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      <Desc>THROUGH OUR COMMUNITY HEALTH MATCHING GRANT PROGRAM, WE COLLABORATED WITH HEALTH PROFESSIONALS AND COMMUNITY LEADERS AT NONPROFIT ORGANIZATIONS TO DEVELOP POPULATION LED, COMMUNITY INSPIRED INITIATIVES OR IMPLEMENT EVIDENCE-BASED PROGRAMS THAT ADDRESS COMMUNITY-IDENTIFIED NEEDS. BY RESPONDING TO COMMUNITY VOICES AND FOCUSING ON PROGRAM IN THEIR COMMUNITIES ON CORE TOPIC AREAS, SUCH AS MATERNAL AND INFANT HEALTH, BEHAVIORAL HEALTH, SENIOR AND CAREGIVER SUPPORT, AND NUTRITION AND FOOD ACCESS, THE BCBSM FOUNDATION SUPPORTED PROGRAMS WITH MEASURABLE OUTCOMES, SCALABLE SOLUTIONS AND EXPANDED ACCESS TO RESOURCES IN TARGETED ZIP CODES. HIGHLIGHTS INCLUDE: SUPPORT TO GROWING HOPE IN WASHTENAW COUNTY, WHICH EXPANDED A GARDEN LEADER TRAINING PILOT TO EQUIP PARTICIPANTS WITH ADVANCED GARDENING, MENTORSHIP AND FACILITATION SKILLS, STRENGTHENING THE HOME VEGETABLE GARDEN PROGRAM; A GRANT TO THE REVIVE AND THRIVE PROJECT TO FUND A REGISTERED DIETITIAN PROVIDING NUTRITION EDUCATION FOR ADULTS WITH CANCER, HEART DISEASE OR DIABETES; AND SUPPORT FOR THE MANNA PROJECT INC. TO EXPAND A MOBILE FOOD DISTRIBUTION PROGRAM THAT SERVES HOMEBOUND RESIDENTS LACKING TRANSPORTATION. IN 2025, THE BCBSM FOUNDATION, WITH OUR FUNDING PARTNERS, SUPPORTED 22 ORGANIZATIONS WITH FUNDING IN GRANT INVESTMENTS THROUGHOUT MICHIGAN TO ADDRESS COMMUNITY-IDENTIFIED NEEDS. THE FOUNDATION'S REQUEST FOR PROPOSAL PROGRAM IS GUIDED BY LISTENING AND LEARNING SESSIONS WITH COMMUNITY LEADERS AND THROUGH GATHERING DATA. WE SOLICIT REQUESTS FOR PROPOSALS THAT ARE POPULATION LED AND COMMUNITY INSPIRED. IN 2025, THE BCBSM FOUNDATION, WITH OUR FUNDING PARTNERS, SUPPORTED 15 ORGANIZATIONS WITH GRANT INVESTMENTS THROUGHOUT MICHIGAN TO ADDRESS COMMUNITY-IDENTIFIED NEEDS.</Desc>
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        <PersonNm>AUDREY J HARVEY</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR &amp; CEO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>922549</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICIAL THE COMPENSATION STRATEGY IS DESIGNED TO ENSURE THAT AN APPROPRIATE BALANCE EXISTS BETWEEN INTERNAL EQUITY CONSIDERATIONS AND MARKET COMPENSATION FACTORS AND PRACTICES. MARKET DATA FROM THIRD PARTY EXECUTIVE COMPENSATION SURVEYS AND INDEPENDENT COMPENSATION CONSULTANTS ARE USED TO DETERMINE THE EXECUTIVE DIRECTOR AND CEO'S COMPENSATION. THE COMPENSATION RECOMMENDATIONS ARE REVIEWED BY BLUE CROSS BLUE SHIELD OF MICHIGAN (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THE TAX YEAR: LYNDA ROSSI: $1,768,522</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NONQUALIFIED PENSION PLAN PROVIDES RETIREMENT BENEFITS FOR A GROUP OF KEY EMPLOYEES UNDER NONQUALIFIED DEFINED PENSION PLANS. THE GENERAL PURPOSE OF THE PLAN IS TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO PARTICIPANTS WHO ARE SUBJECT TO THE CONTRIBUTION AND BENEFIT LIMITATION APPLICABLE TO TAX-QUALIFIED PLANS UNDER IRC. BENEFITS UNDER THE PLAN ARE FUNDED AND PAID OUT OF THE GENERAL ASSETS OF THE CORPORATION. THESE AMOUNTS ARE ACCRUED AND ELIGIBLE TO BE PAID OUT WITHIN 2025: AUDREY J. HARVEY - NONQUALIFIED - $29,330 LYNDA ROSSI - NONQUALIFIED - $67,009 FARIS AHMAD, M.D. - NONQUALIFIED - $4,386 JAMES GRANT, M.D. - NONQUALIFIED - $128,180 TIFFANY ALBERT - NONQUALIFIED - $135,494</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1 (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BLUE CROSS BLUE SHIELD OF MICHIGAN FOUNDATION REMAINS COMMITTED TO A HEALTHIER MICHIGAN AND FULFILLS THIS COMMITMENT BY INVESTING IN COMMUNITY ORGANIZATIONS, PHYSICIANS, RESEARCHERS AND DOCTORAL STUDENTS WHO ARE STEADFAST IN THEIR DEVOTION TO ADDRESSING THE WHOLE-PERSON HEALTH NEEDS OF MICHIGAN RESIDENTS. SUPPORTING COMMUNITY INTERVENTIONS AND RESEARCH TO IMPROVE THE HEALTH OF MICHIGAN RESIDENTS. WE WORK WITH COMMUNITY LEADERS, PHILANTHROPIC PARTNERS AND THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES TO BETTER UNDERSTAND THE HEALTH NEEDS OF MICHIGANIANS. OUR GRANTS SEEK TO EMPOWER INDIVIDUALS BY INCREASING ACCESS TO VALUE-DRIVEN HEALTH CARE AND INTERVENTIONS THAT GO BEYOND TREATING AN ILLNESS. IN 2025, THE FOUNDATION RESPONDED TO MICHIGAN'S HEALTH NEEDS BY AWARDING GRANTS IN SUPPORT OF CRITICAL HEALTH INVESTMENTS. SUPPORT WAS PROVIDED IN RESPONSE TO REQUESTS FROM COMMUNITIES AND RESEARCHERS TO SUPPORT PROJECTS THAT ADDRESS HEALTH ISSUES AND IMPROVE QUALITY OF CARE AND HEALTH OUTCOMES. WE INVESTED IN 71 ORGANIZATIONS LOCATED IN 20 COUNTIES. OUR INVESTMENTS POSITIVELY AFFECTED THE QUALITY OF LIFE FOR INDIVIDUALS OF VARIOUS ABILITIES, SUPPORTED CHILDREN AND YOUNG ADULTS WHO NEEDED ACCESS TO TREATMENT FOR A BEHAVIORAL HEALTH DIAGNOSIS, ADDRESSED ISSUES AFFECTING OUTCOMES FOR INFANTS AND THE HEALTH OF PEOPLE GIVING BIRTH AND ADVANCED CREATIVE SOLUTIONS THAT FOCUS ON SUBSTANCE USE PREVENTION FOR ADOLESCENTS, HEALTH CARE FOR OLDER ADULTS AND SUPPORT FOR THE HEALTH OF CAREGIVERS. THE FOUNDATION HAS CONTINUED TO ENGAGE IN COLLECTIVE GRANTMAKING TO ADDRESS LARGE, COMMUNITY-WIDE ISSUES AS WELL. IN 2025, THE BCBSM FOUNDATION, IN COLLABORATION WITH THE MICHIGAN HEALTH ENDOWMENT FUND AND SUPERIOR HEALTH FOUNDATION, AWARDED GRANTS TO 14 ORGANIZATIONS THROUGH THE INVESTING IN THE HEALTH OF THE UPPER PENINSULA GRANT PROGRAM. THE GRANTS WILL SUPPORT THE HEALTH AND WELL-BEING OF OLDER ADULTS IN THE UPPER PENINSULA THROUGH CAREGIVING SUPPORT INITIATIVES, CARE COORDINATION, CHRONIC DISEASE PREVENTION, WORKFORCE DEVELOPMENT, POST-HOSPITAL DISCHARGE FOLLOW-UP CARE AND PROGRAMS TO REDUCE ISOLATION AND LONELINESS. WE ALSO CONTINUED OUR COLLECTIVE GRANTMAKING WITH BLUE CROSS BLUE SHIELD OF MICHIGAN BY COLLABORATIVELY FUNDING INVESTMENTS TO COMBAT FOOD AND NUTRITION INSECURITY. THIS YEAR'S INVESTMENTS HIGHLIGHT THE COMMITMENT AND CREATIVITY OF COMMUNITY ORGANIZATIONS, PHYSICIANS, RESEARCHERS AND DOCTORAL STUDENTS TO IMPROVE HEALTH CARE IN MICHIGAN. OUR COLLABORATIONS SIGNIFICANTLY SUPPORT OUR MISSION TO INCREASE THE ACCESS, QUALITY AND VALUE OF CARE - THEREBY CREATING A HEALTHIER MICHIGAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS FORMED AS A NON-PROFIT STOCK CORPORATION WHOLLY OWNED BY BLUE CARE NETWORK OF MICHIGAN (EIN 38-2359234), A HEALTH MAINTENANCE ORGANIZATION, WHICH IS ORGANIZED AND EXEMPT UNDER SECTION 501(C)(4).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTION OF MEMBERS AND THEIR RIGHTS SHAREHOLDERS HAVE THE POWER TO ELECT THE BOARD OF DIRECTORS, PRESIDENT, VICE PRESIDENT, AND CHAIRPERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTION OF MEMBERS AND THEIR RIGHTS SHAREHOLDERS HAVE THE POWER TO ELECT THE BOARD OF DIRECTORS, PRESIDENT, VICE PRESIDENT, AND CHAIRPERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PROCESS FOR FORM 990 IS THE RETURN IS PREPARED BY AN OUTSIDE FIRM, EY, AND REVIEWED BY THE MANAGEMENT TEAM OF THE FOUNDATION. THE MANAGEMENT TEAM REQUESTS SUPPORT FROM VARIOUS SOURCES AND PROVIDES TO EY AS NEEDED. THE CURRENT EXECUTIVE DIRECTOR AND CEO, AUDREY J. HARVEY, HAD THE OPPORTUNITY TO REVIEW THE RETURN BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. THE RETURN IS NOT PRESENTED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER WITH THE CONFLICT WILL ABSTAIN THEIR VOTE ON ISSUES RELATED TO THE CONFLICTING ORGANIZATION. MEMBERS RECEIVE ANNUALLY DISCLOSURE CONFLICT FORMS AND ARE REQUIRED TO REVIEW, UPDATE OR SUBMIT A NEW DISCLOSURE FORM. WHEN BOARD FORMS ARE SUBMITTED, THEY ARE THEN APPROVED BY THE BOARD CHAIR AND FINANCE COMMITTEE CHAIR. IF ANY CONFLICT IS TO BE RESOLVED THE BOARD CHAIR AND FINANCE COMMITTEE CHAIR WILL WORK WITH THE BOARD MEMBER TO RESOLVE THE CONFLICT. UPDATED FORMS WITH ALL CONFLICTS RESOLVED ARE PRESENTED ANNUALLY TO THE ENTIRE BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION RECOMMENDATIONS FOR BCBSM FOUNDATION'S OFFICERS OR KEY EMPLOYEES ARE REVIEWED AND APPROVED BY BLUE CROSS BLUE SHIELD OF MICHIGAN (BCBSM), PERSONNEL AND COMPENSATION SUBCOMMITTEE AND EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS - DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE OFFICE OF THE FOUNDATION. CONFLICT OF INTEREST POLICY - DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE OFFICE OF THE FOUNDATION. AUDITED FINANCIALS ARE PUBLISHED IN THE ANNUAL REPORT WHICH IS AVAILABLE ON THE FOUNDATION'S WEBSITE AND AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATIONS - BLUE CROSS BLUE SHIELD OF MICHIGAN FOUNDATION HAS ASSIGNED EMPLOYEES FROM ITS ULTIMATE PARENT, BLUE CROSS BLUE SHIELD OF MICHIGAN, (BCBSM). THE EXPENSES ASSOCIATED WITH THESE INDIVIDUALS ARE REFLECTED ON FORM 990, PART IX, LINE 5 AND LINE 7. PAYMENTS WERE MADE TO BCBSM THROUGH AN INTERCOMPANY AGREEMENT. NO EMPLOYEES WERE REFLECTED ON PART V, LINE 2A SINCE THE ACTUAL W-2'S AND 941'S ARE REPORTED BY BCBSM. COMPENSATION PAID TO THE EXECUTIVE DIRECTOR AND CEO, OFFICERS AS WELL AS FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES, BY THE PARENT COMPANY AND REIMBURSED BY THE FOUNDATION, IS INCLUDED ON FORM 990, PART VII, SECTION A. COMPENSATION PAID TO OTHER BOARD MEMBERS THAT WAS NOT REIMBURSED BY THE FOUNDATION IS REFLECTED ON FORM 990, PART VII, SECTION A. THEIR COMPLETE COMPENSATION AS PAID BY THE PARENT IS REPORTED IN COLUMN E. COMPENSATION AMOUNTS REPORTED ON PART IX LINE 5 AND 7 INCLUDE PENSION PLAN CONTRIBUTIONS, OTHER EMPLOYEE BENEFITS, AND PAYROLL TAXES THAT WOULD OTHERWISE BE REPORTED ON LINES 8, 9, AND 10, RESPECTIVELY. 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 COLUMN E AS APPROPRIATE.</ExplanationTxt>
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          <AddressLine1Txt>600 EAST LAFAYETTE BLVD MCX5</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
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