WA FOOTE MEMORIAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: WA FOOTE MEMORIAL HOSPITAL (EIN 38-2027689)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-14
IRS object ID: 202213189349304976
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-14T10:06:51-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382027689	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WA FOOTE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WAFO	BusinessNameControlTxt
Phone	5172054800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 N EAST AVENUE	AddressLine1Txt
City	JACKSON	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JIM BONGIORNO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5172054800	PhoneNum
Signature	2022-11-14	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JIM	PersonFirstNm
Person Last	BONGIORNO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	EMILY MOORHEAD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 N EAST AVENUE	AddressLine1Txt
City	JACKSON	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$777,611,253	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HENRYFORD.COM/LOCATIONS/ALLEGIANCE-HEALTH	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	WE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4984	TotalEmployeeCnt
Total Volunteers	447	TotalVolunteersCnt
Total Gross UBI	$1,610,839	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$49,961,115	PYContributionsGrantsAmt
CY Contributions Grants	$10,271,054	CYContributionsGrantsAmt
PY Program Service Revenue	$612,801,632	PYProgramServiceRevenueAmt
CY Program Service Revenue	$708,536,277	CYProgramServiceRevenueAmt
PY Investment Income	$2,574,306	PYInvestmentIncomeAmt
CY Investment Income	$12,380,284	CYInvestmentIncomeAmt
PY Other Revenue	$44,246,376	PYOtherRevenueAmt
CY Other Revenue	$46,423,638	CYOtherRevenueAmt
PY Total Revenue	$709,583,429	PYTotalRevenueAmt
CY Total Revenue	$777,611,253	CYTotalRevenueAmt
PY Grants And Similar Paid	$756,371	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$916,202	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$349,305,205	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$360,098,763	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$101,104	CYTotalFundraisingExpenseAmt
PY Other Expenses	$337,658,845	PYOtherExpensesAmt
CY Other Expenses	$387,690,971	CYOtherExpensesAmt
PY Total Expenses	$687,720,421	PYTotalExpensesAmt
CY Total Expenses	$748,705,936	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,863,008	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,905,317	CYRevenuesLessExpensesAmt
Total Assets BOY	$830,742,312	TotalAssetsBOYAmt
Total Assets EOY	$867,319,103	TotalAssetsEOYAmt
Total Liabilities BOY	$423,016,758	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$390,238,278	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$407,725,554	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$477,080,825	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	W.A. FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") SERVING COMMUNITIES IN SOUTH CENTRAL MICHIGAN FOR MORE THAN 100 YEARS. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, W.A FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") SHARES THE MISSION OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$683,955,858	ExpenseAmt
Grant	$916,202	GrantAmt
Revenue	$765,337,079	RevenueAmt
Desc	FOR MORE THAN 100 YEARS, HENRY FORD HEALTH JACKSON HOSPITAL HAS SERVED A NINE-COUNTY EXPANSE OF SOUTH-CENTRAL MICHIGAN WITH A COMMITMENT TO CHARITABLE GIVING, OUTREACH AND BUILDING STRONGER, HEALTHIER INDIVIDUALS AND FAMILIES. THE 365-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 2021, HENRY FORD HEALTH JACKSON HOSPITAL HAD 16,149 DISCHARGES.THE CORONAVIRUS IMPACT AND RESPONSEADDRESSING THE IMPACT OF COVID 19 ON ITS COMMUNITY HAS BEEN A PRIORITY FOR THE SYSTEM, FROM THE ADMISSION OF ITS FIRST COVID 19 PATIENT IN EARLY 2020, THROUGHOUT 2021, WITH ONGOING IMPLICATIONS EXPECTED TO CONTINUE THROUGHOUT 2022. IN 2021 THE VOLUME OF COVID 19 ADMITTED PATIENTS INITIALLY SHOWED A STEADY DECREASE UNTIL A THIRD SURGE BEGAN IN MARCH AND CONTINUED THROUGH JUNE. IN THE SECOND HALF OF 2021, THE SYSTEM EXPERIENCED A STEADY INCREASE IN COVID 19 CASES ASSOCIATED WITH BOTH THE DELTA AND OMICRON VARIANTS.DRIVEN BY THE ECONOMIC IMPACT OF COVID 19, FRONT LINE CLINICAL AND SUPPORT STAFF LABOR SHORTAGES INCREASINGLY IMPACTED SYSTEM OPERATIONS IN 2021. THIS HAS REQUIRED RELIANCE UPON PREMIUM PAY PRACTICES AND USE OF HIGHER COST TEMPORARY AND CONTRACT LABOR TO MAINTAIN THESE ESSENTIAL WORKERS. LABOR DISRUPTIONS ARE EXPECTED TO PERSIST THROUGH THE DURATION OF THE PANDEMIC AND THROUGHOUT 2022.THE SYSTEM CONTINUES TO MONITOR PATIENT AND MEMBER UTILIZATION INFORMATION TO SUPPORT ESTIMATING THE IMPACT OF COVID 19 ON OPERATIONS AND FINANCIAL PERFORMANCE. WE BELIEVE THAT OUR CASH RESOURCES, BORROWING CAPACITY, AND CASH FLOWS GENERATED FROM OPERATIONS WILL CONTINUE TO BE SUFFICIENT TO WITHSTAND THE FINANCIAL IMPACT OF THE PANDEMIC, AND WILL ENABLE US TO CONTINUE TO SUPPORT OUR OPERATIONS, REGULATORY REQUIREMENTS, DEBT REPAYMENT OBLIGATIONS, AND CAPITAL EXPENDITURES FOR THE FORESEEABLE FUTURE. THE SYSTEM TOOK THE MARKET LEADING POSITION OF REQUIRING ALL TEAM MEMBERS AND MEDICAL STAFF, STUDENTS, VOLUNTEERS, AND CONTRACTORS TO BE FULLY VACCINATED BY SEPTEMBER 10, 2021. THE SYSTEM REPORTED THAT 99 PERCENT OF ITS WORKFORCE WERE COMPLIANT WITH ITS COVID 19 VACCINATION REQUIREMENT. THIS FIGURE MEANS TEAM MEMBERS WERE EITHER FULLY VACCINATED, ON THE WAY TO COMPLETING A TWO-DOSE REGIMEN, OR RECEIVED AN APPROVED MEDICAL OR RELIGIOUS EXEMPTION.THE SYSTEM BELIEVES THAT THE KNOWLEDGE GAINED REGARDING EFFECTIVE AND SAFE CLINICAL PRACTICES AND TREATMENT PROTOCOLS AND THE INCREASING LEVEL OF VACCINATION AND IMMUNITY AMONGST OUR TEAM MEMBERS AND THE COMMUNITY POSITIONED THE SYSTEM WELL TO PROTECT OUR STAFF AND PATIENTS FROM VIRUS TRANSMISSION AND TO MAINTAIN FULL SCOPE OPERATIONS.DURING 2021, THE SYSTEM SERVED AS THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ANCHOR NETWORK PARTNER FOR THE MONOCLONAL ANTIBODY (MAB) PROGRAM IN SOUTHEAST AND SOUTHCENTRAL MICHIGAN. UNDER THIS PARTNERSHIP, THE SYSTEM EXPANDED AVAILABILITY OF MAB BY OPENING AN INFUSION CENTER IN SOUTHWEST DETROIT AT COMMUNITY HEALTH AND SOCIAL SERVICES, A FEDERALLY QUALIFIED HEALTH CENTER WHOSE PHYSICIAN SERVICES ARE CONTRACTED THROUGH THE SYSTEM AND EXPANDING PROGRAMS AT THREE OF ITS HOSPITALS THAT CARE FOR PATIENTS IN UNDERSERVED COMMUNITIES.IN APRIL 2021, THE SYSTEM ESTABLISHED A SPECIALTY CLINIC TO TREAT COVID 19 AND OTHER PATIENTS WHO HAVE LINGERING COGNITIVE, EMOTIONAL, AND MENTAL HEALTH CONDITIONS AFTER BEING HOSPITALIZED IN THE INTENSIVE CARE UNIT. AS AN INCREASING NUMBER OF COVID 19 PATIENTS RECOVER AND ARE DISCHARGED FROM THE HOSPITAL, IT IS ANTICIPATED THAT MANY WILL NEED LONG TERM HELP GETTING BACK TO A NORMAL STATE OF PHYSICAL AND MENTAL WELL-BEING. THE POST ICU BRAIN HEALTH CLINIC OPENED RECENTLY AT THE NEUROPSYCHOLOGY CENTERS IN DETROIT AND WEST BLOOMFIELD. CLINIC STAFF CONDUCT EVALUATIONS, MAKE RECOMMENDATIONS FOR TREATMENT, AND PROVIDE RESOURCES FOCUSING ON PATIENTS AGED 55 AND OLDER WHO CONTINUE TO EXPERIENCE COGNITIVE, BEHAVIORAL, OR PSYCHIATRIC SYMPTOMS. IN ADDITION, SERVICES ARE OFFERED TO CAREGIVERS THAT PROVIDE NEW TOOLS AND STRATEGIES FOR CARING FOR AND SUPPORTING THEIR LOVED ONE,ALONG WITH HOME HEALTH VISITS TO ASSIST PATIENTS WITH USING TELEMEDICINE.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. A GRADUATE MEDICAL EDUCATION PROGRAM OFFERS ROTATIONS TO RESIDENTS, INTERNS AND MEDICAL STUDENTS. A NATIONAL LEADER IN FORMING COMMUNITY PARTNERSHIPS, HENRY FORD HEALTH JACKSON HOSPITAL PROMOTES WELLNESS AND PREVENTION THROUGH OUR HEALTH IMPROVEMENT ORGANIZATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	HENRY FORD HEALTH JACKSON HOSPITAL PROVIDES OUTPATIENT SERVICES AT APPROXIMATELY 40 LOCATIONS THROUGHOUT SOUTH CENTRAL MICHIGAN. IN TOTAL THIS REPRESENTED 1,292,374 TOTAL OUTPATIENT FACILITY VISITS DURING 2021.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	HENRY FORD HEALTH JACKSON HOSPITAL OPERATES A 24 HOUR EMERGENCY DEPARTMENT. EMERGENCY SERVICES REPRESENTED 65,189 PATIENT VISITS DURING 2021.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$683,955,858	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	362	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4984	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM BONGIORNO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3138749506	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FORD PLACE	AddressLine1Txt
City	DETROIT	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48202	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAULA AUTRY
TRUSTEE-PRESIDENT & CEO	58.00	7.00	Yes (X)	Yes (X)	$0	$790,772	$126,357
BRADLEY N CLARK
TRUSTEE- SECRETARY/TREASUR THRU 7/2021	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
MARTHA A FUERSTENAU
TRUSTEE- CHAIR	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT G RINEY
TRUSTEE	1.00	64.00	Yes (X)		$0	$2,175,090	$40,731
ADNAN R MUNKARAH MD
PHYSICIAN TRUSTEE	1.00	63.00	Yes (X)		$0	$1,423,980	$279,396
MOHAN G KULKARNI MD
PHYSICIAN TRUSTEE	60.00	1.00	Yes (X)		$0	$1,031,486	$39,452
DAVID CRAFT
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
KEVIN E OXLEY
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
AARON S BOATIN
TRUSTEE- VICE CHAIR	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
MUMTAZ MEMON MD
PHYSICIAN TRUSTEE	60.00	1.00	Yes (X)		$732,725	$0	$33,415
LAWRENCE NARKIEWICZMD
PHYSICIAN TRUSTEE	60.00	1.00	Yes (X)		$570,404	$0	$31,730
CHRISSY SIDERS
TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
PHIL SPONSLER
TRUSTEE THRU 7/2021	1.00	1.00	Yes (X)		$0	$0	$0
MARK S OLSON
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
STEVEN D RICK
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MONICA MOSER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
SARIA RAMCHARAN DASS MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
RAMI ABDEL RAHEEM ALZEBDEH MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
EMILY MOORHEAD
COO	59.00	6.00			$392,348	$0	$5,805	Yes (X)
KENNETH W EMPEY
GENERAL COUNSEL	55.00	5.00			$0	$356,931	$23,089	Yes (X)
JIM BONGIORNO
CENTRAL MARKET CFO, VP FIN	55.00	5.00			$0	$258,642	$42,171	Yes (X)
MARK A SMITH MD
CMO/CEO HFAHMG	55.00	5.00			$547,840	$0	$38,705	Yes (X)
FRANK LAMARCA MD
PHYSICIAN	60.00	0.00			$2,726,979	$0	$33,748		Yes (X)
AZAM BASHEER MD
PHYSICIAN	60.00	0.00			$2,419,350	$0	$36,191		Yes (X)
AMRITRAJ G LOGANATHAN MD
PHYSICIAN	60.00	0.00			$1,447,707	$0	$32,401		Yes (X)
VISHAL GUPTA MD
PHYSICIAN	60.00	0.00			$1,433,941	$0	$22,243		Yes (X)
RYAN A BEEKMANMD
PHYSICIAN	60.00	0.00			$1,239,133	$0	$12,185		Yes (X)
SANDRA KILIAN MD
FORMER PHYSICIAN TRUSTEE	60.00	0.00			$88,715	$0	$2,321			Yes (X)
MICHAEL GRISDELA
FORMER INTERIM CENTRAL MAR	0.00	60.00			$0	$471,789	$35,288			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,599,142	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,508,690	TotReportableCompRltdOrgAmt
Total Other Compensation	$835,228	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	444	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
INDEPENDENT HOSPITALIST PHYSICIANS PLLC
PO BOX 100	ROYAL OAK	MI	48068	HEALTHCARE SERVICES	$16,450,301
PULMONARY CLINICS OF SOUTHERN MI PC
900 E MICHIGAN AVENUE STE 105	JACKSON	MI	49201	HEALTHCARE SERVICES	$5,081,061
CHRISTMAN COMPANY
208 N CAPITAL AVENUE	LANSING	MI	489331357	GENERAL CONTRACTOR	$4,288,503
PROLINK HEALTHCARE LLC
4600 MONTGOMERY RD STE 300	CINCINNATI	OH	45212	TEMP NURSING SERVICES	$4,115,605
INDEPENDENT EMERGENCY PHYSICIANS PC
37000 GRAND RIVER AVE	FARMINGTION HILLS	MI	48335	HEALTHCARE SERVICES	$2,014,713

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Government Grants	$8,197,644	GovernmentGrantsAmt
All Other Contributions	$2,073,410	AllOtherContributionsAmt
Total Contributions	$10,271,054	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICES	Desc
Business	621990	BusinessCd
Total Revenue Column	$708,536,277	TotalRevenueColumnAmt
Related Or Exempt Func Income	$707,232,310	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,303,967	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$708,536,277	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,251,375	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,251,375	RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$392,281	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$392,281	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,281	TotalRevenueColumnAmt
Exclusion	$392,281	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,128,909	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,128,909	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,128,909	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,128,909	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED PHARMACY REVENUE	621110	$39,199,634	$39,199,634
JHN	621990	$3,399,339	$3,399,339
CAFETERIA	900099	$1,858,293	$1,858,293

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,574,091	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,267,219	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$306,872	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$46,031,357	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$777,611,253	TotalRevenueColumnAmt
Related Or Exempt Func Income	$765,337,079	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,610,839	UnrelatedBusinessRevenueAmt
Exclusion	$392,281	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$852,776	TotalAmt
Program Services	$852,776	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$63,426	TotalAmt
Program Services	$63,426	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,721,059	TotalAmt
Program Services	$3,683,398	ProgramServicesAmt
Management And General	$952,896	ManagementAndGeneralAmt
Fundraising	$84,765	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$91,036	TotalAmt
Program Services	$91,036	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$297,082,527	TotalAmt
Program Services	$270,664,145	ProgramServicesAmt
Management And General	$26,418,382	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,915,095	TotalAmt
Program Services	$1,740,962	ProgramServicesAmt
Management And General	$173,596	ManagementAndGeneralAmt
Fundraising	$537	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,144,294	TotalAmt
Program Services	$34,675,960	ProgramServicesAmt
Management And General	$3,457,626	ManagementAndGeneralAmt
Fundraising	$10,708	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,144,752	TotalAmt
Program Services	$16,129,454	ProgramServicesAmt
Management And General	$2,010,204	ManagementAndGeneralAmt
Fundraising	$5,094	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$143,549	TotalAmt
Program Services	$9,475	ProgramServicesAmt
Management And General	$134,074	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$57,669,345	TotalAmt
Program Services	$55,179,676	ProgramServicesAmt
Management And General	$2,489,669	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,141,841	TotalAmt
Program Services	$194,570	ProgramServicesAmt
Management And General	$947,271	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,978,471	TotalAmt
Program Services	$6,641,650	ProgramServicesAmt
Management And General	$3,336,821	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,685,977	TotalAmt
Program Services	$1,273,698	ProgramServicesAmt
Management And General	$412,279	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,194,606	TotalAmt
Program Services	$2,976,364	ProgramServicesAmt
Management And General	$3,218,242	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$531,874	TotalAmt
Program Services	$404,737	ProgramServicesAmt
Management And General	$127,137	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$600,392	TotalAmt
Program Services	$515,503	ProgramServicesAmt
Management And General	$84,889	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,850,838	TotalAmt
Program Services	$6,850,838	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,978,803	TotalAmt
Program Services	$21,960,985	ProgramServicesAmt
Management And General	$8,017,818	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,770,664	TotalAmt
Program Services	$6,770,664	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$80,767,634	$80,767,634
CORP OFFICE ALLOCATION	$69,181,827	$69,181,827
PHARMACEUTICAL SUPPLIES	$57,471,827	$57,471,827
BAD DEBT	$16,184,318	$16,184,318

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$42,539,005	TotalAmt
Program Services	$29,670,935	ProgramServicesAmt
Management And General	$12,868,070	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$748,705,936	TotalAmt
Program Services	$683,955,858	ProgramServicesAmt
Management And General	$64,648,974	ManagementAndGeneralAmt
Fundraising	$101,104	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,169,580	BOYAmt
EOY	$65,536	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$186,832,779	BOYAmt
EOY	$99,156,365	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$261,969	BOYAmt
EOY	$12,941	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$82,708,371	BOYAmt
EOY	$103,667,392	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,444,962	BOYAmt
EOY	$14,334,525	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,487,986	BOYAmt
EOY	$3,727,024	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$378,269,768	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$148,736,048	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$245,494,839	BOYAmt
EOY	$229,533,720	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$264,572,594	BOYAmt
EOY	$379,112,325	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,844,155	BOYAmt
EOY	$6,064,455	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,925,077	BOYAmt
EOY	$31,644,820	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$830,742,312	BOYAmt
EOY	$867,319,103	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$174,308,262	BOYAmt
EOY	$154,901,488	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,062,049	BOYAmt
EOY	$142,948,275	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,646,447	BOYAmt
EOY	$92,388,515	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$423,016,758	BOYAmt
EOY	$390,238,278	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$404,635,709	BOYAmt
EOY	$473,154,911	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,089,845	BOYAmt
EOY	$3,925,914	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$407,725,554	BOYAmt
EOY	$477,080,825	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$830,742,312	BOYAmt
EOY	$867,319,103	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$28,905,317	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$28,288,623	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$12,161,331	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$41,989	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$41,989	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,713,012	BeginningYearBalanceAmt
Contributions	$2,074,346	ContributionsAmt
Investment Earnings Or Losses	-$50,758	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,553,207	OtherExpendituresAmt
End Year Balance	$3,183,393	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,037,753	BeginningYearBalanceAmt
Contributions	$1,513,373	ContributionsAmt
Investment Earnings Or Losses	$93,086	InvestmentEarningsOrLossesAmt
Other Expenditures	$931,200	OtherExpendituresAmt
End Year Balance	$2,713,012	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.24430	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.75570	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$182,329,628	OtherCostOrOtherBasisAmt
Depreciation	$48,261,566	DepreciationAmt
Book Value	$134,068,062	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,800	OtherCostOrOtherBasisAmt
Depreciation	$189,993	DepreciationAmt
Book Value	$20,807	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$160,933,543	OtherCostOrOtherBasisAmt
Depreciation	$100,284,489	DepreciationAmt
Book Value	$60,649,054	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,255,171	OtherCostOrOtherBasisAmt
Book Value	$25,255,171	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$229,533,720	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
RETIREMENT PLAN LIABILITY	$23,911,341
DEFERRED COMP	$18,851,548
CORPORATE RESERVE	$5,869,813
LIABILITY INSURANCE	$23,274,001
WORKERS COMP LIABILITY	$1,074,605
CURRENT OPERATING LEASE LIABILITY	$2,381,134
LONG TERM OPERATING LEASE LIABILITY	$11,773,007
OPERATING LEASE A/P PAYMENT	-$274,387
SHORT-TERM BORROWINGS	$5,527,453

Field	Value	IRS element (for citing)
Total Liability	$92,388,515	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR VARIOUS CHARITABLE HOSPITAL PROGRAMS INCLUDING TREATMENT OF UNINSURED PATIENTS, COMMUNITY PREVENTATIVE HEALTH EDUCATION, PROGRAM DEVELOPMENT AND CAPITAL IMPROVEMENTS.
PART X, LINE 2:	THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 AND 2020.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,104,906	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,104,906	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$223,563,269	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167,383,234	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,180,035	NetCommunityBenefitExpnsAmt
Total Expense	0.07670	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$234,668,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167,383,234	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,284,941	NetCommunityBenefitExpnsAmt
Total Expense	0.09190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,205,707	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,205,707	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,020,969	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,524,172	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,496,797	NetCommunityBenefitExpnsAmt
Total Expense	0.01430	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,041,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,954,270	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,087,203	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$437,619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$437,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,705,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,478,442	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,227,326	NetCommunityBenefitExpnsAmt
Total Expense	0.02340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$276,373,943	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$191,861,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,512,267	NetCommunityBenefitExpnsAmt
Total Expense	0.11530	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,361	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,361	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$643,843	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$643,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$658,204	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$658,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$16,202,025	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,050,506	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$204,977,915	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$229,062,742	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$24,084,827	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 FOOTE HEALTH CENTER ASSOCIATES
ENTITY LEASES MEDICAL OFFICE SPACE.	0.86370	0.00000	0.13630
2 GRASS LAKE REAL ESTATE LLC
TO BUILD AND MANAGE OUTPATIENT SURGICAL CENTER	0.46000	0.00000	0.46000
3 GRASS LAKE SURGERY CENTER LLC
TO OPERATE OUTPATIENT SURGICAL CENTER	0.46000	0.00000	0.46000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 N EAST AVENUE	AddressLine1Txt
City	JACKSON	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49201	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HENRYFORD.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE LINE 10A BELOW	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HENRY FORD HEALTH JACKSON HOSPITAL	PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN JACKSON COUNTY USING A WEB-BASED 5-QUESTION SURVEY. THE SURVEY WAS DISTRIBUTED TO HEALTH LEADERS AND OTHER RESPECTED INDIVIDUALS WITHIN THE COMMUNITY REPRESENTING PUBLIC AGENCIES AND PROGRAMS FROM MAY THROUGH JULY OF 2019. INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS JACKSON COUNTY HEALTH DEPARTMENT, LIFE MISSIONS CENTER, CATHOLIC CHARITIES OF JACKSON, LENAWEE AND HILLSDALE COUNTIES, COMMUNITY ACTION AGENCY, 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.OUR METHODOLOGY ALSO INCLUDED A WIDE VARIETY OF SECONDARY DATA SOURCES IN ADDITION TO RESULTS OBTAINED FROM BOTH SURVEY AND FOCUS GROUP PARTICIPANTS IN OAKLAND, MACOMB AND WAYNE COUNTIES. ADDITIONALLY, WE LOCATED STATE HEALTH NEEDS DATA FOR HF HEALTH USING THE MICHIGAN BEHAVIORAL RISK FACTOR SURVEY AND MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES PROFILES AMONG OTHER SOURCES. DATA FROM THESE SOURCES CAN BE FOUND IN THE APPENDIX.
HENRY FORD HEALTH JACKSON HOSPITAL	PART 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 HOSPITAL	PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN 2019 IN PARTNERSHIP WITH THE JACKSON COUNTY HEALTH DEPARTMENT AND THEIR COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN TEAMS. THE IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH JACKSON HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HF HEALTH AND COMMUNITY LEADERS. HENRY FORD HEALTH JACKSON HOSPITAL'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH, MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES & DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND INFANT MORTALITY. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH JACKSON HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE CURRENTLY BEING ADDRESSED THROUGH SUPPORTIVE CLINICAL SERVICES, HFAH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE.
HENRY FORD HEALTH JACKSON HOSPITAL	PART V, SECTION B, LINE 13B: HENRY FORD HEALTH JACKSON HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.
HENRY FORD HEALTH JACKSON HOSPITAL	PART V, SECTION B, LINE 15E: PART V, SECTION B, LINE 22A:HENRY FORD HEALTH JACKSON HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.
PART V, LINE 10A	HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT

Field	Value	IRS element (for citing)
Facility	50	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HFHJH HEMATOLOGYONCOLOGY
1100 E MICHIGAN AVE STE 307	JACKSON	MI	49201	SPECIALTY PRACTICE AND INFUSION CENTER
2 - HFHJH ORTHOPEDIC & NEUROSCIENCE CNTR
1201 E MICHIGAN AVENUE	JACKSON	MI	49201	OUTPATIENT SPECIALTY, DIAGNOSTIC AND REHAB FACILITY
3 - HFHJH SURGERY CENTER
1125 E MICHIGAN AVENUE	JACKSON	MI	49201	OUTPATIENT SURGERY CENTER
4 - HFHJH DIGESTIVE HEALTH
205 S EAST AVE	JACKSON	MI	49201	OUTPATIENT SURGERY CENTER
5 - HFHJH RADIATION ONCOLOGY
1102 E MICHIGAN AVE	JACKSON	MI	49201	RADIATION THERAPY
6 - HFHJH HEALTH CARDIOLOGY
309 PAGE AVENUE	JACKSON	MI	49201	SPECIALTY PRACTICE AND DIAGNOSTIC TESTING CENTER
7 - HFHJH HEALTH CENTER - CASCADE RIDGE
3305/3333 SPRING ARBOR RD	JACKSON	MI	49203	FAMILY AND SPECIALTY PRACTICES, DIAGNOSTIC CENTER
8 - HFHJH VASCULAR LABORATORY
300 W WASHINGTON AVENUE STE 350	JACKSON	MI	49201	VASCULAR TESTING
9 - HFHJH HEALTH CENTER - TOWNSEND
400 HINCKLEY BLVD	JACKSON	MI	49203	FAMILY MEDICINE AND DIAGNOSTIC CENTER
10 - HFHJH HEALTH CENTER - NORTH STREET
1401 W NORTH STREET	JACKSON	MI	49202	FAMILY MEDICINE AND DIAGNOSTIC CENTER
11 - HFHJH HEALTH CENTER - SPRINGPORT
2200 SPRINGPORT ROAD	JACKSON	MI	49202	OUTPATIENT SERVICES, DIAGNOSTIC CENTER, PHARMACY SVCS
12 - HFHJH GASTROENTEROLOGY
744 W MICHIGAN AVE STE 201	JACKSON	MI	49201	SPECIALTY PRACTICE
13 - HFHJH HOME HEALTH CARE
100 E MICHIGAN AVE STE 400	JACKSON	MI	49201	CLINICAL HOME CARE SERVICES
14 - HFHJH PHYSICAL REHAB-JACKSON
100 E MICHIGAN AVE STE 103	JACKSON	MI	49201	PHYSICAL REHABILITATION
15 - HFHJH ADDICTION RECOVERY CENTER
2424 W WASHINGTON AVE	JACKSON	MI	49203	INPATIENT AND OUTPATIENT TREATMENT CENTER
16 - HFHJH UROLOGY - SPRING ARBOR ROAD
2800 SPRING ARBOR RD	JACKSON	MI	49201	SPECIALTY PRACTICE
17 - HFHJH UROLOGY - W MICHIGAN AVE
744 W MICHIGAN AVE STE 300	JACKSON	MI	49201	SPECIALTY PRACTICE
18 - HFHJH ENTHEARING CENTER
1111 TENEYCK ST	JACKSON	MI	49201	SPECIALTY PRACTICE AND AUDIOLOGY SALES/SERVICE
19 - HFHJH OCCUPATIONAL HEALTH
100 E MICHIGAN AVE STE 101	JACKSON	MI	49201	EMPLOYMENT SCREENING, WORK-RELATED INJURY TREATMENT
20 - HFHJH HOME MEDICAL EQUIP
700 E MICHIGAN AVE	JACKSON	MI	49201	SALE OF DURABLE MEDICAL EQUIPMENT
21 - HFHJH HEALTH CENTER - EAST MICHIGAN
3235 E MICHIGAN AVENUE	JACKSON	MI	49202	FAMILY MEDICINE AND BEHAVIORAL HEALTH SERVICES
22 - HFHJH NEUROPSYCHOLOGY
1400 E MICHIGAN AVE	JACKSON	MI	49202	SPECIALTY PRACTICE
23 - HFHJH PEDIATRICS
760 W FRANKLIN	JACKSON	MI	49203	PEDIATRIC MEDICINE
24 - HFHJH HEALTH CENTER - MASON
810 HOGSBACK RD	MASON	MI	48854	FAMILY AND SPECIALTY PRACTICE, DIAGNOSTICS, REHAB
25 - HFHJH HEALTH CENTER - LESLIE
130 N SHERMAN ST	LESLIE	MI	49251	FAMILY MEDICINE AND DIAGNOSTIC CENTER
26 - HFHJH VASCULAR HEALTH
300 W WASHINGTON AVENUE STE 300	JACKSON	MI	49201	SPECIALTY PRACTICE
27 - HFHJH HEALTH CENTER - SPRING ARBOR
7845 SPRING ARBOR ROAD	SPRING ARBOR	MI	49283	FAMILY MEDICINE AND DIAGNOSTIC CENTER
28 - HFHJH GENERAL SURGERY
744 W MICHIGAN AVE STE 200	JACKSON	MI	49201	SPECIALTY PRACTICE
29 - HFHJH GENERAL SURGERY
1100 E MICHIGAN AVE STE 300	JACKSON	MI	49201	SPECIALTY PRACTICE
30 - HFHJH CARDIAC SURGERY
1100 E MICHIGAN AVE STE 201	JACKSON	MI	49201	SPECIALTY PRACTICE
31 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNTR
153 WAMPLERS LAKE RD	BROOKLYN	MI	49230	FAMILY MEDICINE AND DIAGNOSTIC CENTER
32 - HFHJH HEALTH CENTER - ALBION
27931 C DRIVE NORTH	ALBION	MI	49224	FAMILY AND SPECIALTY MEDICINE, DIAGNOSTIC CENTER
33 - HFHJH THORACIC SURGERY
1100 E MICHIGAN AVE STE 201	JACKSON	MI	49201	SPECIALTY PRACTICE
34 - HFHJH FAMILY MEDICINE - SUMMIT WOODS
2585 SPRING ARBOR ROAD	JACKSON	MI	49203	FAMILY MEDICINE
35 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNTR
12369 E MICHIGAN AVE	GRASS LAKE	MI	49240	FAMILY MEDICINE AND DIAGNOSTIC CENTER
36 - HFHJH HEALTH CENTER - MICHIGAN CENTER
4304 PAGE AVE	MICHIGAN CENTER	MI	49254	SPECIALTY PRACTICE, DIAGNOSTICS, REHAB
37 - HFHJH INTERNAL MEDICINE
100 E MICHIGAN AVE	JACKSON	MI	49201	OUTPATIENT SERVICES
38 - HFHJH DIAGNOSTIC CENTER
1100 E MICHIGAN AVE STE 104	JACKSON	MI	49201	LAB AND IMAGING SERVICES
39 - HFHJH DIAGNOSTIC CENTER - NORTH JACKSON
505 N JACKSON ST STE 178	JACKSON	MI	49201	LAB AND IMAGING SERVICES
40 - HFHJH OUTPATIENT PROCEDURE CENTER
1100 E MICHIGAN AVE STE 109	JACKSON	MI	49201	OUTPATIENT SERVICES
41 - HFHJH CARDIAC REHAB
1100 E MICHIGAN AVE STE 100/102	JACKSON	MI	49201	POST-SURGICAL REHABILITATION
42 - HFHJH BARIATRIC CENTER
744 W MICHIGAN AVE STE 101	JACKSON	MI	49201	SPECIALTY PRACTICE
43 - HFHJH SENIOR HEALTH CENTER
100 E MICHIGAN AVE STE 102	JACKSON	MI	49201	OUTPATIENT EVALUTION AND TESTING
44 - HFHJH PERSONAL CARE
100 E MICHIGAN AVE STE 400	JACKSON	MI	49201	PRIVATE DUTY SERVICES
45 - HFHJH DIAGNOSTIC CENTER - GREENWOOD AVE
1310 GREENWOOD AVE	JACKSON	MI	49203	LABORATORY SERVICES
46 - HFHJH OUTPATIENT TRAUMA
1100 E MICHIGAN AVE STE 201	JACKSON	MI	49201	SPECIALTY PRACTICE
47 - HFHJH PHYSICAL REHAB - HILLSDALE
61 W CARLTON	HILLSDALE	MI	49242	PHYSICAL REHABILITATION
48 - HFHJH HEALTH CENTER-CHELSEA
1145 S MAIN ST UNIT A	CHELSEA	MI	48119	LAB
49 - HFHJH HEALTH CENTER-COLDWATER
605 W CHICAGO STREET	COLDWATER	MI	49036	LAB
50 - HFHJH DIAGNOSTIC CENTER-HILLSDALE
3271 W CARLETON	HILLSDALE	MI	49242	LAB

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7G:	SUBSIDIZED SERVICES CONSIST OF 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 $5,716,588
PART II, COMMUNITY BUILDING ACTIVITIES:	HFHJH BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFHJH INCLUDES IN ITS COMMITMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ON THE BENEFITS OF HEALTHIER BEHAVIORS ARE HEARD. HFHJH LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS IN ADDRESSING THE NEEDS OF OUR SERVICE AREA.
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 OF 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:	HENRY FORD HEALTH (HF HEALTH) CONSIDERS THE ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AS AN ESSENTIAL FUNCTION. HENRY FORD HEALTH JACKSON HOSPITAL WAS ENCOMPASSED IN THE HF HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT. IT PROVIDES KEY INFORMATION REGARDING THE DEMOGRAPHICS AND MAJOR NEEDS OF THE COMMUNITIES SERVED, IT SUPPORTS THE PRIORITIZATION OF THE SERVICES MADE AVAILABLE, AND IT HELPS TARGET POPULATIONS WITH THE MOST VULNERABILITY TO HEALTH NEEDS SUCH AS THE POOR, UNINSURED, AS WELL AS VARIOUS OTHER POPULATIONS THAT MAY HAVE BEEN OVERLOOKED. THE COMMUNITY HEALTH NEEDS ASSESSMENT ALSO PROVIDES VALUABLE INFORMATION REGARDING OTHER ORGANIZATIONS SUPPORTING THE NEEDS WITHIN THE COMMUNITY SO PROGRAMS CAN BE COORDINATED AND LEVERAGED TO ENSURE THAT EVERY DOLLAR IS INVESTED WISELY.INTERNALLY THE COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE (CHANCE) PROVIDES EXECUTIVE OVERSIGHT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HENRY FORD HEALTH. THE CHNA WAS COMPLETED IN SEVERAL PHASES. THE FIRST PHASE INCLUDED DATA COLLECTION FROM A VARIETY OF PUBLIC AND PROPRIETARY SOURCES THAT PROVIDED INFORMATION AROUND POPULATION DEMOGRAPHICS, SOCIOECONOMIC DATA, HEALTH STATUS INDICATORS AS WELL AS SEVERAL OTHER DATA ELEMENTS. THE SECOND PHASE INVOLVED DEVELOPING AND DISTRIBUTING A KEY STAKEHOLDER SURVEY TO CAPTURE COMMUNITY ORGANIZATION AND COALITION INPUT AS TO MAJOR HEALTH NEEDS, THEY BELIEVE THAT SHOULD PRIORITIZED AND ADDRESSED IN THE FOUR-COUNTY AREA. THE THIRD PHASE INCORPORATED QUANTITATIVE AND QUALITATIVE DATA COLLECTED IN THE FIRST TWO PHASES AND BASED ON THIS INFORMATION IDENTIFIED PRIORITIES FOR HENRY FORD HEALTH TO ADDRESS WITHIN THE COMMUNITIES IT SERVES. THIS ASSESSMENT WAS PREPARED JOINTLY BY THE HF HEALTH BUSINESS INTEGRITY SERVICES AND CORPORATE STRATEGIC PLANNING DEPARTMENTS, ALONG WITH THE OFFICE OF COMMUNITY HEALTH, EQUITY AND WELLNESS. RESULTS ARE BEING USED AS A FOUNDATION FOR PLANNING, DEVELOPING, AND REFINING HF HEALTH'S FUTURE COMMUNITY SERVICES IN THE FOUR-COUNTY AREAS. RESULTS OF THIS ASSESSMENT HAVE BEEN REVIEWED WITH SEVERAL HENRY FORD HEALTH LEADERS, LEADING TO STRATEGIC AND IMPLEMENTATION PLAN MODIFICATIONS TO ALIGN STRATEGY WITH IDENTIFIED NEEDS.
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 COUNTIES OF WAYNE, OAKLAND, MACOMB, AND JACKSON 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 POPULATED COUNTIES IN MICHIGAN. JACKSON COUNTY IS MUCH SMALLER. OF THE NEARLY 4 MILLION RESIDENTS, APPROXIMATELY 51% OF THE POPULATION IS FEMALE. WITH REGARD TO RACE/ETHNICITY, THE FOUR-COUNTY AREA IS 64% WHITE, COMPARED TO A NATIONAL AVERAGE OF 60%. OF NOTE, THE FOUR-COUNTY AREA IS 24% BLACK, WHICH IS TWICE THE NATIONAL PERCENTAGE OF 12%. CONVERSELY, THE HISPANIC POPULATION (5.0%) IS A LITTLE UNDER ONE THIRD THE NATIONAL PERCENTAGE OF 18%.THE NUMBER OF FOUR-COUNTY RESIDENTS IS EXPECTED TO REMAIN FLAT OVER THE NEXT SEVERAL YEARS. WHEN EXAMINING AGE DISTRIBUTION, THE FOUR-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 17% 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-YEARS-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 15% FROM 2019 TO 2024.WITH REGARDS TO EDUCATION, THE FOUR-COUNTY AREA HAS APPROXIMATELY 11% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 13%. FURTHER, 29% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE FOUR-COUNTY AREA IS DIVERSE IN POPULATION, RACE/ETHNICITY, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTH CARE SECTOR IS REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL. THE AVERAGE MEDIAN HOUSEHOLD INCOME WITHIN THE FOUR-COUNTY AREA ($56,240) IS SLIGHTLY LESS THAN THE NATIONAL AVERAGE ($57,652). WITHIN THE FOUR-COUNTY AREA, THE MEDIAN HOUSEHOLD INCOME IN OAKLAND COUNTY ($73,369) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($43,702), JACKSON COUNTY ($49,715) AND MACOMB COUNTY ($58,175). AT THE ZIP CODE LEVEL, AVERAGE HOUSEHOLD INCOMES VARY SIGNIFICANTLY.LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND COSTS OF BASIC NECESSITIES. AS A RESULT, 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 18 IN FAMILIES BELOW THE POVERTY LEVEL, AT 19.3%, A 3% IMPROVEMENT FROM 2016. UNEMPLOYMENT IN MICHIGAN HAS DROPPED TO 4.6% IN 2018, WHICH IS SIMILAR TO THE NATIONAL AVERAGE AND A DECLINE OF 0.8% SINCE 2016 IN MICHIGAN. CONVERSELY, WITHIN THE FOUR-COUNTY AREA THE UNEMPLOYMENT RATE MATCHES THE NATIONAL AVERAGE OF 4% AND RANGES FROM 3.2% IN OAKLAND COUNTY TO 5.0% IN WAYNE COUNTY.THERE ARE KEY DEMOGRAPHIC DIFFERENCES BETWEEN THE RESIDENTS OF EACH COUNTY WITHIN THE FOUR-COUNTY AREA. FOR EXAMPLE, AGE, SEX, EDUCATION, AND INCOME DISTRIBUTION DIFFER FROM COUNTY TO COUNTY. 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. WHEN EXAMINING THE CITY OF DETROIT THE AVERAGE HOUSEHOLD INCOME IS $40,314, WHICH IS SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL FOUR-COUNTY AREA ($68,064). REGARDING EDUCATION, 23% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 14% HAVE A BACHELOR'S DEGREE OR HIGHER. IN TERMS OF RACE/ETHNICITY, APPROXIMATELY 91% OF DETROIT IS COMPOSED OF A MINORITY POPULATION VERSUS 37% FOR THE FOUR-COUNTY AREA AS A WHOLE. THE DETROIT UNEMPLOYMENT RATE IS 7.9% (NOVEMBER 2018), DOWN FROM 11.5% IN SEPTEMBER 2015.WHEN LOOKING OUTSIDE OF THE CITY OF DETROIT, VARIOUS OTHER ZIP CODES IN THE FOUR-COUNTY AREA INDICATE SECTIONS OF THE REGION THAT HAVE LOWER INCOMES, LESS EDUCATION, AND ARE MORE RACIALLY AND ETHNICALLY DIVERSE. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES RANGES FROM $29,486-$54,251, LOWER THAN THE FOUR-COUNTY SERVICE AREA. OVERALL, 17% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 11% FOR THE FOUR-COUNTY AREA. THESE TWENTY ZIP CODES HAVE A SLIGHTLY DIFFERENT PERCENTAGE OF RACIAL/ETHNIC MINORITIES AS COMPARED TO THE REST OF THE FOUR-COUNTY AREA. AS A WHOLE THESE ZIP CODES ARE COMPOSED OF 40% MINORITIES COMPARED TO 36% FOR THE 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
ARTS & CULTURAL ALLIANCE OF JACKSON COUNTY
PO BOX 1463	JACKSON	MI	49204	770612012	501(C)(3)	$30,000	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON SYMPHONY ORCHESTRA
215 W MICHIGAN AVE	JACKSON	MI	49201	382146747	501(C)(3)	$6,480	$0	N/A	ORGANIZATIONAL SUPPORT
ANCHOR INITIATIVE
141 S JACKSON ST	JACKSON	MI	49201	472475316	501(C)(3)	$50,000	$0	N/A	ORGANIZATIONAL SUPPORT
ENTERPRISE GROUP
100 E MICHIGAN AVE 1100	JACKSON	MI	49201	383326101	501(C)(6)	$55,000	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON COMMUNITY FOUNDATION
100 S JACKSON ST SUITE 206B	JACKSON	MI	49201	386070739	501(C)(3)	$10,000	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON SCHOOL OF THE ARTS
634 N MECHANIC	JACKSON	MI	49202	383581314	501(C)(3)	$35,000	$0	N/A	ORGANIZATIONAL SUPPORT
AMERICAN HEART ASSOCIATION
PO BOX 4002902	DES MOINES	IA	50340	135613797	501(C)(3)	$50,000	$0	N/A	ORGANIZATIONAL SUPPORT
GREATER JACKSON HABITAT FOR HUMANITY
251 W PROSPECT	JACKSON	MI	49203	383142455	501(C)(3)	$50,000	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON YMCA INC
127 W WESLEY STREET	JACKSON	MI	49201	381381139	501(C)(3)	$250,000	$0	N/A	ORGANIZATIONAL SUPPORT
CITY OF MASON
201 WEST AVE	MASON	MI	48854		115 GOVERMENT	$25,000	$0	N/A	ORGANIZATIONAL SUPPORT
COMMUNITY ACTION AGENCY
1214 GREENWOOD AVENUE	JACKSON	MI	49203	381803599	501(C)(3)	$55,921	$0	N/A	ORGANIZATIONAL SUPPORT
COMPASSIONATE MINISTRIES OF JACKSON COUNTY
3905 CLINTON ROAD	JACKSON ROAD	MI	49201	460811596	501(C)(3)	$7,500	$0	N/A	ORGANIZATIONAL SUPPORT
GRASS LAKE COMMUNITY SCHOOLS
11500 WARRIOR TRL	GRASS LAKE	MI	49240	386001844	501(C)(3)	$5,200	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON COMMUNITY COLLEGE FOUNDATION
3000 BLAKE ROAD	JACKSON	MI	49201	382468643	501(C)(3)	$7,500	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON DISTRICT LIBRARY
244 W MICHIOGAN AVE	JACKSON	MI	49201	382184437	115 GOVERMENT	$25,000	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON PRIDE CENTER
536 N JACKSON	JACKSON	MI	49201	824250359	501(C)(3)	$27,500	$0	N/A	ORGANIZATIONAL SUPPORT
THE PURPLE ROSE THEATRE COMPANY
137 PARK STREET	CHELSEA	MI	48118	382946466	501(C)(3)	$10,000	$0	N/A	ORGANIZATIONAL SUPPORT
SAVE OUR YOUTH HELP THEM PROSPER
110 LINCOLN CT	JACKSON	MI	49203	476554864	501(C)(3)	$80,000	$0	N/A	ORGANIZATIONAL SUPPORT
JACKSON SYMPHONY GUILD
PO BOX 602	JACKSON	MI	49204	382380738	501(C)(3)	$5,200	$0	N/A	ORGANIZATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
STAFF ASSISTANCE FUND FOR EMERGENCIES	67	$53,415
WE CARE PATIENT NEEDS FUND	11	$1,225
CANCER PATIENT IMMEDICATE NEEDS FUNDS	18	$8,786

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRANK LAMARCA MD
PHYSICIAN	$1,055,454	$0	$1,208,754	$0	$462,771	$0	$5,075	$0	$28,673	$0	$2,760,727	$0	$0	$0
AZAM BASHEER MD
PHYSICIAN	$743,817	$0	$1,376,119	$0	$299,414	$0	$5,075	$0	$31,116	$0	$2,455,541	$0	$0	$0
ROBERT G RINEY
TRUSTEE	$0	$1,226,507	$0	$632,294	$0	$316,289	$0	$27,649	$0	$13,082	$0	$2,215,821	$0	$0
ADNAN R MUNKARAH MD
PHYSICIAN TRUSTEE	$0	$919,134	$0	$480,444	$0	$24,402	$0	$242,905	$0	$36,491	$0	$1,703,376	$0	$0
AMRITRAJ G LOGANATHAN MD
PHYSICIAN	$738,370	$0	$432,555	$0	$276,782	$0	$4,350	$0	$28,051	$0	$1,480,108	$0	$0	$0
VISHAL GUPTA MD
PHYSICIAN	$741,100	$0	$596,964	$0	$95,877	$0	$5,075	$0	$17,168	$0	$1,456,184	$0	$0	$0
RYAN A BEEKMANMD
PHYSICIAN	$554,613	$0	$586,264	$0	$98,256	$0	$5,075	$0	$7,110	$0	$1,251,318	$0	$0	$0
MOHAN G KULKARNI MD
PHYSICIAN TRUSTEE	$0	$436,609	$0	$388,534	$0	$206,343	$0	$6,525	$0	$32,927	$0	$1,070,938	$0	$0
PAULA AUTRY
TRUSTEE-PRESIDENT & CEO	$0	$534,102	$0	$232,268	$0	$24,402	$0	$99,974	$0	$26,383	$0	$917,129	$0	$0
MUMTAZ MEMON MD
PHYSICIAN TRUSTEE	$473,026	$0	$189,873	$0	$69,826	$0	$5,075	$0	$28,340	$0	$766,140	$0	$0	$0
LAWRENCE NARKIEWICZMD
PHYSICIAN TRUSTEE	$385,466	$0	$24,600	$0	$160,338	$0	$5,075	$0	$26,655	$0	$602,134	$0	$0	$0
MARK A SMITH MD
CMO/CEO HFAHMG	$399,087	$0	$123,900	$0	$24,853	$0	$5,075	$0	$33,630	$0	$586,545	$0	$0	$0
MICHAEL GRISDELA
FORMER INTERIM CENTRAL MAR	$0	$341,460	$0	$107,160	$0	$23,169	$0	$5,075	$0	$30,213	$0	$507,077	$0	$0
EMILY MOORHEAD
COO	$278,427	$0	$90,272	$0	$23,649	$0	$4,350	$0	$1,455	$0	$398,153	$0	$0	$0
KENNETH W EMPEY
GENERAL COUNSEL	$0	$264,311	$0	$73,008	$0	$19,612	$0	$7,975	$0	$15,114	$0	$380,020	$0	$0
JIM BONGIORNO
CENTRAL MARKET CFO, VP FIN	$0	$203,633	$0	$53,550	$0	$1,459	$0	$16,689	$0	$25,482	$0	$300,813	$0	$0
SANDRA KILIAN MD
FORMER PHYSICIAN TRUSTEE	$44,902	$0	$43,124	$0	$689	$0	$1,557	$0	$764	$0	$91,036	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	HENRY FORD HEALTH JACKSON HOSPITAL PROVIDES A COUNTRY CLUB MEMBERSHIP TO THREE EXECUTIVES. THE EXECUTIVES REIMBURSE THE HOSPITAL FOR ANY PERSONAL USE OF THE CLUB. THESE BENEFITS DID NOT RESULT IN TAXABLE COMPENSATION DURING FY 21.
PART I, LINE 3	THE CHIEF EXECUTIVE OFFICER FOR HENRY FORD HEALTH JACKSON HOSPITAL IS AN EMPLOYEE OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH ("HF HEALTH") HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL INDEPENDENT TRUSTEES. THE COMMITTEE MEETS THROUGHOUT THE YEAR AND IS CHARGED WITH THE APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER OF HENRY FORD HEALTH JACKSON HOSPITAL. THE COMMITTEE DIRECTLY ENGAGES AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE CEO IS ACCOUNTABLE FOR ENSURING THAT HENRY FORD HEALTH JACKSON HOSPITAL'S MISSION IS EFFICIENTLY CARRIED OUT WITH THE HIGHEST LEVELS OF QUALITY, SAFETY AND SERVICE, WHILE AT THE SAME TIME ENSURING THAT THE ORGANIZATION IS FINANCIALLY HEALTHY. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT HENRY FORD HEALTH JACKSON HOSPITAL COMPENSATION PRACTICES ARE CONSISTENT WITH INDUSTRY STANDARDS AND THAT COMPENSATION LEVELS ARE FAIR COMPARED TO SIMILAR HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION CONSULTANT BENCHMARKS HENRY FORD HEALTH JACKSON HOSPITAL'S POSITIONS AGAINST DATA FROM MULTIPLE PUBLISHED SURVEYS OF HEALTH CARE EXECUTIVE COMPENSATION IN THE NATIONAL HEALTH CARE LABOR MARKET. BASED UPON THE CONSULTANTS RECOMMENDATIONS, THE EXECUTIVE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR APPROVAL OF THE EXECUTIVE COMPENSATION PROGRAM. ONLY INDEPENDENT TRUSTEES VOTE ON THIS RECOMMENDATION.
PART I, LINE 4B	4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN SUPPLEMENTAL RETIREMENT PROGRAMS THAT RESULT IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, AND/OR AS PAID. IT IS AN ELEMENT OF SOME PLAN DESIGNS TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) - HENRY FORD HEALTH SYSTEM PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 ROBERT G. RINEY 289,266 - - 289,266 ADNAN R. MUNKARAH - - 216,706 - PAULA AUTRY - - 94,899 - SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - HENRY FORD HEALTH SYSTEM EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2021 CONTR. 2021 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBERT G. RINEY 19,500 - - 19,500 ADNAN R. MUNKARAH 19,500 - - 19,500 VISHAL GUPTA, M.D. 3,400 16,100 387 19,887 PAULA AUTRY 19,500 - - 19,500 MICHAEL GRISDELA 17,148 2,352 57 19,557 KENNETH EMPEY 19,500 - 112 19,612 SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2021 CONTR. 2021 CONTR. TAX GROSS-UP W-2 AMOUNTS FRANK LAMARCA, M.D. - 19,500 469 19,969 AZAM BASHEER, M.D - 16,100 387 16,487 AMRITRAJ LOGANATHAN, M.D. - 13,800 332 14,132 MOHAN KULKARNI, M.D. 11,625 7,875 190 19,690 RYAN BEEKMAN, M.D. 9,700 9,800 236 19,736 MUMTAZ MEMON, M.D. 12,150 7,350 177 19,677 LAWRENCE NARKIEWICZ, M.D. 15,300 4,200 101 19,601 MARK SMITH, M.D. 19,500 - - 19,500 EMILY MOORHEAD 10,918 - - 10,918
PART I, LINE 7	COLUMN B(II) OF PART II, SCHEDULE J INCLUDES NON-FIXED PAYMENTS TO CERTAIN PHYSICIANS BASED ON THEIR PRODUCTIVITY AND OTHER PERFORMANCE METRICS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PULMONARY CLINICS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE BELOW	RelationshipDescriptionTxt
Transaction	$5,081,061	TransactionAmt
Transaction	SEE BELOW	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH 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 $ 5,081,061(D) DESCRIPTION OF TRANSACTION: PROVIDED HEALTH CARE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP (FORMERLY ALLEGIANCE HEALTH SERVICES).
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER OF THE ORGANIZATION MAY ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CORPORATION'S TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP ("MEMBER"). THE MEMBER'S SOLE CORPORATE MEMBER IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). HF HEALTH SHALL HAVE THE SOLE AUTHORITY TO TAKE OR CAUSE TO BE TAKEN ANY OF THE FOLLOWING ACTIONS (THE "HF HEALTH'S RESERVED POWERS"). - APPOINT THE BOARD OF TRUSTEES, CHAIRPERSON, AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - REMOVE THE BOARD OF TRUSTEES, CHAIRPERSON AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - CHANGE THE CORPORATE MEMBER OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - AMEND THESE BYLAWS, THE CORPORATION'S ARTICLES OF INCORPORATION OR THE GOVERNING DOCUMENTS OF ANY SYSTEM ENTITY, PROVIDED (I) HF HEALTH FIRST CONSULTS WITH THE MEMBER'S BOARD OF DIRECTORS REGARDING THE PROPOSED AMENDMENT AND (II) THE AMENDMENT COMPLIES WITH ARTICLE XV OF THE BYLAWS REGARDING KEY SECTIONS; - APPROVE AN AGREEMENT OF (A) MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY SYSTEM ENTITY, OR (B) SALE, LEASE, OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH AGREEMENT SHALL HAVE BEEN APPROVED BY VOTE OF TWO-THIRDS OF THE MEMBER'S LOCAL DIRECTORS (AS DEFINED IN THE MEMBER'S BYLAWS) AND FURTHER PROVIDED THAT APPROVAL OF THE LOCAL DIRECTORS SHALL NOT BE REQUIRED WITH RESPECT TO (I) AN OVERALL AFFILIATION OR CHANGE IN OWNERSHIP OF HF HEALTH (INCLUDING THE SYSTEM) IF THE TERMS OF THAT TRANSACTION DO NOT VIOLATE THE KEY SECTIONS OR (II) A SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF HF HEALTH (INCLUDING THE ASSETS OF THE CORPORATION) TO A FOR-PROFIT ENTITY WHICH TRIGGERS APPLICATION OF THE TERMS OF SECTION 6.8(B) OF THE AFFILIATION AGREEMENT DATED MARCH 4, 2016 BETWEEN THE MEMBER (THEN KNOWN AS ALLEGIANCE HEALTH SERVICES) AND HF HEALTH, AS AMENDED FROM TIME TO TIME; - DISSOLVE THE CORPORATION OR ANY SYSTEM ENTITY OR REVOKE SUCH DISSOLUTION, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - RECEIVE FROM THE MEMBER STRATEGIC AND ANNUAL OPERATING PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE SYSTEM ENTITIES, INCLUDING THE CORPORATION, THAT ARE DEVELOPED COLLABORATIVELY BY THE MEMBER'S AND HF HEALTH'S RESPECTIVE LEADERSHIP AND RECOMMENDED BY THE MEMBER'S BOARD OF DIRECTORS, AND ADOPT SUCH RECOMMENDED PLANS AND BUDGETS UNLESS AN UNUSUAL CIRCUMSTANCE ARISES IN WHICH HF HEALTH DETERMINES A CHANGE TO A PLAN OR BUDGET IS NECESSARY, AND APPROVE EXPENDITURES BY THE SYSTEM ENTITIES NOT INCLUDED IN SUCH BUDGETS OF AN ANNUAL AGGREGATE AMOUNT EXCEEDING $500,000. - CAUSE ANY SYSTEM ENTITY TO INCUR, ASSUME OR GUARANTY INDEBTEDNESS OR FULFILL OTHER OBLIGATIONS REQUIRED UNDER HF HEALTH DEBT AGREEMENTS, OR APPROVE INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL INDEBTEDNESS SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - ENCUMBER THE ASSETS OF ANY SYSTEM ENTITY AS SECURITY FOR DEBTS OR OTHER LAWFUL ENGAGEMENTS SECURING INDEBTEDNESS, OR APPROVE ENCUMBRANCES SECURING INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL ENCUMBRANCES SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - EXCHANGE, ABANDON OR DISPOSE OF FIXED ASSETS OF ANY SYSTEM ENTITY BY MEANS OF SALE, LEASE OR TRANSFER, AND APPROVE ALL SUCH ACTIONS PROPOSED BY THE SYSTEM ENTITIES WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $2,000,000, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS. - AUTHORIZE THE FORMATION OR ACQUISITION OF NEW SUBSIDIARIES OF THE CORPORATION FOLLOWING CONSULTATION WITH THE MEMBER'S BOARD OF DIRECTORS. AS USED HEREIN, "INDEBTEDNESS" OF A PERSON SHALL MEAN: (A) OBLIGATIONS OF SUCH PERSON RELATING TO INDEBTEDNESS FOR BORROWED MONEY; (B) OBLIGATIONS OF SUCH PERSON EVIDENCED BY BONDS, NOTES, DEBENTURES OR SIMILAR INSTRUMENTS; AND (C) OBLIGATIONS IN THE NATURE OF GUARANTEES BY, OR JOINT AND SEVERAL LIABILITY OF, SUCH PERSON WITH RESPECT TO THE OBLIGATIONS OF ANY OTHER PERSON OF THE TYPE DESCRIBED IN CLAUSES (A) AND (B) ABOVE. RESPONSIBILITIES AND RESERVED POWERS OF THE MEMBER (HENRY FORD ALLEGIANCE HEALTH GROUP): IN ADDITION TO DOING ALL THINGS RESERVED TO THE MEMBER BY LAW AND WHICH ARE CONSISTENT WITH HF HEALTH'S RESERVED POWERS, THE MEMBER OF THE CORPORATION SHALL TAKE THE FOLLOWING ACTIONS WITH RESPECT TO THIS CORPORATION ("MEMBER'S RESERVED POWERS"): - ADOPT THE VISION, MISSION AND VALUES; AND - RATIFY OR REJECT OPERATING AND CAPITAL BUDGETS RECOMMENDED BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") AND THE TAX DEPARTMENT OF HF HEALTH PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - 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 12C	THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HF HEALTH HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HF HEALTH CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HF HEALTH HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING.
FORM 990, PART VI, SECTION C, LINE 19	IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH.
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADJUSTMENT 12,161,331.
FORM 990, PART XII, LINE 2C	HENRY FORD HEALTH JACKSON HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). THE GOVERNING BODY OF HENRY FORD HEALTH HAS DELEGATED THE OVERSIGHT OF ITS FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE.
FORM 990, PART VII:	AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HENRY FORD HEALTH AND AFFILIATES PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH AND AFFILIATES USE ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITALS OR AFFILIATES ARE REPORTED AT BETWEEN 1 TO 5 HOURS PER WEEK.
FORM 990 DIVERSITY, EQUITY AND INCLUSION:	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/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
PHYSICIANS CHOICE NETWORK LLC
205 N EAST AVENUE	JACKSON	MI	49201	PROVIDER NETWORK	MI	$0	$0	HENRY FORD ALLEGIANCE HEALTH
JACKSON HEALTH NETWORK L3C
205 N EAST AVENUE	JACKSON	MI	49201	CLINICALLY INTEGRATED NETWORK	MI	$3,399,339	$4,440,046	HENRY FORD ALLEGIANCE HEALTH	453253643
IT'S YOUR LIFE SERVICES LLC
205 N EAST AVENUE	JACKSON	MI	49201	PREVENTION AND COMMUNITY HEALTH	MI	$0	$0	HENRY FORD ALLEGIANCE HEALTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
HENRY FORD ALLEGIANCE HEALTH GROUP
205 N EAST AVENUE	JACKSON	MI	49201	382756428	EXEMPT ORGANIZATION	MI	501(C)(3)	LINE 12B, II	HENRY FORD HEALTH SYSTEM	Yes (1)
ALLEGIANCE HEALTH FOUNDATION
205 N EAST AVENUE	JACKSON	MI	49201	383607833	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12B, II	HENRY FORD ALLEGIANCE HEALTH GROUP	Yes (1)
HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE
205 N EAST AVENUE	JACKSON	MI	49201	382336367	HOSPICE CARE	MI	501(C)(3)	LINE 7	HEATHLINK	Yes (1)
HEALTHLINK
205 N EAST AVENUE	JACKSON	MI	49201	382756425	HOME HEALTH CARE	MI	501(C)(3)	LINE 12A, I	HENRY FORD ALLEGIANCE HEALTH GROUP	Yes (1)
CARELINK OF JACKSON
110 NORTH ELM AVENUE	JACKSON	MI	49202	381218485	LONG TERM ACUTE CARE HOSPITAL	MI	501(C)(3)	LINE 3	HENRY FORD ALLEGIANCE HEALTH GROUP	Yes (1)
HENRY FORD HEALTH SYSTEM
ONE FORD PLACE	DETROIT	MI	48202	381357020	HEALTHCARE SERVICE PROVIDER	MI	501(C)(3)	LINE 3		0	N/A
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE	WYANDOTTE	MI	48192	382791823	HEALTHCARE SERVICE PROVIDER	MI	501(C)(3)	LINE 3	HENRY FORD HEALTH SYSTEM	Yes (1)
HENRY FORD HEALTH SYSTEM FOUNDATION
ONE FORD PLACE	DETROIT	MI	48202	237383042	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12A, I	HENRY FORD HEALTH SYSTEM	Yes (1)
HEALTH ALLIANCE PLAN
2850 W GRAND BLVD	DETROIT	MI	48202	382242827	HEALTH MAINTENANCE ORGANIZATION	MI	501(C)(4)	N/A	HENRY FORD HEALTH SYSTEM	Yes (1)
HFII CORPORATION
ONE FORD PLACE	DETROIT	MI	48202	900840304	SCIENTIFIC RESEARCH	MI	501(C)(3)	LINE 7	HENRY FORD HEALTH SYSTEM	Yes (1)
HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES
ONE FORD PLACE	DETROIT	MI	48202	464064067	ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES	ME	501(C)(4)	N/A	HENRY FORD HEALTH SYSTEM	Yes (1)
HENRY FORD MACOMB HOSPITAL CORPORATION
ONE FORD PLACE	DETROIT	MI	48202	382947657	HEALTHCARE SERVICE PROVIDER	DE	501(C)(3)	LINE 3	HENRY FORD HEALTH SYSTEM	Yes (1)
THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND
3031 WEST GRAND BOULEVARD NO 800	DETROIT	MI	48202	382682321	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12B, II	HENRY FORD HEALTH SYSTEM	Yes (1)
HENRY FORD PHYSICIAN PARTNERS
ONE FORD PLACE	DETROIT	MI	48202	871633901	PHYSICIAN SERVICES	MI	501(C)(3)		HENRY FORD HEALTH SYSTEM	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FOOTE HEALTH CENTER ASSOCIATES
1100 E MICHIGAN AVENUE	JACKSON	MI	49201	383017711	LESSOR OF MEDICAL CONDOMINIUMS	MI	HENRY FORD ALLEGIANCE HEALTH	RELATED	$838,170	$917,736	0	0	0.86370
NORTHWEST DETROIT DIALYSIS
30100 TELEGRAPH	BINGHAM FARMS	MI	48025	383232668	OPERATE DIALYSIS CLINIC	MI	HENRY FORD HEALTH SYSTEM	RELATED			0	0
MACOMB REGIONAL DIALYSIS CENTERS
16151 NINETEEN MILE RD	CLINTON TOWNSHIP	MI	48038	260423581	OPERATE DIALYSIS CLINIC	MI	HENRY FORD HEALTH SYSTEM	RELATED			0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HENRY FORD ALLEGIANCE PHARMACY
205 N EAST AVENUE	JACKSON	MI	49201	383370242	PHARMACY	MI	HENRY FORD ALLEGIANCE HEALTH GROUP	C	Yes (1)
SHA REALTY INC
ONE FORD PLACE	DETROIT	MI	48202	381378121	REAL ESTATE HOLDING	MI	HENRY FORD HEALTH SYSTEM FOUNDATION	C	Yes (1)
FAIRLANE HEALTH SERVICES
30100 TELEGRAPH	BINGHAM FARMS	MI	48025	382565235	HEALTHCARE MANAGEMENT	MI	HENRY FORD HEALTH SYSTEM	C	Yes (1)
ALLIANCE HEALTH AND LIFE INSURNACE
2850 W GRAND BLVD	DETROIT	MI	48202	383291563	HEALTH INSURANCE PROVIDER	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
HAP PREFERRED INC
2850 W GRAND BLVD	DETROIT	MI	48202	382513504	PROVIDER NETWORK LEASING	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
ONIKA INSURANCE LTD
					CAPTIVE INSURANCE		HENRY FORD HEALTH SYSTEM	C	Yes (1)	FIRST CARRIBEAN HOUSE	GRAND CAYMAN	CJ	CJ
HENRY FORD PHYSICIAN NETWORK
ONE FORD PLACE	DETROIT	MI	48202	320306774	PHYSICIAN NETWORK	MI	HENRY FORD HEALTH SYSTEM	C	Yes (1)
ADMINSTRATION SYSTEMS RESEARCH CORPORATION
2850 W GRAND BLVD	DETROIT	MI	48202	382651185	THIRD PARTY INSURANCE ADMIN.	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
HAP EMPOWERED HEALTH PLAN INC
2850 W GRAND BLVD	DETROIT	MI	48202	383123777	HEALTH INSURANCE PROVIDER	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION
1150 ELIJAH MCCOY DR	DETROIT	MI	48202	852144748	CONDOMINIUM ASSOCIATION	MI	HENRY FORD HEALTH SYSTEM	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALLIANCE HEALTH AND LIFE INSURANCE CO
M	$3,067,255	COST
HENRY FORD ALLEGIANCE PHARMACY
Q	$482,091	COST
JACKSON HEALTH NETWORK L3C
Q	$16,840,935	COST
COMMUNITY HEALTH TECH NETWORK
Q	$1,314,295	COST
ONIKA INSURANCE LTD
P	$2,579,011	COST
ONIKA INSURANCE LTD
Q	$145,667	COST
FOOTE HEALTH CENTER ASSOCIATES
M	$68,153	COST
HEALTH ALLIANCE PLAN
L	$5,990,648	COST
FOOTE HEALTH CENTER ASSOCIATES
K	$836,727	COST
HENRY FORD ALLEGIANCE HEALTH FOUNDATION
S	$166,856	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 1D & 1E:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016 AND 2019 HFHS BOND MASTER INDENTURES.	ExplanationTxt