2020-11-12T17:33:39-06:00 2019-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2019-01-01 381357020 HENRY FORD HEALTH SYSTEM HENR 3138768704 ONE FORD PLACE - 5F DETROIT MI 48202 ROBIN DAMSCHRODER EVP FINANCE/CFO 3138768714 2020-11-12 0 ALICIA JANISCH P00741382 3133963000 150.198.64.203 2020-11-12 00:18:40 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8BAE78312071C60A4F90F58CCAAEB4CAD1A9E34B 2019 2021-01-29 14:40:06Z ROBIN DAMSCHRODER ONE FORD PLACE - 5F DETROIT MI 48202 3695644864 0 X WWW.HENRYFORD.COM X 1915 MI TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. 15 12 25120 1244 15997520 0 57270516 81880767 2945329742 3091975855 -46393373 161939165 170220398 177447739 3126427283 3513243526 3264241 2978441 0 0 1717300767 1859089047 173460 121489 4987720 1321100750 1408857644 3041839218 3271046621 84588065 242196905 2369131001 3049325128 1377161698 1898110492 991969303 1151214636 X AS ONE OF THE NATION'S LEADING INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HENRY FORD HEALTH SYSTEM TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. SINCE ITS FOUNDING IN 1915, HFHS HAS BEEN 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 HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION. 0 0 1425429952 2978441 1352536907 INPATIENT HOSPITALS: HENRY FORD HEALTH SYSTEM IS HONORED TO BE THE ONLY ORGANIZATION IN MICHIGAN AND ONE OF FOUR NATIONALLY TO RECEIVE THE 2011 MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR PERFORMANCE EXCELLENCE. A KEY FACET OF OUR AWARD-WINNING OPERATIONS IS OUR COMMITMENT TO ALL COMMUNITIES WE SERVE, SUPPORTING OUR VISION OF TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. THE ORGANIZATION OPERATES HENRY FORD HOSPITAL (HFH), AN 877 BED TERTIARY, AND QUATERNARY CARE HOSPITAL, EDUCATION AND RESEARCH COMPLEX IN THE NEW CENTER AREA OF DETROIT, MICHIGAN. THE HOSPITAL IS RECOGNIZED FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF CARDIOLOGY AND CARDIOVASCULAR SURGERY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, CANCER CARE AND SPORTS MEDICINE, AMONG OTHERS. THE HOSPITAL IS A MULTI-ORGAN TRANSPLANT CENTER AND LEVEL 1 TRAUMA CENTER. THE HOSPITAL POSTED REVENUES OF MORE THAN ONE BILLION DOLLARS AND 36,000 DISCHARGES DURING 2019. 875 MEDICAL RESIDENTS AND FELLOWS ALONG WITH 1,000 MEDICAL STUDENTS PARTICIPATED IN THE ORGANIZATION'S VARIOUS EDUCATIONAL PROGRAMS. WEST BLOOMFIELD HOSPITAL, AN OPERATING UNIT OF HFHS, OFFERS COMPREHENSIVE MEDICAL CARE, INCLUDING 24-HOUR EMERGENCY CARE, NEUROSCIENCES, WOMEN'S AND CHILDREN'S HEALTH, ORTHOPEDICS, DIAGNOSTIC TESTING AND A WELLNESS CENTER WITH COMPLEMENTARY THERAPIES. A GREENHOUSE GROWS ORGANIC PRODUCE FOR PATIENTS, STAFF AND COMMUNITY. HENRY FORD WEST BLOOMFIELD EARNED THE BABY FRIENDLY HOSPITAL DESIGNATION IN 2015. BY HFWB IMPLEMENTING 10 IMPORTANT STEPS, HFWB JOINED ALMOST 300 HOSPITALS NATIONWIDE TO OFFER OPTIMAL CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. TO COMPLEMENT THE SERVICES AT ITS BREAST CENTER, HFWB WAS THE FIRST HOSPITAL IN THE SYSTEM TO ADD TOMOSYNTHESIS TECHNOLOGY FOR IMAGING OF DENSE BREASTS. THE HOSPITAL HAD REVENUES OF $334 MILLION, AND DISCHARGED 13,123 PATIENTS DURING 2019. TEACHING, RESEARCH, AND ADVANCED PATIENT CARE MAKE HFHS A PREMIER ACADEMIC MEDICAL CENTER. AFFILIATED WITH WAYNE STATE UNIVERSITY'S SCHOOL OF MEDICINE, HENRY FORD PROVIDES INNOVATIVE PHYSICIAN TRAINING PROGRAMS AND COLLABORATES ON LEADING-EDGE MEDICAL RESEARCH. HENRY FORD MEDICAL EDUCATION OVERVIEW:HENRY FORD HEALTH SYSTEM HAS ONE OF THE LARGEST MEDICAL EDUCATION ENTERPRISES IN THE UNITED STATES. THE SYSTEM SPONSORS 72 ACCREDITED GRADUATE TRAINING PROGRAMS IN MICHIGAN. THE SYSTEM'S FLAGSHIP HOSPITAL, HENRY FORD HOSPITAL IN DETROIT, IS ONE OF THE NATION'S LARGEST RESEARCH CENTERS. IN 2019, EXTERNAL GRANTS AND CONTRACTS FOR RESEARCH REACHED $94 MILLION. AS ONE OF THE LARGEST MEDICAL EDUCATION TEACHING CENTERS IN THE NATION, HENRY FORD TRAINS MORE THAN 1,000 MEDICAL STUDENTS EVERY YEAR. HENRY FORD HOSPITAL DOCTORS TRAIN MORE THAN 900 MEDICAL SCHOOL STUDENTS, 675 RESIDENTS AND FELLOWS ACROSS 50 DIFFERENT AREAS OF MEDICINE EVERY YEAR. HENRY FORD HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS. HENRY FORD ALLEGIANCE , MACOMB AND WYANDOTTE HOSPITALS TRAIN MORE THAN 100 MEDICAL STUDENTS AND 200 RESIDENTS EVERY YEAR. THESE HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS. AS TEACHING PHYSICIANS, HENRY FORD MEDICAL GROUP DOCTORS ARE ALSO FACULTY MEMBERS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE, AND MANY OTHER HENRY FORD TEACHING DOCTORS ARE FACULTY MEMBERS AT THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HENRY FORD HOSPITAL HEALTH SYSTEM'S CENTER FOR SIMULATION, EDUCATION AND RESEARCH PROVIDES MORE THAN 14,000 PARTICIPANTS A RISK-FREE ENVIRONMENT WHERE STATE-OF-THE-ART COMPUTERS AND MANNEQUINS SIMULATE HUNDREDS OF MEDICAL CONDITIONS, ALLOWING HEALTH PROFESSIONALS TO PRACTICE AND AUGMENT THEIR SKILLS. 1120334025 990399434 OUTPATIENT CLINICS: THE ORGANIZATION INCLUDES THE HENRY FORD MEDICAL GROUP (HFMG),ONE OF THE NATION'S LARGEST GROUP PRACTICES, WITH MORE THAN 1,594 PHYSICIANS AND RESEARCHERS IN 40 SPECIALTIES FROM 60 COUNTRIES WHO STAFF HENRY FORD HOSPITAL AND HENRY FORD WEST BLOOMFIELD HOSPITAL, ALONG WITH 30 HENRY FORD MEDICAL CENTERS, ENCOMPASSING MORE THAN 3 MILLION VISITS ANNUALLY. HENRY FORD'S MEDICAL CENTERS ARE LOCATED IN WAYNE, OAKLAND, AND MACOMB COUNTIES. SOME MEDICAL GROUP PHYSICIANS ALSO ARE ON STAFF AT OTHER HENRY FORD HOSPITALS. THREE MEDICAL CENTERS PROVIDE 24-HOUR EMERGENCY CARE AND AMBULATORY SURGERY AND ARE PRIMARY CARE STROKE CENTERS. FOUNDED IN 1915 AFTER CONSULTATIONS WITH PHYSICIANS AT JOHNS HOPKINS HOSPITAL AND THE MAYO CLINIC, THE HENRY FORD MEDICAL GROUP HAS ESTABLISHED ITSELF AS ONE OF THE PREMIER GROUP PRACTICES IN THE NATION. OUR LARGE ACADEMIC ENTERPRISE PLACES US IN THE TOP THREE OF TRADITIONALLY INDEPENDENT GROUP PRACTICES THROUGH:CLINICAL CARE: THE BREADTH AND DEPTH OF THE HENRY FORD MEDICAL GROUP'S CLINICAL SERVICES IS UNPARALLELED BY ANY OTHER INDEPENDENT ACADEMIC MEDICAL CENTER. OUR SCALE AND SCOPE ARE IN THE 99TH PERCENTILE OF ALL GROUP PRACTICES, WITH VISIT VOLUMES LARGER THAN MOST GROUP PRACTICES. WE ARE NATIONAL LEADERS IN PRIMARY CARE WITH EXPERTISE IN PREVENTIVE CARE SERVICES AND THE HEALTH MANAGEMENT OF SENIOR CITIZENS. OUR SPECIALTY CENTERS OF EXCELLENCE ARE NATIONAL LEADERS AS WELL, PROVIDING ADVANCED TERTIARY AND QUATERNARY CARE WITH A FOCUS ON DISCOVERY AND INNOVATION.EDUCATION: OUR POST-GRADUATE MEDICAL EDUCATION ENTERPRISE IS AMONG THE LARGEST IN THE COUNTRY. APPROXIMATELY 40 PERCENT OF ALL PHYSICIANS IN MICHIGAN FORMALLY TRAINED AT HENRY FORD DURING SOME POINT IN THEIR CAREER.RESEARCH: HENRY FORD IS IN THE TOP 10% OF ALL INSTITUTIONS GRANTED FUNDING BY THE NIH AND U.S. PUBLIC HEALTH SERVICE, AND RANKS FIRST IN MICHIGAN FOR NIH-RESEARCH FUNDING FOR NON-UNIVERSITY BASED HEALTH CARE SYSTEMS.LEADERS IN ACADEMIC MEDICINE AND CLINICAL CARE: THE HENRY FORD MEDICAL GROUP IS CONSIDERED AMONG THE BEST ORGANIZED IN THE COUNTRY. OUR SELF-GOVERNED, EMPLOYED PHYSICIAN PRACTICE PROGRAM HAS BECOME A MODEL FOR MANY OTHERS BECAUSE OF OUR CONTINUING SUCCESS. THE BRIGHTEST MINDS IN MEDICINE ARE ATTRACTED TO BECOME PART OF THE HENRY FORD MEDICAL GROUP BECAUSE OUR ORGANIZATION PROVIDES PHYSICIANS THE INDEPENDENCE TO PURSUE ADVANCED CLINICAL CARE WHILE UNDERTAKING RESEARCH AS WELL AS ACADEMIC EDUCATIONAL INITIATIVES.FOR OVER 100 YEARS THE HENRY FORD MEDICAL GROUP HAS FOSTERED ADVANCEMENT IN PATIENT CARE, RESEARCH, AND EDUCATION WHILE ENCOURAGING INNOVATION IN TECHNOLOGY AND PATIENT CARE PROCESSES BOTH IN THE OUTPATIENT AND HOSPITAL SETTINGS. FOR THESE REASONS HENRY FORD MEDICAL GROUP PHYSICIANS ARE CONSISTENTLY SELECTED BY THEIR PHYSICIAN PEERS AS TOP DOCTORS IN VARIOUS LOCAL AND NATIONAL PUBLISHED SURVEYS AND TO LEAD NATIONAL AND STATE MEDICAL ASSOCIATIONS. HENRY FORD MEDICAL GROUP PHYSICIANS WORK TOGETHER IN LEADERSHIP AND AS EVERYDAY PARTNERS TO CONTINUE TO BRING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE. 182882259 156891641 EMERGENCY ROOM SERVICES: THE ORGANIZATION DIRECTLY OPERATES FIVE 24 HOUR EMERGENCY FACILITIES, ONE OF WHICH IS A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT. EMERGENCY SERVICES RECOGNIZED MORE THAN $150 MILLION IN REVENUE DURING 2019 REPRESENTING 225,812 PATIENT VISITS. 286491140 750220699 OTHER PROGRAM SERVICES INCLUDES HFHS RESEARCH SERVICES, ALONG WITH HFHS COMMUNITY CARE SERVICES, WHICH OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS INCLUDING NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, DIALYSIS; HOUSING FOR MEDICAL RESIDENTS & PATIENT FAMILY MEMBERS; FITNESS CENTER & ATHLETIC TRAINING SERVICES, SCHOOL BASED HEALTH PROGRAMS AND A DEDICATED CANCER CENTER.RESEARCH IS A VITAL COMPONENT OF THE MISSION OF HENRY FORD HEALTH SYSTEM.HENRY FORD HEALTH SYSTEM'S MISSION IS TO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THIS MISSION IS STRONGLY SUPPORTED AND ENHANCED BY THE DEDICATED STAFF'S PURSUIT OF SCIENTIFIC ADVANCEMENT. SINCE 1915, HENRY FORD HOSPITAL PHYSICIANS AND SCIENTISTS HAVE FOCUSED THEIR EFFORTS ON A WIDE VARIETY OF TOPICS CRITICAL TO UNDERSTANDING THE MECHANISMS OF DISEASE AND DEVELOPING NEW, VIABLE TREATMENT OPTIONS. HENRY FORD HEALTH SYSTEM (HFHS) HAS ENJOYED GREAT SUCCESS IN SECURING EXTERNAL RESEARCH GRANTS AND CONTRACTS. EXTERNAL GRANT FUNDING HAS BEEN RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH), OTHER FEDERAL AGENCIES, PHARMACEUTICAL COMPANIES AND INDUSTRY, STATE AND LOCAL AGENCIES, AND FOUNDATIONS. IN 2018 HFHS RECEIVED $86 MILLION IN EXTERNALLY- AWARDED GRANTS, CONTRACTS AND SUB-CONTRACTS, $45 MILLION OF WHICH WAS AWARDED BY NIH AND OTHER FEDERAL AGENCIES. ALTHOUGH HFHS IS NOT FORMALLY PART OF A UNIVERSITY OR MEDICAL SCHOOL, THERE HAS BEEN STRONG SUPPORT FOR THE SYSTEM'S RESEARCH THROUGHOUT ITS HISTORY. THIS DRIVE TO UNDERSTAND DISEASE MECHANISM AND DISCOVER NEW THERAPIES IS MANIFESTED BY THE CONTINUUM OF BIOMEDICAL RESEARCH PERFORMED AT HENRY FORD. THE SYSTEM HAS A STAFF OF 82 BIO-SCIENTIFIC RESEARCHERS ENGAGING IN BASIC SCIENCE STUDIES IN CARDIOVASCULAR AND RENAL DISEASES SUCH AS HYPERTENSION AND HEART FAILURE, STROKE/BRAIN INJURY/BRAIN TUMORS, POPULATION HEALTH AND HEALTHCARE RESEARCH, CANCER THERAPEUTICS, BONE AND JOINT DISEASES, IMMUNOLOGY AND IMAGING, AMONG OTHERS. IN ADDITION, DOZENS OF PHYSICIANS AND THEIR CLINICAL SUPPORT STAFF ARE ENGAGED IN PATIENT-ORIENTED STUDIES. AT THIS TIME, HFHS HAS MORE THAN 2,000 OPEN STUDIES APPROVED BY ITS INSTITUTIONAL REVIEW BOARD, INCLUDING STUDIES APPROVED IN CONJUNCTION WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY. THE BASIC SCIENCE BIOMEDICAL RESEARCH PROGRAMS RECEIVING THE MOST EXTERNAL FUNDING WERE PUBLIC HEALTH SCIENCES, NEUROLOGY RESEARCH (STROKE, TRAUMATIC BRAIN INJURY, ETC.), HYPERTENSION RESEARCH AND CARDIOVASCULAR RESEARCH (IN PARTICULAR, HEART FAILURE). IN CLINICAL RESEARCH, A MAJORITY OF FUNDING HAS GONE TO THE DEPARTMENT OF INTERNAL MEDICINE WHERE THE DIVISIONS OF INFECTIOUS DISEASES, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY AND CARDIOLOGY ARE LEADING THE WAY. THE INFRASTRUCTURE AT HFHS ALLOWS US TO HAVE A RESEARCH PROGRAM FAR LARGER THAN OTHER NON-UNIVERSITY-BASED HEALTH CARE SYSTEMS IN THE STATE OF MICHIGAN, WHERE OUR NIH FUNDING IS TEN TIMES GREATER THAN HFHS'S CLOSEST COMPETITOR. IN 2018, HFHS WAS FOURTH IN MICHIGAN, TRAILING THE STATES THREE LARGEST UNIVERSITIES, AND RANKED 182ND OUT OF MORE THAN 2,500 INSTITUTIONS RECEIVING NIH GRANTS NATIONALLY. 286491140 750220699 3015137376 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1755 1 1 25120 1 1 1 1 CJ 0 0 0 0 1 0 0 0 0 1 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 FL X ROBIN DAMSCHRODER 3138768714 ONE FORD PLACE DETROIT MI 48202 X WRIGHT L LASSITER III PRESIDENT/CEO 54.00 11.00 X X 5262561 0 54982 ROBERT G RINEY COO /PRESIDENT-HEALTHCARE 58.00 7.00 X 2083776 0 51953 WILLIAM W O'NEILL MD PHYSICIAN 60.00 0.00 X 1989113 0 66629 STEVEN N KALKANIS MD PHYSICIAN 60.00 1.00 X 1425738 0 52500 WILLIAM A CONWAY MD CEO- HENRY FORD MEDICAL GROUP 59.00 6.00 X 1289133 0 48776 MUWAFFAK M ABDULHAK MD PHYSICIAN 60.00 0.00 X 1264657 0 57236 THEODORE WILLIAM PARSONS MD PHYSICIAN 60.00 0.00 X 1267472 0 50861 ADNAN R MUNKARAH MD CHIEF MEDICAL OFFICER 60.00 4.00 X 1180579 0 62113 RICHARD O DAVIS PHD C.E.O.- HENRY FORD HOSP 54.00 7.00 X 1048782 0 170720 MOKBEL K CHEDID MD PHYSICIAN 60.00 0.00 X 1152494 0 65061 ROBIN S DAMSCHRODER TREASURER/CHIEF FINANCIAL OFFICER 53.00 12.00 X 966630 0 199409 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 51.00 14.00 X 910490 0 157996 DENISE BROOKS-WILLIAMS CEO NORTH MARKET (START 1-1-2019) 30.00 30.00 X 969945 0 41379 LYNN M TOROSSIAN CEO - W BLMFLD HOSP (THRU 3/2019) 60.00 2.00 X 744145 0 218612 TERESA L KLINE CEO - HEALTH ALLIANCE PLAN (THRU 6/2019) 5.00 60.00 X 897071 0 29978 VERONICA M HALL RN FORMER INT. CEO-HF HOSP 60.00 1.00 X 682918 0 39005 DAVID F SHEPHERD CEO - COMMUNITY CARE SERVICES 60.00 1.00 X 525044 0 101043 ALEXANDER D SHEPARD MD DIRECTOR-PHYSICIAN 60.00 3.00 X 562321 0 54080 JOHN POPOVICH JR MD FORMER CEO- HF HOSPITAL 0.00 0.00 X 424750 0 4536 EDWARD G CHADWICK FORMER TREASURER/CFO 0.00 0.00 X 336702 0 0 ERIC WALLIS CEO - W BLMFLD HOSP (START 5/2019) 60.00 0.00 X 272845 0 16280 MARJORIE A STATEN JD ASST. SECRETARY (START 1/1/2019) 51.00 14.00 X 166055 0 13156 JOHN J POLANSKI FORMER CEO-COMMUNITY CARE 0.00 0.00 X 123276 0 0 LYNN FORD ALANDT DIRECTOR 1.00 4.00 X 0 0 0 LEROY C RICHIE DIRECTOR - VICE CHAIR 2.00 4.00 X X 0 0 0 EDGAR L VANN II DIRECTOR 1.00 3.00 X 0 0 0 SANDRA E PIERCE DIRECTOR-CHAIR 2.00 6.00 X X 0 0 0 CHARLES G MCCLURE JR DIRECTOR 1.00 3.00 X 0 0 0 JOSEPH J RICHARDSON JR DIRECTOR - VICE CHAIR 1.00 3.00 X 0 0 0 LAWRENCE H SCHULTZ DIRECTOR 1.00 3.00 X 0 0 0 ALAN M KIRILUK DIRECTOR - VICE CHAIR 1.00 3.00 X 0 0 0 DAVID M HEMPSTEAD DIRECTOR 1.00 4.00 X 0 0 0 SHARI L BURGESS DIRECTOR 1.00 5.00 X 0 0 0 STEPHANIE W BERGERON DIRECTOR - VICE CHAIR 2.00 4.00 X X 0 0 0 DAVID J BREEN DIRECTOR - CHAIR ELECT 2.00 4.00 X X 0 0 0 N CHARLES ANDERSON DIRECTOR - VICE CHAIR 2.00 4.00 X X 0 0 0 25546497 0 1556305 3124 1 1 0 TURNER CONSTRUCTION 535 GRISWOLD STE 1525 DETROIT MI 48226 CONSTRUCTION SERVICES 42328951 CHRISTMAN BRINKER A JOINT VENTURE 3011 W GRAND BLVD STE 2600 DETROIT MI 48202 CONSTRUCTION SERVICES 20155871 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 INFORMATION SERVICES 6640404 DEMARIA BUILDING COMPANY INC 45500 GRAND RIVER AVE NOVI MI 48374 CONSTRUCTION SERVICES 4832893 ACT 1 PERSONNEL SERVICES 1999 W 190TH STREET TORRANCE CA 90504 STAFFING SERVICES 4701330 260 825072 16200000 30317411 34538284 2372793 81880767 INPATIENT HOSPITALS 900099 1352536907 1352536907 OUTPATIENT CLINICS 621400 990399434 990399434 EMERGENCY ROOM SERVICES 900099 156891641 156891641 MEDICAL EDUCATION-GME 900099 53830097 53830097 PATIENT-RELATED RENTAL 531110 2663239 2663239 535654537 530345518 5309019 3091975855 153859707 153859707 -217764 -217764 6133794 9301357 0 7137929 6133794 2163428 8297222 6133794 2163428 253185 825072 729838 -476653 -476653 56209 12444 43765 43765 235683712 174521127 61162585 50474084 10688501 OTHER PHARMACY 900099 97277985 97277985 CAFETERIA & GIFT SHOP 900099 7660180 7660180 JOINT VENTURE INCOME 621400 3662542 3662542 8117335 5833440 2283895 116718042 3513243526 3250048681 15997520 165316558 1932613 1932613 1045828 1045828 14355236 6306916 7330558 717762 3131398 1306197 1677746 147455 1552255705 1497943749 52002242 2309714 38894228 37347864 1471291 75073 151064153 145058115 5714456 291582 99388327 95436826 3759663 191838 4955189 2317872 2637317 1789243 1789243 121489 121489 29439403 19376211 9395502 667690 17512143 4054660 13457483 66113048 42451332 23349233 312483 49254326 9452384 39762916 39026 39415825 30814917 8592968 7940 11755128 9732778 1965158 57192 8101091 7176315 914860 9916 21593716 14400620 7193096 126866800 86911478 39951862 3460 29468810 29433097 35713 MEDICAL SUPPLIES 769832364 768488253 1343941 170 QAAP TAX 64599554 64599554 UNCOMPENSATED CARE 50364567 50364567 REPAIRS & MAINTENANCE 40074337 37442092 2630655 1590 77722100 51743138 25945622 33340 3271046621 3015137376 250921525 4987720 129487 139255 423621692 437296777 37698672 98943777 286956001 323883656 15336780 1688647 68237955 75865300 41607874 52715098 2420019525 1435719941 876222014 984299584 470191498 729444276 246255 246255 148882773 344802503 2369131001 3049325128 328718847 421594804 622414724 863144332 23091806 31068255 402936321 582303101 1377161698 1898110492 X 757270372 888026518 234698931 263188118 991969303 1151214636 2369131001 3049325128 X 242196905 -82951572 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 134266 134266 134266 134266 3272118603 4187475841 3272252869 4187610107 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 84124 109897 95445 134266 423732 250000 250000 250000 250000 1000000 1500000 7491 9860 6327 23678 234731046 81447879 32464821 85455628 263188118 239389752 53856258 -11375775 47139189 234731046 229180494 39403221 17294265 46488228 239389752 192859411 65963302 9230559 38872778 229180494 199451653 79615483 -1886181 84321544 192859411 0.48030 0.51970 0 1 1 44580982 44580982 1145777906 681106002 464671904 28550987 11411389 17139598 1036444404 743202550 293241854 164665246 164665246 984299584 INVESTMENTS IN PARTNERSHIP 26593350 INVESTMENTS IN JOINT VENTURES 12743239 OTHER 989195 DEFERRED COMPENSATION 141121716 INVESTMENT EQUITY 7868049 RIGHT OF USE ASSET- FINANCE LEASES 38403673 RIGHT OF USE ASSET- OPERATING LEASES 117083281 344802503 POST RETIREMENT EMPLOYEE BENEFITS 178739223 RESERVE FOR MALPRACTICE 88251132 DEFERRED COMPENSATION 141121716 OTHER LIABILITIES 174191030 582303101 X PART V, LINE 4: EARNINGS FROM THE ORGANIZATION'S ENDOWMENT FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2019 & 2018. CENTRAL AMERICA AND CARRIBEAN INVESTMENTS 133244320 MIDDLE EAST AND NORTH AFRICA PROVIDE CONSULTING SERVICES FOR DESIGN AND CONSTRUCTION OF A HEALTH CLINIC. 1446731 SOUTH ASIA (INDIA) CONSULTING ACTIVITIES 448728 0 0 0 0 0 0 135139779 0 135139779 1 0 1 1 1 1 PART III ACCOUNTING METHOD: PART I, LINE 3, COLUMN F TOTAL EXPENDITURES AND INVESTMENTS FOR THE REGIONS ARE REPORTED AT COST BASIS OR BOOK VALUE X X X X X X X 1 FULKERSON SALES INC 5760 SNOWSHOE CIRCLE BLOOMFIELD HILLS MI 48301 EVENT SOLICITATIONS 0 246500 36754 209746 THUMBS UP INC 11861 WESY LINE STE 600 ST LOUIS MO 63146 TELEPHONE CAMPAIGN 0 101062 70000 31062 J MILITO AND ASSOCIATES INC 1133 MAPLEGROVE DR NW GRAND RAPIDS MI 49504 TELEPHONE CAMPAIGN 0 15575 14735 840 363137 121489 241648 MI FL GRAND BALL 442250 336600 105650 218711 EYES ON DESIGN 195307 115638 79669 205131 4 440700 372834 67866 305996 1078257 825072 253185 729838 729838 -476653 56209 12444 1 1.00000 56209 12444 12444 43765 MI 1 0 1 0 1.00000 BARBARA BROWN HFHS EVENTS-ONE FORD PLACE DETROIT MI 48202 0 0 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 23804389 23804389 0.00740 710614423 595132936 115481487 0.03580 734418812 595132936 139285876 0.04320 13596384 5475504 8120880 0.00250 116599434 53830097 62769337 0.01950 30263216 24392980 5870236 0.00180 85511997 69945016 15566981 0.00480 2866359 2960 2863399 0.00090 248837390 153646557 95190833 0.02950 983256202 748779493 234476709 0.07270 657273 657273 0.00020 101376 101376 0.00000 803576 803576 0.00020 337511 337511 0.00010 136427 136427 0.00000 374553 374553 0.00010 2410716 2410716 0.00060 0 50364293 12591074 749532757 851792948 -102260191 X 1 1 4 1 HENRY FORD HOSPITAL 2799 W GRAND BLVD DETROIT MI 48202 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000026 X X X X X 2 HENRY FORD WEST BLOOMFIELD HOSPITAL 6777 W MAPLE RD WEST BLOOMFIELD MI 48322 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000155 X X X X 3 HENRY FORD COTTAGE HOSPITAL 159 KERCHEVAL AVE GROSSE POINTE FARMS MI 48236 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000064 X X X 4 HENRY FORD KINGSWOOD HOSPITAL 10300 W EIGHT MILE RD FERNDALE MI 48220 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1080000037 X X PSYCHIATRIC HOSPITAL HENRY FORD HOSPITAL 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 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 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 WEST BLOOMFIELD HOSPITAL 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 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 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 COTTAGE HOSPITAL 3 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 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 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 KINGSWOOD HOSPITAL 4 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 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 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 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 WAYNE COUNTY AND THE CITY OF DETROIT 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 ACCESS; DETROIT HEALTH DEPARTMENT; WAYNE COUNTY HEALTH DEPARTMENT; AMERICAN LUNG ASSOCIATION; INTERFAITH LEADERSHIP COUNCIL; GREATER DETROIT HEALTH COUNCIL 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 JACKSON COUNTIES. ADDITIONALLY, WE LOCATED STATE HEALTH NEEDS DATA FOR HFHS 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 HOSPITAL PART V, SECTION B, LINE 6A: HENRY FORD HOSPITALHENRY FORD KINGSWOOD HOSPITALHENRY FORD MACOMB HOSPITALSHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD ALLEGIANCE HEALTHHENRY FORD ALLEGIANCE SPECIALTY HOSPITAL HENRY FORD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA 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 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 HFHS AND COMMUNITY LEADERS. HENRY FORD HOSPITAL'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM 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 , INFANT MORTALITY. HENRY FORD HOSPITAL (HFH) 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 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, HFH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HFH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA 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 WEST BLOOMFIELD 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 HFHS AND COMMUNITY LEADERS. HFWBH'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH , CANCER. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HFWBH 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, HFWBH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT HFWBH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 11: THE CHNA 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 SYSTEM 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 HFHS AND COMMUNITY LEADERS. HENRY FORD HEALTH SYSTEM'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH , INFANT MORTALITY. HENRY FORD HEALTH SYSTEM 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 SYSTEM 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, HFHS WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HFHS WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA 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 SYSTEM 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 HFHS AND COMMUNITY LEADERS. HENRY FORD HEALTH SYSTEM'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH , INFANT MORTALITY. HENRY FORD HEALTH SYSTEM 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 SYSTEM 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, HFHS WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HFHS WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD HOSPITAL PART V, SECTION B, LINE 13B: PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PART V, SECTION B, LINE 22A:PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE OR FAP ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY UNDER THE PATIENT FINANCIAL ASSISTANCE POLICY (FAP) FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. IN ADDITION, PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 13B: PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES. UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PART V, SECTION B, LINE 22A:PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE OR FAP ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY UNDER THE PATIENT FINANCIAL ASSISTANCE POLICY (FAP) FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. IN ADDITION, PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 13B: PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PART V, SECTION B, LINE 22A:PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE OR FAP ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY UNDER THE PATIENT FINANCIAL ASSISTANCE POLICY (FAP) FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. IN ADDITION, PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 13B: PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PART V, SECTION B, LINE 22A:PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE OR FAP ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY UNDER THE PATIENT FINANCIAL ASSISTANCE POLICY (FAP) FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. IN ADDITION, PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. 72 1 - HENRY FORD MEDICAL CENTER - FAIRLANE 19401 HUBBARD DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM 2 - HENRY FORD MEDICAL CENTER - LAKESIDE 14500 HALL RD STERLING HEIGHTS MI 48313 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 3 - HENRY FORD MEDICAL CENTER - STERLING HGT 3500 FIFTEEN MILE RD STERLING HEIGHTS MI 48310 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM 4 - HENRY FORD MEDICAL CENTER - LIVONIA 29200 SCHOOLCRAFT RD LIVONIA MI 48150 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 5 - HFHS - VILLAGE AT BLOOMIELD 1961 S TELEGRAPH ROAD BLOOMFIELD MI 48302 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 6 - HENRY FORD MEDICAL CENTER - TAYLOR 24555 HAIG RD TAYLOR MI 48180 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 7 - HENRY FORD MEDICAL CENTER -DET NW 7800 W OUTER DRIVE DETROIT MI 48235 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 8 - HENRY FORD MEDICAL CENTER - CANTON 6100 HAGGERTY CANTON MI 48187 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 9 - HENRY FORD MEDICAL CENTER -JEFFERSON 24725 E JEFFERSON SAINT CLAIR SHORES MI 48080 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 10 - HENRY FORD MEDICAL CENTER - PIERSON 131 KERCHEVAL AVENUE GROSSE POINTE FARMS MI 48236 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 11 - HENRY FORD MEDICAL CENTER - TROY 2825 LIVERNOIS RD TROY MI 48083 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 12 - HENRY FORD MEDICAL CENTER - PLYMOUTH 14300 BECK RD PLYMOUTH MI 48170 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 13 - HENRY FORD MEDICAL CENTER - WOODHAVEN 22505 ALLEN ROAD WOODHAVEN MI 48183 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 14 - HENRY FORD PHYSICAL THERAPY - ROYAL OAK 616 N MAIN STREET ROYAL OAK MI 48067 OUTPATIENT CLINIC/PHYSICAL THERAPY 15 - HENRY FORD MEDICAL CENTER -FARMINGTON 6530 FARMINGTON ROAD WEST BLOOMFIELD MI 48323 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 16 - HFHS - DEARBORN HEMATOLOGY & ONCOLOGY 861 MONROE STREET DEARBORN MI 48124 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 17 - HFHS - CANTON FAMILY MEDICINE 5858 CANTON CENTER RD SUITE 200 CANTON MI 48187 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 18 - HENRY FORD MEDICAL CENTER - HAMTRAMCK 9100 BROMBACK STREET HAMTRAMCK MI 48212 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 19 - HENRY FORD MEDICAL CENTER - ROYAL OAK 26300 WOODWARD AVENUE ROYAL OAK MI 48067 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 20 - HENRY FORD MEDICAL CENTER -SOUTHFIELD 22777 W ELEVEN MILE RD SOUTHFIELD MI 48033 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 21 - HENRY FORD MEDICAL CENTER - WARREN 8600 CHICAGO RD WARREN MI 48093 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 22 - HENRY FORD MEDICAL CENTER - WATERFORD 6620 HIGHLAND ROAD SUITE 101 WATERFORD MI 48327 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 23 - HENRY FORD MEDICAL CENTER-HARBORTOWN 3370 E JEFFERSON AVENUE DETROIT MI 48207 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 24 - HENRY FORD MEDICAL CENTER - NEW CNTR ONE 3031 W GRAND BLVD DETROIT MI 48202 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 25 - HENRY FORD MEDICAL CENTER - CHRYSLER 1000 CHRYSLER DRIVE SUITE W2001 AUBURN HILLS MI 48326 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 26 - HENRY FORD MEDICAL CENTER - NOVI 40000 8 MILE RD NORTHVILLE MI 48167 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 27 - HENRY FORD MEDICAL CENTER - DEARBORN 5500 AUTO CLUB DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 28 - HENRY FORD MEDICAL CENTER - ACCESS 6450 MAPLE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 30 - HENRY FORD MEDICAL CENTER - MILFORD 1265 N MILFORD ROAD MILFORD MI 48381 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 31 - HFHS - ADVANCED HEART FAILURE CLINIC 16001 W NINE MILE ROAD SOUTHFIELD MI 48075 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 32 - HENRY FORD MAPLE GROVE CENTER 6773 W MAPLE ROAD WEST BLOOMFIELD MI 48322 CHEMICAL DEPENDENCY FACILITY 33 - HENRY FORD MEDICAL CENTER - COLUMBUS 39450 W TWELVE MILE ROAD NOVI MI 48377 CLINICAL DIAGNOSIS MEDICAL SERVICES 34 - HFHS - BEHAVIORAL SERVICES 15420 19 MILE SUITE 100 CLINTON TOWNSHIP MI 48038 CLINICAL DIAGNOSIS MEDICAL SERVICES 35 - HFHS - CENTER FOR ATHLETIC MEDICINE 6525 SECOND AVENUE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES 36 - HFHS - ONE FORD PLACE ONE FORD PLACE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES 37 - HFHS - NW DETROIT LAHSER ROAD CENTER 25664 LAHSER RD SOUTHFIELD MI 48034 DIALYSIS CENTER 38 - HFHS - EASTPOINTE DIALYSIS 21400 KELLY RD EASTPOINTE MI 48021 DIALYSIS CENTER 39 - HFHS - FAIRLANE DIALYSIS 19001 HUBBARD DR DEARBORN MI 48126 DIALYSIS CENTER 40 - HFHS - NW DET DIALYSIS NORTHLAND PARK 21000 NORTHWESTERN HWY SOUTHFIELD MI 48075 DIALYSIS CENTER 41 - HFHS - SE MI KIDNEY CENTER 1695 W 12 MILE RD SUITE 250 BERKLEY MI 48072 DIALYSIS CENTER 42 - HFHS - ST JOSEPH DIALYSIS 44200 WOODWARD SUITE 109 PONTIAC MI 48341 DIALYSIS CENTER 43 - HFHS - TAYLOR DIALYSIS 24565 HAIG RD TAYLOR MI 48180 DIALYSIS CENTER 44 - HFHS - TROY DIALYSIS 2050 LIVERNOIS SUITE A TROY MI 48083 DIALYSIS CENTER 45 - HFHS - NORTHWEST DIALYSIS CENTER LLC 7800 W OUTER DRIVE DETROIT MI 48325 DIALYSIS CENTER 46 - HFHS - ST MARY DIALYSIS 14555 LEVAN LIVONIA MI 48154 DIALYSIS CENTER 47 - HFHS - WESTERN REGIONAL HOME DIALYSIS 39525 W 14 MILE ROAD SUITE 200B NOVI MI 48377 DIALYSIS CENTER 48 - HENRY FORD REPRODUCTIVE MEDICINE 1500 W BIG BEAVER RD SUITE 105 TROY MI 48084 PHYSICIAN PRACTICE 49 - HENRY FORD MEDICAL CLINIC - COMMERCE 8391 COMMERCE ROAD SUITES 108-109 COMMERCE TOWNSHIP MI 48382 PHYSICIAN PRACTICE 50 - HENRY FORD REHABILITATION - ALLEN PARK 7445 ALLEN RD SUITE 102 ALLEN PARK MI 48101 REHABILITATION SERVICES 51 - HFHS - PT -BEVERLY HILLS RACQUET CLUB 31555 SOUTHFIELD ROAD BEVERLY HILLS MI 48025 REHABILITATION SERVICES 52 - HENRY FORD REHABILITATION - LOWELL PARK 44800 DELCO BLVD STERLING HEIGHTS MI 48313 REHABILITATION SERVICES 53 - HENRY FORD MEDICAL CENTER - RESEARCH 440 BURROUGHS SUITE 408 415 446 DETROIT MI 48202 RESEARCH CENTER 54 - HFHS - OPTIMEYES SUPER VISION CENTER 5500 AUTO CLUB DRIVE DEARBORN MI 48126 VISION SERVICES 55 - HFHS - OPTIMEYES 2799 W GRAND BLVD DETROIT MI 48202 VISION SERVICES 56 - HFHS - OPTIMEYES 38487 W 10 MILE RD FARMINGTON HILLS MI 48335 VISION SERVICES 57 - HFHS - OPTIMEYES 400 RENAISSANCE CENTER SUITE 1402 DETROIT MI 48243 VISION SERVICES 58 - HFHS - OPTIMEYES 516 HIGHLAND AVE MILFORD MI 48381 VISION SERVICES 59 - HFHS - OPTIMEYES SUPER VISION CENTER 735 JOHN R ROAD TROY MI 48083 VISION SERVICES 60 - HFHS - OPTIMEYES 1376 S LAPEER RD LAKE ORION MI 48362 VISION SERVICES 61 - HFHS - OPTIMEYES 1961 S TELEGRAPH ROAD BLOOMFIELD TWP MI 48302 VISION SERVICES 62 - HFHS - OPTIMEYES SUPER VISION CENTER 33100 GRATIOT ROSEVILLE MI 48066 VISION SERVICES 63 - HFHS - OPTIMEYES SUPER VISION CENTER 35184 CENTRAL CITY PARKWAY WESTLAND MI 48185 VISION SERVICES 64 - HFHS - OPTIMEYES SUPER VISION CENTER 7230 ORCHARD LAKE ROAD WEST BLOOMFIELD MI 48322 VISION SERVICES 65 - HFHS - OPTIMEYES SUPER VISION CENTER 44987 SCHOENHERR STERLING HEIGHTS MI 48313 VISION SERVICES 66 - HFHS - OPTIMEYES 29350 SOUTHFIELD ROAD SOUTHFIELD MI 48076 VISION SERVICES 67 - HFHS - OPTIMEYES SUPER VISION CENTER 3271 UNION LAKE ROAD COMMERCE TOWNSHIP MI 48382 VISION SERVICES 68 - HFHS - OPTIMEYES SUPER VISION CENTER 22395 EUREKA ROAD TAYLOR MI 48180 VISION SERVICES 69 - HFHS - OPTIMEYES 27903 23 MILE ROAD CHESTERFIELD MI 48051 VISION SERVICES 70 - HFHS - OPTIMEYES 504 N TELEGRAPH ROAD MONROE MI 48162 VISION SERVICES 71 - HFHS - OPTIMEYES 4281 24TH AVENUE FORT GRATIOT MI 48059 VISION SERVICES 72 - HFHS - OPTIMEYES 2025 25 MILE ROAD SHELBY TOWNSHIP MI 48316 VISION SERVICES 73 - HFHS - OPTIMEYES 15401 E JEFFERSON GROSSE POINTE PARK MI 48230 VISION SERVICES PART I, LINE 7G: SUBSIDIZED SERVICES CONSIST OF INPATIENT WOMENS' SERVICES AND BEHAVIORAL HEALTH SERVICES. THIS INCLUDES BOTH PHYSICIAN AND FACILITY COSTS. 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 $50,364,293 PART II, COMMUNITY BUILDING ACTIVITIES: HFHS BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS A DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFHS 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. HFHS LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS TO ADDRESS THE NEEDS OF OUR SERVICE AREA. PART III, LINE 2: THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED BASED UPON GROSS CHARGES. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM 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 SYSTEM 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 SYSTEM 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 SYSTEM'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 SYSTEM OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 115% OF MEDICARE RATES.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 (PFAP) 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"PATIENTS NOT DEEMED TO QUALIFY UNDER OUR PATIENT FINANCIAL ASSISTANCE PROGRAM (PFAP) RECEIVE 2 CYCLES OF INTERNAL BILLING STATEMENTS INCLUDING INSTRUCTIONS ON APPLYING FOR OUR PFAP. BASED ON THE VOLUME OF OUTSTANDING SERVICES, DETERMINATION ON FURTHER COLLECTION EFFORTS WILL BE MADE WHICH INCLUDES INTERNAL COLLECTION EFFORTS OR ASSIGNMENT TO AN EXTERNAL COLLECTION AGENCY. PART VI, LINE 2: THE ASSESSMENT OF COMMUNITY HEALTH NEEDS IS AN ESSENTIAL FUNCTION OF A HEALTH CARE ORGANIZATION FOR SEVERAL REASONS. FIRST, IT PROVIDES AN UNDERSTANDING OF THE DEMOGRAPHICS AND MAJOR HEALTH NEEDS OF THE COMMUNITIES IT SERVES AND INSIGHT INTO WHAT SERVICES SHOULD BE OFFERED TO MEET THOSE NEEDS. SECOND, BY UNDERSTANDING THE MAJOR HEALTH NEEDS OF THE COMMUNITY, STRATEGIES CAN BE PRIORITIZED AND A MORE TAILORED APPROACH DEVELOPED, RESULTING IN GREATER USE OF THE LIMITED RESOURCES OF MANY HEALTHCARE ORGANIZATIONS. THIRD, VULNERABLE POPULATIONS WITH SIGNIFICANT HEALTH NEEDS CAN BE IDENTIFIED AND TARGETED FOR INTERVENTION SUCH AS THE POOR, UNINSURED, UNDERINSURED, OR VARIOUS RACIAL/ETHNIC OR OTHER VULNERABLE POPULATIONS THAT MAY HAVE OTHERWISE BEEN OVERLOOKED. THROUGH IDENTIFICATION, PROGRAMS CAN THEN BE DEVELOPED SO THAT ALL POPULATIONS WE SERVE WILL RECEIVE APPROPRIATE AND TIMELY ACCESS TO HEALTHCARE SERVICES. IN ADDITION, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ENCOURAGES AN ORGANIZATION TO IDENTIFY AND PARTNER WITH OTHER ORGANIZATIONS AND COMMUNITY AGENCIES. THROUGH PARTNERSHIP, KNOWLEDGE IS SHARED AND RESOURCES CAN BE ALIGNED AND MORE OPTIMALLY UTILIZED TO BENEFIT THE COMMUNITIES SERVED. INTERNALLY THE COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE (CHANCE) PROVIDES EXECUTIVE OVERSIGHT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HENRY FORD HEALTH SYSTEM. TEAM MEMBERS APPROVE HENRY FORD HEALTH SYSTEM'S ONGOING WORK AS A NATIONAL AND STATE LEADER IN COMMUNITY HEALTH ADVOCACY THAT SEEKS TO IMPROVE HEALTH STATUS IN DETROIT AND THE SURROUNDING SUBURBS. THIS IS ACHIEVED THROUGH TARGETED HEALTH IMPROVEMENT PROGRAMS SUCH AS OUR WOMEN-INSPIRED NEIGHBORHOOD (WIN) NETWORK: DETROIT, GENERATION WITH PROMISE, FAITH COMMUNITY NURSING INITIATIVES, SCHOOL-BASED HEALTH CLINICS, HEALTH LITERACY IMPROVEMENT PROJECTS AND OTHER ACTIVITIES. THROUGH TARGETED VOLUNTEERISM AND PARTNERSHIPS, THE SYSTEM'S GOAL IS TO CULTIVATE NEW COMMUNITY RELATIONSHIPS. THIS ASSESSMENT WAS PREPARED JOINTLY BY THE HFHS 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 HFHS'S FUTURE COMMUNITY SERVICES IN THE FOUR-COUNTY AREAS. RESULTS OF THIS ASSESSMENT HAVE BEEN REVIEWED WITH SEVERAL HENRY FORD HEALTH SYSTEM LEADERS, LEADING TO STRATEGIC AND IMPLEMENTATION PLAN MODIFICATIONS TO ALIGN STRATEGY WITH IDENTIFIED NEEDS. PART VI, LINE 3: HFHS 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. HFHS HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN ONE OF OUR EMERGENCY ROOMS FOR SERVICES. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED REGARDING HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFHS AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS WHICH WOULD OFFER POTENTIAL SUPPORT. HFHS 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: HFHS IS ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING SOUTHEASTERN MICHIGAN. HFHS IS GOVERNED BY DEDICATED COMMUNITY BOARDS, AND IN TOTAL PROVIDES APPROXIMATELY 54,000 INPATIENTS STAYS AND 4.6 MILLION PHYSICIAN VISITS ANNUALLY. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD HOSPITAL AN 877 BED TERTIARY, AND QUATERNARY CARE HOSPITAL WITH A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT, SERVING AS A COMMUNITY HOSPITAL FOR ITS IMMEDIATE NEIGHBORHOODS AS WELL AS A REFERRAL CENTER FOR THE SURROUNDING REGION. IT IS SUPPORTED BY THE HENRY FORD MEDICAL GROUP (HFMG) WHO ALSO PROVIDES CARE IN THE MORE THAN 30 OUTPATIENT MEDICAL CENTERS LOCATED THROUGHOUT SOUTHEAST MICHIGAN. HFHS ALSO INCLUDES HENRY FORD WEST BLOOMFIELD HOSPITAL A 191 BED COMMUNITY HOSPITAL. BEHAVIORAL HEALTH SERVICES ARE PROVIDED THROUGHOUT THE ABOVE FACILITIES AS WELL AS AT HENRY FORD KINGSWOOD HOSPITAL, A 100 BED PSYCHIATRIC HOSPITAL, AND THE MAPLEGROVE CENTER, A 67 SUBSTANCE ABUSE BED FACILITY. HFHS COMMUNITY CARE SERVICES OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS. SERVICES PROVIDED INCLUDE NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, AND DIALYSIS.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. COMMUNITY PARTNERSHIPS: HENRY FORD DEVELOPS INNOVATIVE WAYS TO ADDRESS THE SOCIAL, ECONOMIC AND EDUCATIONAL ISSUES THAT AFFECT THE HEALTH OF THE METRO DETROIT COMMUNITY. THESE INCLUDE:CENTER FOR HEALTH SERVICES RESEARCH-CONDUCTS RESEARCH FOCUSING ON OUTCOMES, EFFECTIVENESS AND COST-EFFECTIVENESS OF THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF SUCH DISEASES AS CANCER, DIABETES, ASTHMA AND CONGESTIVE HEART FAILURE AS WELL AS COMMON ACUTE CONDITIONS.COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) CLINIC-PROVIDES PRIMARY CARE SERVICES TO MORE THAN 1,300 UNINSURED AND UNDERINSURED DETROIT RESIDENTS EACH MONTH. HFHS PHYSICIANS STAFF THE TWO CLINICS LOCATED IN SOUTHWEST DETROIT AND IN THE NEW CENTER AREA.INNOVATION INSTITUTE AT HENRY FORD HOSPITAL - IN COLLABORATION WITH WAYNE STATE UNIVERSITY SCHOOL OF ENGINEERING AND CENTER FOR CREATIVE STUDIES, THE INNOVATION INSTITUTE AIMS TO RESEARCH AND DESIGN MEDICAL PRODUCTS TO ENHANCE MEDICAL USE AND TO CREATE NEW INDUSTRY IN THE REGION.INSTITUTE ON MULTICULTURAL HEALTH-STUDIES THE DISPARITIES IN HEALTH CARE AMONG PEOPLE OF COLOR AND FINDS SOLUTIONS FOR GETTING EARLY DIAGNOSIS AND TREATMENT OF DISEASES.SCHOOL-BASED AND COMMUNITY HEALTH PROGRAM -OPERATES 11 CHILD AND ADOLESCENT HEALTH CENTERS THAT PROVIDE PRIMARY CARE SERVICES IN DETROIT AND OTHER METRO DETROIT COMMUNITIES. IT HAS DEMONSTRATED BETTER ATTENDANCE AND TEST SCORES BY STUDENTS. THE PROGRAM ALSO OFFERS A MOBILE PEDIATRIC MEDICAL CLINIC CALLED HANK, WHICH TRAVELS TO SEVEN DETROIT SCHOOLS EVERY WEEK AND IS FUNDED BY THE CHILDREN'S HEALTH FUND. PART VI, LINE 6: THE INTEGRATED HEALTH SYSTEM ALSO INCLUDES 5 COMMUNITY HOSPITALS ENCOMPASSING MORE THAN 1,000 BEDS WITH EMERGENCY SERVICES AND OPEN MEDICAL STAFFS LOCATED IN SUBURBAN REGIONS OF SOUTHEAST MICHIGAN. SOME OF THESE ENTITIES ARE SEPARATE CORPORATIONS AND THE RESULTS OF THEIR COMMUNITY BENEFIT ACTIVITIES ARE REFLECTED IN THEIR RESPECTIVE TAX RETURNS. 1 DDP BIKE SHARE CORPORATION 1 CAMPUS MARTIUS NO 380 DETROIT MI 48226 811577310 501(C)(3) 250000 ORGANIZATIONAL SUPPORT AMERICAN KIDNEY FUND 6110 EXECUTIVE BLVD-STE 1010 ROCKVILLE MD 20852 237124261 501(C)(3) 195000 ORGANIZATIONAL SUPPORT MICHIGAN THANKSGIVING PARADE FOUNDATION 9500 MT ELLIOTT NO A DETROIT MI 48211 382460378 501(C)(3) 127750 ORGANIZATIONAL SUPPORT DETROIT PUBLIC SCHOOLS FOUNDATION FISHER BLDG STE 1004 3011 W GRAND BLVD DETROIT MI 48202 300135450 501(C)(3) 52500 ORGANIZATIONAL SUPPORT MICHIGAN ECONOMIC DEVELOPMENT FOUNDATION PO BOX 13063 LANSING MI 48901 382527475 501(C)(3) 25000 ORGANIZATIONAL SUPPORT NATIONAL KIDNEY FOUNDATION OF MICHIGAN 1169 OAK VALLEY DRIVE ANN ARBOR MI 48108 381559941 501(C)(3) 24000 ORGANIZATIONAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 17500 ORGANIZATIONAL SUPPORT MICHIGAN FITNESS FOUNDATION PO BOX 27187 LANSING MI 48909 383172025 501(C)(3) 15000 ORGANIZATIONAL SUPPORT CARING ATHLETES TEAM FOR CHILDREN'S AND HENRY FORD HOSPITAL 3011 W GRAND BLVD-SUITE 223 DETROIT MI 48202 382746810 501(C)(3) 15000 ORGANIZATIONAL SUPPORT WOMEN OF TOMORROW MENTOR & SCHOLARSHIP PROGRAM DETROIT METRO 500 WEST 14 MILE ROAD TROY MI 48083 800735541 501(C)(3) 15000 ORGANIZATIONAL SUPPORT DETROIT CHILDREN'S FUND 100 TALON CENTRE DRIVE SUITE 100 DETROIT MI 48207 462499615 501(C)(3) 15000 ORGANIZATIONAL SUPPORT HAVEN FOUNDATION 801 VANGUARD DRIVE PONTIAC MI 48341 382426175 501(C)(3) 15000 ORGANIZATIONAL SUPPORT WEST BLOOMFIELD PARKS & RECREATION COMMISSION 4640 WALNUT ROAD WEST BLOOMFIELD MI 48323 800310221 115 GOVERMENT 14500 ORGANIZATIONAL SUPPORT DETROIT REGIONAL CHAMBER PO BOX 33840 DETROIT MI 48232 380477570 501(C)(6) 13438 ORGANIZATIONAL SUPPORT MICHIGAN ROUNDTABLE FOR DIVERSITY& INCLUSION 3031 W GRAND SUITE 525 DETROIT MI 48202 203122770 501(C)(3) 12000 ORGANIZATIONAL SUPPORT THE DETROIT INSTITUTE OF ARTS 5200 WOODWARD AVENUE DETROIT MI 48202 381359510 501(C)(3) 11500 ORGANIZATIONAL SUPPORT THE JEWISH COMMUNITY CENTER OF METRO DETROIT 660 WEST MAPLE ROAD WEST BLOOMFIELD MI 48322 381358397 501(C)(3) 10500 ORGANIZATIONAL SUPPORT LIFE REMODELED PO BOX 28508 DETROIT MI 48228 275020487 501(C)(3) 10000 ORGANIZATIONAL SUPPORT URBAN LEAGUE OF DETROIT AND SOUTHEASTERN MICHIGAN 208 MACK AVENUE DETROIT MI 48201 381358387 501(C)(3) 10000 ORGANIZATIONAL SUPPORT BING YOUTH INSTITUTE 151 WEST JEFFERSON DETROIT MI 48226 472393025 501(C)(3) 10000 ORGANIZATIONAL SUPPORT METROPOLITAN AFFAIRS COALITION 1001 WOODWARD AVENUE NO 1400 DETROIT MI 48226 381602801 501(C)(3) 10000 ORGANIZATIONAL SUPPORT DETROIT REGIONAL LGBT CHAMBER COMMERCE 13535 MANSFIELD DETROIT MI 48227 464285364 501(C)(3) 10000 ORGANIZATIONAL SUPPORT FRIENDSHIP CIRCLE 6892 WEST MAPLE ROAD WEST BLOOMFIELD MI 48322 383613944 10000 ORGANIZATIONAL SUPPORT FREE BIKES 4 KIDZ 2228 FERNCLIFF AVENUE ROYAL OAK MI 48073 824599631 501(C)(3) 10000 ORGANIZATIONAL SUPPORT JEWISH HOSPICE & CHAPLAINCY NETWORK 6555 WEST MAPLE ROAD WEST BLOOMFIELD MI 48322 383429268 501(C)(3) 10000 ORGANIZATIONAL SUPPORT UNITED STROKE ALLIANCE 2000 W PINEER PKWY STE 16 PEORIA IL 61615 640954851 501(C)(3) 9000 ORGANIZATIONAL SUPPORT AUTISM ALLIANCE OF MICHIGAN 30100 TELEGRAPH STE 250 BINGHAM FARMS MI 48025 270472137 501(C)(3) 8500 ORGANIZATIONAL SUPPORT MY MARK FOUNDATION 730 LEON WALLED LAKE MI 48390 831997241 501(C)(3) 7797 ORGANIZATIONAL SUPPORT DETROIT BRANCH NAACP 8220 SECOND AVENUE DETROIT MI 48202 381496378 501(C)(3) 7500 ORGANIZATIONAL SUPPORT ALS ASSOCIATION MICHIGAN CHAPTER 675 EAST BIG BEAVER ROAD TROY MI 48083 382190726 501(C)(3) 7500 ORGANIZATIONAL SUPPORT DETROIT-WINDSOR DANCE ACADEMY 3031 W GRAND BLVD NCO SUITE 236 DETROIT MI 48202 382802264 501(C)(3) 7500 ORGANIZATIONAL SUPPORT RUTH ELLIS CENTER INC 77 VICTOR ST HIGHLAND PARK MI 48203 383501697 501(C)(3) 7500 ORGANIZATIONAL SUPPORT CHALDEAN AMERICAN CHAMBER OF COMMERCE 30095 NORTHWESTERN HIGHWAY SUITE 101 FARMINGTON HILLS MI 48334 161657532 501(C)(6) 7195 ORGANIZATIONAL SUPPORT YUSEF BUNCHY SHAKUR INC 2243 FERRY PARK DETROIT MI 48208 811814763 501(C)(3) 7000 ORGANIZATIONAL SUPPORT WEST BLOOMFIELD CHAMBER OF COMMERCE 5745 W MAPLE RD SUITE 206 WEST BLOOMFIELD MI 48322 382176120 501(C)(3) 6875 ORGANIZATIONAL SUPPORT JEWISH VOCATIONAL SERVICES 29699 SOUTHFIELD ROAD SOUTHFIELD MI 48076 381358013 501(C)(3) 6250 ORGANIZATIONAL SUPPORT INFORUM 400 RENAISSANCE CENTER SUITE 2155 DETROIT MI 48243 300101343 501(C)(3) 6000 ORGANIZATIONAL SUPPORT YMCA OF METROPOLITAN DETROIT 1401 BROADWAY SUITE 3A DETROIT MI 48226 381358055 501(C)(3) 6000 ORGANIZATIONAL SUPPORT SERVICES FOR OLDER CITIZENS 158 RIDGE ROAD GROSSE POINTE FARMS MI 48236 382254509 501(C)(3) 6000 ORGANIZATIONAL SUPPORT ST JOSEPH MERCY OAKLAND 28000 DEQUINDRE WARREN MI 48092 383322109 501(C)(3) 6000 ORGANIZATIONAL SUPPORT CHARLES H WRIGHT MUSEUM OF AFRICAN AMERICAN HISTORY 315 EAST WARREN DETROIT MI 48201 381882096 501(C)(3) 5700 ORGANIZATIONAL SUPPORT NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 17 NORTH STATE STREET SUITE 1530 CHICAGO IL 60602 364483505 501(C)(3) 5550 ORGANIZATIONAL SUPPORT ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES 2651 SAULINO COURT DEARBORN MI 48120 237444497 501(C)(3) 5250 ORGANIZATIONAL SUPPORT COMMUNITY HEALTH & SOCIAL SERVICES CENTER INC (CHASS) 5635 W FORT STREET DETROIT MI 48209 383094394 501(C)(3) 291000 COST PROVISION OF MEDICAL OFFICE & STAFF FOR COMMUNITY HEALTH CENTER ORGANIZATIONAL SUPPORT CITY YEAR DETROIT (CITY YEAR INC) 1 FORD PLACE-SUITE 1F DETROIT MI 48202 222882549 501(C)(3) 0 130501 FAIR MARKET VALUE PROVISION OF OFFICE SPACE & POSTAGE AT NO COST ORGANIZATIONAL SUPPORT 43 2 HELPING HANDS PROGRAM 101 181287 PATIENT MEDICAL SUPPLIES & PHARMACEUTICALS 1729 864541 COST PATIENTS MEETING FINANCIAL ASSISTANCE PROGRAM GUIDELINES MAY BE PROVIDED WITH SUPPLIES AT NO CHARGE UPON DISCHARGE PART I, LINE 2: THE HENRY FORD HEALTH SYSTEM HELPING HANDS PROGRAM IS A CHARITABLE INITIATIVE SPONSORED AND FUNDED ENTIRELY BY EMPLOYEES TO HELP CO-WORKERS, VOLUNTEERS AND RETIREES IN TIMES OF NEED. SINCE ITS INCEPTION IN 1992, THE PROGRAM HAS PROVIDED FINANCIAL ASSISTANCE TO HUNDREDS OF PEOPLE. HELPING HANDS PROVIDES FINANCIAL ASSISTANCE OF UP TO $1,800 TO ELIGIBLE EMPLOYEES AND UP TO $500 TO ELIGIBLE VOLUNTEERS AND RETIREES WHO, DUE TO A CATASTROPHE-SUCH AS A HOME FIRE, ILLNESS OR INJURY-CAN'T AFFORD BASIC NECESSITIES INCLUDING FOOD, CLOTHING AND MEDICAL CARE. A HELPING HANDS EXECUTIVE COMMITTEE ("THE COMMITTEE") COMPRISED OF A REPRESENTATIVE FROM EACH BUSINESS UNIT OF THE HEALTH SYSTEM OVERSEES THE HELPING HANDS PROGRAM. THE COMMITTEE PROVIDES PERIODIC OVERSIGHT OF THE POLICIES AND CRITERIA THAT GOVERN THE DISTRIBUTION OF FUNDS AND PRODUCES AND MAINTAINS THE PROGRAM'S FINANCIAL REPORTS. APPLICATIONS FOR FUNDS, ELIGIBILITY DETERMINATIONS AND DISTRIBUTION OF FUNDS ARE ADMINISTERED AT THE BUSINESS UNIT LEVEL EITHER BY A BUSINESS UNIT HELPING HANDS COMMITTEE OR A HELPING HANDS REPRESENTATIVE. SCHEDULE I, PART I, LINE 2 THE COMMUNITY OUTREACH DEPARTMENT MONITORS GRANTS PAID TO CHARITABLE AND GOVERNMENTAL ENTITIES. X X 1 1 X X X X X 1 1 0 1 0 0 0 1 0 WRIGHT L LASSITER III PRESIDENT/CEO 1621355 0 1423918 0 2217288 0 24119 0 30863 0 5317543 0 1627135 0 ROBERT G RINEY COO /PRESIDENT-HEALTHCARE 1102897 0 686691 0 294188 0 26920 0 25033 0 2135729 0 0 0 WILLIAM W O'NEILL MD PHYSICIAN 1703146 0 256250 0 29717 0 25519 0 41110 0 2055742 0 0 0 STEVEN N KALKANIS MD PHYSICIAN 1134711 0 269860 0 21167 0 25520 0 26980 0 1478238 0 0 0 WILLIAM A CONWAY MD CEO- HENRY FORD MEDICAL GROUP 725055 0 404174 0 159904 0 26919 0 21857 0 1337909 0 0 0 MUWAFFAK M ABDULHAK MD PHYSICIAN 823081 0 373600 0 67976 0 25519 0 31717 0 1321893 0 0 0 THEODORE WILLIAM PARSONS MD PHYSICIAN 1044741 0 153720 0 69011 0 25519 0 25342 0 1318333 0 0 0 ADNAN R MUNKARAH MD CHIEF MEDICAL OFFICER 758924 0 397753 0 23902 0 25519 0 36594 0 1242692 0 0 0 RICHARD O DAVIS PHD C.E.O.- HENRY FORD HOSP 924880 0 100000 0 23902 0 135331 0 35389 0 1219502 0 0 0 MOKBEL K CHEDID MD PHYSICIAN 732920 0 349219 0 70355 0 26920 0 38141 0 1217555 0 0 0 ROBIN S DAMSCHRODER TREASURER/CHIEF FINANCIAL OFFICER 763585 0 182803 0 20242 0 173712 0 25697 0 1166039 0 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 634552 0 274228 0 1710 0 132831 0 25165 0 1068486 0 0 0 DENISE BROOKS-WILLIAMS CEO NORTH MARKET (START 1-1-2019) 579203 0 271710 0 119032 0 24120 0 17259 0 1011324 0 0 0 LYNN M TOROSSIAN CEO - W BLMFLD HOSP (THRU 3/2019) 106134 0 254845 0 383166 0 210935 0 7677 0 962757 0 13798 0 TERESA L KLINE CEO - HEALTH ALLIANCE PLAN (THRU 6/2 429472 0 467599 0 0 0 24119 0 5859 0 927049 0 0 0 VERONICA M HALL RN FORMER INT. CEO-HF HOSP 464615 0 189763 0 28540 0 26919 0 12086 0 721923 0 0 0 DAVID F SHEPHERD CEO - COMMUNITY CARE SERVICES 374402 0 121874 0 28768 0 76946 0 24097 0 626087 0 0 0 ALEXANDER D SHEPARD MD DIRECTOR-PHYSICIAN 417302 0 71834 0 73185 0 26920 0 27160 0 616401 0 0 0 JOHN POPOVICH JR MD FORMER CEO- HF HOSPITAL 98788 0 325962 0 0 0 4536 0 0 0 429286 0 0 0 EDWARD G CHADWICK FORMER TREASURER/CFO 0 0 0 0 336702 0 0 0 0 0 336702 0 0 0 ERIC WALLIS CEO - W BLMFLD HOSP (START 5/2019) 164370 0 100000 0 8475 0 0 0 16280 0 289125 0 0 0 MARJORIE A STATEN JD ASST. SECRETARY (START 1/1/2019) 165265 0 0 0 790 0 2941 0 10215 0 179211 0 0 0 JOHN J POLANSKI FORMER CEO-COMMUNITY CARE 0 0 123276 0 0 0 0 0 0 0 123276 0 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. THERE WERE NO PAYMENTS OR REIMBURSEMENTS OF FIRST CLASS DURING 2019. ADDITIONALLY, IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. PART I, LINES 4A-B PART 1 LINE 4A: SEVERANCE PAYMENTS EDWARD G. CHADWICK (FORMER CFO) $336,702 LYNN M. TOROSSIAN (PART YEAR CEO) $350,368 4B. 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. 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. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: PART I, LINE 4B, PERSON PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE PARTICIPANT ACCRUAL DISTRIBUTIONS DISTRIBUTIONS NON-VESTED W-2 WRIGHT LASSITER 2,193,396 - - - 2,193,396 ROBERT G. RINEY 267,664 - - - 267,664 WILLIAM A. CONWAY,MD 159,904 - - - 159,904 LYNN TOROSSIAN 13,798 202,783 - 13,798 ROBIN DAMSCHRODER - - - 149,592 - MICHELLE JOHNSON TIDJANI - - - 109,412 - ADNAN R. MUNKARAH, M.D. - - - 174,231 - DENISE BROOKS-WILLIAMS 102,436 - - - 102,436 RICHARD O. DAVIS, PH.D - - - 130,431 - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2019 CONTR. 2019 CONTR. TAX GROSS-UP W-2 AMOUNTS THEODORE W. PARSONS,MD - 19,000 457 19,457 ROBERT G. RINEY 19,000 - - 19,000 WILLIAM W. O'NEILL, MD - 19,000 457 19,457 LYNN M. TOROSSIAN 19,000 - - 19,000 WRIGHT L. LASSITER III 19,000 - - 19,000 MUWAFFAK M.ABDULHAK,MD - 19,000 457 19,457 ADNAN R. MUNKARAH, M.D. 19,000 - - 19,000 STEVEN N. KALKANIS, M.D. - 19,000 457 19,457 ALEXANDER D. SHEPARD, M.D. 10,305 8,695 209 19,209 ROBIN DAMSCHRODER 19,000 - - 19,000 RICHARD O. DAVIS, PH.D 19,000 - - 19,000 DENISE BROOKS-WILLIAMS 13,973 - - 13,973 MANI MENON, M.D. - 19,000 457 19,457 VERONICA M. HALL, R.N. 8,275 10,725 258 19,258 PART I, LINE 5 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A CONTRACTUAL FORMULA THAT PROVIDES FOR A MINIMUM BASE SALARY AND INCREMENTAL COMPENSATION WHEN DEPARTMENTAL NET REVENUE EXCEEDS A PREDETERMINED LEVEL. SUCH ARRANGEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. PART I, LINE 7 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A BASE SALARY AND AN INCENTIVE PAYMENT WHEN SERVICE VOLUMES EXCEED A PREDETERMINED LEVEL. SUCH AGREEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. A MICHIGAN FINANCE AUTHORITY 800596186 000000000 2013-12-20 75000000 SEE PART VI 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59447TMQ3 2016-09-28 965679157 SEE PART VI 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 59447TUJ0 2019-12-31 251007863 SEE PART VI 0 0 0 A 63608367 75000000 75000000 2014 0 0 1 1 B 12260000 965679157 6583154 158579421 800516582 1 1 1 1 C 251007863 204314577 46693286 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 0 0 0.01520 0.01520 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 PART I, COLUMN (F), DESCRIPTION OF PURPOSE (A) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (A) DESCRIPTION OF PURPOSE: FUND ACQUISITION OF ASSETS OF EQUIPMENT (B) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (B) DESCRIPTION OF PURPOSE: REFUND ALL OUTSTANDING HFHS 2014 BONDS, A PORTION OF HFHS 2009 BONDS ISSUED 11/3/2009 (REMAINING WAS DEFEASED WITH HFHS 2016 TAXABLE LOAN) AND ALL OUTSTANDING 2006 BONDS ISSUED 6/27/2006. ADDITIONALLY, IN CONJUCTION WITH AFFILIATION WITH ALLEGIANCE HEALTH ON 03/04/2016, REFINANCE ALLEGIANCE 2011A BONDS, 2011B BONDS AND ALLEGIANCE 2010A/2006B-2/2006C BONDS PURSUANT TO THE RULES FOR ACQUISITION FINANCING IN TREAS. REG. SECTION 1.150-1(D)(2)(II)(C). BOND PROCEEDS OF $158,579,421 WERE USED FOR THIS PURPOSE. (C) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (C) DESCRIPTION OF PURPOSE: FINANCING THE CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES. PART II, LINE (13), YEAR OF SUBSTANTIAL COMPLETION SERIES 2016 HFHS 2006A - 2009 HFHS 2009 - 2009 HFHS 2014 - 2007 ALLEGIANCE 2011AB - 2011 ALLEGIANCE 2010/2006B-2/2006C-2010 PART IV, LINE 6, COLUMN B- THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. KIRCO MANIX CONSTRUCTION SEE BELOW 431625 SEE BELOW 0 NANCY J SAMMONS SEE BELOW 182302 SEE BELOW 0 SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KIRCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: CONSTRUCTION SERVICES(A) NAME OF PERSON: NANCY J. SAMMONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: ABBOTT LABORATORIES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 8,839,297(D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL PRODUCTS AND MEDICINE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ADVOMAS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,546,131(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL BILLING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO A) NAME OF PERSON: ACCENTURE LLP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 202,120(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSULTING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ALLERGAN INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,190,274(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL BILLING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: AMERISOURCEBERGEN CORPORATION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 387,240,536(D) DESCRIPTION OF TRANSACTION: PROVIDED SPECIALTY PHARMACEUTICAL PRODUCTS AND MEDICINE (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: BAYER HEALTHCARE LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,038,823(D) DESCRIPTION OF TRANSACTION: MANUFACTURES HEALTHCARE AND MEDICAL PRODUCTS (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: BOSTON SCIENTIFIC CORP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 18,160,020(D) DESCRIPTION OF TRANSACTION: INNOVATIVE MEDICAL PRODUCT SOLUTIONS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: COOK MEDICAL LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,044,921(D) DESCRIPTION OF TRANSACTION: DEVELOPS LESS INVASIVE MEDICAL PRODUCTS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: D&B LANDSCAPING INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,809,340(D) DESCRIPTION OF TRANSACTION: PROVIDED LANDSCAPING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DELOITTE & TOUCHE LLP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,945,406 (D) DESCRIPTION OF TRANSACTION: PROVIDED AUDIT & CONSULTING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: GIFT OF LIFE MICHIGAN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 8,777,251 (D) DESCRIPTION OF TRANSACTION: PROVIDED ORGAN AND TISSUE DONATION TO EXTEND LIVES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: GORDON FOOD SERVICE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 9,478,937 (D) DESCRIPTION OF TRANSACTION: PROVIDED FOOD SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: INTUITIVE SURGICAL INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,803,009 (D) DESCRIPTION OF TRANSACTION: MANUFACTURES ROBOTIC PRODUCTS FOR PATIENTS (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: KAISER FOUNDATION RESEARCH INSTITUTE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,223,829(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: LOGICALIS INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,301,944 (D) DESCRIPTION OF TRANSACTION: PROVIDED IT SOLUTIONS AND MANAGED SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MASTER CRAFT FLOORS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,152,640 (D) DESCRIPTION OF TRANSACTION: PROVIDED FLOORING PRODUCTS AND SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MEDTRONIC USA INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 20,632,763 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: NATIONAL MARROW DONOR PROGRAM(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,316,000(D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL SUPPLIES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: NBS COMMERCIAL INTERIORS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,189,900 (D) DESCRIPTION OF TRANSACTION: PROVIDED INTERIOR DECORATORS & DESIGNERS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: OLYMPUS AMERICA INC.,(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,513,259 (D) DESCRIPTION OF TRANSACTION: PROVIDED IMAGING SYSTEMS FOR MEDICAL AND SURGICAL(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: PISTONS PERFORMANCE LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,264,185(D) DESCRIPTION OF TRANSACTION: PROVIDES STATE-OF-THE-ART TRAINING CENTER(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SANOFI PASTEUR INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 5,192,457 (D) DESCRIPTION OF TRANSACTION: PROVIDE VACINES AND LIFE PROTECTING STRATEGIES TO PATIENTS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: STRYKER NEUROVASCULAR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,953,835 (D) DESCRIPTION OF TRANSACTION: PROVIDED LESS INVASIVE STENTS, BALLOONS, AND GUIDEWIRES (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: VARIAN MEDICAL SYSTEMS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,256,564(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL DEVICES SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: VARNUM LLP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 221,260(D) DESCRIPTION OF TRANSACTION: PROVIDED BUSINESS AND PERSONAL LEGAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: VIEWRAY INCORPORATED(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,250,000(D) DESCRIPTION OF TRANSACTION: PROVIDED MRI GUIDED RADIATION THERAPY CANCER TREATMENT(E) SHARING OF ORGANIZATION'S REVENUE? NO X 17 1327033 MARKET VALUE X 1 1000000 MARKET VALUE X EVENT ITEMS 55 23332 FAIR MARKET VALUE X MISCELLANEOUS 17 22428 FAIR MARKET VALUE 0 1 1 PART I, LINE 32B: BROKERAGE FIRM SELLS DONATIONS OF STOCK FORM 990, PART VI, SECTION B, LINE 11B THE TAX DEPARTMENT OF THE ORGANIZATION PREPARES THE FORM 990 AND HAS IT REVIEWED BY ITS INDEPENDENT TAX SERVICE PROVIDER. 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 HFHS SENIOR VICE PRESIDENT, FINANCIAL OPERATIONS, AND CHIEF FINANCIAL OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF DIRECTORS - REVIEW OF THE RETURN WITH THE HFHS COO, CEO AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS - PROVIDE A COPY OF THE RETURN TO THE HFHS BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE ORGANIZATION'S 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 BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION 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 SYSTEM. SCHEDULE R, PART V, LINE 1D AND 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 BOND MASTER INDENTURE. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISIONS THAT ARE NOT SEPARATE LEGAL ENTITIES BUT HAVE THEIR OWN UNIQUE ASSIGNED EIN'S. FINANCIAL INFORMATION RELATING TO THESE DIVISIONS ARE INCLUDED IN THIS RETURN. -HENRY FORD WEST BLOOMFIELD HOSPITAL (26-3896897) -HENRY FORD WEST BLOOMFIELD PHYSICIANS (47-2146687) -CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE (30-0092342) -HENRY FORD HEALTH SYSTEM - SCHOOL BASED HEALTH INITIATIVE (87-0729167) -COTTAGE HOSPITAL PHYSICIAN PRACTICE (26-4245539) -HENRY FORD PATHOLOGY (41-2223561) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HFHS PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH SYSTEM USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -4,873,889. INTERCOMPANY TRANSFERS -78,077,683. 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