HENRY FORD WYANDOTTE HOSPITAL CORPORATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: HENRY FORD WYANDOTTE HOSPITAL CORPORATION (EIN 38-2791823)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-07
IRS object ID: 202413129349303766
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 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	2024-11-07T13:59:59-06:00	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	382791823	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HENRY FORD WYANDOTTE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HENR	BusinessNameControlTxt
Phone	3138768714	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2333 BIDDLE AVENUE	AddressLine1Txt
City	WYANDOTTE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48192	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBIN DAMSCHRODER	PersonNm
Person Title	EVP FINANCE/CFO	PersonTitleTxt
Phone	3138768714	PhoneNum
Signature	2024-11-07	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 WYANDOTTE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ROBIN DAMSCHRODER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2333 BIDDLE AVENUE	AddressLine1Txt
City	WYANDOTTE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48192	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$436,628,680	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HENRYFORD.COM/HOMEPAGE_WYANDOTTE	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2682	TotalEmployeeCnt
Total Volunteers	256	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,832,882	PYContributionsGrantsAmt
CY Contributions Grants	$1,993,695	CYContributionsGrantsAmt
PY Program Service Revenue	$374,291,668	PYProgramServiceRevenueAmt
CY Program Service Revenue	$400,097,783	CYProgramServiceRevenueAmt
PY Investment Income	$5,494,170	PYInvestmentIncomeAmt
CY Investment Income	$3,094,807	CYInvestmentIncomeAmt
PY Other Revenue	$2,168,424	PYOtherRevenueAmt
CY Other Revenue	$2,603,279	CYOtherRevenueAmt
PY Total Revenue	$386,787,144	PYTotalRevenueAmt
CY Total Revenue	$407,789,564	CYTotalRevenueAmt
PY Grants And Similar Paid	$45,331	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$42,969	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$171,457,285	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$184,870,183	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$75,169	CYTotalFundraisingExpenseAmt
PY Other Expenses	$203,525,994	PYOtherExpensesAmt
CY Other Expenses	$210,255,513	CYOtherExpensesAmt
PY Total Expenses	$375,028,610	PYTotalExpensesAmt
CY Total Expenses	$395,168,665	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,758,534	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,620,899	CYRevenuesLessExpensesAmt
Total Assets BOY	$236,884,118	TotalAssetsBOYAmt
Total Assets EOY	$241,398,970	TotalAssetsEOYAmt
Total Liabilities BOY	$103,384,986	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$88,545,441	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$133,499,132	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$152,853,529	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HENRY FORD HEALTH WYANDOTTE HOSPITAL (HFWH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") SERVING THE SOUTHERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. ESTABLISHED IN 1926, OUR MISSION IS TO IMPROVE HUMAN HEALTH THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFWH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFWH IS COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE FOR ALL THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$282,631,156	ExpenseAmt
Grant	$42,969	GrantAmt
Revenue	$124,839,855	RevenueAmt
Desc	FOR MORE THAN 90 YEARS HENRY FORD HEALTH WYANDOTTE HOSPITAL HAS SERVED THE DOWNRIVER COMMUNITY AND SURROUNDING AREA WITH A COMMITMENT TO CHARITABLE GIVING, OUTREACH AND BUILDING STRONGER, HEALTHIER INDIVIDUALS AND FAMILIES. THE ACUTE CARE HOSPITAL OPERATES 360 LICENSED BEDS AND OFFERS A FULL RANGE OF CLINICAL SERVICES, INCLUDING GENERAL MEDICINE, SURGERY, BIRTHING CENTER AND 24-HOUR EMERGENCY CARE. HENRY FORD HEALTH WYANDOTTE HOSPITAL ALSO PROVIDES PHYSICAL MEDICINE AND REHAB, ADULT MENTAL HEALTH AND NEUROSURGICAL SERVICES. DURING 2023 HFWH HAD 14.175 DISCHARGES.WITH A SENSE OF HUMAN COMPASSION, WE GIVE TO, 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 A PRICELESS FULFILLMENT IN KNOWING WE HAVE INVESTED IN THE HEALTH AND WELL-BEING OF OUR NEIGHBORS. ESTABLISHED IN 1926, OUR MISSION IS TO IMPROVE HUMAN HEALTH THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. SERVING THE DOWNRIVER REGION AND SURROUNDING COMMUNITIES OF SOUTHEAST MICHIGAN, HENRY FORD HEALTH WYANDOTTE HOSPITAL IS ONE OF THE MAJOR EMPLOYERS OF THE CITY OF WYANDOTTE. 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 WYANDOTTE HOSPITAL HAS AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM AND TRAINS ABOUT 100 MEDICAL STUDENTS AND OVER 60 RESIDENTS IN 4 PROGRAMS.HENRY FORD HEALTH WYANDOTTE HOSPITAL IS ACCREDITED BY MANY PRESTIGIOUS AGENCIES AND ORGANIZATIONS. THESE SEALS OF APPROVAL GIVE OUR PATIENTS THE CONFIDENCE IN KNOWING THEY ARE RECEIVING THE HIGHEST QUALITY HEALTH CARE POSSIBLE. OUR ACCREDITATIONS INCLUDE:THE REHABILITATION ACCREDITATION COMMISSION FOR INPATIENT MEDICAL REHABILITATIONCOLLEGE OF AMERICAN PATHOLOGISTS AMERICAN ASSOCIATION OF BLOOD BANKS AMERICAN COLLEGE OF RADIOLOGISTSAMERICAN PSYCHOLOGICAL ASSOCIATIONAMERICAN OSTEOPATHIC ASSOCIATION	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$42,037,562	ExpenseAmt
Revenue	$183,681,700	RevenueAmt
Desc	HFWH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE SOUTHERN METROPOLITAN COMMUNITIES. IN TOTAL THIS REPRESENTED 544,176 OUTPATIENT FACILITY VISITS DURING 2023.HENRY FORD HEALTH CENTER - BROWNSTOWN IS A STATE-OF-THE-ART FACILITY THAT OFFERS THE CONVENIENCE OF WALK-IN APPOINTMENTS FOR A VARIETY OF CLINICAL NEEDS, INCLUDING LABORATORY AND RADIOLOGY SERVICES. IT ALSO OFFERS AMBULATORY AND/OR OUTPATIENT SURGERIES, EMERGENCY ROOM SERVICES, A SLEEP STUDIES CENTER, AND PHYSICIAN OFFICES FOR ALLERGY, DERMATOLOGY, PEDIATRICS AND OTHER SPECIALTIES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$62,601,011	ExpenseAmt
Revenue	$85,173,216	RevenueAmt
Desc	HFWH OPERATES TWO 24-HOUR EMERGENCY FACILITIES, EMERGENCY SERVICES REPRESENTED 76,268 PATIENT VISITS DURING 2023.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Revenue	$8,128,332	RevenueAmt
Desc	OTHER REVENUE CONSISTS OF RECORD FEES, PARKING FEES, TUITION, MEDICAL RESIDENT TRAINING AND OTHER MISCELLANEOUS INCOME	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Revenue	$8,128,332	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$387,269,729	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	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	0	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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	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	215	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2682	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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 (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LYNN FORD ALANDT
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
DAVID J BREEN
DIRECTOR/CHAIR	2.00	6.00	Yes (X)	$0	$50,000	$0	Yes (X)
JACALYN S GOFORTH
DIRECTOR	1.00	5.00	Yes (X)	$0	$25,000	$0
JOHN F HARRIS
DIRECTOR	1.00	3.00	Yes (X)	$0	$30,000	$0
DAVID M HEMPSTEAD
DIRECTOR	1.00	4.00	Yes (X)	$0	$15,000	$0
PATRICIA A MARYLAND DR PH
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
CHARLES G MCCLURE JR
DIRECTOR	1.00	4.00	Yes (X)	$0	$0	$0
JAMES O PEABODY MD
PHYSICIAN DIRECTOR	1.00	62.00	Yes (X)	$0	$552,958	$64,205
DANIEL J PHELAN PHD
DIRECTOR	1.00	7.00	Yes (X)	$0	$30,000	$0
BARRY G PORTER
DIRECTOR	1.00	4.00	Yes (X)	$0	$25,000	$0
MICHAEL S RAFFERTY
DIRECTOR	1.00	3.00	Yes (X)	$0	$30,000	$0
JOSEPH J RICHARDSON JR
DIRECTOR	1.00	4.00	Yes (X)	$0	$35,000	$0
ROBERT G RINEY
DIRECTOR/ PRESIDENT/CEO	2.00	63.00	Yes (X)	$0	$4,467,923	$57,039	Yes (X)
FREDERIEK TONEY
DIRECTOR	1.00	4.00	Yes (X)	$0	$35,000	$0
EDGAR L VANN II
DIRECTOR	1.00	4.00	Yes (X)	$0	$35,000	$0
GERARDO NORCIA
DIRECTOR (START 12/2023)	1.00	3.00	Yes (X)	$0	$0	$0
MICHELLE JOHNSON TIDJANI ESQ
SECRETARY (THRU 9/2023)	2.00	63.00		$0	$1,567,789	$47,822	Yes (X)
ROBIN S DAMSCHRODER
TREASURER	2.00	63.00		$0	$2,407,031	$61,913	Yes (X)
MARJORIE A STATEN JD
SECRETARY (START 10/2023)	2.00	63.00		$0	$223,236	$14,695	Yes (X)
DENISE BROOKS-WILLIAMS
CEO- MARKETS	20.00	43.00		$0	$1,641,896	$47,881		Yes (X)
BROOKE M BUCKLEY MD
CMO	60.00	0.00		$606,420	$0	$21,833		Yes (X)
RAND O'LEARY
PRESIDENT (START 4/2023)	60.00	1.00		$231,989	$218,098	$48,441		Yes (X)
ROBERT T YOUNG
CFO- SOUTH MARKET	20.00	40.00		$0	$382,720	$50,677		Yes (X)
MICHAEL D CALLAN DO
PHYSICIAN	60.00	0.00		$1,048,589	$0	$48,247			Yes (X)
GLENN J MINSTER MD
PHYSICIAN	60.00	0.00		$1,047,681	$0	$7,060			Yes (X)
MICHAEL NED SCOTT DO
PHYSICIAN	60.00	0.00		$776,247	$0	$55,951			Yes (X)
OUSSAMA ALSAWAS MD
PHYSICIAN	60.00	0.00		$589,902	$0	$30,911			Yes (X)
SYED MEHDI JAFRI DO
PHYSICIAN	60.00	0.00		$447,282	$0	$31,694			Yes (X)
WILLIAM A CONWAY MD
FORMER DIRECTOR	0.00	40.00		$0	$167,405	$34,375				Yes (X)
KATHLEEN L YAREMCHUK MD
FORMER PHYSICIAN DIRECTOR	0.00	60.00		$0	$1,004,264	$58,208				Yes (X)
ANNETTE PHILLIPS
FORMER INTERIM PRESIDENT	0.00	60.00		$0	$289,597	$18,832				Yes (X)
DENNIS R LEMANSKI DO
FORMER CMO	40.00	0.00		$101,360	$0	$29,453				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,849,470	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,232,917	TotReportableCompRltdOrgAmt
Total Other Compensation	$729,237	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	280	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
PROLINK HEALTHCARE LLC
4600 MONTGOMERY RD STE 300	CINCINNATI	OH	45212	TEMP NURSING SERVICES	$4,467,563
HOSPITALISTS PHYSICIANS MEDICAL GROUP
2000 GREEN RD SUITE 300	ANN ARBOR	MI	481051571	CONTRACTED MEDICAL SVCS	$3,086,840
GEORGE W AUCH COMPANY
PO BOX 430719 48343-0719	PONTIAC	MI	48341	CONSTRUCTION SERVICES	$2,143,339
MAINTENANCE MANAGEMENT GROUP LLC
33006 WEST SEVEN MILE ROAD 313	LIVONIA	MI	48152	CLEANING & MAINT SERVICES	$1,600,760
METROPOLITAN DETROIT AREA HOSPITAL SERVI
1150 ELIJAH MCCOY DR	DETROIT	MI	48202	LAUNDRY SERVICES	$1,118,590

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Fundraising	$199,933	FundraisingAmt
Government Grants	$1,762,190	GovernmentGrantsAmt
All Other Contributions	$31,572	AllOtherContributionsAmt
Total Contributions	$1,993,695	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
AMBULATORY SERVICES	621400	$183,681,700	$183,681,700
HOSPITAL OPERATIONS	900099	$124,839,855	$124,839,855
EMERGENCY SERVICES	900099	$85,173,216	$85,173,216
MEDICAL EDUCATION-GME	900099	$6,403,012	$6,403,012

Field	Value	IRS element (for citing)
Total Program Service Revenue	$400,097,783	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$914,047	TotalRevenueColumnAmt
Exclusion	$914,047	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,002,630	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	$1,002,630	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,002,630	TotalRevenueColumnAmt
Exclusion	$1,002,630	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$30,747,467	SecuritiesAmt
Other	$21,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$28,543,154	SecuritiesAmt
Other	$44,553	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,204,313	SecuritiesAmt
Other	-$23,553	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,180,760	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$23,553	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,204,313	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$85,425	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$199,933	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$250,674	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$165,249	TotalRevenueColumnAmt
Exclusion	-$165,249	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$17,760	GamingGrossIncomeAmt
Gaming Direct Expenses	$735	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,025	TotalRevenueColumnAmt
Exclusion	$17,025	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	900099	$812,863	$812,863
GIFT SHOP SALES	455000	$516,200	$516,200

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$419,810	TotalRevenueColumnAmt
Related Or Exempt Func Income	$419,810	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,748,873	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$407,789,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$401,823,103	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,972,766	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$18,600	TotalAmt
Program Services	$18,600	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$24,369	TotalAmt
Program Services	$24,369	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,126,788	TotalAmt
Program Services	$563,394	ProgramServicesAmt
Management And General	$507,055	ManagementAndGeneralAmt
Fundraising	$56,339	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$218,979	TotalAmt
Program Services	$153,572	ProgramServicesAmt
Management And General	$58,866	ManagementAndGeneralAmt
Fundraising	$6,541	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$153,296,457	TotalAmt
Program Services	$149,329,085	ProgramServicesAmt
Management And General	$3,967,372	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,408,823	TotalAmt
Program Services	$3,307,524	ProgramServicesAmt
Management And General	$99,913	ManagementAndGeneralAmt
Fundraising	$1,386	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,213,404	TotalAmt
Program Services	$15,731,596	ProgramServicesAmt
Management And General	$475,217	ManagementAndGeneralAmt
Fundraising	$6,591	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,605,732	TotalAmt
Program Services	$10,290,565	ProgramServicesAmt
Management And General	$310,855	ManagementAndGeneralAmt
Fundraising	$4,312	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$32,893	TotalAmt
Program Services	$32,893	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,525,493	TotalAmt
Program Services	$28,425,133	ProgramServicesAmt
Management And General	$100,360	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$134,838	TotalAmt
Program Services	$10,418	ProgramServicesAmt
Management And General	$124,420	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,457,418	TotalAmt
Program Services	$7,197,385	ProgramServicesAmt
Management And General	$260,033	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$549,961	TotalAmt
Program Services	$546,125	ProgramServicesAmt
Management And General	$3,836	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,004,238	TotalAmt
Program Services	$5,988,341	ProgramServicesAmt
Management And General	$15,897	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$103,099	TotalAmt
Program Services	$93,485	ProgramServicesAmt
Management And General	$9,614	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$704,291	TotalAmt
Program Services	$701,359	ProgramServicesAmt
Management And General	$2,932	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,556,136	TotalAmt
Program Services	$2,556,136	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,810,845	TotalAmt
Program Services	$10,066,326	ProgramServicesAmt
Management And General	$744,519	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,609,522	TotalAmt
Program Services	$4,609,522	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$57,790,009	$57,613,330	$176,679
CORPORATE ALLOCATION	$49,678,577	$49,678,577
PURCHASED SERVICES	$10,789,602	$10,349,497	$440,105
REPAIRS AND MAINTENANCE	$7,006,858	$6,977,236	$29,622

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,501,733	TotalAmt
Program Services	$23,005,261	ProgramServicesAmt
Management And General	$496,472	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$395,168,665	TotalAmt
Program Services	$387,269,729	ProgramServicesAmt
Management And General	$7,823,767	ManagementAndGeneralAmt
Fundraising	$75,169	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,038	BOYAmt
EOY	$5,001	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,600,208	BOYAmt
EOY	$11,900,042	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$328,433	BOYAmt
EOY	$230,783	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$43,695,837	BOYAmt
EOY	$40,267,832	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,430,905	BOYAmt
EOY	$9,329,845	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,120,842	BOYAmt
EOY	$1,030,523	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$241,904,207	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$156,435,152	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$87,906,943	BOYAmt
EOY	$85,469,055	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$80,832,025	BOYAmt
EOY	$90,379,646	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$771,046	BOYAmt
EOY	$1,551,570	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,191,841	BOYAmt
EOY	$1,234,673	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$236,884,118	BOYAmt
EOY	$241,398,970	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,373,254	BOYAmt
EOY	$34,948,944	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,922,601	BOYAmt
EOY	$51,511,736	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,089,131	BOYAmt
EOY	$2,084,761	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,384,986	BOYAmt
EOY	$88,545,441	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	$130,003,046	BOYAmt
EOY	$150,262,270	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,496,086	BOYAmt
EOY	$2,591,259	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,499,132	BOYAmt
EOY	$152,853,529	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$236,884,118	BOYAmt
EOY	$241,398,970	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,620,899	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,199,636	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$466,138	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	0	FederalGrantAuditRequiredInd

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,496,087	BeginningYearBalanceAmt
Contributions	$231,505	ContributionsAmt
Investment Earnings Or Losses	$53,142	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,189,474	OtherExpendituresAmt
End Year Balance	$2,591,260	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,795,025	BeginningYearBalanceAmt
Contributions	$583,971	ContributionsAmt
Investment Earnings Or Losses	-$90,571	InvestmentEarningsOrLossesAmt
Other Expenditures	$792,338	OtherExpendituresAmt
End Year Balance	$3,496,087	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,312,688	BeginningYearBalanceAmt
Contributions	$1,006,856	ContributionsAmt
Investment Earnings Or Losses	$102,352	InvestmentEarningsOrLossesAmt
Other Expenditures	$626,871	OtherExpendituresAmt
End Year Balance	$3,795,025	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,939,768	BeginningYearBalanceAmt
Contributions	$541,549	ContributionsAmt
Investment Earnings Or Losses	$33,484	InvestmentEarningsOrLossesAmt
Other Expenditures	$202,113	OtherExpendituresAmt
End Year Balance	$3,312,688	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,457,042	BeginningYearBalanceAmt
Contributions	$706,283	ContributionsAmt
Investment Earnings Or Losses	$69,995	InvestmentEarningsOrLossesAmt
Other Expenditures	$293,552	OtherExpendituresAmt
End Year Balance	$2,939,768	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.82110	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.17890	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	$10,294,867	OtherCostOrOtherBasisAmt
Book Value	$10,294,867	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$145,121,746	OtherCostOrOtherBasisAmt
Depreciation	$94,097,385	DepreciationAmt
Book Value	$51,024,361	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,883,090	OtherCostOrOtherBasisAmt
Depreciation	$2,667,986	DepreciationAmt
Book Value	$215,104	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,416,683	OtherCostOrOtherBasisAmt
Depreciation	$59,669,781	DepreciationAmt
Book Value	$21,746,902	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,187,821	OtherCostOrOtherBasisAmt
Book Value	$2,187,821	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$85,469,055	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER LONG TERM LIABILITIES	Desc
Amt	$2,084,761	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,084,761	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	EARNINGS FROM THE ORGANIZATION'S ENDOWMENT FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES.
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	WYANDOTTE GOLF CLASSIC	Event1Nm
Gross Receipts Event1	$110,275	GrossReceiptsEvent1Amt
Charitable Contri Event1	$80,226	CharitableContriEvent1Amt
Gross Revenue Event1	$30,049	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$29,832	OtherDirectExpensesEvent1Amt
Event2	HARVEST MOON BALL	Event2Nm
Gross Receipts Event2	$175,083	GrossReceiptsEvent2Amt
Charitable Contri Event2	$119,707	CharitableContriEvent2Amt
Gross Revenue Event2	$55,376	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$220,842	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$285,358	GrossReceiptsTotalAmt
Charitable Contributions Tot	$199,933	CharitableContributionsTotAmt
Gross Revenue Total Events	$85,425	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$250,674	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$250,674	DirectExpenseSummaryEventsAmt
Net Income Summary	-$165,249	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$17,760	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$735	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$17,760	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$735	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$735	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$17,025	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	BusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FORD PLACE-SPECIAL EVENTS	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
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$7,396,295	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,396,295	NetCommunityBenefitExpnsAmt
Total Expense	0.01920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,713,272	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,847,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,865,906	NetCommunityBenefitExpnsAmt
Total Expense	0.05410	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,109,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,847,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,262,201	NetCommunityBenefitExpnsAmt
Total Expense	0.07330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$331,917	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$331,917	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,884,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,231,127	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,653,204	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,421,340	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,611,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$809,882	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$61,260	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$417,506	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$417,506	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,116,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,842,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,273,769	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,225,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,689,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,535,970	NetCommunityBenefitExpnsAmt
Total Expense	0.09230	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$188,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,314,152	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,328,538	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$127,774,123	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$147,519,019	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,744,896	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
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 WYANDOTTE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2333 BIDDLE AVE	AddressLine1Txt
City	WYANDOTTE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48192	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
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 WYANDOTTE 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 WYANDOTTE 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.SURVEYS WERE USED TO GATHER INPUT FROM A VARIETY OF STAKEHOLDERS IN THE CITY OF DETROIT AS WELL AS WAYNE, MACOMB AND OAKLAND COUNTIES, INCLUDING COMMUNITY MEMBERS AND LEADERS, AND STAKEHOLDER ORGANIZATIONS SERVING THE WELLBEING OF RESIDENTS. THE TWO GROUPS, COMMUNITY MEMBERS AND THOSE WORKING AT STAKEHOLDER ORGANIZATIONS, RESPONDED TO SEPARATE SURVEYS. SURVEYS WERE ADMINISTERED USING SURVEYMONKEY AND HENRY FORD'S INSIGHTS PLATFORM DURING MARCH-APRIL 2022. SURVEYS GATHERED INPUT ON BARRIERS PEOPLE FACE IN ACHIEVING GOOD HEALTH AND ACCESSING HEALTHCARE. RESPONDENTS WERE ASKED TO RANK HEALTH AND SOCIAL ISSUES THAT ARE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH, AMONGST OTHER QUESTIONS ABOUT BARRIERS TO ACHIEVING GOOD HEALTH. 1,571 RESPONSES FROM COMMUNITY MEMBERS AND STAKEHOLDERS WERE COLLECTED.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS AUTHORITY HEALTH; DETROIT HEALTH DEPARTMENT; LINCOLN PARK SCHOOLS; CHALDEAN COMMUNITY FOUNDATION; MACOMB COUNTY HEALTH DEPARTMENT; MICHIGAN PUBLIC HEALTH INSTITUTE AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE AND REPRESENTED A RANGE OF RACIAL/ETHNIC BACKGROUNDS. FROM THEIR SURVEY RESPONSES WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES WHICH FACE OUR COMMUNITIES.
HENRY FORD HEALTH WYANDOTTE HOSPITAL	PART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH MACOMB HOSPITALHENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD HEALTH JACKSON HOSPITALHENRY FORD HEALTH ALLEGIANCE SPECIALTY HOSPITAL
HENRY FORD HEALTH WYANDOTTE 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 CANCER PREVENTION & SCREENING.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 (DPP) PROGRAMS 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. CANCER PREVENTION & SCREENING INCREASE PROSTATE, BREAST, LUNG AND COLORECTAL CANCER SCREENING VOLUMES. HOLD EVENTS TO INCREASE AWARENESS AND EDUCATION AROUND CANCER SCREENING FOR BREAST, LUNG, COLON AND PROSTATE CANCER.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 WYANDOTTE HOSPITAL	PART V, SECTION B, LINE 13B: HENRY FORD HEALTH WYANDOTTE HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AND 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	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HENRY FORD HEALTH CENTER-BROWNSTOWN
23050 WEST ROAD	BROWNSTOWN TOWNSHIP	MI	48183	OUTPATIENT CLINIC/DIAGNOSTIC CENTER
2 - HF REHABILITATION -WYANDOTTE
3323 BIDDLE AVE SUITES A C	WYANDOTTE	MI	48192	OUTPATIENT CLINIC/DIAGNOSTIC CENTER
3 - HF WYANDOTTE OB GYN RESIDENT CLINIC
3333 BIDDLE AVE SUITE A	WYANDOTTE	MI	48192	OUTPATIENT CLINIC/DIAGNOSTIC CENTER
4 - HF WYANDOTTE BARIATRIC & WGTMGT
3333 BIDDLE AVE SUITES C	WYANDOTTE	MI	48192	OUTPATIENT CLINIC/DIAGNOSTIC CENTER
5 - HF FAMILY MEDICINE - ALLEN PARK
7226 ALLEN RD	ALLEN PARK	MI	48101	OUTPATIENT CLINIC/DIAGNOSTIC CENTER
6 - HF WYANDOTTE CLINIC NWHC-SOUTHGATE
15675 NORTHLINE RD	SOUTHGATE	MI	48195	OUTPATIENT CLINIC/DIAGNOSTIC CENTER
7 - HF MEDICAL CENTER-TEMPLIN
2070 BIDDLE AVESUITE 200	WYANDOTTE	MI	48192	OUTPATIENT CLINIC/DIAGNOSTIC CENTER

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 WOMENS' HEALTH , BEHAVIORAL HEALTH AND HOSPICE 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 $9,314,152
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 BASED UPON 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 (INCLUDING 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 PATIENT'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 HEALTH'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:	HFWH 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. HFWH FOLLOWS THE HF HEALTH PATIENT FINANCIAL ASSISTANCE POLICY. HF HEALTH HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN ONE OF OUR EMERGENCY ROOMS FOR SERVICES. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED REGARDING 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 HFWH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS WHICH WOULD OFFER POTENTIAL SUPPORT. HFWH HAS DEDICATED STAFF RESPONSIBLE FOR IDENTIFYING PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSISTING 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 WYANDOTTE HOSPITAL (HFWH) IS PART OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"), ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEAST MICHIGAN. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD HEALTH WYANDOTTE HOSPITAL, WHICH INCLUDES A 360 LICENSED BED HOSPITAL WITH AN OPEN MEDICAL STAFF, AN OUTPATIENT SURGICAL CENTER, TWO 24-HOUR EMERGENCY DEPARTMENTS, AND SEVERAL OTHER OUTPATIENT LOCATIONS SERVING WESTERN WAYNE COUNTY AND THE DOWNRIVER COMMUNITIES IN SOUTHEASTERN MICHIGAN. HFWH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS' COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, OBSTETRICS, PEDIATRICS, CARDIAC CARE, PHYSICAL AND REHABILITATION MEDICINE, AMBULATORY SURGERY, INPATIENT AND OUTPATIENT BEHAVIORAL SERVICES, HOSPICE CARE 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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN WYANE COUNTY REGIONAL CHAMBER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20904 NORTHLINE RD	AddressLine1Txt
City	TAYLOR	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48180	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	381814761	RecipientEIN
IRC Section	501(C)(6)	IRCSectionDesc
Cash Grant	$8,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	ORGANIZATIONAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
WYANDOTTE HOSPITAL PATIENT MEDICAL NEEDS FUND	30	$15,470	COST	PATIENTS MEETING FINANCIAL ASSISTANCE PROGRAM GUIDELINES MAY BE PROVIDED WITH SUPPLIES AT NO CHARGE UPON DISCHARGE.
WYANDOTTE HELPING HANDS FUND	5			SEE PART IV	$8,899

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	HF WYANDOTTE HELPING HANDS: THE HENRY FORD WYADOTTE HELPING HANDS PROGRAM IS A CHARITABLE INITIATIVE SPONSORED AND FUNDED ENTIRELY BY EMPLOYEES TO HELP CO-WORKERS, VOLUNTEERS AND RETIREES IN TIMES OF NEED. SINCE ITS INCEPTION IN 1992, THE PROGRAM HAS PROVIDED FINANCIAL ASSISTANCE TO HUNDREDS OF PEOPLE. -HELPING HANDS PROVIDES FINANCIAL ASSISTANCE OF UP TO $1,800 TO ELIGIBLE EMPLOYEES AND UP TO $500 TO ELIGIBLE VOLUNTEERS AND RETIREES WHO, DUE TO A CATASTROPHE-SUCH AS A HOME FIRE, ILLNESS OR INJURY-CAN'T AFFORD BASIC NECESSITIES INCLUDING FOOD, CLOTHING AND MEDICAL CARE. A HELPING HANDS EXECUTIVE COMMITTEE ("THE COMMITTEE") COMPRISED OF A REPRESENTATIVE FROM EACH BUSINESS UNIT OF THE HEALTH SYSTEM OVERSEES THE HELPING HANDS PROGRAM. THE COMMITTEE PROVIDES PERIODIC OVERSIGHT OF THE POLICIES AND CRITERIA THAT GOVERN THE DISTRIBUTION OF FUNDS AND PRODUCES AND MAINTAINS THE PROGRAM'S FINANCIAL REPORTS. APPLICATIONS FOR FUNDS, ELIGIBILITY DETERMINATIONS AND DISTRIBUTION OF FUNDS ARE ADMINISTERED AT THE BUSINESS UNIT LEVEL EITHER BY A BUSINESS UNIT HELPING HANDS COMMITTEE OR A HELPING HANDS REPRESENTATIVE.	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	Yes (1)	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
DIRECTOR/ PRESIDENT/CEO	$0	$2,165,620	$0	$1,535,761	$0	$766,542	$0	$27,441	$0	$29,598	$0	$4,524,962	$0	$0
ROBIN S DAMSCHRODER
TREASURER	$0	$1,396,213	$0	$563,406	$0	$447,412	$0	$27,441	$0	$34,472	$0	$2,468,944	$0	$0
DENISE BROOKS-WILLIAMS
CEO- MARKETS	$0	$1,054,577	$0	$317,037	$0	$270,282	$0	$27,441	$0	$20,440	$0	$1,689,777	$0	$0
MICHELLE JOHNSON TIDJANI ESQ
SECRETARY (THRU 9/2023)	$0	$911,978	$0	$367,252	$0	$288,559	$0	$22,491	$0	$25,331	$0	$1,615,611	$0	$0
MICHAEL D CALLAN DO
PHYSICIAN	$858,933	$0	$69,574	$0	$120,082	$0	$27,441	$0	$20,806	$0	$1,096,836	$0	$0	$0
KATHLEEN L YAREMCHUK MD
FORMER PHYSICIAN DIRECTOR	$0	$857,338	$0	$122,085	$0	$24,841	$0	$27,441	$0	$30,767	$0	$1,062,472	$0	$0
GLENN J MINSTER MD
PHYSICIAN	$805,817	$0	$218,823	$0	$23,041	$0	$4,950	$0	$2,110	$0	$1,054,741	$0	$0	$0
MICHAEL NED SCOTT DO
PHYSICIAN	$626,889	$0	$106,260	$0	$43,098	$0	$27,441	$0	$28,510	$0	$832,198	$0	$0	$0
BROOKE M BUCKLEY MD
CMO	$427,957	$0	$127,031	$0	$51,432	$0	$4,950	$0	$16,883	$0	$628,253	$0	$0	$0
OUSSAMA ALSAWAS MD
PHYSICIAN	$540,942	$0	$40,570	$0	$8,390	$0	$4,950	$0	$25,961	$0	$620,813	$0	$0	$0
JAMES O PEABODY MD
PHYSICIAN DIRECTOR	$0	$483,693	$0	$35,267	$0	$33,998	$0	$27,441	$0	$36,764	$0	$617,163	$0	$0
RAND O'LEARY
PRESIDENT (START 4/2023)	$222,228	$66,940	$0	$150,000	$9,761	$1,158	$29,088	$0	$14,799	$4,554	$275,876	$222,652	$0	$0
SYED MEHDI JAFRI DO
PHYSICIAN	$422,280	$0	$20,597	$0	$4,405	$0	$0	$0	$31,694	$0	$478,976	$0	$0	$0
ROBERT T YOUNG
CFO- SOUTH MARKET	$0	$307,823	$0	$66,384	$0	$8,513	$0	$27,306	$0	$23,371	$0	$433,397	$0	$0
ANNETTE PHILLIPS
FORMER INTERIM PRESIDENT	$0	$248,700	$0	$40,897	$0	$0	$0	$3,817	$0	$15,015	$0	$308,429	$0	$0
MARJORIE A STATEN JD
SECRETARY (START 10/2023)	$0	$187,185	$0	$33,653	$0	$2,398	$0	$2,866	$0	$11,829	$0	$237,931	$0	$0
WILLIAM A CONWAY MD
FORMER DIRECTOR	$0	$167,405	$0	$0	$0	$0	$0	$11,691	$0	$22,684	$0	$201,780	$0	$0
DENNIS R LEMANSKI DO
FORMER CMO	$101,360	$0	$0	$0	$0	$0	$6,734	$0	$22,719	$0	$130,813	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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, LINES 4A-B	SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) 2023 TAXABLE NON TAXABLE REPORTABLE ACCRUAL NON VESTED 2023 DIST. 2023 DIST. W-2 AMOUNTS PARTICIPANT DENISE BROOKS-WILLIAMS 229,220 - - 229,220 MICHELLE JOHNSON TIDJANI 220,161 - - 220,161 ROBIN DAMSCHRODER 370,240 - - - 370,240 ROBERT RINEY 736,518 - - - 736,518 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTRIBUTIONS 2023 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS MICHAEL D. CALLAN, M.D. - 22,500 541 23,041 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 MICHELLE JOHNSON TIDJANI 19,904 - - 19,904 MICHAEL N. SCOTT - 10,227 246 10,473 ROBIN DAMSCHRODER 22,500 - - 22,500 KATHLEEN YAREMCHUK, M.D. - 22,500 541 23,041 SYED MEHDI JAFRI, D.O. - 3,300 79 3,379 GLENN MINSTER, M.D. - 22,500 541 23,041 BROOKE BUCKLEY, M.D. 11,726 3,281 78 15,085 ROBERT RINEY 22,500 - - 22,500 JAMES PEABODY, M.D. 12,639 9,861 237 22,737 OUSSAMA ALSAWAS, M.D. - 6,715 162 6,877 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -HENRY FORD WYANDOTTE HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 RAND O'LEARY - - 24,605 -
PART I, LINE 5	CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A CONTRACTUAL FORMULA THAT PROVIDES FOR A MINIMUM BASE SALARY AND INCREMENTAL COMPENSATION WHEN DEPARTMENTAL CASH COLLECTIONS EXCEEDS A PREDETERMINED LEVEL. SUCH ARRANGEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION.

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	TRISHA M RIBITCH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE BELOW	RelationshipDescriptionTxt
Transaction	$88,165	TransactionAmt
Transaction	SEE BELOW	TransactionDesc
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: TRISHA M. RIBITCH(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTON OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATIONA) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #18(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $100,000(D) DESCRIPTON OF TRANSACTION: PROFESSIONAL SERVICE PAYMENTS(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #4(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $53,510(D) DESCRIPTON OF TRANSACTION: PROVIDES PLASTICS FOR MEDICAL APPLICATIONS(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #12(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $492,133(D) DESCRIPTON OF TRANSACTION: PROVIDES COMPRHENSIVE CARDIOLOGY SERVICES(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #6(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $73,685(D) DESCRIPTON OF TRANSACTION: PROVIDES RADIOLOGY SERVICES(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #17(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $26,875(D) DESCRIPTON OF TRANSACTION: PROVIDES PATIENT CENTERED CARE SERVICES(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #14(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $37,890(D) DESCRIPTON OF TRANSACTION: TRANSPORTATION SERVICES TO PARTNERING HOSPITALS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	DIRECTOR TO DIRECTOR BUSINESS RELATIONSHIP: MICHAEL RAFFERY AND SANDRA PIERCE.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION IS A TAX EXEMPT MEMBERSHIP CORPORATION AND THE SOLE MEMBER OF THE ORGANIZATION IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH").
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER OF THE ORGANIZATION, HF HEALTH HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS.
FORM 990, PART VI, SECTION A, LINE 7B	BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION IS AN AFFILIATE OF 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 OF FINANCIAL OPERATIONS AND CHIEF FINANCIAL OFFICER. - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS, INCLUDING CEO - REVIEW OF THE RETURN WITH THE HF HEALTH CEO AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS - PROVIDE A COPY OF THE RETURN TO THE ORGANIZATION'S BOARD OF DIRECTORS
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. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISIONS THAT ARE NOT SEPARATE LEGAL ENTITIES BUT HAVE THEIR OWN UNIQUE ASSIGNED EIN'S. FINANCIAL INFORMATION RELATING TO THESE DIVISIONS ARE INCLUDED IN THIS RETURN. -WYANDOTTE MEDICAL PRACTICES (37-1444843) -WYANDOTTE PHYSICIAN PRACTICES (80-0187235) -WYANDOTTE HOSPITAL PRACTICES (27-0415080) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE
FORM 990, PART XI, LINE 9:	MINIMUM PENSION LIABILITY ADJUSTMENT -466,138.
FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY:	A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (PARENT OF OUR CONTROLLED GROUP). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY.
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 990, PART VII:	AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HF HEALTH PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH USES 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 HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED.
FORM 990 - PART XII - LINE 2C:	HENRY FORD HEALTH WYANDOTTE HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH. THE GOVERNING BODY OF HF HEALTH HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE.

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HENRY FORD HEALTH SYSTEM
ONE FORD PLACE	DETROIT	MI	48202	381357020	HEALTHCARE SERVICE PROVIDER	MI	501(C)(3)	LINE 3	N/A	0
HENRY FORD MACOMB HOSPITAL CORPORATION
ONE FORD PLACE	DETROIT	MI	48202	382947657	HEALTHCARE SERVICE PROVIDER	DE	501(C)(3)	LINE 3		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD HEALTH SYSTEM FOUNDATION
ONE FORD PLACE	DETROIT	MI	48202	237383042	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12A, I		Yes (1)	HENRY FORD HEALTH SYSTEM
HEALTH ALLIANCE PLAN
3031 W GRAND BLVD	DETROIT	MI	48202	382242827	HEALTH MAINTENANCE ORGANIZATION	MI	501(C)(4)	N/A		Yes (1)	HENRY FORD HEALTH SYSTEM
HFII CORPORATION
ONE FORD PLACE	DETROIT	MI	48202	900840304	SCIENTIFIC RESEARCH	MI	501(C)(3)	LINE 7		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES
ONE FORD PLACE	DETROIT	MI	48202	464064067	ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES	MI	501(C)(4)	N/A		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD ALLEGIANCE HEALTH GROUP
205 N EAST AVENUE	JACKSON	MI	49201	382756428	EXEMPT ORGANIZATION	MI	501(C)(3)	LINE 12B, II		Yes (1)	HENRY FORD HEALTH SYSTEM
ALLEGIANCE HEALTH FOUNDATION
205 N EAST AVENUE	JACKSON	MI	49201	383607833	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12B, II		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE
205 N EAST AVENUE	JACKSON	MI	49201	382336367	HOSPICE CARE	MI	501(C)(3)	LINE 7		Yes (1)	HEALTHLINK
HEALTHLINK
205 N EAST AVENUE	JACKSON	MI	49201	382756425	HOME HEALTH CARE	MI	501(C)(3)	LINE 12A, I		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
CARELINK OF JACKSON
100 NORTH ELM AVENUE	JACKSON	MI	49202	381218485	LONG TERM ACUTE CARE HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL
205 N EAST AVENUE	JACKSON	MI	49201	382027689	HEALTHCARE SERVICE PROVIDER	MI	501(C)(3)	LINE 3		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
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		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD PHYSICIAN PARTNERS
ONE FORD PLACE	DETROIT	MI	48202	871633901	PHYSICIAN SERVICES	MI	501(C)(3)	LINE 3		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD HEALTH PARENT
ONE FORD PLACE	DETROIT	MI	48202	934079536	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12B, II		Yes (1)	HENRY FORD HEALTH SYSTEM

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	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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 CLINICS	MI	HENRY FORD HEALTH SYSTEM	N/A	0	0
FOOTE HEALTH CENTER ASSOCIATES
1100 E MICHIGAN AVENUE	JACKSON	MI	49201	383017711	LESSOR OF MEDICAL CONDOMINIUM	MI	HENRY FORD HEALTH JACKSON HOSPITAL	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 W GRAND BLVD	DETROIT	MI	48202	922877012	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
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 INSURANCE
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)
ADMINISTRATION SYSTEMS RESEARCH CORPORATION
3031 W GRAND BLVD	DETROIT	MI	48202	382651185	THIRD PARTY INSURANCE	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 ALLEGIANCE PHARMACY
205 N EAST AVENUE	JACKSON	MI	49201	383370242	PHARMACY	MI	HENRY FORD ALLEGIANCE HEALTH GROUP	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	0	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	0	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	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE PLAN
L	$25,517,039	CASH VALUE
ALLIANCE HEALTH & LIFE INSURANCE CO
M	$1,187,200	CASH VALUE
ONIKA INSURANCE LTD
P	$2,092,548	CASH VALUE
ALLIANCE HEALTH & LIFE INSURANCE CO
P	$1,187,200	CASH VALUE
ONIKA INSURANCE LTD
Q	$54,529	CASH VALUE

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