STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WA FOOTE MEMORIAL HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
WA FOOTE MEMORIAL HOSPITAL (EIN 38-2027689)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-10
IRS object ID
202333149349304368
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-10T14:20:59-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382027689EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WA FOOTE MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWAFOBusinessNameControlTxt
Phone5172054800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 N EAST AVENUEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM BONGIORNOPersonNm
Person TitleCFOPersonTitleTxt
Phone5172054800PhoneNum
Signature2023-11-10SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJIMPersonFirstNm
Person LastBONGIORNOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD HEALTH JACKSON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerEMILY MOORHEADPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 N EAST AVENUEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$921,775,723GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HENRYFORD.COM/LOCATIONS/ALLEGIANCE-HEALTHWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionWE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee4827TotalEmployeeCnt
Total Volunteers426TotalVolunteersCnt
Total Gross UBI$1,315,355TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,271,054PYContributionsGrantsAmt
CY Contributions Grants$10,833,229CYContributionsGrantsAmt
PY Program Service Revenue$708,536,277PYProgramServiceRevenueAmt
CY Program Service Revenue$709,090,457CYProgramServiceRevenueAmt
PY Investment Income$12,380,284PYInvestmentIncomeAmt
CY Investment Income$23,078,980CYInvestmentIncomeAmt
PY Other Revenue$46,423,638PYOtherRevenueAmt
CY Other Revenue$51,120,129CYOtherRevenueAmt
PY Total Revenue$777,611,253PYTotalRevenueAmt
CY Total Revenue$794,122,795CYTotalRevenueAmt
PY Grants And Similar Paid$916,202PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$352,336CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$360,098,763PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$353,933,964CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$115,319CYTotalFundraisingExpenseAmt
PY Other Expenses$387,690,971PYOtherExpensesAmt
CY Other Expenses$410,304,273CYOtherExpensesAmt
PY Total Expenses$748,705,936PYTotalExpensesAmt
CY Total Expenses$764,590,573CYTotalExpensesAmt
PY Revenues Less Expenses$28,905,317PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,532,222CYRevenuesLessExpensesAmt
Total Assets BOY$867,319,103TotalAssetsBOYAmt
Total Assets EOY$762,216,405TotalAssetsEOYAmt
Total Liabilities BOY$390,238,278TotalLiabilitiesBOYAmt
Total Liabilities EOY$333,441,992TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$477,080,825NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$428,774,413NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionW.A. FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") SERVING COMMUNITIES IN SOUTH CENTRAL MICHIGAN FOR MORE THAN 100 YEARS. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, W.A FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") SHARES THE MISSION OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$709,175,196ExpenseAmt
Grant$352,336GrantAmt
Revenue$781,677,528RevenueAmt
DescFOR MORE THAN 100 YEARS, HENRY FORD HEALTH JACKSON HOSPITAL HAS SERVED A NINE-COUNTY EXPANSE OF SOUTH-CENTRAL MICHIGAN WITH A COMMITMENT TO CHARITABLE GIVING, OUTREACH AND BUILDING STRONGER, HEALTHIER INDIVIDUALS AND FAMILIES. THE 365-BED ACUTE CARE HOSPITAL AND LEVEL II TRAUMA CENTER OFFERS A FULL RANGE OF CLINICAL SERVICES, INCLUDING GENERAL MEDICINE, SURGERY, BIRTHING CENTER AND 24-HOUR EMERGENCY CARE. HENRY FORD HEALTH JACKSON HOSPITAL ALSO PROVIDES PHYSICAL MEDICINE AND REHAB, CARDIAC, CANCER AND NEUROSURGICAL SERVICES. DURING 2022, HENRY FORD HEALTH JACKSON HOSPITAL HAD 15,751 DISCHARGES.WITH A SENSE OF HUMAN COMPASSION, WE GIVE, ORGANIZE, LEAD, PARTNER AND EMBRACE THE WIDE-RANGING COMMUNITY PROGRAMS AND SERVICES. IN GIVING BACK TO THE CULTURE AND PEOPLE THAT SURROUND US, WE GAIN FULFILLMENT IN KNOWING WE HAVE INVESTED IN THE HEALTH AND WELL-BEING OF THE COMMUNITY WHICH WE SERVE. ESTABLISHED IN 1918, OUR COMMITMENT TO THE COMMUNITY IS TO LEAD THEM TO BETTER HEALTH AND WELL-BEING AT EVERY STAGE OF LIFE. SERVING SOUTH CENTRAL MICHIGAN, HENRY FORD HEALTH JACKSON HOSPITAL IS THE LARGEST EMPLOYER IN JACKSON COUNTY. THE CORONAVIRUS IMPACT ADDRESSING THE IMPACT OF COVID-19 ON ITS COMMUNITIES HAS BEEN A PRIORITY FOR HENRY FORD HEALTH FROM THE ADMISSION OF ITS FIRST COVID-19 PATIENT IN EARLY 2020. COVID-19 INPATIENT CASES HAVE REMAINED AT RELATIVELY LOW LEVELS SINCE MARCH 2022 DUE TO WIDESPREAD AVAILABILITY OF SUCCESSFUL TREATMENT PROTOCOLS AND UPDATED BOOSTERS. MEDICAL EDUCATION:HENRY FORD HEALTH JACKSON HOSPITAL HAS AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOUTH-YEAR MEDICAL STUDENTS.HENRY FORD HEALTH JACKSON HOSPITAL TRAINS MORE THAN 35 MEDICAL STUDENTS AND 130 RESIDENTS IN 6 PROGRAMS.A NATIONAL LEADER IN FORMING COMMUNITY PARTNERSHIPS, HENRY FORD HEALTH JACKSON HOSPITAL PROMOTES WELLNESS AND PREVENTION THROUGH OUR HEALTH IMPROVEMENT ORGANIZATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescHENRY FORD HEALTH JACKSON HOSPITAL PROVIDES OUTPATIENT SERVICES AT APPROXIMATELY 40 LOCATIONS THROUGHOUT SOUTH CENTRAL MICHIGAN. IN TOTAL THIS REPRESENTED 1,282,186 TOTAL OUTPATIENT FACILITY VISITS DURING 2022.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescHENRY FORD HEALTH JACKSON HOSPITAL OPERATES A 24 HOUR EMERGENCY DEPARTMENT. EMERGENCY SERVICES REPRESENTED 66,505 PATIENT VISITS DURING 2022.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$709,175,196TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document366IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4827EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JIM BONGIORNOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3138749506PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACEAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAULA AUTRY
TRUSTEE - PRESIDENT & CEO (THRU 2/2022)60.005.00Yes (X)Yes (X)$0$1,020,599$6,952
EMILY MOORHEAD
TRUSTEE- PRESIDENT & CEO (START 2/2022)56.009.00Yes (X)Yes (X)$421,370$86,392$5,969
DANIEL J PHELAN PHD
TRUSTEE - VICE CHAIR2.005.00Yes (X)Yes (X)$0$30,000$0
MARTHA A FUERSTENAU
TRUSTEE- CHAIR2.002.00Yes (X)Yes (X)$0$0$0
ROBERT G RINEY
TRUSTEE (THRU 6/2022)1.0064.00Yes (X)$0$2,993,892$58,060
DENISE BROOKS-WILLIAMS
TRUSTEE (START 7/2022)1.0062.00Yes (X)$0$1,395,321$43,835
ADNAN R MUNKARAH MD
PHYSICIAN TRUSTEE1.0064.00Yes (X)$0$2,740,661$65,219
MOHAN G KULKARNI MD
PHYSICIAN TRUSTEE60.002.00Yes (X)$1,065,980$0$43,827
DAVID CRAFT
TRUSTEE1.003.00Yes (X)$0$0$0
KEVIN E OXLEY
TRUSTEE1.001.00Yes (X)$0$0$0
AARON S BOATIN
TRUSTEE - SECRETARY/TREASURER2.004.00Yes (X)Yes (X)$0$0$0
MUMTAZ MEMON MD
PHYSICIAN TRUSTEE60.001.00Yes (X)$647,045$0$34,905
LAWRENCE NARKIEWICZMD
PHYSICIAN TRUSTEE60.001.00Yes (X)$528,880$0$34,564
CHRISTINA M SIDERS
TRUSTEE1.003.00Yes (X)$0$0$0
CATHERINE A HENDRIAN
TRUSTEE1.001.00Yes (X)$0$0$0
MARK OLSON
TRUSTEE1.001.00Yes (X)$0$0$0
MONICA MOSER
TRUSTEE1.001.00Yes (X)$0$0$0
SAIRIA DASS RAMCHARAN MD
TRUSTEE1.001.00Yes (X)$0$0$0
RAMI ABDEL RAHEEM ALZEBDEH MD
TRUSTEE1.001.00Yes (X)$60,975$0$0
KENNETH W EMPEY
GENERAL COUNSEL55.005.00$0$365,184$23,760Yes (X)
JIM BONGIORNO
CENTRAL MARKET CFO, VP FIN55.005.00$0$263,593$43,403Yes (X)
MARK A SMITH MD
CMO/CEO HFAHMG55.005.00$573,443$0$40,599Yes (X)
FRANK LAMARCA MD
PHYSICIAN60.000.00$2,910,318$0$36,132Yes (X)
AZAM BASHEER MD
PHYSICIAN60.000.00$2,512,408$0$37,647Yes (X)
AMRITRAJ G LOGANATHAN MD
PHYSICIAN60.000.00$1,127,196$0$33,875Yes (X)
VISHAL GUPTA MD
PHYSICIAN60.000.00$1,189,553$0$25,281Yes (X)
RYAN A BEEKMANMD
PHYSICIAN60.000.00$1,166,627$0$7,448Yes (X)
MICHAEL GRISDELA
FORMER INTERIM CENTRAL MAR0.0060.00$0$518,134$36,412Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,203,795TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,413,776TotReportableCompRltdOrgAmt
Total Other Compensation$577,888TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K494IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PROLINK HEALTHCARE LLC
4600 MONTGOMERY RD STE 300CINCINNATIOH45212TEMP NURSING SERVICES$21,037,642
INDEPENDENT HOSPITALIST PHYSICIANS PLLC
PO BOX 100ROYAL OAKMI48068HEALTHCARE SERVICES$15,341,438
PULMONARY CLINICS OF SOUTHERN MI PC
900 E MICHIGAN AVENUE STE 105JACKSONMI49201HEALTHCARE SERVICES$3,807,120
OBHG MICHIGAN PC
777 LOWNDES HILL ROAD BLDG 1GREENVILLESC296068261HEALTHCARE SERVICES$1,993,305
INDEPENDENT EMERGENCY PHYSICIANS PC
37000 GRAND RIVER AVEFARMINGTION HILLSMI48335HEALTHCARE SERVICES$1,768,497
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K65CntrctRcvdGreaterThan100KCnt
Fundraising$69,992FundraisingAmt
Government Grants$7,217,435GovernmentGrantsAmt
All Other Contributions$3,545,802AllOtherContributionsAmt
Total Contributions$10,833,229TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICESDesc
Business621990BusinessCd
Total Revenue Column$709,090,457TotalRevenueColumnAmt
Related Or Exempt Func Income$707,812,395RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,278,062UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$709,090,457TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,110,312TotalRevenueColumnAmt
Related Or Exempt Func Income$3,110,312RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$308,021RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$308,021RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$308,021TotalRevenueColumnAmt
Exclusion$308,021ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$147,536,371SecuritiesAmt
Other$40,665OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$127,558,026SecuritiesAmt
Other$50,342OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$19,978,345SecuritiesAmt
Other-$9,677OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,968,668TotalRevenueColumnAmt
Related Or Exempt Func Income$19,978,345RelatedOrExemptFuncIncomeAmt
Exclusion-$9,677ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$39,419FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$69,992ContriRptFundraisingEventAmt
Fundraising Direct Expenses$37,799FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,620TotalRevenueColumnAmt
Exclusion$1,620ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$3,480GamingGrossIncomeAmt
Gaming Direct Expenses$6,761GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,281TotalRevenueColumnAmt
Exclusion-$3,281ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED PHARMACY REVENUE621110$45,334,727$45,334,727
CAFETERIA900099$1,963,943$1,963,943
JHN621990$1,134,186$1,134,186

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,380,913TotalRevenueColumnAmt
Related Or Exempt Func Income$2,343,620RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$37,293UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$50,813,769OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$794,122,795TotalRevenueColumnAmt
Related Or Exempt Func Income$781,677,528RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,315,355UnrelatedBusinessRevenueAmt
Exclusion$296,683ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$220,644TotalAmt
Program Services$220,644ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$131,692TotalAmt
Program Services$131,692ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,891,842TotalAmt
Program Services$3,732,257ProgramServicesAmt
Management And General$1,063,074ManagementAndGeneralAmt
Fundraising$96,511FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$291,318,715TotalAmt
Program Services$273,939,499ProgramServicesAmt
Management And General$17,379,216ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,934,015TotalAmt
Program Services$2,750,385ProgramServicesAmt
Management And General$182,674ManagementAndGeneralAmt
Fundraising$956FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$36,166,091TotalAmt
Program Services$33,902,579ProgramServicesAmt
Management And General$2,251,728ManagementAndGeneralAmt
Fundraising$11,784FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,623,301TotalAmt
Program Services$17,457,732ProgramServicesAmt
Management And General$1,159,501ManagementAndGeneralAmt
Fundraising$6,068FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,085TotalAmt
Program Services$6,226ProgramServicesAmt
Management And General-$2,141ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$71,110,585TotalAmt
Program Services$67,858,066ProgramServicesAmt
Management And General$3,252,519ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,389,393TotalAmt
Program Services$76,201ProgramServicesAmt
Management And General$1,313,192ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,060,190TotalAmt
Program Services$8,046,344ProgramServicesAmt
Management And General$4,013,846ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,769,110TotalAmt
Program Services$1,436,765ProgramServicesAmt
Management And General$332,345ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$6,485,368TotalAmt
Program Services$3,136,354ProgramServicesAmt
Management And General$3,349,014ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$620,942TotalAmt
Program Services$561,607ProgramServicesAmt
Management And General$59,335ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$465,789TotalAmt
Program Services$409,343ProgramServicesAmt
Management And General$56,446ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,798,748TotalAmt
Program Services$5,798,410ProgramServicesAmt
Management And General$338ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$28,898,364TotalAmt
Program Services$21,087,248ProgramServicesAmt
Management And General$7,811,116ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,854,341TotalAmt
Program Services$9,854,341ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$74,949,170$75,624,595-$675,425$0
CORP OFFICE ALLOCATION$74,674,736$74,674,736$0$0
PHARMACEUTICAL SUPPLIES$58,530,567$58,423,356$107,211$0
QUAAP TAX$20,086,744$20,086,744$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$43,606,141TotalAmt
Program Services$29,960,072ProgramServicesAmt
Management And General$13,646,069ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$764,590,573TotalAmt
Program Services$709,175,196ProgramServicesAmt
Management And General$55,300,058ManagementAndGeneralAmt
Fundraising$115,319FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$65,536BOYAmt
EOY$178,909EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$99,156,365BOYAmt
EOY$52,930,307EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,941BOYAmt
EOY$2,011,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$103,667,392BOYAmt
EOY$115,951,683EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,334,525BOYAmt
EOY$16,461,895EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,727,024BOYAmt
EOY$2,880,388EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$389,324,783LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$177,415,878LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$229,533,720BOYAmt
EOY$211,908,905EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$379,112,325BOYAmt
EOY$326,853,923EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,064,455BOYAmt
EOY$6,163,830EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$31,644,820BOYAmt
EOY$26,875,565EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$867,319,103BOYAmt
EOY$762,216,405EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$154,901,488BOYAmt
EOY$104,675,171EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$142,948,275BOYAmt
EOY$139,373,205EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$92,388,515BOYAmt
EOY$89,393,616EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$390,238,278BOYAmt
EOY$333,441,992EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$473,154,911BOYAmt
EOY$423,437,020EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,925,914BOYAmt
EOY$5,337,393EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$477,080,825BOYAmt
EOY$428,774,413EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$867,319,103BOYAmt
EOY$762,216,405EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$29,532,222ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$77,406,818NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$431,816OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$45,958DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$45,958TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationHEALTH CARE IS A HIGHLY-REGULATED FIELD, REQUIRING FREQUENT AND HIGH-LEVEL COMMUNICATION WITH REGULATORS AND ELECTED OFFICIALS. A SMALL INVESTMENT IN LOBBYING ENABLES US TO REMAIN IN CONTACT WITH LEGISLATORS AND GOVERNMENT AGENCIES, MAXIMIZE THE RESOURCES WITH WHICH WE ARE ENTRUSTED AND ASSURE THAT WE PROVIDE THE BEST CARE TO OUR COMMUNITY. W.A. FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ENLISTS THE SERVICES OF SEVERAL LOBBYING CONSULTANTS, ATTORNEYS AND HEALTHCARE TRADE ASSOCIATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,925,913BeginningYearBalanceAmt
Contributions$3,614,133ContributionsAmt
Investment Earnings Or Losses-$145,673InvestmentEarningsOrLossesAmt
Other Expenditures$2,056,981OtherExpendituresAmt
End Year Balance$5,337,392EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,089,845BeginningYearBalanceAmt
Contributions$2,032,607ContributionsAmt
Investment Earnings Or Losses$184,527InvestmentEarningsOrLossesAmt
Other Expenditures$1,381,066OtherExpendituresAmt
End Year Balance$3,925,913EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,864,539BeginningYearBalanceAmt
Contributions$1,790,548ContributionsAmt
Investment Earnings Or Losses$125,594InvestmentEarningsOrLossesAmt
Other Expenditures$1,690,836OtherExpendituresAmt
End Year Balance$3,089,845EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,183,393BeginningYearBalanceAmt
Investment Earnings Or Losses$192,950InvestmentEarningsOrLossesAmt
Other Expenditures$2,311,804OtherExpendituresAmt
End Year Balance$2,864,539EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,713,012BeginningYearBalanceAmt
Contributions$2,074,346ContributionsAmt
Investment Earnings Or Losses-$50,758InvestmentEarningsOrLossesAmt
Other Expenditures$1,553,207OtherExpendituresAmt
End Year Balance$3,183,393EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.57250PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.42750TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,540,626OtherCostOrOtherBasisAmt
Book Value$9,540,626BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$205,450,663OtherCostOrOtherBasisAmt
Depreciation$59,632,416DepreciationAmt
Book Value$145,818,247BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$210,800OtherCostOrOtherBasisAmt
Depreciation$210,800DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$168,371,711OtherCostOrOtherBasisAmt
Depreciation$117,572,662DepreciationAmt
Book Value$50,799,049BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,750,983OtherCostOrOtherBasisAmt
Book Value$5,750,983BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$211,908,905TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
RETIREMENT PLAN LIABILITY$24,020,701
DEFERRED COMP$15,344,983
CORPORATE RESERVE$6,256,100
LIABILITY INSURANCE$24,535,270
WORKERS COMP LIABILITY$944,516
CURRENT OPERATING LEASE LIABILITY$2,335,587
LONG TERM OPERATING LEASE LIABILITY$10,698,260
OPERATING LEASE A/P PAYMENT-$269,255
SHORT-TERM BORROWINGS$5,527,454
FieldValueIRS element (for citing)
Total Liability$89,393,616TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR VARIOUS CHARITABLE HOSPITAL PROGRAMS INCLUDING TREATMENT OF UNINSURED PATIENTS, COMMUNITY PREVENTATIVE HEALTH EDUCATION, PROGRAM DEVELOPMENT AND CAPITAL IMPROVEMENTS.
PART X, LINE 2:THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1PINK BALLEvent1Nm
Gross Receipts Event1$109,411GrossReceiptsEvent1Amt
Charitable Contri Event1$69,992CharitableContriEvent1Amt
Gross Revenue Event1$39,419GrossRevenueEvent1Amt
Other Direct Expenses Event1$37,799OtherDirectExpensesEvent1Amt
Gross Receipts Total$109,411GrossReceiptsTotalAmt
Charitable Contributions Tot$69,992CharitableContributionsTotAmt
Gross Revenue Total Events$39,419GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$37,799OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$37,799DirectExpenseSummaryEventsAmt
Net Income Summary$1,620NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$3,480GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$6,761NonCashPrizesOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$3,480GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$6,761NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming$6,761DirectExpenseSummaryGamingAmt
Net Gaming Income Summary-$3,281NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1AMY STRAUSS SPECIAL EVENTS DEPTBusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACEAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48202ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,001,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,001,492NetCommunityBenefitExpnsAmt
Total Expense0.01740TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$214,202,766TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,545,032DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,657,734NetCommunityBenefitExpnsAmt
Total Expense0.07840TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$227,204,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,545,032DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,659,226NetCommunityBenefitExpnsAmt
Total Expense0.09580TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$867,041TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$867,041NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,712,370TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,524,172DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,188,198NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,806,532TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,634,202DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,172,330NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$201,790TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$201,790NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$302,503TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$302,503NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,890,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,158,374DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,731,862NetCommunityBenefitExpnsAmt
Total Expense0.02370TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$269,094,494TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$179,703,406DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,391,088NetCommunityBenefitExpnsAmt
Total Expense0.11950TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,594TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,594NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$633,880TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$633,880NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$647,474TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$647,474NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$16,061,914BadDebtExpenseAmt
Bad Debt Expense Attributable$4,015,478BadDebtExpenseAttributableAmt
Reimbursed By Medicare$207,312,849ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$242,265,256CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$34,952,407MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 FOOTE HEALTH CENTER ASSOCIATES
ENTITY LEASES MEDICAL OFFICE SPACE.0.928700.000000.07130
2 GRASS LAKE REAL ESTATE LLC
TO BUILD AND MANAGE OUTPATIENT SURGICAL CENTER0.460000.000000.46000
3 GRASS LAKE SURGERY CENTER LLC
TO OPERATE OUTPATIENT SURGICAL CENTER0.460000.000000.46000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD HEALTH JACKSON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 N EAST AVENUEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49201ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HENRYFORD.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD HEALTH JACKSON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 10A BELOWOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HENRY FORD HEALTH JACKSON HOSPITALPART V, SECTION B, LINE 5: TO GET A COMPREHENSIVE PICTURE OF THE HEALTH OF THE COMMUNITIES WE SERVE, OUR CHNA PROCESS INCLUDED AN IN-DEPTH REVIEW OF STATE AND LOCAL DATA, FROM WHICH MANY COMMON HEALTH ISSUES AND TRENDS EMERGED. THESE DATA WERE GATHERED LARGELY FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) VITAL STATISTICS, THE MICHIGAN BEHAVIORAL RISK FACTOR (BRFS) SURVEY, AND THE AMERICAN COMMUNITIES SURVEY. THE MOST UPDATED DATA WERE GENERALLY COLLECTED FROM 2018 TO 2020. DATA FROM 2020 MAY BE INFLUENCED BY THE COVID-19 PANDEMIC. HOWEVER, SINCE DATA MORE RECENT THAN 2020 IS LARGELY NOT YET AVAILABLE, THIS CHNA IS NOT ABLE TO FULLY REFLECT THE IMPACT OF COVID-19. WE ALSO EXAMINED TRENDS IN THESE DATA SINCE COMPLETING OUR LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019, FROM WHICH DATA WERE MOSTLY COLLECTED DURING 2015-2017.OUR METHODOLOGY INCLUDED REVIEWING DATA COLLECTED FROM STATE AND LOCAL SOURCES AND COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS.JACKSON COUNTY WAS SURVEYED THROUGH THE JACKSON COLLABORATIVE NETWORK'S NEEDS ASSESSMENT PROCESS, WHICH UTILIZES A PHONE SURVEY SAMPLING STRATEGY. THE METHOD USED FOR THIS SURVEY WAS A RANDOM DIGIT DIAL TELEPHONE SURVEY OF JACKSON COUNTY RESIDENTS. THE SAMPLE WAS STRATIFIED BY CENSUS TRACT, MEANING THE POPULATION WAS SAMPLED EVENLY THROUGHOUT ALL CENSUS TRACTS IN THE COUNTY (WITH THE PRISON CENSUS TRACT BEING OMITTED). CELLULAR AND LANDLINE TELEPHONE NUMBERS OF JACKSON COUNTY RESIDENTS IN EACH CENSUS TRACT WERE RANDOMLY DIALED UNTIL THE TARGET NUMBER OF SURVEYS WAS COMPLETED FOR EACH TRACT. THIS CYCLE INCLUDED AN OVERSAMPLING OF RESIDENTS WHO SELF-IDENTIFIED AS BLACK/AFRICAN AMERICAN TO HELP STRENGTHEN THE SAMPLE AND HELP TO REVEAL EVIDENCE OF RACIAL DISPARITIES IN THE JACKSON COMMUNITY. A TOTAL OF 1,300 ADULTS IN JACKSON COUNTY COMPLETED THE TELEPHONE SURVEY. WITHIN JACKSON COUNTY, 26% OF RESPONDENTS LIVED IN THE CITY OF JACKSON, 59% LIVED OUTSIDE OF THE CITY, AND THE REMAINING 15% HAD AN UNKNOWN LOCATION WITHIN JACKSON COUNTY.RESPONSES TO SURVEYS WERE RECEIVED FROM ORGANIZATIONS AND INDIVIDUALS REPRESENTING A RANGE OF RACIAL/ETHNIC BACKGROUNDS. RACIAL/ETHNIC MINORITIES REPRESENTED AMONGST SURVEY RESPONDENTS INCLUDE BLACK, ASIAN, NATIVE AMERICAN, MULTI-RACIAL, HISPANIC OR LATINO, AND MIDDLE EASTERN OR NORTH AFRICAN DESCENT.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS JACKSON COUNTY HEALTH DEPARTMENT, JACKSON HEALTH NETWORK, JACKSON COMMUNITY FOUNDATION, JACKSON COUNTY INTERMEDIATE SCHOOL DISTRICT, UNITED WAY OF JACKSON COUNTY AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE. FROM THEIR SURVEY RESPONSES, WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES FACING OUR COMMUNITIES.
HENRY FORD HEALTH JACKSON HOSPITALPART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH MACOMB HOSPITALSHENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHENRY FORD HEALTH WYANDOTTE HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD HEALTH ALLEGIANCE SPECIALTY HOSPITAL
HENRY FORD HEALTH JACKSON HOSPITALPART V, SECTION B, LINE 11: CHNA PRIORITIESTHE THREE (3) SELECTED PRIORITIES WHICH EMERGED FROM THE 2022 CHNA WERE: CHRONIC DISEASE PREVENTION & MANAGEMENT, BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER AND INFANT MORTALITY.THE FOLLOWING ARE STRATEGIES TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA. CHRONIC DISEASE PREVENTION & MANAGEMENT EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.CONTINUE TO ENHANCE PROGRAMMING AND EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES PREVENTION PROGRAMS (DPP) ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.ENGAGE PROVIDER ORGANIZATIONS IN SYSTEMATIC CLINICAL IMPROVEMENTS TO REDUCE RACIAL DISPARITIES IN HYPERTENSION AND/OR DIABETES CONTROL.HENRY FORD HEALTH WILL PARTNER WITH COMMUNITY ORGANIZATIONS VIA A COMMUNITY INFORMATION EXCHANGE (CIE) TO CLOSE 50% OF THE SOCIAL NEEDS GAPS IDENTIFIED (REFERRALS MADE) WITHIN POPULATIONS SCREENED BY 2025. BY 2025, HENRY FORD HEALTH WILL INVEST $15 MILLION THROUGH INTERMEDIARIES INTO PROJECTS THAT POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH (SDOH) ACROSS MARKETS WE SERVE. INVESTMENTS WILL YIELD RETURNS THAT MAY BE BELOW GENERAL MARKET EXPECTATIONS, BUT SUFFICIENT TO REPLENISH FUNDING FOR FUTURE ROUNDS OF INVESTMENT. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER PROVIDE DEPRESSION SCREENING FOR ALL THOSE SEEKING PSYCHIATRIC CARE.PATIENTS SUFFERING FROM OPIATE USE DISORDER (OUD), NOT IN REMISSION, WILL BE PRESCRIBED NAXLOXONE AS A SAFETY MEASURE TO PREVENT MORBIDITY AND MORTALITY.IMPROVE ACCESS IN OUR PSYCHIATRIC SPECIALTY CLINICS AND IN OUR COLLABORATIVE CARE MODEL FOR ADULT PATIENTS. INFANT MORTALITY IMPROVE PRENATAL AND PEDIATRIC ASSESSMENTS OF ALL PATIENTS BY IDENTIFYING AND ADDRESSING SDOH AND PROVIDING IMPROVED CARE NAVIGATION. EXPAND IMPLICIT BIAS EDUCATION/TRAINING TO ALL HFHS OBSTETRIC, PEDIATRIC/NEONATOLOGY NURSING AND PROVIDERS (INCLUDES REDUCING UNCONSCIOUS BIAS, AND IMPERATIVE (RUBI) CURRICULUM).ENSURE OB/GYN PATIENTS ARE RECEIVING RESPECTFUL CARE.SCALE WIN NETWORK: DETROIT ENHANCED MODEL OF GROUP PRENATAL CARE TO ADDITIONAL SITES.CHNA SIGNIFICANT NEEDS NOT ADDRESSEDSIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA WHICH ARE NOT BEING ADDRESSED IN THE CHNA IMPLEMENTATION PLANS: VACCINATIONS ASTHMA ALZHEIMER'S KIDNEY DISEASE PNEUMONIA AND INFLUENZA HENRY FORD HEALTH ACKNOWLEDGES THE NUMEROUS AND WIDE RANGE OF HEALTH NEEDS THAT EXIST IN OUR COMMUNITIES SERVED, AND WE ACKNOWLEDGE THAT THERE ARE CERTAIN HEALTH NEEDS NOT CHOSEN AS PRIORITIES, LISTED ABOVE. WE HAVE DETERMINED THAT OUR IMPLEMENTATION PLANS ARE ONLY ABLE TO EFFECTIVELY ADDRESS THE MOST PRESSING NEEDS IDENTIFIED BY OUR STAKEHOLDERS AND IN RELEVANT DATA AND SURVEYS, WHICH INCLUDE CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, CANCER, AND INFANT MORTALITY. THE SELECTED PRIORITIES WERE ANALYZED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, AS WELL AS HEALTH SYSTEM RESOURCES, AND REPRESENT THE KEY HEALTH ISSUES WHICH ARE MOST PRESSING WITH THE MOST COMPELLING DATA. WHILE HFH PROVIDES SUPPORTIVE CLINICAL SERVICES IN THESE AREAS, THEY WILL NOT BE INCLUDED AS AREAS OF PRIMARY ACTIVITY AS IT RELATES TO THE IMPLEMENTATION PLANS.
HENRY FORD HEALTH JACKSON HOSPITALPART V, SECTION B, LINE 13B: HENRY FORD HEALTH JACKSON HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.
PART V, LINE 10AHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT
FieldValueIRS element (for citing)
Facility48FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HFHJH HEMATOLOGYONCOLOGY
1100 E MICHIGAN AVE STE 307JACKSONMI49201SPECIALTY PRACTICE AND INFUSION CENTER
2 - HFHJH ORTHOPEDIC & NEUROSCIENCE CNTR
1201 E MICHIGAN AVENUEJACKSONMI49201OUTPATIENT SPECIALTY, DIAGNOSTIC AND REHAB FACILITY
3 - HFHJH SURGERY CENTER
1125 E MICHIGAN AVENUEJACKSONMI49201OUTPATIENT SURGERY CENTER
4 - HFHJH DIGESTIVE HEALTH
205 S EAST AVEJACKSONMI49201OUTPATIENT SURGERY CENTER
5 - HFHJH RADIATION ONCOLOGY
1102 E MICHIGAN AVEJACKSONMI49201RADIATION THERAPY
6 - HFHJH HEALTH CARDIOLOGY
309 PAGE AVENUEJACKSONMI49201SPECIALTY PRACTICE AND DIAGNOSTIC TESTING CENTER
7 - HFHJH HEALTH CENTER - CASCADE RIDGE
3305/3333 SPRING ARBOR RDJACKSONMI49203FAMILY AND SPECIALTY PRACTICES, DIAGNOSTIC CENTER
8 - HFHJH VASCULAR LABORATORY
300 W WASHINGTON AVENUE STE 350JACKSONMI49201VASCULAR TESTING
9 - HFHJH HEALTH CENTER - TOWNSEND
400 HINCKLEY BLVDJACKSONMI49203FAMILY MEDICINE AND DIAGNOSTIC CENTER
10 - HFHJH HEALTH CENTER - NORTH STREET
1401 W NORTH STREETJACKSONMI49202FAMILY MEDICINE AND DIAGNOSTIC CENTER
11 - HFHJH HEALTH CENTER - SPRINGPORT
2200 SPRINGPORT ROADJACKSONMI49202OUTPATIENT SERVICES, DIAGNOSTIC CENTER, PHARMACY SVCS
12 - HFHJH GASTROENTEROLOGY
744 W MICHIGAN AVE STE 201JACKSONMI49201SPECIALTY PRACTICE
13 - HFHJH ENTHEARING CENTER
1111 TENEYCK STJACKSONMI49201SPECIALTY PRACTICE AND AUDIOLOGY SALES/SERVICE
14 - HFHJH ADDICTION RECOVERY CENTER
2424 W WASHINGTON AVEJACKSONMI49203INPATIENT AND OUTPATIENT TREATMENT CENTER
15 - HFHJH HOME HEALTH CARE
100 E MICHIGAN AVE STE 400JACKSONMI49201CLINICAL HOME CARE SERVICES
16 - HFHJH UROLOGY - SPRING ARBOR ROAD
2800 SPRING ARBOR RDJACKSONMI49201SPECIALTY PRACTICE
17 - HFHJH UROLOGY - W MICHIGAN AVE
744 W MICHIGAN AVE STE 300JACKSONMI49201SPECIALTY PRACTICE
18 - HFHJH PHYSICAL REHAB-JACKSON
100 E MICHIGAN AVE STE 103JACKSONMI49201PHYSICAL REHABILITATION
19 - HFHJH HEALTH CENTER - EAST MICHIGAN
3235 E MICHIGAN AVENUEJACKSONMI49202FAMILY MEDICINE AND BEHAVIORAL HEALTH SERVICES
20 - HFHJH PEDIATRICS
760 W FRANKLINJACKSONMI49203PEDIATRIC MEDICINE
21 - HFHJH HEALTH CENTER - MASON
810 HOGSBACK RDMASONMI48854FAMILY AND SPECIALTY PRACTICE, DIAGNOSTICS, REHAB
22 - HFHJH HOME MEDICAL EQUIP
700 E MICHIGAN AVEJACKSONMI49201SALE OF DURABLE MEDICAL EQUIPMENT
23 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNTR
153 WAMPLERS LAKE RDBROOKLYNMI49230FAMILY MEDICINE AND DIAGNOSTIC CENTER
24 - HFHJH HEALTH CENTER - LESLIE
130 N SHERMAN STLESLIEMI49251FAMILY MEDICINE AND DIAGNOSTIC CENTER
25 - HFHJH HEALTH CENTER - SPRING ARBOR
7845 SPRING ARBOR ROADSPRING ARBORMI49283FAMILY MEDICINE AND DIAGNOSTIC CENTER
26 - HFHJH HEALTH CENTER - MICHIGAN CENTER
4304 PAGE AVEMICHIGAN CENTERMI49254SPECIALTY PRACTICE, DIAGNOSTICS, REHAB
27 - HFHJH GENERAL SURGERY
744 W MICHIGAN AVE STE 200JACKSONMI49201SPECIALTY PRACTICE
28 - HFHJH GENERAL SURGERY
1100 E MICHIGAN AVE STE 300JACKSONMI49201SPECIALTY PRACTICE
29 - HFHJH HEALTH CENTER - ALBION
27931 C DRIVE NORTHALBIONMI49224FAMILY AND SPECIALTY MEDICINE, DIAGNOSTIC CENTER
30 - HFHJH FAMILY MEDICINE - SUMMIT WOODS
2585 SPRING ARBOR ROADJACKSONMI49203FAMILY MEDICINE
31 - HFHJH THORACIC SURGERY
1100 E MICHIGAN AVE STE 201JACKSONMI49201SPECIALTY PRACTICE
32 - HFHJH VASCULAR HEALTH
300 W WASHINGTON AVENUE STE 300JACKSONMI49201SPECIALTY PRACTICE
33 - HFHJH OCCUPATIONAL HEALTH
100 E MICHIGAN AVE STE 101JACKSONMI49201EMPLOYMENT SCREENING, WORK-RELATED INJURY TREATMENT
34 - HFHJH CARDIAC SURGERY
1100 E MICHIGAN AVE STE 201JACKSONMI49201SPECIALTY PRACTICE
35 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNTR
12369 E MICHIGAN AVEGRASS LAKEMI49240FAMILY MEDICINE AND DIAGNOSTIC CENTER
36 - HFHJH INTERNAL MEDICINE
100 E MICHIGAN AVEJACKSONMI49201OUTPATIENT SERVICES
37 - HFHJH DIAGNOSTIC CENTER - NORTH JACKSON
505 N JACKSON ST STE 178JACKSONMI49201LAB AND IMAGING SERVICES
38 - HFHJH OUTPATIENT PROCEDURE CENTER
1100 E MICHIGAN AVE STE 109JACKSONMI49201OUTPATIENT SERVICES
39 - HFHJH CARDIAC REHAB
1100 E MICHIGAN AVE STE 100/102JACKSONMI49201POST-SURGICAL REHABILITATION
40 - HFHJH BARIATRIC CENTER
744 W MICHIGAN AVE STE 101JACKSONMI49201SPECIALTY PRACTICE
41 - HFHJH PHYSICAL REHAB - HILLSDALE
61 W CARLTONHILLSDALEMI49242PHYSICAL REHABILITATION
42 - HFHJH SENIOR HEALTH CENTER
100 E MICHIGAN AVE STE 102JACKSONMI49201OUTPATIENT EVALUTION AND TESTING
43 - HFHJH DIAGNOSTIC CENTER
1100 E MICHIGAN AVE STE 104JACKSONMI49201LAB AND IMAGING SERVICES
44 - HFHJH DIAGNOSTIC CENTER - GREENWOOD AVE
1310 GREENWOOD AVEJACKSONMI49203LABORATORY SERVICES
45 - HFHJH OUTPATIENT TRAUMA
1100 E MICHIGAN AVE STE 300JACKSONMI49201SPECIALTY PRACTICE
46 - HFHJH HEALTH CENTER-CHELSEA
1145 S MAIN ST UNIT ACHELSEAMI48119LAB
47 - HFHJH HEALTH CENTER-COLDWATER
605 W CHICAGO STREETCOLDWATERMI49036LAB
48 - HFHJH DIAGNOSTIC CENTER-HILLSDALE
3271 W CARLETONHILLSDALEMI49242LAB

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7G:SUBSIDIZED SERVICES CONSIST PRIMARILY OF PHYSICIAN AND FACILITY COSTS OF WOMEN'S AND BEHAVIORAL HEALTH SERVICES.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $16,016,914
PART II, COMMUNITY BUILDING ACTIVITIES:OUR VISION IS TO BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE-ONE PERSON AT A TIME. TO BE A TRULY TRANSFORMATIVE FORCE FOR COMMUNITIES AND A TRUSTED PARTNER, IT IS IMPERATIVE THAT AS AN ORGANIZATION, WE LISTEN TO THE VOICES OF THOSE WE SERVE. WE SERVE MANY DIVERSE COMMUNITIES AND POPULATIONS WITH UNIQUE HISTORIES, CHARACTERISTICS, STRUGGLES AND STRENGTHS.TO ACHIEVE THIS VISION, WE MUST BUILD TRUSTED RELATIONSHIPS WITH OUR PATIENTS AND COMMUNITY MEMBERS AND ENSURE THOSE WE SERVE THAT THEIR NEEDS INFORM OUR PRACTICES, POLICIES AND ALLOCATION OF RESOURCES. OUR PATIENTS ENTRUST OUR ORGANIZATION WITH THEIR LIVES AND THE LIVES OF THOSE THEY LOVE. ASSESSING AND RESPONDING TO THE CHANGING NEEDS OF THESE PATIENTS IS VITAL TO DEVELOPING AND MAINTAINING TRUSTED RELATIONSHIPS AS WE WORK TOWARD A COMMON GOAL COMMUNITIES FULL OF HEALTHY, THRIVING PEOPLE OF ALL AGES.
PART III, LINE 2:THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED IN PATIENT GROSS CHARGES.
PART III, LINE 4:IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 138% OF MEDICARE RATES.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES
PART III, LINE 9B:SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED. IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO THE BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME" - "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES"
PART VI, LINE 2:COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES ARE SELECTED AFTER CONSIDERING THE DATA ON HEALTH AND SOCIAL NEEDS, WEIGHED ALONGSIDE INPUT RECEIVED FROM COMMUNITY MEMBERS AND STAKEHOLDERS REGARDING THE ISSUES THEY BELIEVE TO BE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH. THE FOLLOWING CRITERIA WERE CONSIDERED MOST IMPORTANT WHEN THE CHNA WORKGROUP WAS SELECTING THE RECOMMENDED PRIORITIES: ISSUES SIGNIFICANTLY CONTRIBUTING TO DEATH ISSUES SIGNIFICANTLY CONTRIBUTING TO PREVENTABLE HOSPITALIZATIONS SIGNIFICANT RACIAL DISPARITIES IN DISEASE OR MORTALITY PREVALENCE SIGNIFICANT WORSENING OF A HEALTH ISSUE SINCE 2019 CHNA RANKING IN TOP 4 ISSUES IMPORTANT TO IMPROVING COMMUNITY HEALTH BY COMMUNITY MEMBERS AND STAKEHOLDERSHENRY FORD'S CHNA WORKGROUP, A WORKGROUP OF COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE-WIDE (CHANCE), REVIEWED THE DATA COLLECTED FROM STATE AND LOCAL SOURCES AND THE COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS. THE WORKGROUP IDENTIFIED HIGHLY PREVALENT HEALTH ISSUES, ISSUES WHICH AFFECT PEOPLE IN OUR SERVICE AREA MORE THAN MICHIGAN RESIDENTS ON AVERAGE, AND ISSUES WHICH HAVE SIGNIFICANTLY WORSENED SINCE THE 2019 CHNA. AFTER CONSIDERING THE DATA, COMMUNITY INPUT, AND OUR RESOURCES AND INITIATIVES, PRIORITIES WERE RECOMMENDED BY THE CHNA WORKGROUP FOR APPROVAL BY THE PRESIDENT OF EACH HENRY FORD HEALTH HOSPITAL. CHNA WORKGROUP LEADERSHIP MET ONE-ON-ONE WITH EACH HOSPITAL PRESIDENT TO PRESENT NEEDS ASSESSMENT FINDINGS, PRIORITY RECOMMENDATIONS AND JUSTIFICATIONS FOR THE SELECTED PRIORITIES. APPROVAL WAS RECEIVED FROM EACH PRESIDENT FOR THE RECOMMENDED PRIORITIES. THE RECOMMENDED PRIORITIES WERE THEN PRESENTED TO AND RATIFIED BY EACH HOSPITAL BOARD OF TRUSTEES AND THE HENRY FORD HEALTH EXECUTIVE COUNCIL IN THE THIRD QUARTER OF 2022. THE COMMUNITY HEALTH LEADERSHIP COUNCIL RECOMMENDED THIS CHNA FOR APPROVAL BY THE BOARD OF DIRECTORS ON NOVEMBER 4, 2022. THE SELECTED PRIORITIES WERE RATIFIED BY THE HENRY FORD HEALTH BOARD OF DIRECTORS ON DECEMBER 16, 2022.
PART VI, LINE 3:HFHJH HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HFHJH FOLLOWS THE HFHS PATIENT FINANCIAL ASSISTANCE POLICY. HF HEALTH HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN OUR EMERGENCY ROOM FOR SERVICES, ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF IS TRAINED HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFHJH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFHJH HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS.
PART VI, LINE 4:THE FOUR-COUNTY AREA INCLUDES THE WAYNE, OAKLAND, MACOMB AND JACKSON COUNTIES, WHICH ARE LOCATED IN SOUTHEASTERN AND SOUTHCENTRAL MICHIGAN AND ACCOUNT FOR 41% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULOUS COUNTIES IN MICHIGAN; JACKSON IS A MUCH SMALLER COUNTY. OF THE OVER 4 MILLION RESIDENTS IN THE FOUR-COUNTY AREA, APPROXIMATELY 51% OF THE POPULATION IS FEMALE. THE FOUR-COUNTY AREA IS 63% WHITE, 24% BLACK, AND 5% HISPANIC.POPULATION IN THE FOUR-COUNTY AREA IS EXPECTED TO REMAIN FLAT UNTIL 2026. WHEN EXAMINING AGE DISTRIBUTION, THE FOUR-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 18% OF THE POPULATION ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE FOUR-COUNTY AREA WITH THE 65-YEAR-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 14% FROM 2021 TO 2026.REGARDING EDUCATION, THE FOUR-COUNTY AREA HAS APPROXIMATELY 10% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 12%. FURTHER, 30% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE FOURCOUNTY AREA IS DIVERSE IN POPULATION, RACE/ETHNICITY, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTHCARE SECTOR IS REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL.WITHIN THE FOUR-COUNTY AREA, THE MEDIAN HOUSEHOLD INCOME IN OAKLAND COUNTY ($81,587) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($49,359), JACKSON COUNTY ($54,511), AND MACOMB COUNTY ($64,641). THE UNITED WAY ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT SHOWS THE NUMBER OF HOUSEHOLDS WHOSE AVERAGE INCOME IS INSUFFICIENT TO AFFORD BASIC EXPENSES, INCLUDING HOUSING, CHILDCARE, HEALTH CARE AND TRANSPORTATION, BY COUNTY AND CITY.LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND ABILITY TO AFFORD NECESSITIES. THE FOUR-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT. MICHIGAN RANKS 33RD IN THE COUNTRY FOR CHILDREN UNDER AGE 18 IN FAMILIES BELOW POVERTY LEVEL, AT 17.3% IN 2019, A 2% IMPROVEMENT FROM 2018.IN ORDER TO INCREASE THE UTILITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS IMPORTANT TO ANALYZE THE PROFILE(S) OF EACH OF THESE COUNTIES AT A MORE DETAILED LEVEL, SUCH AS ZIP CODES, SO THAT CERTAIN DIFFERENCES WITHIN THE AREA BECOME EVIDENT.ONE COMMUNITY IN PARTICULAR NEED OF ATTENTION IS THE CITY OF DETROIT, WHERE THE AVERAGE HOUSEHOLD INCOME IS $52,005, SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL FOUR-COUNTY AREA ($96,462). 18% OF DETROIT RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 15% HAVE A BACHELOR'S DEGREE OR HIGHER.IN ADDITION TO THE CITY OF DETROIT, THERE ARE OTHER ZIP CODES IN THE FOUR-COUNTY AREA WITH LOWER INCOMES AND LOWER EDUCATIONAL ATTAINMENT. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES RANGES FROM $27,380-$65,690, LOWER THAN THE FOUR-COUNTY SERVICE AREA. OVERALL, 17% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 9% FOR THE FOUR-COUNTY AREA.THE POPULATIONS IN THESE ZIP CODES ARE MORE RACIALLY AND ETHNICALLY DIVERSE COMPARED TO THE FOUR-COUNTY AREA. 39% OF THE RESIDENTS OF THESE TOP 20 ZIP CODES ARE RACIAL MINORITIES COMPARED TO 37% OF RESIDENTS IN THE ENTIRE FOUR-COUNTY AREA.AS A RESULT, THE CITY OF DETROIT AND ABOVE TWENTY ZIP CODES ARE OF PARTICULAR INTEREST IN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE FOUR-COUNTY AREA.
PART VI, LINE 5:HENRY FORD HEALTH JACKSON HOSPITAL (HFHJH) IS PART OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"), ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS ACTIVITIES OF HFHJH, WHICH INCLUDES 365 INPATIENT BEDS WITH AN INTEGRATED MEDICAL STAFF SERVING MORE THAN 40 FACILITIES IN THE JACKSON COUNTY AREA OF MICHIGAN. HFHJH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, PRIMARY CARE, OBSTETRICS, PEDIATRICS, CARDIAC CARE, CANCER CARE, ORTHOPEDICS, NEUROSURGERY, PHYSICAL AND REHABILITATION MEDICINE, AMBULATORY SURGERY, INPATIENT AND OUTPATIENT BEHAVIORAL SERVICES, AND 24-HOUR EMERGENCY CARE.
PART VI, LINE 6:THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
JACKSON SYMPHONY ORCHESTRA
215 W MICHIGAN AVEJACKSONMI49201382146747501(C)(3)$6,000$0N/AORGANIZATIONAL SUPPORT
ANCHOR INITIATIVE
141 S JACKSON STJACKSONMI49201472475316501(C)(3)$50,000$0N/AORGANIZATIONAL SUPPORT
ENTERPRISE GROUP
100 E MICHIGAN AVE 1100JACKSONMI49201383326101501(C)(6)$55,000$0N/AORGANIZATIONAL SUPPORT
JACKSON SCHOOL OF THE ARTS
634 N MECHANICJACKSONMI49202383581314501(C)(3)$35,000$0N/AORGANIZATIONAL SUPPORT
AMERICAN HEART ASSOCIATION
PO BOX 4002902DES MOINESIA50340135613797501(C)(3)$25,000$0N/AORGANIZATIONAL SUPPORT
JACKSON MICH GIVING BACK TO THE COMMUNITY
1003 CLINTONJACKSONMI49202841995862501(C)(3)$6,000$0N/AORGANIZATIONAL SUPPORT
JACKSON COUNTY VISITOR BUREAU- DBA EXPERIENCE JACKSON
134 W MICHIGAN AVEJACKSONMI49201382562896501(C)(6)$6,000$0N/AORGANIZATIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
STAFF ASSISTANCE FUND FOR EMERGENCIES134$107,054
WE CARE PATIENT NEEDS FUND179$17,853
CANCER PATIENT IMMEDIATE NEEDS FUNDS14$6,785

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAWARDS ARE GRANTED BASED ON AN APPLICATION AND REVIEW PROCESS.THE ORGANIZATION SENDS OUT AN AWARD LETTER TO ALL GRANTEE RECIPENTS. THE LETTER OUTLINES WHAT THE FUNDING MAY BE USED FOR AND REQUESTS A FINAL REPORT DETAILING THE YEAR'S ACTIVITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT G RINEY
TRUSTEE (THRU 6/2022)$0$1,617,376$0$808,535$0$567,981$0$29,223$0$28,837$0$3,051,952$0$0
FRANK LAMARCA MD
PHYSICIAN$1,055,812$0$1,130,319$0$724,187$0$5,338$0$30,794$0$2,946,450$0$0$0
ADNAN R MUNKARAH MD
PHYSICIAN TRUSTEE$0$977,733$0$629,552$0$1,133,376$0$27,698$0$37,521$0$2,805,880$0$713,646
AZAM BASHEER MD
PHYSICIAN$743,570$0$1,258,038$0$510,800$0$5,338$0$32,309$0$2,550,055$0$0$0
DENISE BROOKS-WILLIAMS
TRUSTEE (START 7/2022)$0$745,812$0$383,946$0$265,563$0$26,173$0$17,662$0$1,439,156$0$0
VISHAL GUPTA MD
PHYSICIAN$737,325$0$351,993$0$100,235$0$5,338$0$19,943$0$1,214,834$0$0$0
RYAN A BEEKMANMD
PHYSICIAN$560,738$0$307,231$0$298,658$0$5,338$0$2,110$0$1,174,075$0$0$0
AMRITRAJ G LOGANATHAN MD
PHYSICIAN$362,566$0$237,839$0$526,791$0$4,575$0$29,300$0$1,161,071$0$0$0
MOHAN G KULKARNI MD
PHYSICIAN TRUSTEE$432,122$0$399,034$0$234,824$0$6,863$0$36,964$0$1,109,807$0$0$0
PAULA AUTRY
TRUSTEE - PRESIDENT & CEO (THRU 2/20$0$75,796$0$280,355$0$664,448$0$1,430$0$5,522$0$1,027,551$0$0
MUMTAZ MEMON MD
PHYSICIAN TRUSTEE$466,333$0$101,891$0$78,821$0$5,338$0$29,567$0$681,950$0$0$0
MARK A SMITH MD
CMO/CEO HFAHMG$423,612$0$136,170$0$13,661$0$5,338$0$35,261$0$614,042$0$0$0
LAWRENCE NARKIEWICZMD
PHYSICIAN TRUSTEE$381,915$0$28,950$0$118,015$0$5,338$0$29,226$0$563,444$0$0$0
MICHAEL GRISDELA
FORMER INTERIM CENTRAL MAR$0$373,966$0$118,049$0$26,119$0$5,338$0$31,074$0$554,546$0$0
EMILY MOORHEAD
TRUSTEE- PRESIDENT & CEO (START 2/20$273,937$30,305$92,077$52,946$55,356$3,141$4,575$0$1,287$107$427,232$86,499$0$0
KENNETH W EMPEY
GENERAL COUNSEL$0$270,216$0$74,468$0$20,500$0$8,258$0$15,502$0$388,944$0$0
JIM BONGIORNO
CENTRAL MARKET CFO, VP FIN$0$208,664$0$54,621$0$308$0$17,062$0$26,341$0$306,996$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AIT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY, NO TAXABLE INCOME IS REPORTED. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP RECEIVE MEMBERSHIP TO SOCIAL CLUBS INTENDED TO FURTHER THE BUSINESS NEEDS OF THE ORGANIZATION. USAGE IS REIMBURSED ON A CASE-BY-CASE BASIS BASED UPON DOCUMENTATION OF BUSINESS PURPOSE. IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS, THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS.
PART I, LINE 3THE CHIEF EXECUTIVE OFFICER FOR HENRY FORD HEALTH JACKSON HOSPITAL IS AN EMPLOYEE OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH ("HF HEALTH") HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL INDEPENDENT TRUSTEES. THE COMMITTEE MEETS THROUGHOUT THE YEAR AND IS CHARGED WITH THE APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER OF HENRY FORD HEALTH JACKSON HOSPITAL. THE COMMITTEE DIRECTLY ENGAGES AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE CEO IS ACCOUNTABLE FOR ENSURING THAT HENRY FORD HEALTH JACKSON HOSPITAL'S MISSION IS EFFICIENTLY CARRIED OUT WITH THE HIGHEST LEVELS OF QUALITY, SAFETY AND SERVICE, WHILE AT THE SAME TIME ENSURING THAT THE ORGANIZATION IS FINANCIALLY HEALTHY. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT HENRY FORD HEALTH JACKSON HOSPITAL COMPENSATION PRACTICES ARE CONSISTENT WITH INDUSTRY STANDARDS AND THAT COMPENSATION LEVELS ARE FAIR COMPARED TO SIMILAR HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION CONSULTANT BENCHMARKS HENRY FORD HEALTH JACKSON HOSPITAL'S POSITIONS AGAINST DATA FROM MULTIPLE PUBLISHED SURVEYS OF HEALTH CARE EXECUTIVE COMPENSATION IN THE NATIONAL HEALTH CARE LABOR MARKET. BASED UPON THE CONSULTANTS RECOMMENDATIONS, THE EXECUTIVE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR APPROVAL OF THE EXECUTIVE COMPENSATION PROGRAM. ONLY INDEPENDENT TRUSTEES VOTE ON THIS RECOMMENDATION.
PART I, LINES 4A-B4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN SUPPLEMENTAL RETIREMENT PROGRAMS THAT RESULT IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, AND/OR AS PAID. IT IS AN ELEMENT OF SOME PLAN DESIGNS TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: PART I, LINES 4A: SEVERANCE PAYMENTS PAULA AUTRY $492,602 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) - HENRY FORD HEALTH SYSTEM PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 ROBERT G. RINEY 463,649 - - 463,649 ADNAN R. MUNKARAH 991,756 - - - 991,756 PAULA AUTRY - 167,535 - 167,535 DENISE BROOKS-WILLIAMS 176,267 - - 176,267 SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - HENRY FORD HEALTH SYSTEM EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBERT G. RINEY 20,500 - - 20,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 ADNAN R. MUNKARAH 20,500 - - 20,500 PAULA AUTRY 3,154 - - 3,154 EMILY MOORHEAD 465 - - 465 MICHAEL GRISDELA 17,403 3,097 75 20,575 KENNETH EMPEY 20,500 - - 20,500 SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS FRANK LAMARCA, M.D. - 20,500 493 20,993 AZAM BASHEER, M.D - 15,575 375 15,950 AMRITRAJ LOGANATHAN, M.D. - 2,100 51 2,151 MOHAN KULKARNI, M.D. 13,300 7,200 173 20,673 RYAN BEEKMAN, M.D. 8,575 9,275 223 18,073 MUMTAZ MEMON, M.D. 13,675 6,825 164 20,664 LAWRENCE NARKIEWICZ, M.D. 16,825 3,675 88 20,588 MARK SMITH, M.D. 11,039 - - 11,039 EMILY MOORHEAD 11,160 - - 11,160 VISHAL GUPTA, M.D. 4,925 15,575 375 20,875 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -W.A. FOOTE MEMORIAL HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 FRANK LAMARCA, M.D. 198,899 - - 198,899 AZAM BASHEER, M.D. 157,495 - - 157,495 RYAN BEEKMAN, M.D. 120,305 - - 120,305
PART I, LINE 7COLUMN B(II) OF PART II, SCHEDULE J INCLUDES NON-FIXED PAYMENTS TO CERTAIN PHYSICIANS BASED ON THEIR PRODUCTIVITY AND OTHER PERFORMANCE METRICS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PULMONARY CLINICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE BELOWRelationshipDescriptionTxt
Transaction$3,807,120TransactionAmt
TransactionSEE BELOWTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF PERSON: PULMONARY CLINICS OF SOUTHERN MI P.C.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OWNER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $ 3,807,120(D) DESCRIPTION OF TRANSACTION: PROVIDED HEALTH CARE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NOExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP (FORMERLY ALLEGIANCE HEALTH SERVICES).
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THE ORGANIZATION MAY ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CORPORATION'S TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP ("MEMBER"). THE MEMBER'S SOLE CORPORATE MEMBER IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). HF HEALTH SHALL HAVE THE SOLE AUTHORITY TO TAKE OR CAUSE TO BE TAKEN ANY OF THE FOLLOWING ACTIONS (THE "HF HEALTH'S RESERVED POWERS"). - APPOINT THE BOARD OF TRUSTEES, CHAIRPERSON, AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - REMOVE THE BOARD OF TRUSTEES, CHAIRPERSON AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - CHANGE THE CORPORATE MEMBER OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - AMEND THESE BYLAWS, THE CORPORATION'S ARTICLES OF INCORPORATION OR THE GOVERNING DOCUMENTS OF ANY SYSTEM ENTITY, PROVIDED (I) HF HEALTH FIRST CONSULTS WITH THE MEMBER'S BOARD OF DIRECTORS REGARDING THE PROPOSED AMENDMENT AND (II) THE AMENDMENT COMPLIES WITH ARTICLE XV OF THE BYLAWS REGARDING KEY SECTIONS; - APPROVE AN AGREEMENT OF (A) MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY SYSTEM ENTITY, OR (B) SALE, LEASE, OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH AGREEMENT SHALL HAVE BEEN APPROVED BY VOTE OF TWO-THIRDS OF THE MEMBER'S LOCAL DIRECTORS (AS DEFINED IN THE MEMBER'S BYLAWS) AND FURTHER PROVIDED THAT APPROVAL OF THE LOCAL DIRECTORS SHALL NOT BE REQUIRED WITH RESPECT TO (I) AN OVERALL AFFILIATION OR CHANGE IN OWNERSHIP OF HF HEALTH (INCLUDING THE SYSTEM) IF THE TERMS OF THAT TRANSACTION DO NOT VIOLATE THE KEY SECTIONS OR (II) A SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF HF HEALTH (INCLUDING THE ASSETS OF THE CORPORATION) TO A FOR-PROFIT ENTITY WHICH TRIGGERS APPLICATION OF THE TERMS OF SECTION 6.8(B) OF THE AFFILIATION AGREEMENT DATED MARCH 4, 2016 BETWEEN THE MEMBER (THEN KNOWN AS ALLEGIANCE HEALTH SERVICES) AND HF HEALTH, AS AMENDED FROM TIME TO TIME; - DISSOLVE THE CORPORATION OR ANY SYSTEM ENTITY OR REVOKE SUCH DISSOLUTION, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - RECEIVE FROM THE MEMBER STRATEGIC AND ANNUAL OPERATING PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE SYSTEM ENTITIES, INCLUDING THE CORPORATION, THAT ARE DEVELOPED COLLABORATIVELY BY THE MEMBER'S AND HF HEALTH'S RESPECTIVE LEADERSHIP AND RECOMMENDED BY THE MEMBER'S BOARD OF DIRECTORS, AND ADOPT SUCH RECOMMENDED PLANS AND BUDGETS UNLESS AN UNUSUAL CIRCUMSTANCE ARISES IN WHICH HF HEALTH DETERMINES A CHANGE TO A PLAN OR BUDGET IS NECESSARY, AND APPROVE EXPENDITURES BY THE SYSTEM ENTITIES NOT INCLUDED IN SUCH BUDGETS OF AN ANNUAL AGGREGATE AMOUNT EXCEEDING $500,000. - CAUSE ANY SYSTEM ENTITY TO INCUR, ASSUME OR GUARANTY INDEBTEDNESS OR FULFILL OTHER OBLIGATIONS REQUIRED UNDER HF HEALTH DEBT AGREEMENTS, OR APPROVE INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL INDEBTEDNESS SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - ENCUMBER THE ASSETS OF ANY SYSTEM ENTITY AS SECURITY FOR DEBTS OR OTHER LAWFUL ENGAGEMENTS SECURING INDEBTEDNESS, OR APPROVE ENCUMBRANCES SECURING INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL ENCUMBRANCES SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - EXCHANGE, ABANDON OR DISPOSE OF FIXED ASSETS OF ANY SYSTEM ENTITY BY MEANS OF SALE, LEASE OR TRANSFER, AND APPROVE ALL SUCH ACTIONS PROPOSED BY THE SYSTEM ENTITIES WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $2,000,000, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS. - AUTHORIZE THE FORMATION OR ACQUISITION OF NEW SUBSIDIARIES OF THE CORPORATION FOLLOWING CONSULTATION WITH THE MEMBER'S BOARD OF DIRECTORS. AS USED HEREIN, "INDEBTEDNESS" OF A PERSON SHALL MEAN: (A) OBLIGATIONS OF SUCH PERSON RELATING TO INDEBTEDNESS FOR BORROWED MONEY; (B) OBLIGATIONS OF SUCH PERSON EVIDENCED BY BONDS, NOTES, DEBENTURES OR SIMILAR INSTRUMENTS; AND (C) OBLIGATIONS IN THE NATURE OF GUARANTEES BY, OR JOINT AND SEVERAL LIABILITY OF, SUCH PERSON WITH RESPECT TO THE OBLIGATIONS OF ANY OTHER PERSON OF THE TYPE DESCRIBED IN CLAUSES (A) AND (B) ABOVE. RESPONSIBILITIES AND RESERVED POWERS OF THE MEMBER (HENRY FORD ALLEGIANCE HEALTH GROUP): IN ADDITION TO DOING ALL THINGS RESERVED TO THE MEMBER BY LAW AND WHICH ARE CONSISTENT WITH HF HEALTH'S RESERVED POWERS, THE MEMBER OF THE CORPORATION SHALL TAKE THE FOLLOWING ACTIONS WITH RESPECT TO THIS CORPORATION ("MEMBER'S RESERVED POWERS"): - ADOPT THE VISION, MISSION AND VALUES; AND - RATIFY OR REJECT OPERATING AND CAPITAL BUDGETS RECOMMENDED BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") AND THE TAX DEPARTMENT OF HF HEALTH PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEWED BY THE ORGANIZATION'S DIRECTOR AND VP OF FINANCE, CHIEF EXECUTIVE OFFICER, GENERAL COUNSEL, AND COMPLIANCE OFFICER. - REVIEW OF THE ENTIRE RETURN WITH THE HF HEALTH AND ORGANIZATION'S SENIOR VICE PRESIDENT FINANCIAL OPERATIONS AND CHIEF FINANCIAL OFFICER, - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS - REVIEW OF THE RETURN WITH THE HF HEALTH CEO AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS - FINAL COPIES OF THE RETURN ARE DISTRIBUTED TO THE HOSPITAL'S BOARD OF TRUSTEES BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 19IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH.
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADJUSTMENT -431,816.
FORM 990, PART XII, LINE 2CHENRY FORD HEALTH JACKSON HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). THE GOVERNING BODY OF HENRY FORD HEALTH HAS DELEGATED THE OVERSIGHT OF ITS FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE.
FORM 990, PART VII:AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HENRY FORD HEALTH AND AFFILIATES PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH AND AFFILIATES USE ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITALS OR AFFILIATES ARE REPORTED AT BETWEEN 1 TO 5 HOURS PER WEEK.
FORM 990 DIVERSITY, EQUITY AND INCLUSION:HENRY FORD HEALTH IS COMMITTED TO ADDRESSING SYSTEMIC RACIAL, ECONOMIC, AND CLINICAL BARRIERS THAT INFLUENCE SOCIAL DETERMINANTS OF HEALTH, WORKFORCE CULTURE, AND COMMUNITY WEALTH BUILDING. IN SEPTEMBER 2021, HENRY FORD HEALTH'S FIVE-YEAR DIVERSITY, EQUITY, INCLUSION, AND SOCIAL JUSTICE PLAN WAS APPROVED BY THE HENRY FORD HEALTH BOARD OF DIRECTORS. WITH A MISSION OF "EQUITY FOR ALL," THE PLAN IS COMPRISED OF FOUR PILLARS WITH TARGETED STRATEGIC OUTCOMES AND SUPPORTING MACRO-TACTICS TO DRIVE MEASURABLE RESULTS WITHIN THE COMMUNITIES THAT HENRY FORD HEALTH SERVES. HENRY FORD HEALTH HAS ADOPTED A ZERO-TOLERANCE STANCE FOR UNJUST SOCIAL PRACTICES THAT THREATEN THE EQUITABLE TREATMENT OF ITS PATIENTS, MEMBERS, AND VISITORS. HENRY FORD HEALTH IS ACTIVELY ENGAGED IN SOCIAL JUSTICE ADVOCACY EFFORTS AT THE NATIONAL, STATE, AND LOCAL LEVEL. SELECT STRATEGIC OUTCOMES MAY INCLUDE VOTER ACCESS AND PARTICIPATION AT THE NATIONAL, STATE, AND LOCAL LEVELS; IMPLICIT BIAS TRAINING; BEHAVIORAL HEALTH SERVICES IN HENRY FORD HEALTH'S SCHOOL-BASED PROGRAMS; AND ADVOCACY FOR THE ADOPTION OF "BAN THE BOX" BY OTHER HEALTH CARE ORGANIZATIONS IN HENRY FORD HEALTH MARKET. HENRY FORD HEALTH STRIVES TO CREATE AN INTENTIONAL CULTURE OF BELONGING, GROWTH, EDUCATION, AND LEARNING AND IS RECOGNIZED FOR DIVERSE AND INCLUSIVE WORKFORCE PRACTICES AND A LEADERSHIP AND GOVERNANCE MODEL THAT REFLECTS THE DIVERSITY OF ITS MEMBERS, PATIENTS, AND EMPLOYEES. HENRY FORD HEALTH HAS ESTABLISHED GOALS FOCUSED ON MAINTAINING RETENTION RATES OF UNDER-REPRESENTED MINORITY TALENT ACROSS THE ORGANIZATION AND IN LEADERSHIP. HENRY FORD HEALTH SEEKS TO FOSTER AWARENESS THROUGH LEADERSHIP TRAINING SESSIONS THAT FOCUS ON INCLUSIVE CULTURE AND ELIMINATING UNCONSCIOUS BIAS. HENRY FORD HEALTH FOCUSES ON IDENTIFYING ROOT CAUSES OF HEALTH DISPARITIES AND ALIGNING SUPPORT FOR COMMUNITY RESOURCES TO ADDRESS THEM AND ADVOCATE FOR PROGRAMS THAT PROMOTE HEALTHY CHOICES. RECOGNIZING THE IMPACT OF DISCRIMINATION AND DISINVESTMENT ON COMMUNITY WEALTH BUILDING AND SUSTAINABILITY, THIS PILLAR ALSO ADVOCATES FOR RESOURCES THAT PROMOTE MOBILITY, ACCESS, OPPORTUNITY, AND HEALTH, WHILE LEVERAGING HENRY FORD HEALTH'S PURCHASING POWER TO GENERATE ECONOMIC OPPORTUNITIES FOR DIVERSE AND WOMEN-OWNED BUSINESSES. AS A PROVEN LEADER IN ELIMINATING HEALTHCARE DISPARITIES, HENRY FORD HEALTH PROVIDES PATIENTS WITH ACCESS TO TOOLS SUCH AS SCREENINGS AND RESOURCE MAPPING THAT ADDRESS SOCIAL NEEDS WHILE OVERCOMING SOCIOECONOMIC BARRIERS THAT CONTRIBUTE TO HEALTH DISPARITIES. HENRY FORD HEALTH DEVELOPS BEST PRACTICES IN RESEARCH AND EDUCATION THAT PROVIDES KNOWLEDGE AND INSIGHT ON HENRY FORD HEALTH ROOTS OF INEQUITIES AND CREATE OPPORTUNITIES FOR DIVERSE INNOVATION AND RESEARCH.
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%, NET-ZERO BY 2040 ELIMINATE CHEMICALS OF CONCERN FROM PRIORITY PRODUCTS REDUCE WASTE SENT TO LANDFILL BY 50% 30% OF FOOD PURCHASED WILL MEET LOCAL OR SUSTAINABLE CRITERIA INCREASE ANNUAL INVESTMENT IN GREEN AND HEALTHY INFRASTRUCTURE
FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY:A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH JACKSON HOSPITAL DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEINEIN
PHYSICIANS CHOICE NETWORK LLC
205 N EAST AVENUEJACKSONMI49201PROVIDER NETWORKMI$0$0HENRY FORD ALLEGIANCE HEALTH
JACKSON HEALTH NETWORK L3C
205 N EAST AVENUEJACKSONMI49201CLINICALLY INTEGRATED NETWORKMI$4,227,650$4,730,392HENRY FORD ALLEGIANCE HEALTH453253643
IT'S YOUR LIFE SERVICES LLC
205 N EAST AVENUEJACKSONMI49201PREVENTION AND COMMUNITY HEALTHMI$0$0HENRY FORD ALLEGIANCE HEALTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
HENRY FORD ALLEGIANCE HEALTH GROUP
205 N EAST AVENUEJACKSONMI49201382756428EXEMPT ORGANIZATIONMI501(C)(3)LINE 12B, IIHENRY FORD HEALTH SYSTEMYes (1)
ALLEGIANCE HEALTH FOUNDATION
205 N EAST AVENUEJACKSONMI49201383607833SUPPORTING ORGANIZATIONMI501(C)(3)LINE 12B, IIHENRY FORD ALLEGIANCE HEALTH GROUPYes (1)
HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE
205 N EAST AVENUEJACKSONMI49201382336367HOSPICE CAREMI501(C)(3)LINE 7HEATHLINKYes (1)
HEALTHLINK
205 N EAST AVENUEJACKSONMI49201382756425HOME HEALTH CAREMI501(C)(3)LINE 12A, IHENRY FORD ALLEGIANCE HEALTH GROUPYes (1)
CARELINK OF JACKSON
110 NORTH ELM AVENUEJACKSONMI49202381218485LONG TERM ACUTE CARE HOSPITALMI501(C)(3)LINE 3HENRY FORD ALLEGIANCE HEALTH GROUPYes (1)
HENRY FORD HEALTH SYSTEM
ONE FORD PLACEDETROITMI48202381357020HEALTHCARE SERVICE PROVIDERMI501(C)(3)LINE 30N/A
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVEWYANDOTTEMI48192382791823HEALTHCARE SERVICE PROVIDERMI501(C)(3)LINE 3HENRY FORD HEALTH SYSTEMYes (1)
HENRY FORD HEALTH SYSTEM FOUNDATION
ONE FORD PLACEDETROITMI48202237383042SUPPORTING ORGANIZATIONMI501(C)(3)LINE 12A, IHENRY FORD HEALTH SYSTEMYes (1)
HEALTH ALLIANCE PLAN
2850 W GRAND BLVDDETROITMI48202382242827HEALTH MAINTENANCE ORGANIZATIONMI501(C)(4)N/AHENRY FORD HEALTH SYSTEMYes (1)
HFII CORPORATION
ONE FORD PLACEDETROITMI48202900840304SCIENTIFIC RESEARCHMI501(C)(3)LINE 7HENRY FORD HEALTH SYSTEMYes (1)
HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES
ONE FORD PLACEDETROITMI48202464064067ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATESME501(C)(4)N/AHENRY FORD HEALTH SYSTEMYes (1)
HENRY FORD MACOMB HOSPITAL CORPORATION
ONE FORD PLACEDETROITMI48202382947657HEALTHCARE SERVICE PROVIDERDE501(C)(3)LINE 3HENRY FORD HEALTH SYSTEMYes (1)
THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND
3031 WEST GRAND BOULEVARD NO 800DETROITMI48202382682321SUPPORTING ORGANIZATIONMI501(C)(3)LINE 12B, IIHENRY FORD HEALTH SYSTEMYes (1)
HENRY FORD PHYSICIAN PARTNERS
ONE FORD PLACEDETROITMI48202871633901PHYSICIAN SERVICESMI501(C)(3)HENRY FORD HEALTH SYSTEMYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
FOOTE HEALTH CENTER ASSOCIATES
1100 E MICHIGAN AVENUEJACKSONMI49201383017711LESSOR OF MEDICAL CONDOMINIUMSMIHENRY FORD ALLEGIANCE HEALTH GROUPN/A00
NORTHWEST DETROIT DIALYSIS
30100 TELEGRAPHBINGHAM FARMSMI48025383232668OPERATE DIALYSIS CLINICMIHENRY FORD HEALTH SYSTEMN/A00
MACOMB REGIONAL DIALYSIS CENTERS
16151 NINETEEN MILE RDCLINTON TOWNSHIPMI48038260423581OPERATE DIALYSIS CLINICMIHENRY FORD HEALTH SYSTEMN/A00
HFHS-SCA HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209465291602OUTPATIENT SURGERY CLINICSMIHENRY FORD HEALTH SYSTEMN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HENRY FORD ALLEGIANCE PHARMACY
205 N EAST AVENUEJACKSONMI49201383370242PHARMACYMIHENRY FORD ALLEGIANCE HEALTH GROUPCYes (1)
SHA REALTY INC
ONE FORD PLACEDETROITMI48202381378121REAL ESTATE HOLDINGMIHENRY FORD HEALTH SYSTEMCYes (1)
FAIRLANE HEALTH SERVICES
30100 TELEGRAPHBINGHAM FARMSMI48025382565235HEALTHCARE MANAGEMENTMIHENRY FORD HEALTH SYSTEMCYes (1)
ALLIANCE HEALTH AND LIFE INSURNACE
2850 W GRAND BLVDDETROITMI48202383291563HEALTH INSURANCE PROVIDERMIHEALTH ALLIANCE PLANCYes (1)
HAP PREFERRED INC
2850 W GRAND BLVDDETROITMI48202382513504PROVIDER NETWORK LEASINGMIHEALTH ALLIANCE PLANCYes (1)
ONIKA INSURANCE LTD
CAPTIVE INSURANCEHENRY FORD HEALTH SYSTEMCYes (1)FIRST CARRIBEAN HOUSEGRAND CAYMANCJCJ
HENRY FORD PHYSICIAN NETWORK
ONE FORD PLACEDETROITMI48202320306774PHYSICIAN NETWORKMIHENRY FORD HEALTH SYSTEMCYes (1)
ADMINSTRATION SYSTEMS RESEARCH CORPORATION
2850 W GRAND BLVDDETROITMI48202382651185THIRD PARTY INSURANCE ADMIN.MIHEALTH ALLIANCE PLANCYes (1)
HAP CARESOURCE
2850 W GRAND BLVDDETROITMI48202383123777HEALTH INSURANCE PROVIDERMIHEALTH ALLIANCE PLANCYes (1)
HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION
1150 ELIJAH MCCOY DRDETROITMI48202852144748CONDOMINIUM ASSOCIATIONMIHENRY FORD HEALTH SYSTEMCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ALLIANCE HEALTH AND LIFE INSURANCE CO
M$2,785,613COST
HENRY FORD ALLEGIANCE PHARMACY
Q$3,441,284COST
JACKSON HEALTH NETWORK L3C
S$10,259,793COST
COMMUNITY HEALTH TECH NETWORK
P$729,761COST
ONIKA INSURANCE LTD
P$2,656,836COST
ONIKA INSURANCE LTD
Q$287,676COST
FOOTE HEALTH CENTER ASSOCIATES
M$50,522COST
HEALTH ALLIANCE PLAN
L$6,543,205COST
FOOTE HEALTH CENTER ASSOCIATES
K$839,533COST
FOOTE HEALTH CENTER ASSOCIATES
F$431,850COST
HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE
Q$1,331,888COST
CARELINK OF JACKSON
Q$718,595COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 1D & 1E:FormAndLineReferenceDesc
ExplanationTHE 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