Civic Intelligence

Blue Care of Michigan Inc

EIN 38-2536979 • 501(c)4 • Southfield, MI

Profile

To provide a health care delivery system.

20500 Civic Center Dr Mc C455Southfield, MI 48076

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

29th percentile

0.00x

Higher debt load relative to assets than 29% of similar nonprofits.

501(c)4 • $5M-$10M nonprofits • Source year 2017

Liabilities / Revenue

40th percentile

0.04x

Higher debt load relative to revenue than 40% of similar nonprofits.

501(c)4 • $5M-$10M nonprofits • Source year 2017

Net Margin

11th percentile

-18%

Higher net margin than 11% of similar nonprofits.

501(c)4 • $5M-$10M nonprofits • Source year 2017

Top Officer Pay

100th percentile

$5,180,812

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 743.0% of source-year revenue.

501(c)4 • $5M-$10M nonprofits • Source year 2017

Asset Growth

28th percentile

-1.6%

Faster asset growth than 28% of similar nonprofits.

501(c)4 • $5M-$10M nonprofits • Annualized from 2016 to 2017

Revenue Growth

15th percentile

-15%

Faster revenue growth than 15% of similar nonprofits.

501(c)4 • $5M-$10M nonprofits • Annualized from 2016 to 2017

Assets

Down

$6,131,837

Down $102,654 (-1.6%) from 2016

Liabilities

Down

$26,832

Down $3,995 (-13%) from 2016

Net Assets

Down

$6,105,005

Down $98,659 (-1.6%) from 2016

Revenue

Down

$697,309

Down $118,324 (-15%) from 2016

Expenses

Down

$821,117

Down $188,346 (-19%) from 2016

Net Income

Up

-$123,808

Up $70,022 (+36%) from 2016

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$8.0M$6.0M$4.0M$2.0M$0Assets 2010: $4,996,752Liabilities 2010: $74,820Net Assets 2010: $4,921,9322010Assets 2011: $4,718,083Liabilities 2011: $39,905Net Assets 2011: $4,678,1782011Assets 2012: $4,638,423Liabilities 2012: $43,467Net Assets 2012: $4,594,9562012Assets 2013: $4,504,292Liabilities 2013: $55,722Net Assets 2013: $4,448,5702013Assets 2014: $4,314,938Liabilities 2014: $49,172Net Assets 2014: $4,265,7662014Assets 2015: $6,449,222Liabilities 2015: $34,087Net Assets 2015: $6,415,1352015Assets 2016: $6,234,491Liabilities 2016: $30,827Net Assets 2016: $6,203,6642016Assets 2017: $6,131,837Liabilities 2017: $26,832Net Assets 2017: $6,105,0052017

Highlighted filing

2017

Assets$6,131,837
Liabilities$26,832
Net Assets$6,105,005

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $4,845,8622010Expenses 2011: $3,922,3462011Expenses 2012: $3,106,0522012Revenue 2013: $2,554,057Expenses 2013: $2,597,549Net Income 2013: -$43,4922013Revenue 2014: $1,764,716Expenses 2014: $1,810,874Net Income 2014: -$46,1582014Revenue 2015: $1,097,344Expenses 2015: $1,283,943Net Income 2015: -$186,5992015Revenue 2016: $815,633Expenses 2016: $1,009,463Net Income 2016: -$193,8302016Revenue 2017: $697,309Expenses 2017: $821,117Net Income 2017: -$123,8082017

Highlighted filing

2017

Revenue$697,309
Expenses$821,117
Net Income-$123,808

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 18, 2018
Return Version
2017v2.3
Gross Receipts
$2,664,091
Mission and Program Overview

Mission

To provide a health care delivery system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,804,814$4,218,802▲ $1,413,988
Rtn Earn Endowment Incm Other Fnds$3,763,300$3,664,641▼ $98,659
Pd in Cap Srpls Land Bldg Eqp Fund$2,390,364$2,390,364→ $0
Investments in Publicly Traded Securities$3,389,562$1,891,085▼ $1,498,477
Cap Stk Tr Prin Current Funds$50,000$50,000→ $0
Accounts Receivable$35,115$16,949▼ $18,166
Cash and Non-Interest-Bearing Accounts$5,000$5,001▲ $1
Total Assets$6,234,491$6,131,837▼ $102,654
Liabilities
Accounts Payable and Accrued Expenses$30,827$26,832▼ $3,995
Total Liabilities$30,827$26,832▼ $3,995
Net Assets / Fund Balance
Total Net Assets Fund Balance$6,203,664$6,105,005▼ $98,659
Total Liabilities and Net Assets / Fund Balance$6,234,491$6,131,837▼ $102,654
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Kevin James KlobucarFormer Off-c-$5,180,812$5,180,812
Marc D Keshishian MdChief Medica-$1,354,220$1,354,220
Tiffany Otis-albertPresident &-$1,047,130$1,047,130
James P KallasVP & Treasur-$781,195$781,195
Lisa M HardyFormer Off-v-$676,992$676,992
Susan a KlugeFormer Off-c-$276,458$276,458
Julie a AngottChair & Director$15,000$68,822$83,822
Holly SeldenDirector$10,000$72$10,072

Board Members and Trustees

NameTitle
Tiffany Otis-albertPresident & CEO
Marc D Keshishian MdChief Medical Off.
Kevin James KlobucarFormer Off-CEO/pres
Susan a KlugeFormer Off-CFO/treas
Lisa M HardyFormer Off-VP & Sec
Sheela ManyamSecretary
James P KallasVP & Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$630,671
Investment Income
$66,638
Other Revenue
$0
Change in Net Assets
$-123,808
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$190,249
Salaries, Compensation, and Employee Benefits$25,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$605,868--$605,868
Fees for Services Accounting-$138,199-$138,199
Current Officers, Directors, Trustees, and Key Employees-$25,000-$25,000
Other Expenses$8,874$1,682-$1,682
All Other Expenses-$517-$517
Travel-$146-$146
Total Functional Expenses$614,742$206,375$0$821,117
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-BusrelationshipPremium RevenueNo$630,671
-BusrelationshipCapitation ExpNo$589,104
-BusrelationshipAdministrative ExpNo$29,456
-BusrelationshipTax ExpenseNo$4,472
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 2

Julie angott marc keshishian md director cmo business relationship julie angott tiffany albert director ceo & pres business relationship julie angott james kallas director vp & treas business relationship julie angott sheela manyam director secretary business relationship marc keshishian md tiffany albert cmo ceo & pres business relationship marc keshishian md james kallas cmo vp & treas business relationship marc keshishian md sheela manyam cmo secretary business relationship tiffany albert james kallas ceo & pres vp & treas business relationship tiffany albert sheela manyam ceo & pres secretary business relationship james kallas sheela manyam vp & treas secretary business relationship

Form 990, Page 6, Part VI, Line 6

The organization is formed as a non-profit stock corporation wholly owned by blue cross blue shield of michigan mutual insurance company (bcbsm), (ein 38-2069753).

Form 990, Page 6, Part VI, Line 7A

The organization's stockholder, blue cross blue shield of michigan mutual insurance company (bcbsm), appoints all three board directors.

Form 990, Page 6, Part VI, Line 11B

No review will be conducted by the organization's board. The current vice president of finance & treasurer, james peter kallas, reviewed the return before it was 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 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), personnel and compensation subcommittee and executive committee. The organization's president/ceo is also an executive of the parent, bcbsm, and as such, the compensation is subject to review by the bcbsm executive committee.

Form 990, Page 6, Part VI, Line 15B

Compensation recommendations for bcmi's officers are reviewed and approved by the blue cross blue shield of michigan mutual insurance company (bcbsm) personnel and compensation subcommittee and executive committee.

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 financal statements are available from the national association of insurance commissioners and the department of insurance and financial services.

Form 990, Part VII

Related organizations blue care of michigan, inc. (bcmi) has no direct employees. Bcmi's ultimate parent, blue cross blue shield of michigan mutual insurance company (bcbsm), captures all employee costs for employees. For 2017, only non- employee directors/trustees are reflected on form 990, part ix, line 5. Bcmi's current and former officers are reflected in part vii, section a with compensation reported from related organizations. No employees were reflected on part v, line 2a since the actual w-2's and 941's are reported by bcbsm. 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.

Filing and Contact Details

Filer

Filer Name
Blue Care of Michigan Inc
EIN
38-2536979
Phone
2487996363
Address
20500 CIVIC CENTER DR MC C455, SOUTHFIELD, MI 48076

Signing Officer

Name
James P Kallas
Title
VP & Treasurer
Phone
2484553630
Signed
2018-10-18

Organization Details

Principal Officer
James P Kallas Vp Finance Treas
Formed
1984
Legal Domicile
Mi
Voting Board Members
3
Independent Board Members
2
Employees
0
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0TIFFANY OTIS-ALBERT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1MARC D KESHISHIAN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JAMES P KALLAS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3SHEELA MANYAM
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4KEVIN JAMES KLOBUCAR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5LISA M HARDY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm6SUSAN A KLUGE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT & CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHIEF MEDICAL OFF.
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2VP & TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4FORMER OFF-CEO/PRES
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt5FORMER OFF-VP & SEC
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt6FORMER OFF-CFO/TREAS
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: CERTAIN EMPLOYEES RECEIVED A BONUS PER A SIGNED AGREEMENT WHICH WAS GROSSED UP FOR TAXES. CLUB DUES: EXECUTIVES ARE ELIGIBLE FOR 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1TIFFANY OTIS-ALBERT 0 242,919 0 MARC D. KESHISHIAN, MD 0 317,964 0 JAMES P. KALLAS 0 111,866 0 KEVIN JAMES KLOBUCAR 0 799,797 0 LISA M. HARDY 0 108,840 0
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PAGE 1, PART I, LINE 1A
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PAGE 1, PART I, LINE 4
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0BCN SERVICE COMPANY
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0CAPITATION EXP
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1ADMINISTRATIVE EXP
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc2TAX EXPENSE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc3PREMIUM REVENUE
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0JULIE ANGOTT MARC KESHISHIAN MD DIRECTOR CMO BUSINESS RELATIONSHIP JULIE ANGOTT TIFFANY ALBERT DIRECTOR CEO & PRES BUSINESS RELATIONSHIP JULIE ANGOTT JAMES KALLAS DIRECTOR VP & TREAS BUSINESS RELATIONSHIP JULIE ANGOTT SHEELA MANYAM DIRECTOR SECRETARY BUSINESS RELATIONSHIP MARC KESHISHIAN MD TIFFANY ALBERT CMO CEO & PRES BUSINESS RELATIONSHIP MARC KESHISHIAN MD JAMES KALLAS CMO VP & TREAS BUSINESS RELATIONSHIP MARC KESHISHIAN MD SHEELA MANYAM CMO SECRETARY BUSINESS RELATIONSHIP TIFFANY ALBERT JAMES KALLAS CEO & PRES VP & TREAS BUSINESS RELATIONSHIP TIFFANY ALBERT SHEELA MANYAM CEO & PRES SECRETARY BUSINESS RELATIONSHIP JAMES KALLAS SHEELA MANYAM VP & TREAS SECRETARY BUSINESS RELATIONSHIP
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION IS FORMED AS A NON-PROFIT STOCK CORPORATION WHOLLY OWNED BY BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM), (EIN 38-2069753).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S STOCKHOLDER, BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM), APPOINTS ALL THREE BOARD DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO REVIEW WILL BE CONDUCTED BY THE ORGANIZATION'S BOARD. THE CURRENT VICE PRESIDENT OF FINANCE & TREASURER, JAMES PETER KALLAS, REVIEWED THE RETURN BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EACH BOARD MEMBER AND CORPORATE OFFICER ANNUALLY COMPLETES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. THE QUESTIONNAIRES ARE REVIEWED TO IDENTIFY ANY POSSIBLE CONFLICTS AND HOW TO RESOLVE THEM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE COMPENSATION STRATEGY IS DESIGNED TO ENSURE THAT AN APPROPRIATE BALANCE EXISTS BETWEEN INTERNAL EQUITY CONSIDERATIONS AND MARKET COMPENSATION FACTORS AND PRACTICES. MARKET DATA FROM THIRD PARTY EXECUTIVE COMPENSATION SURVEYS AND INDEPENDENT COMPENSATION CONSULTANTS ARE USED TO DETERMINE THE PRESIDENT/CEO'S COMPENSATION. THE COMPENSATION RECOMMENDATIONS ARE REVIEWED BY BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE. THE ORGANIZATION'S PRESIDENT/CEO IS ALSO AN EXECUTIVE OF THE PARENT, BCBSM, AND AS SUCH, THE COMPENSATION IS SUBJECT TO REVIEW BY THE BCBSM EXECUTIVE COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6COMPENSATION RECOMMENDATIONS FOR BCMI'S OFFICERS ARE REVIEWED AND APPROVED BY THE BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM) PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7GOVERNING DOCUMENTS - NO DOCUMENTS AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY - NO DOCUMENTS AVAILABLE TO THE PUBLIC. AUDITED FINANCIALS - AUDITED STATUTORY-BASIS FINANCAL STATEMENTS ARE AVAILABLE FROM THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS AND THE DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8RELATED ORGANIZATIONS BLUE CARE OF MICHIGAN, INC. (BCMI) HAS NO DIRECT EMPLOYEES. BCMI'S ULTIMATE PARENT, BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY (BCBSM), CAPTURES ALL EMPLOYEE COSTS FOR EMPLOYEES. FOR 2017, ONLY NON- EMPLOYEE DIRECTORS/TRUSTEES ARE REFLECTED ON FORM 990, PART IX, LINE 5. BCMI'S CURRENT AND FORMER OFFICERS ARE REFLECTED IN PART VII, SECTION A WITH COMPENSATION REPORTED FROM RELATED ORGANIZATIONS. NO EMPLOYEES WERE REFLECTED ON PART V, LINE 2A SINCE THE ACTUAL W-2'S AND 941'S ARE REPORTED BY BCBSM. 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.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VII
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0382069753
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1MI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0INSURANCE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1ADMIN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0BLUE CROSS BLUE SHIELD OF MICH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1BCN SERVICE COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0600 LAFAYETTE EAST
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt120500 CIVIC CENTER DR MC C455
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine2Txt0600 LAFAYETTE EAST
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine2Txt120500 CIVIC CENTER DR MC C455
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0DETROIT
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm1SOUTHFIELD
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1BCBS OF MI FOUNDATION

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