2022-11-11T10:59:43-06:00 2021-12-31 990 2021-01-01 382947657 HENRY FORD MACOMB HOSPITAL CORPORATION HENR 3138768704 ONE FORD PLACE - 5F DETROIT MI 48202 ROBIN DAMSCHRODER EVP FINANCE/CFO 3138745446 2022-11-11 ROBIN DAMSCHRODER 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z HENRY FORD HEALTH MACOMB HOSPITAL HENRY FORD HEALTH MACOMB HOSPITAL ROBIN DAMSCHRODER ONE FORD PLACE - 5F DETROIT MI 48202 654127416 0 X WWW.HENRYFORD.COM/HOMEPAGE_MACOMB X 1990 DE WE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: WE WILL BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE-ONE PERSON AT A TIME. 17 15 4156 152 0 0 41867309 5708909 553047047 630225437 9479437 15568187 2111591 2062790 606505384 653565323 45133 96436 0 0 244348112 259574912 0 0 184907 324710277 359456242 569103522 619127590 37401862 34437733 541025510 546856756 351702397 319830439 189323113 227026317 X HENRY FORD HEALTH MACOMB HOSPITAL (HFMH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") SERVING THE NORTHEASTERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFMH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFMH IS COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES FINANCING AND HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION. 0 0 435861013 96436 314325788 HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TOWNSHIP (HFMH) IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF MACOMB COUNTY MICHIGAN AS WELL AS OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 2021, HFMH HAD 21,725 DISCHARGES.HFMH PROVIDES COMPREHENSIVE ACUTE AND TERTIARY CARE. SPECIALTY SERVICES INCLUDE A HEART & VASCULAR INSTITUTE, HENRY FORD CANCER INSTITUTE, A WOMEN'S HEALTH CENTER, ALONG WITH A BIRTHING CENTER THAT FEATURES 19 LABOR, DELIVERY, RECOVERY AND POST-PARTUM SUITES. THE HOSPITAL ALSO HAS A 37-BED INPATIENT REHABILITATION PROGRAM, AN AMBULATORY AND MINIMALLY INVASIVE SURGERY CENTER AND LEADING DIAGNOSTIC IMAGING, ALONG WITH ADVANCED TRAUMA CAPABILITIES AND EMERGENCY SERVICES.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.MEDICAL EDUCATION:HENRY FORD HEALTH HOSPITAL DOCTORS TRAIN APPROXIMATELY 900 MEDICAL SCHOOL STUDENTS, 675 RESIDENTS AND FELLOWS ACROSS 50 DIFFERENT AREAS OF MEDICINE EVERY YEAR. HENRY FORD HEALTH HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS.HENRY FORD HEALTH MACOMB HOSPITALS HAVE AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOUTH-YEAR MEDICAL STUDENTS. 74577685 173580570 HFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED 885,082 TOTAL OUTPATIENT FACILITY VISITS DURING 2021. 44604767 60897627 HFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 56,252 PATIENT VISITS DURING 2021. 46860883 82441163 OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES. 46860883 82441163 601904348 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 1 0 1 353 0 1 4156 1 0 0 0 0 0 0 0 0 0 0 X 17 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBIN DAMSCHRODER 3138768714 ONE FORD PLACE DETROIT MI 48202 WRIGHT L LASSITER III DIRECTOR-PRESIDENT 2.00 63.00 X X 0 4247701 57276 DAVID J BREEN DIRECTOR-CHAIR 2.00 4.00 X X 0 0 0 KATHLEEN L YAREMCHUK MD DIRECTOR/PHYSICIAN 1.00 61.00 X 0 947417 48968 LYNN FORD ALANDT DIRECTOR 1.00 3.00 X 0 0 0 BARRY G PORTER DIRECTOR 1.00 2.00 X 0 0 0 STEPHANIE W BERGERON DIRECTOR 1.00 3.00 X 0 0 0 SHARI L BURGESS DIRECTOR 1.00 4.00 X 0 0 0 DAVID M HEMPSTEAD DIRECTOR 1.00 3.00 X 0 0 0 JOHN F HARRIS DIRECTOR 1.00 2.00 X 0 0 0 CHARLES G MCCLURE JR DIRECTOR 1.00 3.00 X 0 0 0 LAWRENCE H SCHULTZ DIRECTOR 1.00 2.00 X 0 0 0 PATRICIA A MARYLAND DRPH DIRECTOR 1.00 2.00 X 0 0 0 FREDERIEK TONEY DIRECTOR 1.00 2.00 X 0 0 0 ANDREA L ZOPPJD DIRECTOR 1.00 2.00 X 0 0 0 JOSEPH J RICHARDSON JR DIRECTOR 1.00 3.00 X 0 0 0 EDGAR L VANN II DIRECTOR 1.00 3.00 X 0 0 0 MICHAEL S RAFFERTY DIRECTOR 1.00 2.00 X 0 0 0 ROBIN S DAMSCHRODER TREASURER 2.00 63.00 X 0 1540448 294992 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 2.00 63.00 X 0 1865610 53218 MARJORIE A STATEN JD ASSISTANT SECRETARY 2.00 58.00 X 0 207169 13637 BARBARA W ROSSMANN CEO MACOMB HOSPITAL 60.00 1.00 X 1086875 0 52652 DENISE BROOKS-WILLIAMS CEO NORTH MARKET 30.00 31.00 X 0 1136601 41023 TERRY A GOODBALIAN CFO NORTH MARKET 60.00 0.00 X 0 387793 55828 CHRISTOPHER MILBACK MD CMO 60.00 0.00 X 536712 0 38744 MICHAEL MARKEL VP- OPERATIONS/CNO 60.00 0.00 X 389094 0 48521 KENNETH A SCOTT DO PHYSICIAN 60.00 0.00 X 1196235 0 53355 MARK T RYAN DO PHYSICIAN 60.00 0.00 X 946742 0 35886 RONALD LEVIN MD PHYSICIAN 60.00 0.00 X 786546 0 43972 EDDIE EL-YUSSIF DO PHYSICIAN 60.00 0.00 X 951087 0 55817 RAED M ALNAJJAR MD PHYSICIAN 60.00 0.00 X 1552313 0 56774 WILLIAM A CONWAY MD FORMER DIRECTOR/PHYSICIAN 0.00 60.00 X 0 160537 34939 7445604 10493276 985602 287 1 1 0 BARTON MALOW DIXON JV 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION 21577889 ALLIANCE HEALTH PROFESSIONALS PLLC 133 S MAIN ST SUITE D MT CLEMENS MI 48043 PHYSICIAN SERVICES 19529951 ALLIANCE MANAGEMENT PARTNERS LLC 133 S MAIN ST SUITE D MT CLEMENS MI 48043 MANAGEMENT SERVICES 12910855 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 TEMP NURSING SERVICES 2864004 RONCELLI INC 6471 METRO PARKWAY STERLING HEIGHTS MI 48312 CONSTRUCTION 1989973 66 131303 4241312 1336294 5708909 HOSPITAL SERVICES 900099 314325788 314325788 OUTPATIENT SERVICES 621400 173580570 173580570 EMERGENCY SERVICES 900099 60897627 60897627 MEDICAL EDUCATION-GME 900099 7930105 7930105 73491347 73491347 630225437 15922658 15922658 698662 0 698662 698662 698662 151916 506387 -354471 -354471 -354471 16667 131303 53206 -36539 -36539 28985 2500 26485 26485 CAFETERIA 900009 914516 914516 GIFT SHOP 453220 255811 255811 203855 203855 1374182 653565323 631245148 0 16611266 96436 96436 2158604 1116447 934227 107930 213320903 206943405 6377498 5336770 5153008 181089 2673 24859145 24003164 843529 12452 13899490 13413538 478883 7069 263912 256043 7869 60473912 58456222 2016443 1247 184869 23147 161722 10196646 9497471 699175 558327 557277 1050 4525628 4143739 381889 88105 84274 3831 620768 610976 9792 5735656 5735656 20999956 19808086 1191349 521 6304542 6304542 MEDICAL SUPPLIES 126311406 126311406 CORPORATE ALLOCATION 65188334 65188334 UNCOMPENSATED SERVICES 13024087 13024087 QAAP TAX 12059330 12059330 32920764 29117760 3749989 53015 619127590 601904348 17038335 184907 6020 5720 195643608 36047990 229658 1011336 39849501 59364843 13983237 14801717 2698136 2319273 424872489 220865264 188074232 204007225 75644038 201890302 136827 -22930 3 24760250 27431280 541025510 546856756 130661313 110166104 130970783 127856287 90070301 81808048 351702397 319830439 X 182416835 218839947 6906278 8186370 189323113 227026317 541025510 546856756 X 34437733 3265471 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6906279 1457542 -2640 174811 8186370 7259366 523910 8829 885826 6906279 5616528 2160100 49690 566952 7259366 10403458 1427858 41385 6256173 5616528 9443231 1250290 47392 337455 10403458 0.28870 0.71130 0 0 11743199 11743199 252119454 120932290 131187164 1641081 815595 825486 128062904 99117379 28945525 31305851 31305851 204007225 DEFERRED COMPENSATION 9414322 OTHER 1250206 RIGHT OF USE ASSET OPERATING 11814780 RIGHT OF USE ASSET FINANCE 7866828 ACCUM AMORT R OF U ASSET FINANCE -2037850 ACCUM AMORT- INTANGIBLES -877006 27431280 MALPRACTICE LIABILITY 22047352 CORPORATE RESERVE 5477312 WORKERS COMP LIABILITY 1879678 DEFERRED COMPENSATION 9551406 POST RETIREMENT BENEFITS 20201939 CURR OPERATING LEASE LIABILITY 4107632 CURR FINANCE LEASE LIABILITY 415284 LT FINANCE LEASE LIABILITY 6053256 LT OPERATING LEASE LIABILITY 7533140 OPERATING LEASE A/P PAYMENT CLEARING -434140 CURRENT PORTION LT DEBT 4936395 FINANCE LEASE A/P PMT CLEARING 38794 81808048 X PART V, LINE 4: EARNINGS FROM THE ORGANIZATION'S ENDOWMENTS FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 AND 2020. SHOWTIME 70560 67997 2563 23481 MACOMB GOLF 77410 63306 14104 29725 0 147970 131303 16667 53206 53206 -36539 28985 2500 1 1.00000 28985 2500 2500 26485 MI 1 0 1 0 1.00000 AMY STRAUSS SPECIAL EVENTS DEPT ONE FORD PLACE DETROIT MI 48202 0 0 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 7242568 7242568 0.01190 120899826 88541935 32357891 0.05340 128142394 88541935 39600459 0.06530 528035 43535 484500 0.00080 19833673 10735651 9098022 0.01500 17127159 15058322 2068837 0.00340 0.00000 393149 393149 0.00060 37882016 25837508 12044508 0.01980 166024410 114379443 51644967 0.08510 40212 40212 0.00010 57230 57230 0.00010 10734 10734 0.00000 734 734 0.00000 392 392 0.00000 109302 109302 0.00020 0 13024087 3256022 259190979 267578496 -8387517 X 1 1 2 1 HENRY FORD HEALTH MACOMB HOSPITAL - CLINTON 15855 19 MILE ROAD CLINTON TOWNSHIP MI 48038 X X X X 2 HENRY FORD HEALTH MACOMB HOSPITAL- MOUNT CLEMENS 215 NORTH AVENUE MOUNT CLEMENS MI 48043 X PSYCHIATRIC INPATIENT HENRY FORD HEALTH MACOMB HOSPITAL-CLINTO 1 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 10A BELOW X 1 19 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD HEALTH MACOMB HOSP-MOUNT CLEM 2 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 10A BELOW X 1 19 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TWP PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN MACOMB COUNTY USING FOCUS GROUPS WHICH WERE CONDUCTED MARCH AND APRIL 2019. FOCUS GROUP PARTICIPANTS INCLUDED LEADERS FROM AGENCIES SUCH AS CARE OF SOUTHEASTERN MICHIGAN, MACOMB COUNTY OFFICE OF SUBSTANCE ABUSE, MACOMB COUNTY HEALTH DEPARTMENT, EASTERSEALS MICHIGAN 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 SURVEY PARTICIPANTS IN WAYNE, OAKLAND, AND JACKSON 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 MACOMB HOSP-MOUNT CLEMENS PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN MACOMB COUNTY USING FOCUS GROUPS WHICH WERE CONDUCTED MARCH AND APRIL 2019. FOCUS GROUP PARTICIPANTS INCLUDED LEADERS FROM AGENCIES SUCH AS CARE OF SOUTHEASTERN MICHIGAN, MACOMB COUNTY OFFICE OF SUBSTANCE ABUSE, MACOMB COUNTY HEALTH DEPARTMENT, EASTERSEALS MICHIGAN 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 SURVEY PARTICIPANTS IN WAYNE, OAKLAND, AND JACKSON 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 MACOMB HOSPITAL-CLINTON TWP PART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH WYANDOTTE HOSPITALHENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH JACKSON HOSPITALHENRY FORD HEALTH ALLEGIANCE SPECIALTY HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTER HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TWP PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN 2019 IN PARTNERSHIP WITH THE MACOMB COUNTY HEALTH DEPARTMENT AND THEIR COMMUNITY HEALTH IMPROVEMENT PLAN WORKGROUPS. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH MACOMB HOSPITAL(HFMH) WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING IMPORTANCE GIVEN TO HEALTH ISSUES BY FOCUS GROUP AND SURVEY PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HF HEALTH AND COMMUNITY LEADERS. HENRY FORD HEALTH MACOMB'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 HEART DISEASE. HENRY FORD HEALTH MACOMB WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH MACOMB ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY FOCUS ON 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 BY EXISTING PROGRAMS AND INITIATIVES OF HFMH OR A PARTNER ORGANIZATION, HFMH 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 MACOMB HOSP-MOUNT CLEMENS PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN 2019 IN PARTNERSHIP WITH THE MACOMB COUNTY HEALTH DEPARTMENT AND THEIR COMMUNITY HEALTH IMPROVEMENT PLAN WORKGROUPS. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH MACOMB HOSPITAL (HFMH) WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING IMPORTANCE GIVEN TO HEALTH ISSUES BY FOCUS GROUP AND SURVEY PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HF HEALTH AND COMMUNITY LEADERS. HENRY FORD HEALTH MACOMB'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 HEART DISEASE. HENRY FORD HEALTH MACOMB WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH MACOMB ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY FOCUS ON 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 BY EXISTING PROGRAMS AND INITIATIVES OF HFMH OR A PARTNER ORGANIZATION, HFMH 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 MACOMB HOSPITAL-CLINTON TWP PART V, SECTION B, LINE 13B: HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TOWNSHIP 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, SECTION B, LINE 22A:HENRY FORD MACOMB HEALTH HOSPITAL-CLINTON TOWNSHIP 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 MACOMB HOSP-MOUNT CLEMENS PART V, SECTION B, LINE 13B: HENRY FORD HEALTH MACOMB HOSPITAL-MOUNT CLEMENS 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, SECTION B, LINE 22A:HENRY FORD HEALTH MACOMB HOSPITAL-MOUNT CLEMENS 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 18 1 - HF MACOMB HEALTH CENTER-BRUCE TWP 80650 VAN DYKE BRUCE TOWNSHIP MI 48065 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 2 - HF MACOMB HLTH CENTER-CHESTERFIELD 30795 23 MILE ROAD CHESTERFIELD TOWNSHI MI 48047 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 3 - HF MACOMB HOSPITAL MEDICAL PAVILION 16151 19 MILE ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 4 - HF MACOMB HEALTH CENTER-FRASER 15717 15 MILE ROAD FRASER MI 48035 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 5 - HF MACOMB HEALTH CENTER-RICHMOND 67267 MAIN STREET RICHMOND MI 48062 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 6 - HF MACOMB SLEEP MEDICINE CENTER 43650 GARFIELD ROAD UNIT 103 CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 7 - HF MACOMB HEALTH CENTER-WASH TWP 12150 30 MILE ROAD WASHINGTON TOWNSHIP MI 48095 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 8 - HF MACOMB MEDICAL CENTER 15520 19 MILE ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 9 - HF MACOMB-CHESTERFIELD OBGYN 30795 23 MILE ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 10 - HF MACOMB MEDICAL CENTER 15400 19 MILE ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 11 - HF MACOMB-SHELBY FAMILY MED 51221 SCHOENHERR SUITE 201 SHELBY TOWNSHIP MI 48315 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 12 - HF MACOMB-SHELBY FAMILY MED 49310 VAN DYKE SHELBY TOWNSHIP MI 48317 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 13 - HF MACOMB CENTER-CLINTON TWP 43411 GARFIELD ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 14 - HENRY FORD FAMILY MEDICINE-HALL ROAD 21250 HALL ROAD- SUITE 200 CLINTON TOWNSHIP MI 48039 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 15 - HFMH-PC CENTER FOR WOMENS HEALTH 17941 HALL ROAD MACOMB MI 48044 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 16 - HENRY FORD REHABILITATION-CLINTON TWP 16301 NINETEEN MILE ROAD CLINTON TOWNSHIP MI 48308 REHABILITATION SERVIES 17 - HENRY FORD REHABILITATION-WARREN 13251 E TEN MILE ROAD STE 400 WARREN MI 48089 REHABILITATION SERVIES 18 - HENRY FORD REHAB & SPORTS MED-FRASER 15595 15 MILE ROAD CLINTON TOWNSHIP MI 48035 REHABILITATION SERVIES 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 $12,962,635 PART II, COMMUNITY BUILDING ACTIVITIES: HFMH 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, HFMH 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. HFMH 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 BASE UPON GROSS CHARGES. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (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 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. 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. 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 CHARITY CARE 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 BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES" PART VI, LINE 2: HENRY FORD HEALTH (HF HEALTH) CONSIDERS THE ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AS AN ESSENTIAL FUNCTION. HENRY FORD HEALTH MACOMB 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 SHOULD BE 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: HFMH 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. HFMH FOLLOWS THE HF HEALTH PATIENT FINANCIAL ASSISTANCE POLICY. HF HEALTH HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN OUR EMERGENCY ROOM FOR SERVICES, ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF IS TRAINED WITH REGARD TO 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 HFMH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFMH 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 MACOMB HOSPITALS (HFMH) ARE PART OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"), ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS ACTIVITIES OF THE CLINTON TOWNSHIP CAMPUS OF HFMH, WHICH INCLUDES 451 INPATIENT BEDS WITH AN OPEN MEDICAL STAFF, A BEHAVIORAL HEALTH FACILITY, AS WELL AS SEVERAL OUTPATIENT LOCATIONS SERVING THE MACOMB COUNTY AREA OF MICHIGAN. HFMH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, OBSTETRICS, PEDIATRICS, CARDIAC CARE, PHYSICAL AND REHABILITATION MEDICINE, AMBULATORY SURGERY, INPATIENT AND OUTPATIENT BEHAVIORAL SERVICES, 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. 0 LEADERSHIP MACOMB INC 14460 LAKESIDE CIRCLE STE 220 STERLING HEIGHTS MI 48313 383551700 501(C)(3) 10000 0 ORGANIZATIONAL SUPPORT MACOMB COUNTY CHAMBER OF COMMERCE 28 FIRST STREET SUITE B MOUNT CLEMENS MI 48043 380855880 501(C)(6) 7755 0 ORGANIZATIONAL SUPPORT CHALDEAN AMERICAN CHAMBER OF COMMERCE 30095 NORTHWESTERN HWY NO 101 FARMINGTON HILLS MI 48334 161657532 501(C)(6) 5333 0 ORGANIZATIONAL SUPPORT FAMILIES AGAINST NARCOTICS 18900 15 MILE ROAD CLINTON TOWNSHIP MI 48035 262302028 501(C)(3) 11900 0 ORGANIZATIONAL SUPPORT STERLING HEIGHTS REGIONAL CHAMBER OF COMMERCE & INDUSTRY 12900 HALL ROAD SUITE 100 STERLING HEIGHTS MI 48313 381987626 501(C)(6) 6500 0 ORGANIZATIONAL SUPPORT 2 3 X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 WRIGHT L LASSITER III DIRECTOR-PRESIDENT 0 1941833 0 1583203 0 722665 0 24749 0 32527 0 4304977 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 0 852795 0 366719 0 646096 0 24024 0 29194 0 1918828 0 466295 ROBIN S DAMSCHRODER TREASURER 0 998152 0 521554 0 20742 0 262941 0 32051 0 1835440 0 0 RAED M ALNAJJAR MD PHYSICIAN 772021 0 643680 0 136612 0 24024 0 32750 0 1609087 0 0 0 KENNETH A SCOTT DO PHYSICIAN 924335 0 185921 0 85979 0 26199 0 27156 0 1249590 0 0 0 DENISE BROOKS-WILLIAMS CEO NORTH MARKET 0 691863 0 299310 0 145428 0 24749 0 16274 0 1177624 0 0 BARBARA W ROSSMANN CEO MACOMB HOSPITAL 572870 0 393157 0 120848 0 27649 0 25003 0 1139527 0 0 0 EDDIE EL-YUSSIF DO PHYSICIAN 869398 0 0 0 81689 0 24749 0 31068 0 1006904 0 0 0 KATHLEEN L YAREMCHUK MD DIRECTOR/PHYSICIAN 0 803299 0 122099 0 22019 0 27649 0 21319 0 996385 0 0 MARK T RYAN DO PHYSICIAN 906233 0 0 0 40509 0 24749 0 11137 0 982628 0 0 0 RONALD LEVIN MD PHYSICIAN 563576 0 80033 0 142937 0 27649 0 16323 0 830518 0 0 0 CHRISTOPHER MILBACK MD CMO 393602 0 126990 0 16120 0 4350 0 34394 0 575456 0 0 0 TERRY A GOODBALIAN CFO NORTH MARKET 0 296546 0 79749 0 11498 0 27649 0 28179 0 443621 0 0 MICHAEL MARKEL VP- OPERATIONS/CNO 276342 0 93230 0 19522 0 26199 0 22322 0 437615 0 0 0 MARJORIE A STATEN JD ASSISTANT SECRETARY 0 170963 0 34667 0 1539 0 3045 0 10592 0 220806 0 0 WILLIAM A CONWAY MD FORMER DIRECTOR/PHYSICIAN 0 160537 0 0 0 0 0 13911 0 21028 0 195476 0 0 PART I, LINE 1A IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY NO TAXABLE INCOME IS REPORTED. NO QUALIFYING INDIVIDUALS RECEIVED PAID OR REIMBURSED FIRST CLASS TRAVEL DURING 2021. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP ALSO HAVE THE OPTION TO PARTICIPATE IN NON-QUALIFIED 457 BENEFIT PROGRAMS WHICH RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. PART I, LINE 4B SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE REPORTABLE VALUE OF 2021 ACCRUAL NON-VESTED 2021 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT BARBARA W. ROSSMANN 117,691 - - 117,691 MICHELLE JOHNSON TIDJANI 624,886 - - 624,886 WRIGHT L. LASSITER III 698,263 - - 698,263 DENISE BROOKS-WILLIAMS 125,906 - - 125,906 ROBIN DAMSCHRODER - 238,192 - - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2021 CONTRIBUTIONS 2021 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA W. ROSSMANN 3,157 - - 3,157 RONALD LEVIN, M.D. 3,192 16,308 392 19,892 MARK RYAN, M.D. - 19,500 469 19,969 KENNETH A. SCOTT - 19,500 469 19,969 TERRY A. GOODBALIAN - 1,595 38 1,633 EDDIE EL-YUSSIF - 19,500 469 19,969 WRIGHT L. LASSITER III 19,500 - - 19,500 ROBIN S. DAMSCHRODER 19,500 - - 19,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 MICHELLE JOHNSON TIDJANI 19,500 - - 19,500 KATHLEEN YAREMCHUK, M.D. - 19,500 469 19,969 CHRISTOPHER MILBACK, M.D. 8,700 3,750 90 12,540 RAED ALAJJAR, M.D. - 11,190 269 11,459 MARTIN E BEAULAC SEE BELOW 222053 SEE BELOW 0 KIRCO SEE BELOW 3268675 SEE BELOW 0 JONATHAN E BEAULAC SEE BELOW 286735 SEE BELOW 0 SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: MARTIN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: JONATHAN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: KIRCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $ 3,268,675(D) DESCRIPTION OF TRANSACTION: CONSTRUCTION SERVICES PAID BY THE ORGANIZATION(A) NAME OF PERSON: ACADEMIC INTERNAL MEDICINE SPECIALISTS PLLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 369,499(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: AECOM(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,288,228(D) DESCRIPTION OF TRANSACTION: PROVIDED ENGINEERING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: ALLIANCE HEALTH PROFESSIONALS, PLLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 19,529,954(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: BARTON MALOW,(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 21,593,189(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: PINNACLE CONTRACTING LLC,(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 814,658(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR TO DIRECTOR BUSINESS RELATIONSHIP: MICHAEL RAFFERY AND SANDRA PIERCE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A TAX EXEMPT STOCK CORPORATION AND HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH HOLDS ALL OF THE ISSUED AND OUTSTANDING SHARES OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE STOCK HOLDER OF THE ORGANIZATION, HF HEALTH HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS. FORM 990, PART VI, SECTION A, LINE 7B BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) AND THE TAX DEPARTMENT OF HF HEALTH PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HF HEALTH AND ORGANIZATION'S SENIOR VICE PRESIDENT 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 - PROVIDE A COPY OF THE RETURN TO THE ORGANIZATION'S BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HF HEALTH HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HF HEALTH CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HF HEALTH HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH 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. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISION THAT IS NOT A SEPARATE LEGAL ENTITY BUT HAS THEIR OWN UNIQUE ASSIGNED EIN. FINANCIAL INFORMATION RELATING TO THIS DIVISION IS INCLUDED IN THIS RETURN. -HENRY FORD MACOMB ANCILLARY SERVICES (47-3293378) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT 3,265,471. FORM 990 - PART XII - LINE 2C: HENRY FORD HEALTH MACOMB HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH. THE GOVERNING BODY OF HF HEALTH HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (PARENT OF OUR CONTROLLED GROUP). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HF HEALTH PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED. FORM 990, 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 MERCY MOUNT CLEMENS REAL ESTATE LLC ONE FORD PLACE DETROIT MI 48202 382947657 REAL ESTATE MI 0 0 N/A HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 N/A 0 HENRY FORD WYANDOTTE HOSPITAL 2333 BIDDLE AVE WYANDOTTE MI 48192 382791823 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 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 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 1 HFII CORPORATION ONE FORD PLACE DETROIT MI 48202 900840304 SCIENTIFIC RESEARCH MI 501(C)(3) LINE 7 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES ONE FORD PLACE DETROIT MI 48202 464064067 ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 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 1 ALLEGIANCE HEALTH FOUNDATION 205 N EAST AVENUE JACKSON MI 49201 383607833 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I HENRY FORD ALLEGIANCE HEALTH GROUP 1 HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE 205 N EAST AVENUE JACKSON MI 49201 382336367 HOSPICE CARE MI 501(C)(3) LINE 7 HEALTHLINK 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 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 1 WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL 205 N EAST AVENUE JACKSON MI 49201 382027689 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 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 1 HENRY FORD PHYSICIAN PARTNERS ONE FORD PLACE DETROIT MI 48202 871633901 PHYSICIAN SERVICES MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 NORTHWEST DETROIT DIALYSIS 30100 TELEGRAPH BINGHAM FARMS MI 48025 383232668 OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM N/A 0 0 MACOMB REGIONAL DIALYSIS CENTERS 16151 NINETEEN MILE RD CLINTON TOWNSHIP MI 48038 260423581 OPERATE DIALYSIS CLINICS MI HENRY FORD HEALTH SYSTEM N/A 0 0 FOOTE HEALTH CENTER ASSOCIATES 1100 E MICHIGAN AVENUE JACKSON MI 49201 383017711 LESSOR OF MEDICAL CONDOMINIUM MI HENRY FORD ALLEGIANCE HEALTH GROUP RELATED 0 0 HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION 1150 ELIJAH MCCOY DR DETROIT MI 48202 852144748 CONDOMINIUM ASSOCIATION MI HENRY FORD HEALTH SYSTEM C 1 FAIRLANE HEALTH SERVICES 30100 TELEGRAPH BINGHAM FARMS MI 48025 382565235 HEALTHCARE MANAGEMENT MI HENRY FORD HEALTH SYSTEM C 1 ALLIANCE HEALTH AND LIFE INSURANCE 2850 W GRAND BLVD DETROIT MI 48202 383291563 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN C 1 HAP PREFERRED INC 2850 W GRAND BLVD DETROIT MI 48202 382513504 PROVIDER NETWORK LEASING MI HEALTH ALLIANCE PLAN C 1 SHA REALTY INC ONE FORD PLACE DETROIT MI 48202 381378121 REAL ESTATE HOLDING MI HENRY FORD HEALTH SYSTEM FOUNDATION C 1 ONIKA INSURANCE LTD FIRST CARRIBEAN HOUSE GRAND CAYMAN CJ CAPTIVE INSURANCE CJ HENRY FORD HEALTH SYSTEM C 1 HENRY FORD PHYSICIAN NETWORK ONE FORD PLACE DETROIT MI 48202 320306774 PHYSICIAN NETWORK MI HENRY FORD HEALTH SYSTEM C 1 ADMINISTRATION SYSTEMS RESEARCH CORPORATION 2850 W GRAND BLVD DETROIT MI 48202 382651185 THIRD PARTY INSURANCE ADMINISTRATOR MI HEALTH ALLIANCE PLAN C 1 HAP EMPOWERED HEALTH PLAN INC 2850 W GRAND BLVD DETROIT MI 48202 383123777 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN C 1 HENRY FORD ALLEGIANCE PHARMACY 205 N EAST AVENUE JACKSON MI 49201 383370242 PHARMACY MI HENRY FORD ALLEGIANCE HEALTH GROUP C 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 HEALTH ALLIANCE PLAN L 35941077 CASH VALUE ALLIANCE HEALTH AND LIFE INSURANCE M 1884419 CASH VALUE ONIKA INSURANCE LTD P 1979932 CASH VALUE ONIKA INSURANCE LTD Q 8195900 CASH VALUE ALLIANCE HEALTH AND LIFE INSURANCE P 1884419 CASH VALUE SCHEDULE R, PART V, LINE 1D & 1E: 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.