14 Information technology ...... 17,248,774 9,931,972 7,316,802  
15 Royalties ..        
16 Occupancy ........... 7,912,642 4,554,157 3,358,485  
17 Travel ............ 1,040,693 481,154 559,539  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 239,217 154,941 84,276  
20 Interest ........... 747,267   747,267  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 9,986,546 3,351,446 6,635,100  
23 Insurance ... 385,599 302 385,297  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PURCHASED SERVICES 187,452,039 29,707,589 157,744,450  
b AGENT/BROKER FEES 85,356,265 85,356,265    
c TAXES AND FEES 81,720,320 81,720,320    
d OTHER 16,536,100 11,578,440 4,957,660  
e All other expenses 822,942   822,942  
25 Total functional expenses. Add lines 1 through 24e 3,326,555,123 3,066,868,745 259,686,378 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 76,173,374 2 76,756,058
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 157,341,215 4 198,861,100
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .... 30,000,000 7 3,155,093
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ...... 992,136 9 1,058,880
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 74,415,137
b Less: accumulated depreciation 10b 49,954,433 22,327,973 10c 24,460,704
11 Investments—publicly traded securities . 1,424,472,110 11 1,582,858,644
12 Investments—other securities. See Part IV, line 11 ..... 15,177,208 12 14,838,149
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 69,901,551 14 66,701,551
15 Other assets. See Part IV, line 11 ...........   15 53,984
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,796,385,567 16 1,968,744,163
Liabilities 17 Accounts payable and accrued expenses ..... 384,826,294 17 343,762,245
18 Grants payable ...   18  
19 Deferred revenue ......... 52,644,570 19 74,330,371
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .. 75,000,000 24 75,000,000
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 289,125,105 25 348,227,093
26 Total liabilities. Add lines 17 through 25.. 801,595,969 26 841,319,709
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets   27  
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ..... 10,000 30 10,000
31 Paid-in or capital surplus, or land, building or equipment fund ... 15,643,045 31 15,643,045
32 Retained earnings, endowment, accumulated income, or other funds 979,136,553 32 1,111,771,409
33 Total net assets or fund balances ........... 994,789,598 33 1,127,424,454
34 Total liabilities and net assets/fund balances ........ 1,796,385,567 34 1,968,744,163
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
3,351,543,535
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,326,555,123
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
24,988,412
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
994,789,598
5
Net unrealized gains (losses) on investments ...............
5
-27,887,958
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
135,534,402
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,127,424,454
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
BLUE CARE NETWORK OF MICHIGAN
 
Employer identification number

38-2359234
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ...      
b Buildings        
c Leasehold improvements 31,261,219   16,033,554 15,227,665
d Equipment ... 3,439,297   3,344,329 94,968
e Other ... 39,714,621   30,576,550 9,138,071
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 24,460,704
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
INCURRED BENEFITS NOT YET REPORTED 348,227,093
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 348,227,093
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  

Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE D, PAGE 3, PART X ON EXAMINATION OF ALL RELEVANT FACTS AND CIRCUMSTANCES FOR THE COMPANY'S TAX ISSUES, IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2015.
Schedule D (Form 990) 2015


Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
BLUE CARE NETWORK OF MICHIGAN
 
Employer identification number

38-2359234
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1MARK R BARTLETT CPADIRECTOR (i)

(ii)		  
-------------
860,000 		 
-------------
2,337,874 		 
-------------
327,610 		 
-------------
57,225 		 
-------------
84,902 		 
-------------
3,667,611 		 
-------------
 
2KEVIN JAMES KLOBUCARCEO & PRES (i)

(ii)		 549,000
-------------
  		880,582
-------------
  		174,860
-------------
  		18,015
-------------
  		72,816
-------------
  		1,695,273
-------------
  		 
-------------
 
3GREGORY A SUDDERTHVICECHAIR & DIR (i)

(ii)		 30,000
-------------
209,500 		 
-------------
  		 
-------------
72 		17,750
-------------
127,675 		 
-------------
  		47,750
-------------
337,247 		 
-------------
58,234
4WILLIAM H BLACKCHAIR & DIR (i)

(ii)		 82,500
-------------
115,075 		 
-------------
  		 
-------------
72 		 
-------------
  		 
-------------
  		82,500
-------------
115,147 		 
-------------
 
5MELVIN L LARSENDIRECTOR (i)

(ii)		 46,250
-------------
  		 
-------------
  		 
-------------
72 		 
-------------
108,425 		 
-------------
  		46,250
-------------
108,497 		 
-------------
50,864
6MARC KESHISHIAN MDCMO/SR. VP (i)

(ii)		 353,240
-------------
  		436,130
-------------
  		52,204
-------------
  		45,321
-------------
  		41,361
-------------
  		928,256
-------------
  		 
-------------
 
7SUSAN A KLUGECFO & TREAS (i)

(ii)		 298,425
-------------
  		300,561
-------------
  		44,242
-------------
  		53,137
-------------
  		37,244
-------------
  		733,609
-------------
  		 
-------------
 
8LISA HARDYVP & SEC (i)

(ii)		 206,519
-------------
  		99,049
-------------
  		17,727
-------------
  		3,684
-------------
  		34,257
-------------
  		361,236
-------------
  		 
-------------
 
9MICHELLE BILLINGSLEYCIO & VP (i)

(ii)		 281,190
-------------
  		372,041
-------------
  		62,729
-------------
  		14,455
-------------
  		38,204
-------------
  		768,619
-------------
  		 
-------------
 
10SETH CRAWFORDVP (i)

(ii)		 226,464
-------------
  		216,766
-------------
  		22,297
-------------
  		22,682
-------------
  		12,512
-------------
  		500,721
-------------
  		 
-------------
 
11JAMES PETER KALLASVP (i)

(ii)		 231,750
-------------
  		188,700
-------------
  		17,443
-------------
  		-14,005
-------------
  		26,434
-------------
  		450,322
-------------
  		 
-------------
 
12ALISON POLLARDVP (i)

(ii)		 203,548
-------------
  		205,756
-------------
  		14,651
-------------
  		18,636
-------------
  		36,311
-------------
  		478,902
-------------
  		 
-------------
 
13CARL SIEBERSVP (i)

(ii)		 207,239
-------------
  		193,431
-------------
  		19,729
-------------
  		4,954
-------------
  		31,298
-------------
  		456,651
-------------
  		 
-------------
 
14GAIL ROSSVP (i)

(ii)		 204,430
-------------
  		190,809
-------------
  		22,464
-------------
  		76,871
-------------
  		20,048
-------------
  		514,622
-------------
  		 
-------------
 
15CARLA LAETHEMVP (i)

(ii)		 205,297
-------------
  		191,618
-------------
  		18,305
-------------
  		19,870
-------------
  		32,799
-------------
  		467,889
-------------
  		 
-------------
 
16PHILLIP GILLESPIEVP (i)

(ii)		 184,557
-------------
  		158,821
-------------
  		11,482
-------------
  		2,618
-------------
  		30,804
-------------
  		388,282
-------------
  		 
-------------
 
17ELANA KOZIKVP (i)

(ii)		 143,440
-------------
  		154,709
-------------
  		26,621
-------------
  		56,264
-------------
  		35,316
-------------
  		416,350
-------------
  		 
-------------
 
18DUANE DIFRANCOSR MED DIR (i)

(ii)		 280,121
-------------
  		103,269
-------------
  		12,996
-------------
  		18,841
-------------
  		31,481
-------------
  		446,708
-------------
  		 
-------------
 
19HASHIM YARMED DIR (i)

(ii)		 251,758
-------------
  		75,090
-------------
  		20,391
-------------
  		43,124
-------------
  		32,294
-------------
  		422,657
-------------
  		 
-------------
 
20ROBERT GOODMANMED DIR (i)

(ii)		 249,359
-------------
  		74,375
-------------
  		19,181
-------------
  		23,962
-------------
  		15,146
-------------
  		382,023
-------------
  		 
-------------
 
21RAJESH VUNNAMSR. DIRECTOR IT (i)

(ii)		 226,431
-------------
  		71,060
-------------
  		12,512
-------------
  		13,067
-------------
  		9,851
-------------
  		332,921
-------------
  		 
-------------
 
22DENICE LOGANMED DIR (i)

(ii)		 231,993
-------------
  		68,939
-------------
  		8,980
-------------
  		22,780
-------------
  		27,632
-------------
  		360,324
-------------
  		 
-------------
 
23KEVIN L SEITZFORMER DIRECTOR (i)

(ii)		  
-------------
  		 
-------------
47,838 		 
-------------
3,582 		 
-------------
  		 
-------------
18,528 		 
-------------
69,948 		 
-------------
 
24JANET MACQUEENFORMER CIO & VP (i)

(ii)		  
-------------
  		205,278
-------------
  		2,831
-------------
  		 
-------------
  		4,260
-------------
  		212,369
-------------
  		 
-------------
 
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PAGE 1, PART I, LINE 1A FIRST CLASS: AN OFFICER NAMED BY A BCBSM BOARD ACTION HAS THE OPTION TO FLY FIRST CLASS FOR BUSINESS ON DOMESTIC FLIGHTS OF 2 OR MORE HOURS. CLUB DUES: EXECUTIVES ARE ELIGIBLE FOR A BUSINESS CLUB MEMBERSHIP BASED ON BUSINESS NEEDS. USE OF THE CLUB FOR BUSINESS IS NOT TAXABLE, BUT ANY USE OF THE CLUB FOR PERSONAL REASONS RESULTS IN TAXABLE IMPUTED INCOME.
SCHEDULE J, PAGE 1, PART I, LINE 4 MARK R. BARTLETT, CPA 0 287,834 0 KEVIN JAMES KLOBUCAR 0 131,310 0 MARC KESHISHIAN, MD 0 38,016 0 SUSAN A. KLUGE 0 23,137 0 LISA HARDY 0 -7,241 0 MICHELLE BILLINGSLEY 0 31,409 0 SETH CRAWFORD 0 18,916 0 JAMES PETER KALLAS 0 -30,858 0 ALISON POLLARD 0 -3,231 0 CARL SIEBERS 0 -8,609 0 GAIL ROSS 0 6,065 0 CARLA LAETHEM 0 -3,258 0 PHILLIP GILLESPIE 0 -2,698 0 DUANE DIFRANCO 0 8,989 0 HASHIM YAR 0 6,395 0 ROBERT GOODMAN 0 4,876 0 RAJESH VUNNAM 0 2,155 0 DENICE LOGAN 0 1,747 0
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 J (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
BLUE CARE NETWORK OF MICHIGAN
 
Employer identification number

38-2359234
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2015
Schedule L (Form 990 or 990-EZ) 2015
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) BLUE CROSS BLUE SHIELD OF MICHIGAN BUSRELATIONSHIP   SEE SCH R PART V   No
(2) BCN SERVICE COMPANY BUSRELATIONSHIP   SEE SCH R PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
BLUE CARE NETWORK OF MICHIGAN
 
Employer identification number

38-2359234
Return Reference Explanation
FORM 990, PAGE 2, PART III, LINE 4A 2015 SOCIAL MISSION AND PUBLIC AFFAIRS - BCN COMMITTED OVER 1.5 MILLION TO SUPPORT SOCIAL MISSION AND CHARITABLE CONTRIBUTIONS, INCLUDING CONNECTING TO INDIVIDUALS AND SMALL BUSINESSES, SUPPORTING MULTIPLE HEALTH INITIATIVES.
FORM 990, PAGE 6, PART VI, LINE 2 KEVIN JAMES KLOBUCAR SUSAN A. KLUGE CEO & PRES CFO & TREAS BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR MARC C. KESHISHIAN, MD CEO & PRES CMO BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR JULIE A. ANGOTT CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR WILLIAM H. BLACK CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR GREGORY A. SUDDERTH CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR MARK R. BARTLETT CEO & PRES DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR LISA M. HARDY CEO & PRES 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 SUSAN A. KLUGE LISA M. HARDY CFO & TREAS SECRETARY BUSINESS RELATIONSHIP MARC KESHISHIAN, MD JULIE A. ANGOTT CMO DIRECTOR BUSINESS RELATIONSHIP MARC KESHISHIAN, MD LISA M. HARDY CMO SECRETARY BUSINESS RELATIONSHIP WILLIAM H. BLACK GREGORY A. SUDDERTH DIRECTOR DIRECTOR BUSINESS RELATIONSHIP GREGORY A. SUDDERTH MARK R. BARTLETT DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR MELVIN LARSEN CEO & PRES DIRECTOR BUSINESS RELATIONSHIP MELVIN LARSEN MARK R. BARTLETT 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 WILLIAM H. BLACK DIRECTOR DIRECTOR BUSINESS RELATIONSHIP KEVIN JAMES KLOBUCAR 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 JULIE A. ANGOTT LISA M. HARDY DIRECTOR SECRETARY BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 6 100% STOCKHOLDER: BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY
FORM 990, PAGE 6, PART VI, LINE 7A BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY, IS A 100% STOCKHOLDER AND HAS THE RIGHT TO APPOINT BOARD DIRECTORS. BCN'S MEMBERS ELECT THE REMAINING BOARD DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 11B NO REVIEW WAS CONDUCTED BY THE GOVERNING BODY. THE VP FINANCE AND TREASURER, JAMES PETER KALLAS, REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
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.
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 MUTUAL INSURANCE COMPANY (BCBSM) AND THE PERSONNEL AND COMPENSATION SUBCOMMITTEE. 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.
FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION RECOMMENDATIONS FOR BLUE CARE NETWORK'S OFFICERS ARE REVIEWED AND APPROVED BY BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM) AND THE PERSONNEL AND COMPENSATION SUBCOMMITTEE.
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 FINANCIAL STATEMENTS ARE AVAILABLE FROM THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS AND THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES.
FORM 990, PART VII RELATED ORGANIZATIONS CURRENT OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES THAT ARE EMPLOYED BY THE FILING ORGANIZATION OR BY A RELATED ORGANIZATION SPLIT THEIR TIME AS NEEDED BETWEEN THE FILING ENTITY AND RELATED ORGANIZATIONS. A PER WEEK ESTIMATE FOR THE FILING ORGANIZATION AND RELATED ORGANIZATIONS IS REFLECTED ON THE FILING ENTITY'S PART VII, COLUMN B, WITH THE COMPLETE REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION AND RELATED ORGANIZATIONS REFLECTED IN COLUMN D AND COLUMNN E AS APPROPRIATE.
FORM 990, PART XI, LINE 9 CONSOLIDATED SUBSIDIARIES NET GAIN (BOOK) 3,746,266 PAID-IN CAPITAL 136,556,692 MALPRACTICE GRANTOR TRUST NET INCOME -1,802,111 STOP-LOSS GRANTOR TRUST NET INCOME -2,966,445 TOTAL 135,534,402
FORM 990, PART XII FORM 990 IS FILED BASED ON THE GAAP METHOD OF ACCOUNTING. NO SEPERATE 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
BLUE CARE NETWORK OF MICHIGAN
 
Employer identification number

38-2359234
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BLUE CROSS COMPLETE OF MICHIGAN
BLUE CROSS COMPLETE OF MICHIGAN20500 CIVIC CENTER DRIVE
20500 CIVIC CENTER DRIVE
SOUTHFIELD,MI48076
32-0026448 		HMO MI 501C4   N/A
 
No
(2)BLUE CARE OF MICHIGAN INC
BLUE CARE OF MICHIGAN INC20500 CIVIC CENTER DRIVE
20500 CIVIC CENTER DRIVE
SOUTHFIELD,MI48076
38-2536979 		INSURANCE MI 501C4   N/A
 
No
(3)BCBS FOUNDATION OF MICHIGAN
BCBSM FOUNDATION OF MICHIGAN600 LAFAYETTE BLVD EAST
600 LAFAYETTE BLVD EAST
DETROIT,MI48226
38-2338506 		GRANTS MI 501C3 11A N/A
 
No








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BCN SERVICE COMPANY
BCN SERVICE COMPANY
20500 CIVIC CENTER DRIVE
20500 CIVIC CENTER DRIVE
SOUTHFIELD,MI48076
38-3134881 		TPA MI N/A
           No
(2) BLUE CROSS BLUE SHIELD OF MICHIGAN
BLUE CROSS BLUE SHIELD OF MICHIGAN
600 LAFAYETTE EAST
600 LAFAYETTE EAST
DETROIT,MI48226
38-2069753 		INSURANCE MI N/A
           No
(3) ACCIDENT FUND INSURANCE CO -AMERICA
ACCIDENT FUND INSURANCE CO -AMERICA
200 N GRAND RIVER
200 N GRAND RIVER
LANSING,MI48901
38-3207001 		INSURANCE MI N/A
           No
(4) LIFESECURE INSURANCE COMPANY
LIFESECURE INSURANCE COMPANY
10559 CITATION DR 300
10559 CITATION DR 300
BRIGHTON,MI48116
75-0956156 		INSURANCE MI N/A
           No
(5) DATA DRIVEN DELIVERY SYSTEMS LLC
DATA DRIVEN DELIVERY SYSTEMS LLC
111 BROADWAY 1005
111 BROADWAY 1005
NEW YORK,NY10006
45-3742721 		CARE MGT DE N/A
           No
(6) BLUE CROSS COMPLETE OF MICHIGAN LLC
BLUE CROSS COMPLETE OF MICHIGAN LLC
200 STEVENS DR
200 STEVENS DR
PHILADELPHIA,PA19113
47-2582248 		HMO MI N/A
           No


Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BCN SERVICE COMPANY
BCN SERVICE COMPANY
 N 3,063,927 INTERCOMPANY AGREEMENTS
(2) BCN SERVICE COMPANY
BCN SERVICE COMPANY
 O 23,949,518 INTERCOMPANY AGREEMENTS
(3) BCN SERVICE COMPANY
BCN SERVICE COMPANY
 Q 342,946,265 INTERCOMPANY AGREEMENTS
(4) BCN SERVICE COMPANY
BCN SERVICE COMPANY
 R -1,035,471 INTERCOMPANY AGREEMENTS
(5) BCN SERVICE COMPANY
BCN SERVICE COMPANY
 P -16,389,917 INTERCOMPANY AGREEMENTS
(6) BLUE CROSS COMPLETE OF MICHIGAN
BLUE CROSS COMPLETE OF MICHIGAN
 L 3,272,796 INTERCOMPANY AGREEMENTS
(7) BLUE CROSS COMPLETE OF MICHIGAN
BLUE CROSS COMPLETE OF MICHIGAN
 S 37,797,282 INTERCOMPANY AGREEMENTS
(8) BLUE CROSS COMPLETE OF MICHIGAN
BLUE CROSS COMPLETE OF MICHIGAN
 Q 2,738,867 INTERCOMPANY AGREEMENTS
(9) BLUE CROSS COMPLETE OF MICHIGAN
BLUE CROSS COMPLETE OF MICHIGAN
 R -799,678 INTERCOMPANY AGREEMENTS
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R 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 SELF-INSURANCE TRUST (EIN 38-6561861) AND BLUE CARE NETWORK STOP-LOSS & CASUALTY SELF-INSURANCE TRUST, (EIN 38-6561862) BOTH WERE DISSOLVED IN 2015. AS SUCH, BCN IS REQUIRED TO INCLUDE AND REPORT THEIR ALLOCABLE SHARE OF ALL GRANTOR TRUST INCOME AND EXPENSES IN THEIR INDIVIDUAL TAX RETURN. SEE SUMMARY ATTACHED FOR 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 2015, TOTAL 4,768,556.
Schedule R (Form 990) 2015

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