WA FOOTE MEMORIAL HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WA FOOTE MEMORIAL HOSPITAL (EIN 38-2027689)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-12
- IRS object ID
- 202403179349305540
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-12T13:24:51-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382027689 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WA FOOTE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WAFO | BusinessNameControlTxt |
| Phone | 5172054800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 N EAST AVENUE | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EMILY MOORHEAD | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 5172054800 | PhoneNum |
| Signature | 2024-11-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD HEALTH JACKSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EMILY MOORHEAD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 N EAST AVENUE | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $942,912,797 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HENRYFORD.COM/LOCATIONS/ALLEGIANCE-HEALTH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | WE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 4574 | TotalEmployeeCnt |
| Total Volunteers | 88 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,833,229 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,099,123 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $709,090,457 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $752,325,591 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,078,980 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,747,710 | CYInvestmentIncomeAmt |
| PY Other Revenue | $51,120,129 | PYOtherRevenueAmt |
| CY Other Revenue | $56,880,939 | CYOtherRevenueAmt |
| PY Total Revenue | $794,122,795 | PYTotalRevenueAmt |
| CY Total Revenue | $828,053,363 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $352,336 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $238,263 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $353,933,964 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $368,700,695 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $80,915 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $410,304,273 | PYOtherExpensesAmt |
| CY Other Expenses | $415,171,053 | CYOtherExpensesAmt |
| PY Total Expenses | $764,590,573 | PYTotalExpensesAmt |
| CY Total Expenses | $784,110,011 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,532,222 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $43,943,352 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $762,216,405 | TotalAssetsBOYAmt |
| Total Assets EOY | $807,404,458 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $333,441,992 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $310,840,865 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $428,774,413 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $496,563,593 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | W.A. FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") SERVING COMMUNITIES IN SOUTH CENTRAL MICHIGAN FOR MORE THAN 100 YEARS. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, W.A FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") SHARES THE MISSION OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $726,494,843 | ExpenseAmt |
| Grant | $238,263 | GrantAmt |
| Revenue | $821,644,991 | RevenueAmt |
| Desc | FOR MORE THAN 100 YEARS, HENRY FORD HEALTH JACKSON HOSPITAL HAS SERVED A NINE-COUNTY EXPANSE OF SOUTH-CENTRAL MICHIGAN WITH A COMMITMENT TO CHARITABLE GIVING, OUTREACH AND BUILDING STRONGER, HEALTHIER INDIVIDUALS AND FAMILIES. THE 365 LICENSED BED ACUTE CARE HOSPITAL AND LEVEL II TRAUMA CENTER OFFERS A FULL RANGE OF CLINICAL SERVICES, INCLUDING GENERAL MEDICINE, SURGERY, BIRTHING CENTER AND 24-HOUR EMERGENCY CARE. HENRY FORD HEALTH JACKSON HOSPITAL ALSO PROVIDES PHYSICAL MEDICINE AND REHAB, CARDIAC, CANCER AND NEUROSURGICAL SERVICES. DURING 2023, HENRY FORD HEALTH JACKSON HOSPITAL HAD 16,276 DISCHARGES.WITH A SENSE OF HUMAN COMPASSION, WE GIVE, ORGANIZE, LEAD, PARTNER AND EMBRACE THE WIDE-RANGING COMMUNITY PROGRAMS AND SERVICES. IN GIVING BACK TO THE CULTURE AND PEOPLE THAT SURROUND US, WE GAIN FULFILLMENT IN KNOWING WE HAVE INVESTED IN THE HEALTH AND WELL-BEING OF THE COMMUNITY WHICH WE SERVE. ESTABLISHED IN 1918, OUR COMMITMENT TO THE COMMUNITY IS TO LEAD THEM TO BETTER HEALTH AND WELL-BEING AT EVERY STAGE OF LIFE. SERVING SOUTH CENTRAL MICHIGAN, HENRY FORD HEALTH JACKSON HOSPITAL IS THE LARGEST EMPLOYER IN JACKSON COUNTY. THE CORONAVIRUS IMPACT WITH AN ESTABLISHED RESEARCH STRUCTURE AND ACCESS TO A DIVERSE PATIENT COMMUNITY, HENRY FORD WAS ABLE TO ACT IMMEDIATELY WHEN THE CORONAVIRUS PANDEMIC STRUCK. HENRY FORD UTILIZED EMERGENCY-USE AUTHORIZATIONS FROM THE FDA TO TREAT AND TRACK COVID-19 PATIENTS, CREATING AND MONITORING DATABASE REGISTRIES TO INFORM FUTURE CLINICAL TREATMENT. HENRY FORD RESEARCHERS INITIATED AND CONTINUE TO LEAD A COLLABORATIVE REGISTRY THAT INCLUDES NEARLY ALL COVID INPATIENTS AND TREATMENT-RELATED OUTCOME DATA FROM DETROIT-AREA HOSPITALS. MEDICAL EDUCATION:HENRY FORD HEALTH JACKSON HOSPITAL HAS AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOUTH-YEAR MEDICAL STUDENTS.HENRY FORD HEALTH JACKSON HOSPITAL TRAINS 35 MEDICAL STUDENTS AND 166 RESIDENTS IN 6 PROGRAMS.A NATIONAL LEADER IN FORMING COMMUNITY PARTNERSHIPS, HENRY FORD HEALTH JACKSON HOSPITAL PROMOTES WELLNESS AND PREVENTION THROUGH OUR HEALTH IMPROVEMENT ORGANIZATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HENRY FORD HEALTH JACKSON HOSPITAL PROVIDES OUTPATIENT SERVICES AT APPROXIMATELY 50 LOCATIONS THROUGHOUT SOUTH CENTRAL MICHIGAN. IN TOTAL THIS REPRESENTED 1,299,789 TOTAL OUTPATIENT FACILITY VISITS DURING 2023. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HENRY FORD HEALTH JACKSON HOSPITAL OPERATES A 24 HOUR EMERGENCY DEPARTMENT. EMERGENCY SERVICES REPRESENTED 72,801 PATIENT VISITS DURING 2023. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $726,494,843 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 370 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4574 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBIN DAMSCHRODER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3138768714 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| AARON S BOATIN | ||||||||||
| TRUSTEE - SECRETARY/TREASURER | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DENISE BROOKS-WILLIAMS | ||||||||||
| TRUSTEE | 1.00 | 62.00 | Yes (X) | $0 | $1,641,896 | $47,881 | ||||
| DAVID W CRAFT | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SAIRIA DASS RAMCHARAN MD | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARTHA A FUERSTENAU | ||||||||||
| TRUSTEE- CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE A HENDRIAN | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MOHAN G KULKARNI MD | ||||||||||
| PHYSICIAN TRUSTEE | 60.00 | 1.00 | Yes (X) | $1,103,312 | $0 | $54,695 | ||||
| MUMTAZ A MEMON MD | ||||||||||
| PHYSICIAN TRUSTEE | 60.00 | 2.00 | Yes (X) | $679,300 | $0 | $36,528 | ||||
| EMILY S MOORHEAD | ||||||||||
| DIRECTOR - PRESIDENT & CEO | 55.00 | 10.00 | Yes (X) | Yes (X) | $471,292 | $61,540 | $51,999 | |||
| MONICA M MOSER | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ADNAN R MUNKARAH MD | ||||||||||
| PHYSICIAN TRUSTEE | 1.00 | 64.00 | Yes (X) | $0 | $2,335,257 | $68,285 | ||||
| LAWRENCE NARKIEWICZ JR MD | ||||||||||
| PHYSICIAN TRUSTEE | 60.00 | 1.00 | Yes (X) | $591,213 | $0 | $35,812 | ||||
| MARK S OLSON | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN E OXLEY | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SAMIR PARIKH MD | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $57,262 | $0 | $0 | ||||
| DANIEL J PHELAN PHD | ||||||||||
| TRUSTEE - VICE CHAIR | 2.00 | 6.00 | Yes (X) | Yes (X) | $0 | $30,000 | $0 | |||
| CHRISTINA M SIDERS | ||||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| KENNETH W EMPEY | ||||||||||
| GENERAL COUNSEL | 55.00 | 5.00 | $0 | $370,666 | $21,238 | Yes (X) | ||||
| JIM BONGIORNO | ||||||||||
| CENTRAL MARKET CFO (THRU 12/2023) | 55.00 | 5.00 | $0 | $262,407 | $43,971 | Yes (X) | ||||
| MARK A SMITH MD | ||||||||||
| CMO/CEO HFAHMG | 55.00 | 5.00 | $584,228 | $0 | $54,648 | Yes (X) | ||||
| AZAM BASHEER MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $2,720,795 | $0 | $36,934 | Yes (X) | ||||
| FRANK LAMARCA MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $2,687,592 | $0 | $38,700 | Yes (X) | ||||
| VISHAL GUPTA MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,228,109 | $0 | $25,581 | Yes (X) | ||||
| BIPIN RAVINDRAN MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,047,805 | $0 | $8,793 | Yes (X) | ||||
| TIMOTHY EPHRIAM EKPO DO | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,012,888 | $0 | $34,462 | Yes (X) | ||||
| PAULA AUTRY | ||||||||||
| FORMER TRUSTEE - PRESIDENT & CEO | 0.00 | 0.00 | $0 | $368,899 | $0 | Yes (X) | ||||
| ROBERT G RINEY | ||||||||||
| FORMER TRUSTEE | 0.00 | 65.00 | $0 | $4,467,923 | $57,039 | Yes (X) | ||||
| MICHAEL GRISDELA | ||||||||||
| FORMER INTERIM CENTRAL MAR | 0.00 | 60.00 | $0 | $552,185 | $89,619 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,183,796 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,090,773 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $706,185 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 614 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INDEPENDENT HOSPITALIST PHYSICIANS PLLC | |||||
| PO BOX 100 | ROYAL OAK | MI | 48068 | HEALTHCARE SERVICES | $12,657,899 |
| PROLINK HEALTHCARE LLC | |||||
| 4600 MONTGOMERY RD STE 300 | CINCINNATI | OH | 45212 | TEMP NURSING SERVICES | $10,468,928 |
| PULMONARY CLINICS OF SOUTHERN MI PC | |||||
| 900 E MICHIGAN AVENUE STE 105 | JACKSON | MI | 49201 | HEALTHCARE SERVICES | $3,777,762 |
| OBHG MICHIGAN PC | |||||
| 777 LOWNDES HILL ROAD BLDG 1 | GREENVILLE | SC | 296068261 | HEALTHCARE SERVICES | $2,181,485 |
| INDEPENDENT EMERGENCY PHYSICIANS PC | |||||
| 37000 GRAND RIVER AVE | FARMINGTION HILLS | MI | 48335 | HEALTHCARE SERVICES | $1,793,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 66 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $130,091 | FundraisingAmt |
| Government Grants | $3,567,344 | GovernmentGrantsAmt |
| All Other Contributions | $2,401,688 | AllOtherContributionsAmt |
| Total Contributions | $6,099,123 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $752,325,591 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $752,325,591 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $752,325,591 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,199,579 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,199,579 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $272,023 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $272,023 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $272,023 | TotalRevenueColumnAmt |
| Exclusion | $272,023 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $124,083,297 | SecuritiesAmt |
| Other | $217,570 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $114,616,211 | SecuritiesAmt |
| Other | $136,525 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,467,086 | SecuritiesAmt |
| Other | $81,045 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,548,131 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,467,086 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $81,045 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $20,159 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $130,091 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $94,880 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$74,721 | TotalRevenueColumnAmt |
| Exclusion | -$74,721 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $42,720 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $11,818 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,902 | TotalRevenueColumnAmt |
| Exclusion | $30,902 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACTED PHARMACY REVENUE | 621110 | $50,103,194 | $50,103,194 |
| CAFETERIA | 900099 | $2,185,787 | $2,185,787 |
| JHN | 621990 | $1,606,588 | $1,606,588 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,757,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,757,166 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $56,652,735 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $828,053,363 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $821,644,991 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $309,249 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,152 | TotalAmt |
| Program Services | $164,152 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,111 | TotalAmt |
| Program Services | $74,111 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,011,814 | TotalAmt |
| Program Services | $3,327,494 | ProgramServicesAmt |
| Management And General | $635,483 | ManagementAndGeneralAmt |
| Fundraising | $48,837 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,900 | TotalAmt |
| Program Services | $184,450 | ProgramServicesAmt |
| Management And General | $166,005 | ManagementAndGeneralAmt |
| Fundraising | $18,445 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,200,563 | TotalAmt |
| Program Services | $280,896,041 | ProgramServicesAmt |
| Management And General | $21,304,522 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,991,222 | TotalAmt |
| Program Services | $5,557,911 | ProgramServicesAmt |
| Management And General | $431,996 | ManagementAndGeneralAmt |
| Fundraising | $1,315 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,583,582 | TotalAmt |
| Program Services | $33,937,698 | ProgramServicesAmt |
| Management And General | $2,637,855 | ManagementAndGeneralAmt |
| Fundraising | $8,029 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,544,614 | TotalAmt |
| Program Services | $18,131,063 | ProgramServicesAmt |
| Management And General | $1,409,262 | ManagementAndGeneralAmt |
| Fundraising | $4,289 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$2,357 | TotalAmt |
| Program Services | $75 | ProgramServicesAmt |
| Management And General | -$2,432 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,114,492 | TotalAmt |
| Program Services | $57,017,525 | ProgramServicesAmt |
| Management And General | $4,096,967 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,082 | TotalAmt |
| Program Services | $104,132 | ProgramServicesAmt |
| Management And General | $703,950 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,376,456 | TotalAmt |
| Program Services | $7,624,286 | ProgramServicesAmt |
| Management And General | $3,752,170 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,864,781 | TotalAmt |
| Program Services | $1,552,666 | ProgramServicesAmt |
| Management And General | $312,115 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,899,437 | TotalAmt |
| Program Services | $3,351,410 | ProgramServicesAmt |
| Management And General | $3,548,027 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $537,605 | TotalAmt |
| Program Services | $455,623 | ProgramServicesAmt |
| Management And General | $81,982 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,010,451 | TotalAmt |
| Program Services | $974,368 | ProgramServicesAmt |
| Management And General | $36,083 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,335,389 | TotalAmt |
| Program Services | $6,334,656 | ProgramServicesAmt |
| Management And General | $733 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,108,643 | TotalAmt |
| Program Services | $19,419,274 | ProgramServicesAmt |
| Management And General | $6,689,369 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,894,732 | TotalAmt |
| Program Services | $5,894,732 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $81,744,898 | $81,951,349 | -$206,451 |
| CORP OFFICE ALLOCATION | $78,932,854 | $78,932,854 | $0 |
| PHARMACEUTICAL SUPPLIES | $69,550,113 | $69,429,577 | $120,536 |
| QUAAP TAX | $18,895,349 | $18,895,349 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,100,128 | TotalAmt |
| Program Services | $32,284,047 | ProgramServicesAmt |
| Management And General | $11,816,081 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,110,011 | TotalAmt |
| Program Services | $726,494,843 | ProgramServicesAmt |
| Management And General | $57,534,253 | ManagementAndGeneralAmt |
| Fundraising | $80,915 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,909 | BOYAmt |
| EOY | $248,476 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,930,307 | BOYAmt |
| EOY | $71,829,973 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,011,000 | BOYAmt |
| EOY | $2,011,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,951,683 | BOYAmt |
| EOY | $114,313,913 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,461,895 | BOYAmt |
| EOY | $17,789,070 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,880,388 | BOYAmt |
| EOY | $2,927,801 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $400,402,062 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $203,106,780 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,908,905 | BOYAmt |
| EOY | $197,295,282 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,853,923 | BOYAmt |
| EOY | $365,421,425 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,163,830 | BOYAmt |
| EOY | $6,479,617 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,875,565 | BOYAmt |
| EOY | $29,087,901 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,216,405 | BOYAmt |
| EOY | $807,404,458 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,675,171 | BOYAmt |
| EOY | $83,043,370 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,373,205 | BOYAmt |
| EOY | $135,702,488 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,393,616 | BOYAmt |
| EOY | $92,095,007 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,441,992 | BOYAmt |
| EOY | $310,840,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,437,020 | BOYAmt |
| EOY | $490,615,729 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,337,393 | BOYAmt |
| EOY | $5,947,864 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,774,413 | BOYAmt |
| EOY | $496,563,593 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,216,405 | BOYAmt |
| EOY | $807,404,458 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $43,943,352 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $30,765,250 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,919,422 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $42,138 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $42,138 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | HEALTH CARE IS A HIGHLY-REGULATED FIELD, REQUIRING FREQUENT AND HIGH-LEVEL COMMUNICATION WITH REGULATORS AND ELECTED OFFICIALS. A SMALL INVESTMENT IN LOBBYING ENABLES US TO REMAIN IN CONTACT WITH LEGISLATORS AND GOVERNMENT AGENCIES, MAXIMIZE THE RESOURCES WITH WHICH WE ARE ENTRUSTED AND ASSURE THAT WE PROVIDE THE BEST CARE TO OUR COMMUNITY. W.A. FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ENLISTS THE SERVICES OF SEVERAL LOBBYING CONSULTANTS, ATTORNEYS AND HEALTHCARE TRADE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,337,392 | BeginningYearBalanceAmt |
| Contributions | $3,567,344 | ContributionsAmt |
| Investment Earnings Or Losses | $127,629 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,084,501 | OtherExpendituresAmt |
| End Year Balance | $5,947,864 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,925,913 | BeginningYearBalanceAmt |
| Contributions | $3,614,133 | ContributionsAmt |
| Investment Earnings Or Losses | -$145,673 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,056,981 | OtherExpendituresAmt |
| End Year Balance | $5,337,392 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,089,845 | BeginningYearBalanceAmt |
| Contributions | $2,032,607 | ContributionsAmt |
| Investment Earnings Or Losses | $184,527 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,381,066 | OtherExpendituresAmt |
| End Year Balance | $3,925,913 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,864,539 | BeginningYearBalanceAmt |
| Contributions | $1,790,548 | ContributionsAmt |
| Investment Earnings Or Losses | $125,594 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,690,836 | OtherExpendituresAmt |
| End Year Balance | $3,089,845 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,183,393 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $192,950 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,311,804 | OtherExpendituresAmt |
| End Year Balance | $2,864,539 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.53240 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.46760 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,537,626 | OtherCostOrOtherBasisAmt |
| Book Value | $9,537,626 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $209,161,417 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,167,975 | DepreciationAmt |
| Book Value | $137,993,442 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,217,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $219,192 | DepreciationAmt |
| Book Value | $998,617 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $172,855,994 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,719,613 | DepreciationAmt |
| Book Value | $41,136,381 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,629,216 | OtherCostOrOtherBasisAmt |
| Book Value | $7,629,216 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $197,295,282 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| RETIREMENT PLAN LIABILITY | $28,961,598 |
| DEFERRED COMP | $17,872,043 |
| CORPORATE RESERVE | $6,612,431 |
| LIABILITY INSURANCE | $25,098,076 |
| WORKERS COMP LIABILITY | $1,320,441 |
| CURRENT OPERATING LEASE LIABILITY | $2,238,644 |
| LONG TERM OPERATING LEASE LIABILITY | $10,263,067 |
| OPERATING LEASE A/P PAYMENT | -$271,293 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $92,095,007 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR VARIOUS CHARITABLE HOSPITAL PROGRAMS INCLUDING TREATMENT OF UNINSURED PATIENTS, COMMUNITY PREVENTATIVE HEALTH EDUCATION, PROGRAM DEVELOPMENT AND CAPITAL IMPROVEMENTS. |
| PART X, LINE 2: | THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | PINK BALL | Event1Nm |
| Gross Receipts Event1 | $118,048 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $85,129 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $32,919 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $65,329 | OtherDirectExpensesEvent1Amt |
| Event2 | LIGHTS OF LOVE | Event2Nm |
| Gross Receipts Event2 | $32,202 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $44,962 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | -$12,760 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $29,551 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $150,250 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $130,091 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $20,159 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $94,880 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $94,880 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$74,721 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $42,720 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $11,818 | NonCashPrizesOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 1.00000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $42,720 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $11,818 | NonCashPrizesTotalGamingAmt |
| Direct Expense Summary Gaming | $11,818 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $30,902 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMY STRAUSS SPECIAL EVENTS DEPT | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,280,650 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,280,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $210,142,206 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $161,956,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,185,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06280 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $222,422,856 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $161,956,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $60,466,299 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,325,016 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,325,016 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,955,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,248,033 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,707,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,056,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,887,290 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,169,236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,100,204 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,100,204 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,437,473 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,135,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,302,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $261,860,329 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $185,091,880 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,768,449 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09990 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,466 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $625,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $625,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $644,466 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $644,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,595,838 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,148,960 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $216,344,138 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $251,575,280 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$35,231,142 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 FOOTE HEALTH CENTER ASSOCIATES | |||
| ENTITY LEASES MEDICAL OFFICE SPACE. | 0.92870 | 0.00000 | 0.07130 |
| 2 GRASS LAKE REAL ESTATE LLC | |||
| TO BUILD AND MANAGE OUTPATIENT SURGICAL CENTER | 0.46000 | 0.00000 | 0.46000 |
| 3 GRASS LAKE SURGERY CENTER LLC | |||
| TO OPERATE OUTPATIENT SURGICAL CENTER | 0.46000 | 0.00000 | 0.46000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD HEALTH JACKSON HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 N EAST AVENUE | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HENRYFORD.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD HEALTH JACKSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE LINE 10A BELOW | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HENRY FORD HEALTH JACKSON HOSPITAL | PART V, SECTION B, LINE 5: TO GET A COMPREHENSIVE PICTURE OF THE HEALTH OF THE COMMUNITIES WE SERVE, OUR CHNA PROCESS INCLUDED AN IN-DEPTH REVIEW OF STATE AND LOCAL DATA, FROM WHICH MANY COMMON HEALTH ISSUES AND TRENDS EMERGED. THESE DATA WERE GATHERED LARGELY FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) VITAL STATISTICS, THE MICHIGAN BEHAVIORAL RISK FACTOR (BRFS) SURVEY, AND THE AMERICAN COMMUNITIES SURVEY. THE MOST UPDATED DATA WERE GENERALLY COLLECTED FROM 2018 TO 2020. DATA FROM 2020 MAY BE INFLUENCED BY THE COVID-19 PANDEMIC. HOWEVER, SINCE DATA MORE RECENT THAN 2020 IS LARGELY NOT YET AVAILABLE, THIS CHNA IS NOT ABLE TO FULLY REFLECT THE IMPACT OF COVID-19. WE ALSO EXAMINED TRENDS IN THESE DATA SINCE COMPLETING OUR LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019, FROM WHICH DATA WERE MOSTLY COLLECTED DURING 2015-2017.OUR METHODOLOGY INCLUDED REVIEWING DATA COLLECTED FROM STATE AND LOCAL SOURCES AND COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS.JACKSON COUNTY WAS SURVEYED THROUGH THE JACKSON COLLABORATIVE NETWORK'S NEEDS ASSESSMENT PROCESS, WHICH UTILIZES A PHONE SURVEY SAMPLING STRATEGY. THE METHOD USED FOR THIS SURVEY WAS A RANDOM DIGIT DIAL TELEPHONE SURVEY OF JACKSON COUNTY RESIDENTS. THE SAMPLE WAS STRATIFIED BY CENSUS TRACT, MEANING THE POPULATION WAS SAMPLED EVENLY THROUGHOUT ALL CENSUS TRACTS IN THE COUNTY (WITH THE PRISON CENSUS TRACT BEING OMITTED). CELLULAR AND LANDLINE TELEPHONE NUMBERS OF JACKSON COUNTY RESIDENTS IN EACH CENSUS TRACT WERE RANDOMLY DIALED UNTIL THE TARGET NUMBER OF SURVEYS WAS COMPLETED FOR EACH TRACT. THIS CYCLE INCLUDED AN OVERSAMPLING OF RESIDENTS WHO SELF-IDENTIFIED AS BLACK/AFRICAN AMERICAN TO HELP STRENGTHEN THE SAMPLE AND HELP TO REVEAL EVIDENCE OF RACIAL DISPARITIES IN THE JACKSON COMMUNITY. A TOTAL OF 1,300 ADULTS IN JACKSON COUNTY COMPLETED THE TELEPHONE SURVEY. WITHIN JACKSON COUNTY, 26% OF RESPONDENTS LIVED IN THE CITY OF JACKSON, 59% LIVED OUTSIDE OF THE CITY, AND THE REMAINING 15% HAD AN UNKNOWN LOCATION WITHIN JACKSON COUNTY.RESPONSES TO SURVEYS WERE RECEIVED FROM ORGANIZATIONS AND INDIVIDUALS REPRESENTING A RANGE OF RACIAL/ETHNIC BACKGROUNDS. RACIAL/ETHNIC MINORITIES REPRESENTED AMONGST SURVEY RESPONDENTS INCLUDE BLACK, ASIAN, NATIVE AMERICAN, MULTI-RACIAL, HISPANIC OR LATINO, AND MIDDLE EASTERN OR NORTH AFRICAN DESCENT.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS JACKSON COUNTY HEALTH DEPARTMENT, JACKSON HEALTH NETWORK, JACKSON COMMUNITY FOUNDATION, JACKSON COUNTY INTERMEDIATE SCHOOL DISTRICT, UNITED WAY OF JACKSON COUNTY AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE. FROM THEIR SURVEY RESPONSES, WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES FACING OUR COMMUNITIES. |
| HENRY FORD HEALTH JACKSON HOSPITAL | PART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH MACOMB HOSPITALHENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHENRY FORD HEALTH WYANDOTTE HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD HEALTH ALLEGIANCE SPECIALTY HOSPITAL |
| HENRY FORD HEALTH JACKSON HOSPITAL | PART V, SECTION B, LINE 11: CHNA PRIORITIESTHE THREE (3) SELECTED PRIORITIES WHICH EMERGED FROM THE 2022 CHNA WERE: CHRONIC DISEASE PREVENTION & MANAGEMENT, BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER AND INFANT MORTALITY.THE FOLLOWING ARE STRATEGIES TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA. CHRONIC DISEASE PREVENTION & MANAGEMENT EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.CONTINUE TO ENHANCE PROGRAMMING AND EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES PREVENTION PROGRAMS (DPP) ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.ENGAGE PROVIDER ORGANIZATIONS IN SYSTEMATIC CLINICAL IMPROVEMENTS TO REDUCE RACIAL DISPARITIES IN HYPERTENSION AND/OR DIABETES CONTROL.HENRY FORD HEALTH WILL PARTNER WITH COMMUNITY ORGANIZATIONS VIA A COMMUNITY INFORMATION EXCHANGE (CIE) TO CLOSE 50% OF THE SOCIAL NEEDS GAPS IDENTIFIED (REFERRALS MADE) WITHIN POPULATIONS SCREENED BY 2025. BY 2025, HENRY FORD HEALTH WILL INVEST $15 MILLION THROUGH INTERMEDIARIES INTO PROJECTS THAT POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH (SDOH) ACROSS MARKETS WE SERVE. INVESTMENTS WILL YIELD RETURNS THAT MAY BE BELOW GENERAL MARKET EXPECTATIONS, BUT SUFFICIENT TO REPLENISH FUNDING FOR FUTURE ROUNDS OF INVESTMENT. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER PROVIDE DEPRESSION SCREENING FOR ALL THOSE SEEKING PSYCHIATRIC CARE.PATIENTS SUFFERING FROM OPIATE USE DISORDER (OUD), NOT IN REMISSION, WILL BE PRESCRIBED NAXLOXONE AS A SAFETY MEASURE TO PREVENT MORBIDITY AND MORTALITY.IMPROVE ACCESS IN OUR PSYCHIATRIC SPECIALTY CLINICS AND IN OUR COLLABORATIVE CARE MODEL FOR ADULT PATIENTS. INFANT MORTALITY IMPROVE PRENATAL AND PEDIATRIC ASSESSMENTS OF ALL PATIENTS BY IDENTIFYING AND ADDRESSING SDOH AND PROVIDING IMPROVED CARE NAVIGATION. EXPAND IMPLICIT BIAS EDUCATION/TRAINING TO ALL HFHS OBSTETRIC, PEDIATRIC/NEONATOLOGY NURSING AND PROVIDERS (INCLUDES REDUCING UNCONSCIOUS BIAS, AND IMPERATIVE (RUBI) CURRICULUM).ENSURE OB/GYN PATIENTS ARE RECEIVING RESPECTFUL CARE.SCALE WIN NETWORK: DETROIT ENHANCED MODEL OF GROUP PRENATAL CARE TO ADDITIONAL SITES.CHNA SIGNIFICANT NEEDS NOT ADDRESSEDSIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA WHICH ARE NOT BEING ADDRESSED IN THE CHNA IMPLEMENTATION PLANS: VACCINATIONS ASTHMA ALZHEIMER'S KIDNEY DISEASE PNEUMONIA AND INFLUENZA HENRY FORD HEALTH ACKNOWLEDGES THE NUMEROUS AND WIDE RANGE OF HEALTH NEEDS THAT EXIST IN OUR COMMUNITIES SERVED, AND WE ACKNOWLEDGE THAT THERE ARE CERTAIN HEALTH NEEDS NOT CHOSEN AS PRIORITIES, LISTED ABOVE. WE HAVE DETERMINED THAT OUR IMPLEMENTATION PLANS ARE ONLY ABLE TO EFFECTIVELY ADDRESS THE MOST PRESSING NEEDS IDENTIFIED BY OUR STAKEHOLDERS AND IN RELEVANT DATA AND SURVEYS, WHICH INCLUDE CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, CANCER, AND INFANT MORTALITY. THE SELECTED PRIORITIES WERE ANALYZED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, AS WELL AS HEALTH SYSTEM RESOURCES, AND REPRESENT THE KEY HEALTH ISSUES WHICH ARE MOST PRESSING WITH THE MOST COMPELLING DATA. WHILE HFH PROVIDES SUPPORTIVE CLINICAL SERVICES IN THESE AREAS, THEY WILL NOT BE INCLUDED AS AREAS OF PRIMARY ACTIVITY AS IT RELATES TO THE IMPLEMENTATION PLANS. |
| HENRY FORD HEALTH JACKSON HOSPITAL | PART V, SECTION B, LINE 13B: HENRY FORD HEALTH JACKSON HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES. |
| PART V, LINE 10A | HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 50 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (50 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HFHJH HEMATOLOGYONCOLOGY | ||||
| 1100 E MICHIGAN AVE STE 307 | JACKSON | MI | 49201 | SPECIALTY PRACTICE AND INFUSION CENTER |
| 2 - HFHJH ORTHOPEDIC & NEUROSCIENCE CNTR | ||||
| 1201 E MICHIGAN AVENUE | JACKSON | MI | 49201 | OUTPATIENT SPECIALTY, DIAGNOSTIC AND REHAB FACILITY |
| 3 - HFHJH SURGERY CENTER | ||||
| 1125 E MICHIGAN AVENUE | JACKSON | MI | 49201 | OUTPATIENT SURGERY CENTER |
| 4 - HFHJH DIGESTIVE HEALTH | ||||
| 205 S EAST AVE | JACKSON | MI | 49201 | OUTPATIENT SURGERY CENTER |
| 5 - HFHJH RADIATION ONCOLOGY | ||||
| 1102 E MICHIGAN AVE | JACKSON | MI | 49201 | RADIATION THERAPY |
| 6 - HFHJH HEALTH CARDIOLOGY | ||||
| 309 PAGE AVENUE | JACKSON | MI | 49201 | SPECIALTY PRACTICE AND DIAGNOSTIC TESTING CENTER |
| 7 - HFHJH HEALTH CENTER - CASCADE RIDGE | ||||
| 3305/3333 SPRING ARBOR RD | JACKSON | MI | 49203 | FAMILY AND SPECIALTY PRACTICES, DIAGNOSTIC CENTER |
| 8 - HFHJH VASCULAR LABORATORY | ||||
| 300 W WASHINGTON AVENUE STE 350 | JACKSON | MI | 49201 | VASCULAR TESTING |
| 9 - HFHJH HEALTH CENTER - TOWNSEND | ||||
| 400 HINCKLEY BLVD | JACKSON | MI | 49203 | FAMILY MEDICINE AND DIAGNOSTIC CENTER |
| 10 - HFHJH HEALTH CENTER - NORTH STREET | ||||
| 1401 W NORTH STREET | JACKSON | MI | 49202 | FAMILY MEDICINE AND DIAGNOSTIC CENTER |
| 11 - HFHJH HEALTH CENTER - SPRINGPORT | ||||
| 2200 SPRINGPORT ROAD | JACKSON | MI | 49202 | OUTPATIENT SERVICES, DIAGNOSTIC CENTER, PHARMACY SVCS |
| 12 - HFHJH GASTROENTEROLOGY | ||||
| 744 W MICHIGAN AVE STE 201 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 13 - HFHJH ENTHEARING CENTER | ||||
| 1111 TENEYCK ST | JACKSON | MI | 49201 | SPECIALTY PRACTICE AND AUDIOLOGY SALES/SERVICE |
| 14 - HFHJH ADDICTION RECOVERY CENTER | ||||
| 2424 W WASHINGTON AVE | JACKSON | MI | 49203 | INPATIENT AND OUTPATIENT TREATMENT CENTER |
| 15 - HFHJH HOME HEALTH CARE | ||||
| 100 E MICHIGAN AVE STE 400 | JACKSON | MI | 49201 | CLINICAL HOME CARE SERVICES |
| 16 - HFHJH UROLOGY - SPRING ARBOR ROAD | ||||
| 2800 SPRING ARBOR RD | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 17 - HFHJH UROLOGY - W MICHIGAN AVE | ||||
| 744 W MICHIGAN AVE STE 300 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 18 - HFHJH PHYSICAL REHAB-JACKSON | ||||
| 100 E MICHIGAN AVE STE 103 | JACKSON | MI | 49201 | PHYSICAL REHABILITATION |
| 19 - HFHJH HEALTH CENTER - EAST MICHIGAN | ||||
| 3235 E MICHIGAN AVENUE | JACKSON | MI | 49202 | FAMILY MEDICINE AND BEHAVIORAL HEALTH SERVICES |
| 20 - HFHJH PEDIATRICS | ||||
| 760 W FRANKLIN | JACKSON | MI | 49203 | PEDIATRIC MEDICINE |
| 21 - HFHJH HEALTH CENTER - MASON | ||||
| 810 HOGSBACK RD | MASON | MI | 48854 | FAMILY AND SPECIALTY PRACTICE, DIAGNOSTICS, REHAB |
| 22 - HFHJH HOME MEDICAL EQUIP | ||||
| 700 E MICHIGAN AVE | JACKSON | MI | 49201 | SALE OF DURABLE MEDICAL EQUIPMENT |
| 23 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNT | ||||
| 153 WAMPLERS LAKE RD | BROOKLYN | MI | 49230 | FAMILY MEDICINE AND DIAGNOSTIC CENTER |
| 24 - HFHJH HEALTH CENTER - LESLIE | ||||
| 130 N SHERMAN ST | LESLIE | MI | 49251 | FAMILY MEDICINE AND DIAGNOSTIC CENTER |
| 25 - HFHJH HEALTH CENTER - SPRING ARBOR | ||||
| 7845 SPRING ARBOR ROAD | SPRING ARBOR | MI | 49283 | FAMILY MEDICINE AND DIAGNOSTIC CENTER |
| 26 - HFHJH HEALTH CENTER - MICHIGAN CENTER | ||||
| 4304 PAGE AVE | MICHIGAN CENTER | MI | 49254 | SPECIALTY PRACTICE, DIAGNOSTICS, REHAB |
| 27 - HFHJH BEHAVIORAL HEALTH | ||||
| 744 W MICHIGAN AVE STE 200 | JACKSON | MI | 49201 | OUTPATIENT BEHAVIORAL HEALTH |
| 28 - HFHJH GENERAL SURGERY | ||||
| 1100 E MICHIGAN AVE STE 300 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 29 - HFHJH HEALTH CENTER - ALBION | ||||
| 27931 C DRIVE NORTH | ALBION | MI | 49224 | FAMILY AND SPECIALTY MEDICINE, DIAGNOSTIC CENTER |
| 30 - HFHJH FAMILY MEDICINE - SUMMIT WOODS | ||||
| 2585 SPRING ARBOR ROAD | JACKSON | MI | 49203 | FAMILY MEDICINE |
| 31 - HFHJH THORACIC SURGERY | ||||
| 1100 E MICHIGAN AVE STE 201 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 32 - HFHJH VASCULAR HEALTH | ||||
| 300 W WASHINGTON AVENUE STE 300 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 33 - HFHJH OCCUPATIONAL HEALTH | ||||
| 100 E MICHIGAN AVE STE 101 | JACKSON | MI | 49201 | EMPLOYMENT SCREENING, WORK-RELATED INJURY TREATMENT |
| 34 - HFHJH CARDIAC SURGERY | ||||
| 1100 E MICHIGAN AVE STE 201 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 35 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNT | ||||
| 12369 E MICHIGAN AVE | GRASS LAKE | MI | 49240 | FAMILY MEDICINE AND DIAGNOSTIC CENTER |
| 36 - HFHJH INTERNAL MEDICINE | ||||
| 100 E MICHIGAN AVE STE 102 | JACKSON | MI | 49201 | OUTPATIENT SERVICES |
| 37 - HFHJH DIAGNOSTIC CENTER - NORTH JACKSON | ||||
| 505 N JACKSON ST STE 178 | JACKSON | MI | 49201 | LAB AND IMAGING SERVICES |
| 38 - HFHJH OUTPATIENT PROCEDURE CENTER | ||||
| 1100 E MICHIGAN AVE STE 109 | JACKSON | MI | 49201 | OUTPATIENT SERVICES |
| 39 - HFHJH CARDIAC REHAB | ||||
| 1100 E MICHIGAN AVE STE 100/102 | JACKSON | MI | 49201 | POST-SURGICAL REHABILITATION |
| 40 - HFHJH BARIATRIC CENTER | ||||
| 744 W MICHIGAN AVE STE 101 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 41 - HFHJH PHYSICAL REHAB - HILLSDALE | ||||
| 61 W CARLTON | HILLSDALE | MI | 49242 | PHYSICAL REHABILITATION |
| 42 - HFHJH DIAGNOSTIC CENTER | ||||
| 1100 E MICHIGAN AVE STE 104 | JACKSON | MI | 49201 | LAB AND IMAGING SERVICES |
| 43 - HFHJH DIAGNOSTIC CENTER - GREENWOOD AVE | ||||
| 1310 GREENWOOD AVE | JACKSON | MI | 49203 | LABORATORY SERVICES |
| 44 - HFHJH OUTPATIENT TRAUMA | ||||
| 1100 E MICHIGAN AVE STE 300 | JACKSON | MI | 49201 | SPECIALTY PRACTICE |
| 45 - HFHJH HEALTH CENTER-CHELSEA | ||||
| 1145 S MAIN ST UNIT A | CHELSEA | MI | 48119 | LAB |
| 46 - HFHJH HEALTH CENTER-COLDWATER | ||||
| 605 W CHICAGO STREET | COLDWATER | MI | 49036 | LAB |
| 47 - HFHJH DIAGNOSTIC CENTER-HILLSDALE | ||||
| 3271 W CARLETON | HILLSDALE | MI | 49242 | LAB |
| 48 - HENRY FORD MILK BANK-JACKSON | ||||
| 200 S EAST AVENUE | JACKSON | MI | 49201 | MILK BANK |
| 49 - HFHJH ORTHO CLINIC-ALBION | ||||
| 415 S HANNAH | ALBION | MI | 49224 | SPECIALTY PRACTICE |
| 50 - HFHJH CARDIOLOGY CLINIC-JONESVILLE | ||||
| 216 OLDS STREET | JONESVILLE | MI | 49250 | SPECIALTY PRACTICE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G: | SUBSIDIZED SERVICES CONSIST PRIMARILY OF PHYSICIAN AND FACILITY COSTS OF WOMEN'S AND BEHAVIORAL HEALTH SERVICES. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $16,595,838 |
| PART II, COMMUNITY BUILDING ACTIVITIES: | OUR VISION IS TO BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE-ONE PERSON AT A TIME. TO BE A TRULY TRANSFORMATIVE FORCE FOR COMMUNITIES AND A TRUSTED PARTNER, IT IS IMPERATIVE THAT AS AN ORGANIZATION, WE LISTEN TO THE VOICES OF THOSE WE SERVE. WE SERVE MANY DIVERSE COMMUNITIES AND POPULATIONS WITH UNIQUE HISTORIES, CHARACTERISTICS, STRUGGLES AND STRENGTHS.TO ACHIEVE THIS VISION, WE MUST BUILD TRUSTED RELATIONSHIPS WITH OUR PATIENTS AND COMMUNITY MEMBERS AND ENSURE THOSE WE SERVE THAT THEIR NEEDS INFORM OUR PRACTICES, POLICIES AND ALLOCATION OF RESOURCES. OUR PATIENTS ENTRUST OUR ORGANIZATION WITH THEIR LIVES AND THE LIVES OF THOSE THEY LOVE. ASSESSING AND RESPONDING TO THE CHANGING NEEDS OF THESE PATIENTS IS VITAL TO DEVELOPING AND MAINTAINING TRUSTED RELATIONSHIPS AS WE WORK TOWARD A COMMON GOAL COMMUNITIES FULL OF HEALTHY, THRIVING PEOPLE OF ALL AGES. |
| PART III, LINE 2: | THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED IN PATIENT GROSS CHARGES. |
| PART III, LINE 4: | IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 138% OF MEDICARE RATES.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES |
| PART III, LINE 9B: | SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED. IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO THE BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME" - "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES" |
| PART VI, LINE 2: | COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES ARE SELECTED AFTER CONSIDERING THE DATA ON HEALTH AND SOCIAL NEEDS, WEIGHED ALONGSIDE INPUT RECEIVED FROM COMMUNITY MEMBERS AND STAKEHOLDERS REGARDING THE ISSUES THEY BELIEVE TO BE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH. THE FOLLOWING CRITERIA WERE CONSIDERED MOST IMPORTANT WHEN THE CHNA WORKGROUP WAS SELECTING THE RECOMMENDED PRIORITIES: ISSUES SIGNIFICANTLY CONTRIBUTING TO DEATH ISSUES SIGNIFICANTLY CONTRIBUTING TO PREVENTABLE HOSPITALIZATIONS SIGNIFICANT RACIAL DISPARITIES IN DISEASE OR MORTALITY PREVALENCE SIGNIFICANT WORSENING OF A HEALTH ISSUE SINCE 2019 CHNA RANKING IN TOP 4 ISSUES IMPORTANT TO IMPROVING COMMUNITY HEALTH BY COMMUNITY MEMBERS AND STAKEHOLDERSHENRY FORD'S CHNA WORKGROUP, A WORKGROUP OF COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE-WIDE (CHANCE), REVIEWED THE DATA COLLECTED FROM STATE AND LOCAL SOURCES AND THE COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS. THE WORKGROUP IDENTIFIED HIGHLY PREVALENT HEALTH ISSUES, ISSUES WHICH AFFECT PEOPLE IN OUR SERVICE AREA MORE THAN MICHIGAN RESIDENTS ON AVERAGE, AND ISSUES WHICH HAVE SIGNIFICANTLY WORSENED SINCE THE 2019 CHNA. AFTER CONSIDERING THE DATA, COMMUNITY INPUT, AND OUR RESOURCES AND INITIATIVES, PRIORITIES WERE RECOMMENDED BY THE CHNA WORKGROUP FOR APPROVAL BY THE PRESIDENT OF EACH HENRY FORD HEALTH HOSPITAL. CHNA WORKGROUP LEADERSHIP MET ONE-ON-ONE WITH EACH HOSPITAL PRESIDENT TO PRESENT NEEDS ASSESSMENT FINDINGS, PRIORITY RECOMMENDATIONS AND JUSTIFICATIONS FOR THE SELECTED PRIORITIES. APPROVAL WAS RECEIVED FROM EACH PRESIDENT FOR THE RECOMMENDED PRIORITIES. THE RECOMMENDED PRIORITIES WERE THEN PRESENTED TO AND RATIFIED BY EACH HOSPITAL BOARD OF TRUSTEES AND THE HENRY FORD HEALTH EXECUTIVE COUNCIL IN THE THIRD QUARTER OF 2022. THE COMMUNITY HEALTH LEADERSHIP COUNCIL RECOMMENDED THIS CHNA FOR APPROVAL BY THE BOARD OF DIRECTORS ON NOVEMBER 4, 2022. THE SELECTED PRIORITIES WERE RATIFIED BY THE HENRY FORD HEALTH BOARD OF DIRECTORS ON DECEMBER 16, 2022. |
| PART VI, LINE 3: | HFHJH HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HFHJH FOLLOWS THE HFHS PATIENT FINANCIAL ASSISTANCE POLICY. HF HEALTH HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN OUR EMERGENCY ROOM FOR SERVICES, ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF IS TRAINED HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFHJH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFHJH HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS. |
| PART VI, LINE 4: | THE FOUR-COUNTY AREA INCLUDES THE WAYNE, OAKLAND, MACOMB AND JACKSON COUNTIES, WHICH ARE LOCATED IN SOUTHEASTERN AND SOUTHCENTRAL MICHIGAN AND ACCOUNT FOR 41% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULOUS COUNTIES IN MICHIGAN; JACKSON IS A MUCH SMALLER COUNTY. OF THE OVER 4 MILLION RESIDENTS IN THE FOUR-COUNTY AREA, APPROXIMATELY 51% OF THE POPULATION IS FEMALE. THE FOUR-COUNTY AREA IS 63% WHITE, 24% BLACK, AND 5% HISPANIC.POPULATION IN THE FOUR-COUNTY AREA IS EXPECTED TO REMAIN FLAT UNTIL 2026. WHEN EXAMINING AGE DISTRIBUTION, THE FOUR-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 18% OF THE POPULATION ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE FOUR-COUNTY AREA WITH THE 65-YEAR-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 14% FROM 2021 TO 2026.REGARDING EDUCATION, THE FOUR-COUNTY AREA HAS APPROXIMATELY 10% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 12%. FURTHER, 30% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE FOURCOUNTY AREA IS DIVERSE IN POPULATION, RACE/ETHNICITY, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTHCARE SECTOR IS REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL.WITHIN THE FOUR-COUNTY AREA, THE MEDIAN HOUSEHOLD INCOME IN OAKLAND COUNTY ($81,587) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($49,359), JACKSON COUNTY ($54,511), AND MACOMB COUNTY ($64,641). THE UNITED WAY ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT SHOWS THE NUMBER OF HOUSEHOLDS WHOSE AVERAGE INCOME IS INSUFFICIENT TO AFFORD BASIC EXPENSES, INCLUDING HOUSING, CHILDCARE, HEALTH CARE AND TRANSPORTATION, BY COUNTY AND CITY.LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND ABILITY TO AFFORD NECESSITIES. THE FOUR-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT. MICHIGAN RANKS 33RD IN THE COUNTRY FOR CHILDREN UNDER AGE 18 IN FAMILIES BELOW POVERTY LEVEL, AT 17.3% IN 2019, A 2% IMPROVEMENT FROM 2018.IN ORDER TO INCREASE THE UTILITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS IMPORTANT TO ANALYZE THE PROFILE(S) OF EACH OF THESE COUNTIES AT A MORE DETAILED LEVEL, SUCH AS ZIP CODES, SO THAT CERTAIN DIFFERENCES WITHIN THE AREA BECOME EVIDENT.ONE COMMUNITY IN PARTICULAR NEED OF ATTENTION IS THE CITY OF DETROIT, WHERE THE AVERAGE HOUSEHOLD INCOME IS $52,005, SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL FOUR-COUNTY AREA ($96,462). 18% OF DETROIT RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 15% HAVE A BACHELOR'S DEGREE OR HIGHER.IN ADDITION TO THE CITY OF DETROIT, THERE ARE OTHER ZIP CODES IN THE FOUR-COUNTY AREA WITH LOWER INCOMES AND LOWER EDUCATIONAL ATTAINMENT. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES RANGES FROM $27,380-$65,690, LOWER THAN THE FOUR-COUNTY SERVICE AREA. OVERALL, 17% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 9% FOR THE FOUR-COUNTY AREA.THE POPULATIONS IN THESE ZIP CODES ARE MORE RACIALLY AND ETHNICALLY DIVERSE COMPARED TO THE FOUR-COUNTY AREA. 39% OF THE RESIDENTS OF THESE TOP 20 ZIP CODES ARE RACIAL MINORITIES COMPARED TO 37% OF RESIDENTS IN THE ENTIRE FOUR-COUNTY AREA.AS A RESULT, THE CITY OF DETROIT AND ABOVE TWENTY ZIP CODES ARE OF PARTICULAR INTEREST IN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE FOUR-COUNTY AREA. |
| PART VI, LINE 5: | HENRY FORD HEALTH JACKSON HOSPITAL (HFHJH) IS PART OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"), ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS ACTIVITIES OF HFHJH, WHICH INCLUDES 365 LICENSED INPATIENT BEDS WITH AN INTEGRATED MEDICAL STAFF SERVING MORE THAN 40 FACILITIES IN THE JACKSON COUNTY AREA OF MICHIGAN. HFHJH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, PRIMARY CARE, OBSTETRICS, PEDIATRICS, CARDIAC CARE, CANCER CARE, ORTHOPEDICS, NEUROSURGERY, PHYSICAL AND REHABILITATION MEDICINE, AMBULATORY SURGERY, INPATIENT AND OUTPATIENT BEHAVIORAL SERVICES, AND 24-HOUR EMERGENCY CARE. |
| PART VI, LINE 6: | THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| ENTERPRISE GROUP | |||||||||
| 100 E MICHIGAN AVE 1100 | JACKSON | MI | 49201 | 383326101 | 501(C)(6) | $55,000 | $0 | N/A | ORGANIZATIONAL SUPPORT |
| JACKSON COMMUNITY FOUNDATION | |||||||||
| 100 S JACKSON ST SUITE 200 | JACKSON | MI | 49201 | 386070739 | 501(C)(3) | $50,000 | $0 | N/A | ORGANIZATIONAL SUPPORT |
| PARTIAL TO GIRLS | |||||||||
| 620 GREENWOOD AVE | JACKSON | MI | 49203 | 851394411 | $25,000 | $0 | N/A | ORGANIZATIONAL SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| STAFF ASSISTANCE FUND FOR EMERGENCIES | 58 | $46,409 |
| WE CARE PATIENT NEEDS FUND | 193 | $19,344 |
| CANCER PATIENT IMMEDIATE NEEDS FUNDS | 17 | $8,358 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AWARDS ARE GRANTED BASED ON AN APPLICATION AND REVIEW PROCESS.THE ORGANIZATION SENDS OUT AN AWARD LETTER TO ALL GRANTEE RECIPENTS. THE LETTER OUTLINES WHAT THE FUNDING MAY BE USED FOR AND REQUESTS A FINAL REPORT DETAILING THE YEAR'S ACTIVITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT G RINEY | ||||||||||||||
| FORMER TRUSTEE | $0 | $2,165,620 | $0 | $1,535,761 | $0 | $766,542 | $0 | $27,441 | $0 | $29,598 | $0 | $4,524,962 | $0 | $0 |
| AZAM BASHEER MD | ||||||||||||||
| PHYSICIAN | $744,765 | $0 | $1,660,376 | $0 | $315,654 | $0 | $4,950 | $0 | $31,984 | $0 | $2,757,729 | $0 | $0 | $0 |
| FRANK LAMARCA MD | ||||||||||||||
| PHYSICIAN | $1,054,270 | $0 | $1,207,358 | $0 | $425,964 | $0 | $5,775 | $0 | $32,925 | $0 | $2,726,292 | $0 | $0 | $0 |
| ADNAN R MUNKARAH MD | ||||||||||||||
| PHYSICIAN TRUSTEE | $0 | $1,372,925 | $0 | $523,983 | $0 | $438,349 | $0 | $27,441 | $0 | $40,844 | $0 | $2,403,542 | $0 | $0 |
| DENISE BROOKS-WILLIAMS | ||||||||||||||
| TRUSTEE | $0 | $1,054,577 | $0 | $317,037 | $0 | $270,282 | $0 | $27,441 | $0 | $20,440 | $0 | $1,689,777 | $0 | $0 |
| VISHAL GUPTA MD | ||||||||||||||
| PHYSICIAN | $743,263 | $0 | $403,457 | $0 | $81,389 | $0 | $5,775 | $0 | $19,806 | $0 | $1,253,690 | $0 | $0 | $0 |
| MOHAN G KULKARNI MD | ||||||||||||||
| PHYSICIAN TRUSTEE | $427,575 | $0 | $316,135 | $0 | $359,602 | $0 | $4,950 | $0 | $49,745 | $0 | $1,158,007 | $0 | $0 | $0 |
| BIPIN RAVINDRAN MD | ||||||||||||||
| PHYSICIAN | $657,331 | $0 | $351,467 | $0 | $39,007 | $0 | $4,950 | $0 | $3,843 | $0 | $1,056,598 | $0 | $0 | $0 |
| TIMOTHY EPHRIAM EKPO DO | ||||||||||||||
| PHYSICIAN | $684,334 | $0 | $215,247 | $0 | $113,307 | $0 | $5,775 | $0 | $28,687 | $0 | $1,047,350 | $0 | $0 | $0 |
| MUMTAZ A MEMON MD | ||||||||||||||
| PHYSICIAN TRUSTEE | $445,449 | $0 | $147,351 | $0 | $86,500 | $0 | $4,950 | $0 | $31,578 | $0 | $715,828 | $0 | $0 | $0 |
| MICHAEL GRISDELA | ||||||||||||||
| FORMER INTERIM CENTRAL MAR | $0 | $402,797 | $0 | $121,344 | $0 | $28,044 | $0 | $56,087 | $0 | $33,532 | $0 | $641,804 | $0 | $0 |
| MARK A SMITH MD | ||||||||||||||
| CMO/CEO HFAHMG | $361,331 | $0 | $115,991 | $0 | $106,906 | $0 | $4,950 | $0 | $49,698 | $0 | $638,876 | $0 | $0 | $0 |
| LAWRENCE NARKIEWICZ JR MD | ||||||||||||||
| PHYSICIAN TRUSTEE | $378,378 | $0 | $29,194 | $0 | $183,641 | $0 | $5,655 | $0 | $30,157 | $0 | $627,025 | $0 | $0 | $0 |
| EMILY S MOORHEAD | ||||||||||||||
| DIRECTOR - PRESIDENT & CEO | $354,485 | $58,644 | $115,907 | $0 | $900 | $2,896 | $50,604 | $0 | $1,180 | $215 | $523,076 | $61,755 | $0 | $0 |
| KENNETH W EMPEY | ||||||||||||||
| GENERAL COUNSEL | $0 | $277,293 | $0 | $70,873 | $0 | $22,500 | $0 | $4,650 | $0 | $16,588 | $0 | $391,904 | $0 | $0 |
| PAULA AUTRY | ||||||||||||||
| FORMER TRUSTEE - PRESIDENT & CEO | $0 | $0 | $0 | $0 | $0 | $368,899 | $0 | $0 | $0 | $0 | $0 | $368,899 | $0 | $0 |
| JIM BONGIORNO | ||||||||||||||
| CENTRAL MARKET CFO (THRU 12/2023) | $0 | $215,560 | $0 | $46,527 | $0 | $320 | $0 | $16,665 | $0 | $27,306 | $0 | $306,378 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY, NO TAXABLE INCOME IS REPORTED. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP RECEIVE MEMBERSHIP TO SOCIAL CLUBS INTENDED TO FURTHER THE BUSINESS NEEDS OF THE ORGANIZATION. USAGE IS REIMBURSED ON A CASE-BY-CASE BASIS BASED UPON DOCUMENTATION OF BUSINESS PURPOSE. IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS, THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. |
| PART I, LINE 3 | THE CHIEF EXECUTIVE OFFICER FOR HENRY FORD HEALTH JACKSON HOSPITAL IS AN EMPLOYEE OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH ("HF HEALTH") HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL INDEPENDENT TRUSTEES. THE COMMITTEE MEETS THROUGHOUT THE YEAR AND IS CHARGED WITH THE APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER OF HENRY FORD HEALTH JACKSON HOSPITAL. THE COMMITTEE DIRECTLY ENGAGES AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE CEO IS ACCOUNTABLE FOR ENSURING THAT HENRY FORD HEALTH JACKSON HOSPITAL'S MISSION IS EFFICIENTLY CARRIED OUT WITH THE HIGHEST LEVELS OF QUALITY, SAFETY AND SERVICE, WHILE AT THE SAME TIME ENSURING THAT THE ORGANIZATION IS FINANCIALLY HEALTHY. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT HENRY FORD HEALTH JACKSON HOSPITAL COMPENSATION PRACTICES ARE CONSISTENT WITH INDUSTRY STANDARDS AND THAT COMPENSATION LEVELS ARE FAIR COMPARED TO SIMILAR HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION CONSULTANT BENCHMARKS HENRY FORD HEALTH JACKSON HOSPITAL'S POSITIONS AGAINST DATA FROM MULTIPLE PUBLISHED SURVEYS OF HEALTH CARE EXECUTIVE COMPENSATION IN THE NATIONAL HEALTH CARE LABOR MARKET. BASED UPON THE CONSULTANTS RECOMMENDATIONS, THE EXECUTIVE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR APPROVAL OF THE EXECUTIVE COMPENSATION PROGRAM. ONLY INDEPENDENT TRUSTEES VOTE ON THIS RECOMMENDATION. |
| PART I, LINES 4A-B | 4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN SUPPLEMENTAL RETIREMENT PROGRAMS THAT RESULT IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, AND/OR AS PAID. IT IS AN ELEMENT OF SOME PLAN DESIGNS TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: PART I, LINES 4A: SEVERANCE PAYMENTS PAULA AUTRY $368,899 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) - HENRY FORD HEALTH SYSTEM PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 ROBERT G. RINEY 736,518 - - 736,518 ADNAN R. MUNKARAH, M.D. 359,641 - - - 359,641 DENISE BROOKS-WILLIAMS 229,220 - - 229,220 MICHAEL GRISDELA - - 51,137 - SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - HENRY FORD HEALTH SYSTEM EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2023 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBERT G. RINEY 22,500 - - 22,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 ADNAN R. MUNKARAH, M.D. 22,500 - - 22,500 EMILY MOORHEAD 2,896 - - 2,896 MICHAEL GRISDELA 22,500 - - 22,500 KENNETH EMPEY 22,500 - - 22,500 SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2023 CONTR. TAX GROSS-UP W-2 AMOUNTS FRANK LAMARCA, M.D. - 22,500 541 23,041 AZAM BASHEER, M.D - 14,700 354 15,054 MOHAN KULKARNI, M.D. 16,425 6,075 146 22,646 BIPIN RAVINDRAN, M.D. 12,239 10,260 247 22,746 TIMOTHY E. EKPO - 12,950 312 13,262 MUMTAZ MEMON, M.D. 16,550 5,950 143 22,643 LAWRENCE NARKIEWICZ, M.D. 19,700 2,800 67 22,567 EMILY MOORHEAD 900 - - 900 VISHAL GUPTA, M.D. - 14,700 354 15,054 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -W.A. FOOTE MEMORIAL HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 EMILY MOORHEAD - - 45,654 - TIMOTHY E. EKPO 22,822 - - 22,822 MARK A. SMITH 17,973 - - 17,973 |
| PART I, LINE 7 | COLUMN B(II) OF PART II, SCHEDULE J INCLUDES NON-FIXED PAYMENTS TO CERTAIN PHYSICIANS BASED ON THEIR PRODUCTIVITY AND OTHER PERFORMANCE METRICS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE BELOW | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L. PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #12(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,832,998(D) DESCRIPTION OF TRANSACTION: PROVIDED HEALTH CARE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP (FORMERLY ALLEGIANCE HEALTH SERVICES). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF THE ORGANIZATION MAY ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CORPORATION'S TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP ("MEMBER"). THE MEMBER'S SOLE CORPORATE MEMBER IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). HF HEALTH SHALL HAVE THE SOLE AUTHORITY TO TAKE OR CAUSE TO BE TAKEN ANY OF THE FOLLOWING ACTIONS (THE "HF HEALTH'S RESERVED POWERS"). - APPOINT THE BOARD OF TRUSTEES, CHAIRPERSON, AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - REMOVE THE BOARD OF TRUSTEES, CHAIRPERSON AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - CHANGE THE CORPORATE MEMBER OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - AMEND THESE BYLAWS, THE CORPORATION'S ARTICLES OF INCORPORATION OR THE GOVERNING DOCUMENTS OF ANY SYSTEM ENTITY, PROVIDED (I) HF HEALTH FIRST CONSULTS WITH THE MEMBER'S BOARD OF DIRECTORS REGARDING THE PROPOSED AMENDMENT AND (II) THE AMENDMENT COMPLIES WITH ARTICLE XV OF THE BYLAWS REGARDING KEY SECTIONS; - APPROVE AN AGREEMENT OF (A) MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY SYSTEM ENTITY, OR (B) SALE, LEASE, OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH AGREEMENT SHALL HAVE BEEN APPROVED BY VOTE OF TWO-THIRDS OF THE MEMBER'S LOCAL DIRECTORS (AS DEFINED IN THE MEMBER'S BYLAWS) AND FURTHER PROVIDED THAT APPROVAL OF THE LOCAL DIRECTORS SHALL NOT BE REQUIRED WITH RESPECT TO (I) AN OVERALL AFFILIATION OR CHANGE IN OWNERSHIP OF HF HEALTH (INCLUDING THE SYSTEM) IF THE TERMS OF THAT TRANSACTION DO NOT VIOLATE THE KEY SECTIONS OR (II) A SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF HF HEALTH (INCLUDING THE ASSETS OF THE CORPORATION) TO A FOR-PROFIT ENTITY WHICH TRIGGERS APPLICATION OF THE TERMS OF SECTION 6.8(B) OF THE AFFILIATION AGREEMENT DATED MARCH 4, 2016 BETWEEN THE MEMBER (THEN KNOWN AS ALLEGIANCE HEALTH SERVICES) AND HF HEALTH, AS AMENDED FROM TIME TO TIME; - DISSOLVE THE CORPORATION OR ANY SYSTEM ENTITY OR REVOKE SUCH DISSOLUTION, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - RECEIVE FROM THE MEMBER STRATEGIC AND ANNUAL OPERATING PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE SYSTEM ENTITIES, INCLUDING THE CORPORATION, THAT ARE DEVELOPED COLLABORATIVELY BY THE MEMBER'S AND HF HEALTH'S RESPECTIVE LEADERSHIP AND RECOMMENDED BY THE MEMBER'S BOARD OF DIRECTORS, AND ADOPT SUCH RECOMMENDED PLANS AND BUDGETS UNLESS AN UNUSUAL CIRCUMSTANCE ARISES IN WHICH HF HEALTH DETERMINES A CHANGE TO A PLAN OR BUDGET IS NECESSARY, AND APPROVE EXPENDITURES BY THE SYSTEM ENTITIES NOT INCLUDED IN SUCH BUDGETS OF AN ANNUAL AGGREGATE AMOUNT EXCEEDING $500,000. - CAUSE ANY SYSTEM ENTITY TO INCUR, ASSUME OR GUARANTY INDEBTEDNESS OR FULFILL OTHER OBLIGATIONS REQUIRED UNDER HF HEALTH DEBT AGREEMENTS, OR APPROVE INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL INDEBTEDNESS SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - ENCUMBER THE ASSETS OF ANY SYSTEM ENTITY AS SECURITY FOR DEBTS OR OTHER LAWFUL ENGAGEMENTS SECURING INDEBTEDNESS, OR APPROVE ENCUMBRANCES SECURING INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL ENCUMBRANCES SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - EXCHANGE, ABANDON OR DISPOSE OF FIXED ASSETS OF ANY SYSTEM ENTITY BY MEANS OF SALE, LEASE OR TRANSFER, AND APPROVE ALL SUCH ACTIONS PROPOSED BY THE SYSTEM ENTITIES WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $2,000,000, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS. - AUTHORIZE THE FORMATION OR ACQUISITION OF NEW SUBSIDIARIES OF THE CORPORATION FOLLOWING CONSULTATION WITH THE MEMBER'S BOARD OF DIRECTORS. AS USED HEREIN, "INDEBTEDNESS" OF A PERSON SHALL MEAN: (A) OBLIGATIONS OF SUCH PERSON RELATING TO INDEBTEDNESS FOR BORROWED MONEY; (B) OBLIGATIONS OF SUCH PERSON EVIDENCED BY BONDS, NOTES, DEBENTURES OR SIMILAR INSTRUMENTS; AND (C) OBLIGATIONS IN THE NATURE OF GUARANTEES BY, OR JOINT AND SEVERAL LIABILITY OF, SUCH PERSON WITH RESPECT TO THE OBLIGATIONS OF ANY OTHER PERSON OF THE TYPE DESCRIBED IN CLAUSES (A) AND (B) ABOVE. RESPONSIBILITIES AND RESERVED POWERS OF THE MEMBER (HENRY FORD ALLEGIANCE HEALTH GROUP): IN ADDITION TO DOING ALL THINGS RESERVED TO THE MEMBER BY LAW AND WHICH ARE CONSISTENT WITH HF HEALTH'S RESERVED POWERS, THE MEMBER OF THE CORPORATION SHALL TAKE THE FOLLOWING ACTIONS WITH RESPECT TO THIS CORPORATION ("MEMBER'S RESERVED POWERS"): - ADOPT THE VISION, MISSION AND VALUES; AND - RATIFY OR REJECT OPERATING AND CAPITAL BUDGETS RECOMMENDED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") AND THE TAX DEPARTMENT OF HF HEALTH PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HF HEALTH AND ORGANIZATION'S SENIOR VICE PRESIDENT FINANCIAL OPERATIONS, CHIEF FINANCIAL OFFICER, AND DIRECTOR OF ACCOUNTING. - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS - REVIEW OF THE RETURN WITH THE HF HEALTH CEO AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS - FINAL COPIES OF THE RETURN ARE DISTRIBUTED TO THE HOSPITAL'S BOARD OF TRUSTEES BEFORE THE RETURN IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HF HEALTH HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HF HEALTH CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HF HEALTH HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. |
| FORM 990, PART VI, SECTION C, LINE 19 | IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH. |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT -6,919,422. |
| FORM 990, PART XII, LINE 2C | HENRY FORD HEALTH JACKSON HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). THE GOVERNING BODY OF HENRY FORD HEALTH HAS DELEGATED THE OVERSIGHT OF ITS FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. |
| FORM 990, PART VII: | AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HENRY FORD HEALTH AND AFFILIATES PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH AND AFFILIATES USE ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITALS OR AFFILIATES ARE REPORTED AT BETWEEN 1 TO 5 HOURS PER WEEK. |
| FORM 990 DIVERSITY, EQUITY AND INCLUSION (DEIJ): | HENRY FORD HEALTH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF MICHIGAN'S DIVERSE COMMUNITIES, WHILE SERVING AS ONE OF THE REGION'S LARGEST AND MOST DIVERSE EMPLOYERS. THE SYSTEM HAS STRENGTHENED ITS COMMITMENT TO DIVERSITY, EQUITY, INCLUSION AND JUSTICE (DEIJ) BY EMBEDDING SOCIAL JUSTICE PRINCIPLES IN EVERY ASPECT OF ITS OPERATION. BUILDING ON A TRADITION OF MORE THAN 100 YEARS OF EXCELLENCE IN HEALTHCARE, HENRY FORD RECOGNIZES THAT THERE ARE DISPROPORTIONATE NUMBERS OF UNDERREPRESENTED RACIAL AND ETHNIC POPULATIONS AFFECTED BY SERIOUS AND CHRONIC MEDICAL CONDITIONS. THE SYSTEM WORKS TO UNDERSTAND AND ADDRESS RACIAL AND ETHNIC HEALTH DISPARITIES BY SUPPORTING RESEARCH AND PROGRAMS CONDUCTED BY ITS RESEARCH AND POPULATION HEALTH TEAMS, HEALTH DISPARITIES RESEARCH COLLABORATIVE AND INSTITUTE ON MULTICULTURAL HEALTH. OPERATIONALLY, HENRY FORD IS DEVELOPING A FIVE-YEAR DEIJ STRATEGIC PLAN TO ENSURE THAT ITS WORKPLACE IS INCREASINGLY DIVERSE AND OFFERS GENUINE OPPORTUNITY, THAT IT SERVES A THRIVING COMMUNITY OFFERING QUALITY CARE IN CULTURALLY SENSITIVE WAYS, AND THAT IT COLLABORATES WITH A FLOURISHING BUSINESS COMMUNITY COMMITTED TO THE SAME PRINCIPLES. THIS MEANS THE SYSTEM WILL VALUE AND ENCOURAGE DIVERSITY IN ITS WORKFORCE; MANAGE AND MAINTAIN AN INVESTMENT PORTFOLIO THAT REFLECTS ITS VALUES; CREATE AND SUPPORT A DIVERSE SUPPLIER NETWORK; CULTIVATE VOLUNTEER LEADERSHIP THAT REFLECTS THE DIVERSE COMMUNITIES SERVED; ACTIVELY ADVOCATE FOR DEIJ AMONG ELECTED OFFICIALS, LAW ENFORCEMENT AND THE BUSINESS COMMUNITY; AND, CONSISTENTLY WORK TO IDENTIFY AND ELIMINATE RACIAL AND CULTURAL DISPARITIES IN HEALTH CARE. |
| FORM 990 SUSTAINABILITY: | ENVIRONMENTAL FACTORS IMPACT COMMUNITY HEALTH AND HENRY FORD HEALTH RECOGNIZES THAT AS A COMMUNITY PARTNER WE CAN INFLUENCE MANY OF THESE FACTORS. OUR SUSTAINABILITY GOALS ARE INTENDED TO SIMULTANEOUSLY REDUCE GREENHOUSE GAS EMISSIONS, REDRESS ENVIRONMENTAL INJUSTICES, AND IMPROVE THE HEALTH OF THE PATIENTS, EMPLOYEES, AND COMMUNITIES WE SERVE. HENRY FORD HEALTH HAS ESTABLISHED THE FOLLOWING SUSTAINABILITY GOALS TO BE ACHIEVED BY 2030: REDUCE GREENHOUSE GAS EMISSIONS FROM OPERATIONS BY 50%, TARGETING NET-ZERO BY 2040 ELIMINATE CHEMICALS OF CONCERN FROM PRIORITY PRODUCTS REDUCE WASTE SENT TO LANDFILL BY 50% MEET LOCAL OR SUSTAINABLE CRITERIA FOR 30% OF FOOD PURCHASES INCREASE ANNUAL INVESTMENT IN GREEN AND HEALTHY INFRASTRUCTURE |
| FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: | A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH JACKSON HOSPITAL DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | EINEIN |
|---|---|---|---|---|---|---|---|---|---|
| PHYSICIANS CHOICE NETWORK LLC | |||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | PROVIDER NETWORK | MI | $0 | $0 | HENRY FORD ALLEGIANCE HEALTH | |
| HENRY FORD HEALTH CLINICALLY INTEGRATED NETWORK LLC | |||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | CLINICALLY INTEGRATED NETWORK | MI | $4,317,782 | $6,359,331 | HENRY FORD ALLEGIANCE HEALTH | 453253643 |
| IT'S YOUR LIFE SERVICES LLC | |||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | PREVENTION AND COMMUNITY HEALTH | MI | $0 | $0 | HENRY FORD ALLEGIANCE HEALTH | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD ALLEGIANCE HEALTH GROUP | |||||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | 382756428 | EXEMPT ORGANIZATION | MI | 501(C)(3) | LINE 12B, II | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| ALLEGIANCE HEALTH FOUNDATION | |||||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | 383607833 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12B, II | HENRY FORD ALLEGIANCE HEALTH GROUP | Yes (1) | |
| HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE | |||||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | 382336367 | HOSPICE CARE | MI | 501(C)(3) | LINE 7 | HEATHLINK | Yes (1) | |
| HEALTHLINK | |||||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | 382756425 | HOME HEALTH CARE | MI | 501(C)(3) | LINE 12A, I | HENRY FORD ALLEGIANCE HEALTH GROUP | Yes (1) | |
| CARELINK OF JACKSON | |||||||||||
| 110 NORTH ELM AVENUE | JACKSON | MI | 49202 | 381218485 | LONG TERM ACUTE CARE HOSPITAL | MI | 501(C)(3) | LINE 3 | HENRY FORD ALLEGIANCE HEALTH GROUP | Yes (1) | |
| HENRY FORD HEALTH SYSTEM | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381357020 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | LINE 3 | 0 | N/A | |
| HENRY FORD WYANDOTTE HOSPITAL | |||||||||||
| 2333 BIDDLE AVE | WYANDOTTE | MI | 48192 | 382791823 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | LINE 3 | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| HENRY FORD HEALTH SYSTEM FOUNDATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 237383042 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12A, I | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| HEALTH ALLIANCE PLAN | |||||||||||
| 3031 W GRAND BLVD | DETROIT | MI | 48202 | 382242827 | HEALTH MAINTENANCE ORGANIZATION | MI | 501(C)(4) | N/A | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| HFII CORPORATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 900840304 | SCIENTIFIC RESEARCH | MI | 501(C)(3) | LINE 7 | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 464064067 | ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES | ME | 501(C)(4) | N/A | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| HENRY FORD MACOMB HOSPITAL CORPORATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 382947657 | HEALTHCARE SERVICE PROVIDER | DE | 501(C)(3) | LINE 3 | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND | |||||||||||
| 3031 WEST GRAND BOULEVARD NO 800 | DETROIT | MI | 48202 | 382682321 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12B, II | HENRY FORD HEALTH SYSTEM | Yes (1) | |
| HENRY FORD PHYSICIAN PARTNERS | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 871633901 | PHYSICIAN SERVICES | MI | 501(C)(3) | HENRY FORD HEALTH SYSTEM | Yes (1) | ||
| HENRY FORD HEALTH PARENT | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 934079536 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 12B, II | HENRY FORD HEALTH SYSTEM | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FOOTE HEALTH CENTER ASSOCIATES | |||||||||||||
| 1100 E MICHIGAN AVENUE | JACKSON | MI | 49201 | 383017711 | LESSOR OF MEDICAL CONDOMINIUMS | MI | HENRY FORD HEALTH JACKSON HOSPITAL | N/A | $970,240 | $1,250,612 | 0 | 0 | 0.92870 |
| NORTHWEST DETROIT DIALYSIS | |||||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 383232668 | OPERATE DIALYSIS CLINIC | MI | HENRY FORD HEALTH SYSTEM | N/A | 0 | 0 | |||
| MACOMB REGIONAL DIALYSIS CENTERS | |||||||||||||
| 16151 NINETEEN MILE RD | CLINTON TOWNSHIP | MI | 48038 | 260423581 | OPERATE DIALYSIS CLINIC | MI | HENRY FORD HEALTH SYSTEM | N/A | 0 | 0 | |||
| HFHS-SCA HOLDINGS LLC | |||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 465291602 | OUTPATIENT SURGERY CLINICS | MI | HENRY FORD HEALTH SYSTEM | N/A | 0 | 0 | |||
| HAP EMPOWERED HOLDING LLC | |||||||||||||
| 3031 WEST GRAND BOULEVARD | DETROIT | MI | 48202 | 923877012 | HOLDING COMPANY | DE | HEALTH ALLIANCE PLAN OF MICHIGAN | N/A | 0 | 0 | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD ALLEGIANCE PHARMACY | |||||||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | 383370242 | PHARMACY | MI | HENRY FORD ALLEGIANCE HEALTH GROUP | C | Yes (1) | ||||
| SHA REALTY INC | |||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381378121 | REAL ESTATE HOLDING | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| FAIRLANE HEALTH SERVICES | |||||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 382565235 | HEALTHCARE MANAGEMENT | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| ALLIANCE HEALTH AND LIFE INSURNACE | |||||||||||||
| 3031 W GRAND BLVD | DETROIT | MI | 48202 | 383291563 | HEALTH INSURANCE PROVIDER | MI | HEALTH ALLIANCE PLAN | C | Yes (1) | ||||
| ONIKA INSURANCE LTD | |||||||||||||
| CAPTIVE INSURANCE | HENRY FORD HEALTH SYSTEM | C | Yes (1) | FIRST CARRIBEAN HOUSE | GRAND CAYMAN | CJ | CJ | ||||||
| HENRY FORD PHYSICIAN NETWORK | |||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 320306774 | PHYSICIAN NETWORK | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| ADMINSTRATION SYSTEMS RESEARCH CORPORATION | |||||||||||||
| 3031 W GRAND BLVD | DETROIT | MI | 48202 | 382651185 | THIRD PARTY INSURANCE ADMIN. | MI | HEALTH ALLIANCE PLAN | C | Yes (1) | ||||
| HAP CARESOURCE | |||||||||||||
| 3031 W GRAND BLVD | DETROIT | MI | 48202 | 383123777 | HEALTH INSURANCE PROVIDER | MI | HEALTH ALLIANCE PLAN OF MICHIGAN | C | Yes (1) | ||||
| HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION | |||||||||||||
| 1150 ELIJAH MCCOY DR | DETROIT | MI | 48202 | 852144748 | CONDOMINIUM ASSOCIATION | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ALLIANCE HEALTH AND LIFE INSURANCE CO | ||
| M | $2,608,748 | COST |
| HENRY FORD ALLEGIANCE PHARMACY | ||
| Q | $4,656,474 | COST |
| HENRY FORD HEALTH CLINICALLY INTEGRATED NETWORK LLC | ||
| S | $10,288,813 | COST |
| COMMUNITY HEALTH TECH NETWORK | ||
| P | $993,475 | COST |
| ONIKA INSURANCE LTD | ||
| P | $2,563,284 | COST |
| FOOTE HEALTH CENTER ASSOCIATES | ||
| M | $46,312 | COST |
| HEALTH ALLIANCE PLAN | ||
| L | $7,485,894 | COST |
| FOOTE HEALTH CENTER ASSOCIATES | ||
| K | $900,058 | COST |
| HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE | ||
| Q | $1,689,653 | COST |
| CARELINK OF JACKSON | ||
| Q | $129,044 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 1D & 1E: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016, 2019 AND 2022 HFHS BOND MASTER INDENTURES. | ExplanationTxt |