WA FOOTE MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: WA FOOTE MEMORIAL HOSPITAL (EIN 38-2027689)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201903189349307700
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T13:16:02-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382027689	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WA Foote Memorial Hospital	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 N East Avenue	AddressLine1Txt
City	Jackson	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Paula Autry	PersonNm
Person Title	President & CEO	PersonTitleTxt
Phone	5172054800	PhoneNum
Signature	2019-11-14	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	150.198.64.200	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-14	IPDt
IP Tm	14:09:51	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AB1DB372B0367D7F6A967A544E38B425EA745858	AtSubmissionCreationDeviceId
At Submission Filing Device Id	6A8D99C253AD97DAB86B5D513343FA457C071D3B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Henry Ford Allegiance Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Paula Autry	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 N East Avenue	AddressLine1Txt
City	Jackson	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$765,844,700	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.henryford.com/locations/allegiance-health	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	We lead our community to better health and well-being at every stage of life.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	4870	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$2,461,737	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$889,761	PYContributionsGrantsAmt
CY Contributions Grants	$2,556,493	CYContributionsGrantsAmt
PY Program Service Revenue	$545,560,074	PYProgramServiceRevenueAmt
CY Program Service Revenue	$588,602,331	CYProgramServiceRevenueAmt
PY Investment Income	$17,033,958	PYInvestmentIncomeAmt
CY Investment Income	-$8,028,399	CYInvestmentIncomeAmt
PY Other Revenue	$15,363,778	PYOtherRevenueAmt
CY Other Revenue	$33,287,400	CYOtherRevenueAmt
PY Total Revenue	$578,847,571	PYTotalRevenueAmt
CY Total Revenue	$616,417,825	CYTotalRevenueAmt
PY Grants And Similar Paid	$323,378	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$390,633	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$295,554,499	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$302,378,836	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$169,589	CYTotalFundraisingExpenseAmt
PY Other Expenses	$292,082,959	PYOtherExpensesAmt
CY Other Expenses	$299,275,503	CYOtherExpensesAmt
PY Total Expenses	$587,960,836	PYTotalExpensesAmt
CY Total Expenses	$602,044,972	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,113,265	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,372,853	CYRevenuesLessExpensesAmt
Total Assets BOY	$516,461,443	TotalAssetsBOYAmt
Total Assets EOY	$508,997,334	TotalAssetsEOYAmt
Total Liabilities BOY	$305,080,415	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$271,838,627	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$211,381,028	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$237,158,707	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule OOur MissionWe lead our community to better health and well-being at every stage of life.Our ValuesCompetence: expertise in carrying out responsibilities and inspiring others to have confidence in you.Integrity: behavior that is honest, fair, trustworthy and sincere, strength of character and respect for others.Teamwork: working together in an environment of mutual respect.Diversity: respect for individual beliefs, uniqueness, and differences.Quality: committment to excellence in care.Compassion: acknowledging the feelings of others with empathy, support, encouragement, and sensitivity. Listening and responding to individual needs in a patient and caring manner.Customer Service: taking pride in providing service beyond expectations.Healing Environment: providing an environment that promotes an atmosphere of trust, comfort, healing and security	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$527,595,746	ExpenseAmt
Grant	$390,633	GrantAmt
Revenue	$641,981,359	RevenueAmt
Desc	See Schedule OThe Hospital devotes substantial efforts and resources to providing health services to people in its communities. The Hospital is engaged in the following activities to ensure that our mission is accomplished:Unreimbursed Services Provided to the Underserved:The Hospital provides a substantial portion of its services to the underserved (elderly and low income residents). During 2018, approximately 51% of the value of services rendered were to elderly patients under the Medicare program, and approximately 18% of the services were provided to patients who were deemed indigent under state, county, or Medicaid Center guidelines.In the spirit of our mission and values, the Hospital has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare services to all persons. In 2018 the hospital recorded a provision for bad debts of $20.3 million. Consistent with Schedule H reporting, charity care at cost for 2018 was $5.8 million.Patient Services:The Hospital serves seven counties with a medical staff of more than 400 physicians. A complete listing of services is available at Henryford.com.The Hospital provides unprofitable health services on behalf of the community including inpatient and outpatient behavioral health and substance abuse services, obstetrics, emergency and trauma services, general medicine, family/general practice, senior services, cardiac and pulmonary rehabilitation, palliative care, wound care, pain clinic and diabetes clinic.Community Benefit Activities:The Hospital is engaged in community programs and services that address identified community health needs regardless of source or availability of payment and provide measurable improvement in health access, health status, and the use of health care resources. These programs address one of the six criteria:Supports the Hospital's community-based missionTargets the problems of the poor or medically underservedImpacts the health status of the identified communityReduces community health costsIs accessible to the entire target community regardless of ability to payStimulates external community partnershipsHealth Improvement Organization:The Health Improvement Organization (HIO) was created by Henry Ford Allegiance Health (HFAH) in 2001 to promote a culture of continuous health improvement in our community and integrate wellness and prevention throughout our services. The HFAH Department of Prevention and Community Health provides staff and infrastructure to facilitate the coordination of local health improvement activities. The HIO Coordinating Council (HIO CC) is a multi-disciplinary stakeholders group led by HFAH with representation from local government, public health, health care, health and human service agencies, nonprofits, school districts, health plans, mental health, employers and the faith community. The HIO CC coordinates efforts among community leaders in health to create unprecedented alignment of goals and resources, as well as a strong community platform for advocacy. The work of the HIO CC has culminated in the completion of a Community Action Plan including goals, objectives and strategies to address physical activity, nutrition, tobacco use, and depression in Jackson County. The Plan is based on assessment and data-driven processes, as well as input from over 30 representatives from local health and human service agencies, and over 100 community stakeholders. The overarching tactics that the Community Action Plan relies upon include evidence-based activities to:Enhance media attention and public recognition of healthy lifestyle practices;Improve access to healthy foods and safe, attractive, affordable places for activity through supportive policies and physical environment changes;Provide social support and services that promote consistent screening, referral and supportive relationships for physical activity, nutrition, mental health and smoking behavior change.The HIO builds upon existing community strengths and infrastructure to support implementation of health initiatives that have been prioritized as part of a community wide plan with significant community engagement and an established infrastructure to support longevity. In addition to operational support for the HIO CC, the HFAH Department of Prevention and Community Health provides subject matter expertise on wellness and prevention at the Board, Service Line and community level, and direct service delivery (including employer-based health management, tobacco treatment services, weight management, faith community nursing, etc.) to a broad base of community members to support the health improvement priorities identified by the HIO. The Department of Prevention and Community Health has an annual budget of around $1 million. Since 2001, the Hospital has committed over $24.4 million of funding to this program.Other Community Benefit Activities:Through Community Education and Outreach, the Hospital provided educational sessions and clinics that reached 33,520 individuals at a cost of $173,771 in 2018. The sessions/clinics included education on asthma, AIDS/HIV, diabetes, family planning, fitness/exercise, overall health, cardiovascular health, nutrition and weight management, pulmonary, smoking cessation and womens health. These educational offerings were located at the Hospital, community fairs, parishes, schools, work sites and by phone. Free Medical Screenings for high blood pressure, diabetes, mental health/depression, vascular disease and womens health served 2,965 community members at a cost of $30,709 in 2018.Free and discounted prescription drug and medical supplies were provided to community members at a cost of $4,164 during 2018. HFAH clinics provided reduced fee medical services at a cost of $1,104,264 in fiscal year 2018.Through Meals on Wheels and other food programs, the Hospital donated $11,728 in food.Patient transportation assistance was provided in 2018, including wheelchair van, ambulance, transport to and from cancer centers and cab service at a cost of $61,614.Partnerships:The Hospital played a leadership role in the establishment of the Center for Family Health, a Federally Qualified Health Center, providing $100,000 in fiscal year 2018 support for the uninsured.The Hospital donates office space to a area non-profit organization, the Enterprise Group of Jackson, Inc.	Desc
Total Program Service Expenses	$527,595,746	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	375	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4870	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	David W Spring	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5172054800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 N East Avenue	AddressLine1Txt
City	Jackson	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49201	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Georgia R Fojtasek RN EdD
Trustee-President & CEO	58.00	7.00	Yes (X)	Yes (X)	$0	$1,274,944	$54,700
Martha A Fuerstenau
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Robert G Riney
Trustee	1.00	64.00	Yes (X)		$0	$1,837,361	$50,013
Adnan R Munkarah MD
Physician Trustee	1.00	63.00	Yes (X)		$0	$923,523	$55,624
Sandra Kilian MD
Trustee	60.00	1.00	Yes (X)		$179,151	$0	$26,458
Kevin E Oxley
Trustee-President & CEO	1.00	1.00	Yes (X)		$0	$0	$0
Timothy K Levy
Trustee- Chair	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Aaron S Boatin
Trustee	1.00	3.00	Yes (X)		$0	$0	$0
Neeta M Delaney
Trustee- Vice Chair	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Bradley N Clark
Trustee- Secretary/Treasurer	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
David L Halsey MD
Trustee	1.00	1.00	Yes (X)		$39,092	$0	$0
Mark Olson
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Andrew F Caughey MD
CMO/CEO HFAHMG	1.00	1.00	Yes (X)		$0	$0	$0
Steven D Rick
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
John C Nally
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Gregg A Patten MD
Trustee	1.00	2.00	Yes (X)		$0	$0	$0
Mohan G Kulkarni MD
Physician Trustee	60.00	1.00	Yes (X)		$961,567	$0	$91,920
Kenneth W Empey
General Counsel	55.00	5.00			$484,642	$0	$49,177	Yes (X)
Ondrea L Bates RN
SVP Patient Care	60.00	5.00			$497,408	$0	$57,324	Yes (X)
Mark A Smith MD
Chief Medical Officer	55.00	5.00			$412,318	$0	$60,844	Yes (X)
Kevin P Leonard
VP Finance/ CFO	55.00	5.00			$370,520	$0	$30,097	Yes (X)
Azam Basheer MD
Physician	60.00	0.00			$1,886,335	$0	$142,055		Yes (X)
Timothy Ephrian Ekpo DO
Physician	60.00	0.00			$1,395,253	$0	$102,667		Yes (X)
Amritraj G Loganathan MD
Physician	60.00	0.00			$1,632,231	$0	$120,290		Yes (X)
Frank LaMarca MD
Physician	60.00	0.00			$2,095,373	$0	$148,625		Yes (X)
Stephen Lee Kirkner DO
Physician	60.00	0.00			$1,325,938	$0	$84,721		Yes (X)
Karen Chaprnka
Former SVP & COO	55.00	5.00			$156,706	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,436,534	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,035,828	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,074,515	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	327	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CHRISTMAN COMPANY
208 N Capital Avenue	Lansing	MI	489331357	General Contractor	$14,958,800
Independent Hospitalist Physicians PLLC
PO BOX 100	Royal Oak	MI	48068	Healthcare Services	$10,001,757
ST JOSEPH MERCY HEALTH SYSTEM
PO BOX 992	Ann Arbor	MI	48106	Healthcare Services	$9,822,125
Pulmonary Clinics Of Southern MI PC
900 E Michigan Avenue Ste 105	Jackson	MI	49201	Healthcare Services	$3,561,764
FOCUSONE SOLUTIONS LLC
PO BOX 3037	OMAHA	NE	681030037	Staffing Solutions	$2,174,763

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	51	CntrctRcvdGreaterThan100KCnt
Related Organizations	$183,750	RelatedOrganizationsAmt
All Other Contributions	$2,372,743	AllOtherContributionsAmt
Total Contributions	$2,556,493	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Patient Services	Desc
Business	621990	BusinessCd
Total Revenue Column	$588,602,331	TotalRevenueColumnAmt
Related Or Exempt Func Income	$586,621,076	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,981,255	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$588,602,331	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$30,648,908	TotalRevenueColumnAmt
Exclusion	-$30,648,908	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$227,646	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$227,646	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$227,646	TotalRevenueColumnAmt
Exclusion	$227,646	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$172,047,384	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$149,266,373	SecuritiesAmt
Other	$160,502	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,781,011	SecuritiesAmt
Other	-$160,502	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,620,509	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,781,011	RelatedOrExemptFuncIncomeAmt
Exclusion	-$160,502	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Contracted Pharmacy Revenue	621110	$22,009,094	$22,009,094
JHN	621990	$3,150,850	$3,150,850
Cafeteria	900099	$2,067,920	$2,067,920

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,831,890	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,351,408	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$480,482	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$33,059,754	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$616,417,825	TotalRevenueColumnAmt
Related Or Exempt Func Income	$641,981,359	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,461,737	UnrelatedBusinessRevenueAmt
Exclusion	-$30,581,764	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$238,000	TotalAmt
Program Services	$238,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$152,633	TotalAmt
Program Services	$152,633	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,124,030	TotalAmt
Program Services	$2,960,926	ProgramServicesAmt
Management And General	$1,993,515	ManagementAndGeneralAmt
Fundraising	$169,589	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$686,219	TotalAmt
Program Services	$330,600	ProgramServicesAmt
Management And General	$355,619	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$251,882,765	TotalAmt
Program Services	$209,234,039	ProgramServicesAmt
Management And General	$42,648,726	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,402,104	TotalAmt
Program Services	$6,910,361	ProgramServicesAmt
Management And General	$1,491,743	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,319,429	TotalAmt
Program Services	$15,889,381	ProgramServicesAmt
Management And General	$3,430,048	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,964,289	TotalAmt
Program Services	$13,952,382	ProgramServicesAmt
Management And General	$3,011,907	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$399,015	TotalAmt
Program Services	$328,172	ProgramServicesAmt
Management And General	$70,843	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$235,000	TotalAmt
Management And General	$235,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$60,351,144	TotalAmt
Program Services	$52,786,879	ProgramServicesAmt
Management And General	$7,564,265	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,640,736	TotalAmt
Program Services	$1,349,433	ProgramServicesAmt
Management And General	$291,303	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,697,876	TotalAmt
Program Services	$11,265,901	ProgramServicesAmt
Management And General	$2,431,975	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$941,497	TotalAmt
Program Services	$774,340	ProgramServicesAmt
Management And General	$167,157	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,313,781	TotalAmt
Program Services	$7,660,175	ProgramServicesAmt
Management And General	$1,653,606	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$332,537	TotalAmt
Program Services	$273,497	ProgramServicesAmt
Management And General	$59,040	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$502,453	TotalAmt
Program Services	$413,246	ProgramServicesAmt
Management And General	$89,207	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,620,388	TotalAmt
Program Services	$3,800,066	ProgramServicesAmt
Management And General	$820,322	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,058,016	TotalAmt
Program Services	$23,898,941	ProgramServicesAmt
Management And General	$5,159,075	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,440,957	TotalAmt
Program Services	$3,652,492	ProgramServicesAmt
Management And General	$788,465	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$52,700,150	$52,700,150
Pharmaceutical Supplies	$48,118,075	$48,118,075
Corp Office Allocation	$24,427,299	$24,427,299
Uncompensated Care	$20,331,439	$20,331,439

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,165,140	TotalAmt
Program Services	$26,147,319	ProgramServicesAmt
Management And General	$2,017,821	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$602,044,972	TotalAmt
Program Services	$527,595,746	ProgramServicesAmt
Management And General	$74,279,637	ManagementAndGeneralAmt
Fundraising	$169,589	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,528,596	BOYAmt
EOY	$6,015,197	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$944,248	BOYAmt
EOY	$16,846,891	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$911,234	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$68,768,324	BOYAmt
EOY	$78,705,782	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$115,000	BOYAmt
EOY	$115,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,053,478	BOYAmt
EOY	$8,453,746	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,291,637	BOYAmt
EOY	$4,035,255	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$306,755,664	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,879,699	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$224,765,467	BOYAmt
EOY	$241,875,965	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$193,283,776	BOYAmt
EOY	$143,221,026	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$4,684,605	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,710,917	BOYAmt
EOY	$4,132,633	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$516,461,443	BOYAmt
EOY	$508,997,334	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$100,503,140	BOYAmt
EOY	$53,597,922	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,439,744	BOYAmt
EOY	$155,513,098	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$135,457	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,137,531	BOYAmt
EOY	$62,592,150	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$305,080,415	BOYAmt
EOY	$271,838,627	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$211,381,028	BOYAmt
EOY	$233,975,313	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$2,439,366	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$744,028	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$211,381,028	BOYAmt
EOY	$237,158,707	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$516,461,443	BOYAmt
EOY	$508,997,334	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,372,853	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$11,404,826	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$41,452	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$41,452	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Health care is a highly-regulated field, requiring frequent and high-level communication with regulators and elected officials. A small investment in lobbying enables us to remain in contact with legislators and government agencies, maximize the resources with which we are entrusted and assure that we provide the best care to our community. W.A. Foote Memorial Hospital dba Henry Ford Allegiance Health enlists the services of several lobbying consultants, attorneys and healthcare trade associations. In addition, the Hospital employs a corporate accounts specialist. The specialist spends a portion of his time contacting legislators, participating in grass roots advocacy, and other activities closely related to lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,614,108	BeginningYearBalanceAmt
Contributions	$471,995	ContributionsAmt
Investment Earnings Or Losses	$19,074	InvestmentEarningsOrLossesAmt
Other Expenditures	$67,424	OtherExpendituresAmt
End Year Balance	$2,037,753	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,451,944	BeginningYearBalanceAmt
Contributions	$463,114	ContributionsAmt
Investment Earnings Or Losses	$12,856	InvestmentEarningsOrLossesAmt
Other Expenditures	$313,806	OtherExpendituresAmt
End Year Balance	$1,614,108	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,312,432	BeginningYearBalanceAmt
Contributions	$558,781	ContributionsAmt
Investment Earnings Or Losses	-$4,612	InvestmentEarningsOrLossesAmt
Other Expenditures	$414,657	OtherExpendituresAmt
End Year Balance	$1,451,944	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.23370	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.76630	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,034,484	OtherCostOrOtherBasisAmt
Book Value	$4,034,484	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$161,889,620	OtherCostOrOtherBasisAmt
Depreciation	$18,953,592	DepreciationAmt
Book Value	$142,936,028	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,800	OtherCostOrOtherBasisAmt
Depreciation	$90,866	DepreciationAmt
Book Value	$119,934	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$137,117,198	OtherCostOrOtherBasisAmt
Depreciation	$45,835,241	DepreciationAmt
Book Value	$91,281,957	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,503,562	OtherCostOrOtherBasisAmt
Book Value	$3,503,562	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$241,875,965	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Retirement Plan Liability	$36,955,071
Deferred Comp	$6,315,850
Corporate Reserve	$6,173,223
Liability Insurance	$12,326,008
Workers Comp Liability	$821,998

Field	Value	IRS element (for citing)
Total Liability	$62,592,150	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	The Organization's endowment funds are used for various charitable hospital programs including treatment of uninsured patients, community preventative health education, program development and capital improvements.
Part X, Line 2:	The System does not have any material uncertain tax positions as of December 31, 2018 and 2017.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and Carribean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$29,337,965	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$29,337,965	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$29,337,965	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,811,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,811,282	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$169,514,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,451,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,062,612	NetCommunityBenefitExpnsAmt
Total Expense	0.06540	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$175,325,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,451,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,873,894	NetCommunityBenefitExpnsAmt
Total Expense	0.07540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$656,312	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$647,112	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,118,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,527,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,591,305	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,647,245	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,836,981	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,810,264	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$333,006	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$333,006	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$687,892	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$687,892	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,443,288	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,373,709	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,069,579	NetCommunityBenefitExpnsAmt
Total Expense	0.02250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,768,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$154,825,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,943,473	NetCommunityBenefitExpnsAmt
Total Expense	0.09790	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	200	PersonsServedCnt
Total Community Benefit Expns	$8,197	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,197	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,574	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,574	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	160225	PersonsServedCnt
Total Community Benefit Expns	$363,739	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$363,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	160425	PersonsServedCnt
Total Community Benefit Expns	$373,510	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$373,510	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$20,331,439	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,082,860	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$171,677,542	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$186,856,154	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,178,612	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 Foote Health Center Associates	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Entity leases medical office space.	PrimaryActivitiesTxt
Org Profit Or Ownership	0.62000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.38000	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WA Foote Memorial Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 N East Avenue	AddressLine1Txt
City	Jackson	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49201	ZIPCd

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WA Foote Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Page 8	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.myhio.org	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Page 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.henryford.com/visitors/billing/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.henryford.com/visitors/billing/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.henryford.com/visitors/billing/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
W.A. Foote Memorial Hospital	Part V, Section B, Line 2: Effective April 1, 2016, Henry Ford Health System became the sole member of Henry Ford Allegiance Health Group (formerly Allegiance Health Services). Henry Ford Allegiance Health Group is the sole member of W. A. Foote Memorial Hospital d/b/a Henry Ford Allegiance Health. Henry Ford Health System is a non-profit 501(c)(3) organization. This affiliation allows Henry Ford Allegiance Health Group to join forces with one of the largest healthcare providers in Michigan to continue to provide high-quality healthcare services to residents of the community it serves. It also ensures that Henry Ford Allegiance Health Group will have the commitment to capital to continue to pursue growth opportunities and to expand existing healthcare services, with the goal of providing the best care possible.
W.A. Foote Memorial Hospital	Part V, Section B, Line 5: The Health Improvement Organization Coordinating Council, founded by Henry Ford Allegiance Health (HFAH), is a collaborative of community stakeholders committed to improving the health status of the community through an integrated health improvement infrastructure that addresses Jackson's priority health issues. The HIO Coordinating Council serves as the health strand of the Jackson Collaborative Network which also includes the Cradle to Career Education network and the Financial Stability Network. The scope of the HIO Coordinating Council responsibility includes monitoring community level indicators, identifying specific health priorities and developing community action plans to address common goals.In this model, community stakeholders work with public health experts to develop and complete a community health assessment for Jackson County.This assessment provides a data collection mechanism that better aligns efforts among community partners and creates a more strategic framework for local health improvement activities.Individuals contributing input for HFAH's recent CHNA:Megan Albertson, HFAHKellie Baker, LifeWaysMarilyn Bell, Michigan Purchasers Health AllianceSara Benedetto, Center for Family Health Adam Brown, Jackson County AdministrationCindy Bruner, Meridian Health PlanShelly Bullinger, Jackson County Health DepartmentKathleen Clark, YMCA Storer CampsMark Fall, Henry Ford Allegiance CareLinkAndrew Farmer, AARP of MichiganKevin Ford, MSUTed Hilleary, Community MemberJennifer Johnson, Great Lakes IndustryDavid King, LifeWaysRay King, HFAHDavid Kirk, HFAHIrene LeCrone, United WayKatie Luke, Partnership Park Neighborhood Assoc.Katherine Martin, Community Action AgencyRebecca Mayer, AWAREPamela McCrum, Catholic Charities of Jackson Dani Meier, Jackson Public SchoolsMonica Moser, Jackson Community Foundation Wendy Murdock, United Way of Jackson CountyErin Norton, United WayAmy Pelletier, Marriage MattersRhonda Rudolph, Jackson County Health DepartmentScott Schmidt, United Way of Jackson County Amy Schultz, HFAHSteve Sukta, Intermediate School DistrictScott TenBrink, Fitness Council of Jackson Shaina Tinsey, HFAHJulie Weisbrod, Jackson County Health DepartmentTed Westmeier, Jackson County Health Department
W.A. Foote Memorial Hospital	Part V, Section B, Line 6a: Henry Ford Specialty Hospital, a Community-Owned Specialty Hospital. HFSH is a related non-profit corporation.
W.A. Foote Memorial Hospital	Part V, Section B, Line 6b: AARPBig Brothers/Big SistersCenter for Family HealthCommunity Action AgencyCradle to CareerFitness Council of JacksonGreat Lakes IndustryGreat StartJackson Community FoundationJackson County Health DepartmentJackson County Intermediate School DistrictJackson County Parks and RecreationJackson Health NetworkJackson YMCALifeWaysMarriage Matters JacksonMichigan State UniversityPartnership Park Downtown Neighborhood AssociationUnited Way of Jackson CountyUniversity of MichiganYMCA Storer Camps
W.A. Foote Memorial Hospital	Part V, Section B, Line 7d: The CHNA is posted on the hospital website at the address below. In addition, the CHNA is posted on other community organization websites, presented at public forums, and hard copies of the assessment are available upon request. www.henryford.com/about/community-health
W.A. Foote Memorial Hospital	Part V, Section B, Line 11: Henry Ford Allegiance Health and its community partners have a comprehensive implementation strategy to meet needs identified in the Community Health Needs Assessment (CHNA). The CHNA implementation strategy is rolled out in stages. Henry Ford Allegiance Health completed a Community Health Needs Assessment with partners across Jackson County. After surveying community stakeholders and analyzing local health data, the following indicates the priority areas of focus for HFAH.IDENTIFIED PRIORITIES / GOALSo Improve the knowledge, attitudes and behaviors of residents of Jackson Countyo Reduce the obesity rate amongst Jackson County residentso Reduce smoking rate and secondhand smoke exposure in Jackson Countyo Improve the behavioral health and emotional wellness of Jackson County residentso Enhance collaborative action planning, resource alignment, and linkages among clinical and social systems to achieve collective population health impactMultiple strategies were adopted to address each identified priority. HFAH serves as the "champions" for multiple strategies. While measuring improvement in health status for every priority can be challenging in the short term, updated data indicates local improvement in a number of areas including:o Proportion of Jackson County residents that received advice about their weight from a health care provider increased from 27% in 2010 CHNA to 39% in 2013 CHNA and 42% in 2016 CHNA.o Number of Jackson residents with low access to fresh food decreased from 19,000 to 12,000 from 2013 CHNA to 2016 CHNA.o Proportion of smokers who report receiving advice from their provider to quit increased from 61% to 68% from 2013 CHNA to 2016 CHNA.o Percent of adults who would 'definitely' seek professional help for a serious emotional problem increased from 54% to 63% from 2013 CHNA to 2016 CHNA.In terms of significant health needs that will not be addressed, Henry Ford Allegiance Health 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. The implementation plan can be accessed on the hospital's website atwww.henryford.com/about/community-health
W.A. Foote Memorial Hospital	Part V, Section B, Line 15e: Invoice provides patient with a number to call if they believe they may qualify for financial assistance. Patients calling the number are guided through the financial assistance application process by hospital representatives.PART V, SECTION B, LINE 22A: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. 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.

Field	Value	IRS element (for citing)
Facility	81	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (81 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Henry Ford Allegiance Occupational Hlth
100 E Michigan Ave Ste 101	Jackson	MI	49201	Urgent care, employment screening
2 - Henry Ford Allegiance Physical Rehab-Jac
100 E Michigan Ave Ste 103	Jackson	MI	49201	Rehab
3 - Henry Ford Allegiance Substance Abuse Se
2424 W Washington Ave	Jackson	MI	49201	Outpatient Treatment
4 - Henry Ford Allegiance Home Care
100 E Michigan Ave Ste 400	Jackson	MI	49201	Visiting Nurses
5 - Henry Ford Allegiance Personal Care
100 E Michigan Ave Ste 400	Jackson	MI	49201	Private duty nursing
6 - Henry Ford Allegiance Tobacco Treatment
100 E Michigan Ave Ste 900	Jackson	MI	49201	Outpatient Treatment
7 - Gayle M Jacob Cancer Center
1100 E Michigan Ave Ste 307	Jackson	MI	49201	Hematology Oncology practice and infusion center
8 - Allegiance Wellness Center
1100 E Michigan Ave Ste 100	Jackson	MI	49201	Wellness Center
9 - Henry Ford Allegiance Cardiac Rehab
1100 E Michigan Ave Ste 102	Jackson	MI	49201	Post-surgical Rehab facility
10 - Henry Ford Allegiance Pulmonary Rehab
1100 E Michigan Ave Ste 102	Jackson	MI	49201	Post-surgical Rehab facility
11 - Henry Ford Allegiance Diagnostic Center-
1100 E Michigan Ave Ste 104	Jackson	MI	49201	Lab and imaging services
12 - Henry Ford Allegiance Outpatient Trauma
1100 E Michigan Ave Ste 201	Jackson	MI	49201	Physician specialty practice
13 - Henry Ford Allegiance Thoracic Surgery
1100 E Michigan Ave Ste 201	Jackson	MI	49201	Physician specialty practice
14 - Henry Ford Allegiance Pediatric Cardiolo
1100 E Michigan Ave Ste 201	Jackson	MI	49201	Physician specialty practice
15 - Henry Ford Allegiance Cardiac Surgery S
1100 E Michigan Ave Ste 201	Jackson	MI	49201	Physician specialty practice
16 - Henry Ford Allegiance Radiation Oncology
1102 E Michigan Ave	Jackson	MI	49201	Radiation therapy
17 - Henry Ford Allegiance ENT
1111 Teneyck St Ste 100	Jackson	MI	49201	Physician specialty practice
18 - Henry Ford Allegiance Hearing Center
1111 Teneyck St Ste 200	Jackson	MI	49201	Hearing loss treatment; hearing aid sales/service
19 - Henry Ford Allegiance Surgery Center
1125 E Michigan Avenue	Jackson	MI	49201	Outpatient surgery center
20 - Henry Ford Allegiance Rheumatology
1201 E Michgan Avenue Ste 100	Jackson	MI	49201	Physician specialty practice
21 - Henry Ford Allegiance Neurology
1201 E Michgan Avenue Ste 240	Jackson	MI	49201	Physician practice
22 - Henry Ford Allegiance Orthopedics
1201 E Michgan Avenue Ste 300	Jackson	MI	49201	Physician specialty practice
23 - Henry Ford Allegiance Senior Health Cntr
100 E Michigan Ave Ste 102	Jackson	MI	49201	Retail sales of durable medical equipment
24 - Henry Ford Allegiance Osteoporosis Cntr
1201 E Michigan Ave Ste 120	Jackson	MI	49201	Physician practice
25 - Allegiance Balance Center
1201 E Michigan Ave Ste 120	Jackson	MI	49201	Rehabilitation services
26 - Henry Ford Allegiance Pain Management
1201 E Michigan Ave Ste 200	Jackson	MI	49201	Physician practice
27 - Henry Ford Allegiance Neurosurgery
1201 E Michigan Ave Ste 240	Jackson	MI	49201	Physician specialty practice
28 - Henry Ford Allegiance Physical Medicine
1201 E Michigan Ave Ste 300	Jackson	MI	49201	Physician specialty practice
29 - Henry Ford Allegiance Physical Rehab
1201 E Michigan Ave Ste 300	Jackson	MI	49201	Rehabilitation services
30 - Henry Ford Allegiance Diagnostic Center
1201 E Michigan Avenue	Jackson	MI	49201	Laboratory and imaging services
31 - Henry Ford Allegiance Diagnostic Center-
1310 Greenwood Ave	Jackson	MI	49203	Laboratory services
32 - Henry Ford Allegiance Neuropsychology
1400 E Michigan Ave	Jackson	MI	49202	Physician specialty practice
33 - Henry Ford Allegiance Diagnostic Center-
1401 W North Street	Jackson	MI	49202	Lab and imaging services
34 - Henry Ford Allegiance Family Medicine
1401 W North Street	Jackson	MI	49202	Family medicine and Extended Hours Clinic
35 - Henry Ford Allegiance CRNA
205 N East Ave	Jackson	MI	49201	Anesthesiology services
36 - Henry Ford Allegiance EEG
205 N East Ave	Jackson	MI	49201	Patient testing
37 - Henry Ford Allegiance EKG
205 N East Ave	Jackson	MI	49201	Patient testing
38 - Henry Ford Allegiance Emergency Care
205 N East Ave	Jackson	MI	49201	Emergency room and urgent care
39 - Henry Ford Allegiance Health Pharmacy
205 N East Ave	Jackson	MI	49201	Outpatient pharmacy
40 - Henry Ford Allegiance Sleep Health Cent
205 N East Ave	Jackson	MI	49201	Diagnostic and testing center
41 - Henry Ford Allegiance Behavioral Health
205 N East Ave	Jackson	MI	49201	Mental health outpatient services
42 - Henry Ford Allegiance Digestive Health
205 S East Ave	Jackson	MI	49201	Outpatient GI procedures
43 - Henry Ford Allegiance Behavioral Health
2200 Springport Road Ste 200	Jackson	MI	49202	Mental health OP services
44 - Henry Ford Allegiance Infectious Disease
2200 Springport Road Ste 500	Jackson	MI	49202	Geriatric services
45 - Henry Ford Allegiance Wound Care Center
2200 Springport Road Ste 500	Jackson	MI	49202	Treatment and therapy
46 - Henry Ford Allegiance Diagnostic Center
2200 Springport Road Ste 800	Jackson	MI	49202	Laboratory services
47 - Henry Ford Allegiance Medication Therapy
2200 Springport Road Ste 900	Jackson	MI	49202	Pharmaceutical counseling services
48 - Henry Ford Allegiance Addiction Recovery
2424 W Washington Ave	Jackson	MI	49203	Outpatient treatment center
49 - Allegiance Family Medicine - Summit Wood
2585 Spring Arbor Road	Jackson	MI	49203	Family medicine
50 - Henry Ford Allegiance Vascular Health
300 W Washington Avenue Ste 300	Jackson	MI	49201	Physician specialty practice
51 - Henry Ford Allegiance Vascular Laborator
300 W Washington Avenue Ste 350	Jackson	MI	49201	Vascular system testing (ultrasound)
52 - Henry Ford Allegiance Health Cardiology
309 Page Avenue	Jackson	MI	49201	Cardiovascular care, diagnostic testing
53 - Henry Ford Allegiance Family Medicine
3235 E Michigan Avenue Ste 100	Jackson	MI	49202	Family medicine
54 - Henry Ford Allegiance Internal Medicine
3235 E Michigan Avenue Ste 150	Jackson	MI	49202	Internal medicine
55 - Henry Ford Allegiance Diagnostic Center
3305 Spring Arbor Rd Ste 100	Jackson	MI	49203	Lab and imaging services
56 - Henry Ford Allegiance Women's Health Cnt
3305 Spring Arbor Rd Ste 500	Jackson	MI	49203	Clinical exams, mammograms, spa services
57 - Henry Ford Allegiance Family Medicine
3333 Spring Arbor Rd Ste 100	Jackson	MI	49203	Family medicine (pending, not currently open)
58 - Henry Ford Allegiance Family Medicine
400 Hinckley Blvd Ste 100	Jackson	MI	49203	Family medicine
59 - Henry Ford Allegiance Diagnostic Center
400 Hinckley Blvd Ste 200	Jackson	MI	49203	Lab and imaging services
60 - Henry Ford Allegiance Family Medicine
4304 Page Ave	Michigan Center	MI	49254	Family medicine (pending, not currently open)
61 - Henry Ford Allegiance Diagnostic Center
4304 Page Ave	Michigan Center	MI	49254	Lab and imaging services
62 - Henry Ford Allegiance Physical Rehabilit
4304 Page Ave Ste 100	Michigan Center	MI	49254	Rehabilitation services
63 - Henry Ford Allegiance Diagnostic Center
505 N Jackson St Ste 178	Jackson	MI	49201	Lab and imaging services
64 - Henry Ford Allegiance Home Medical Equip
700 E Michigan Ave	Jackson	MI	49201	Retail Sales of durable medical equipment
65 - Phlebotomy - Dr Lynd
724 W Franklin	Jackson	MI	49203	Phlebotomy office (independent physician practice)
66 - Henry Ford Allegiance General Surgery
744 W Michigan Ave Ste 200	Jackson	MI	49201	Physician specialty practice
67 - Henry Ford Allegiance Gastroenterology
744 W Michigan Ave Ste 201	Jackson	MI	49201	Physician specialty practice
68 - Henry Ford Allegiance Pediatrics
760 W Franklin	Jackson	MI	49203	Pediatric medicine
69 - Henry Ford Allegiance Diagnostic Center
12369 E Michigan Ave	Grass Lake	MI	49240	Lab and imaging services
70 - Henry Ford Allegiance Family Medicine
12369 E Michigan Ave	Grass Lake	MI	49240	Family medicine
71 - Henry Ford Allegiance Family Medicine
130 N Sherman St	Leslie	MI	49251	Family medicine
72 - Henry Ford Allegiance Family Medicine
810 Hogsback Rd Ste A	Mason	MI	48854	Family medicine
73 - Henry Ford Allegiance Health Diagnostic
810 Hogsback Rd Ste B	Mason	MI	48854	Lab and imaging services
74 - Henry Ford Allegiance Physical Rehab
810 Hogsback Rd Ste B	Mason	MI	48854	Rehabilitation services
75 - Henry Ford Allegiance Diagnostic Center
153 Wamplers Lake Rd	Brooklyn	MI	49230	Laboratory services (Jan 2016 adding imaging services)
76 - Henry Ford Allegiance Family Medicine
8958 M-50	Onsted	MI	49265	Family medicine
77 - Henry Ford Allegiance Family Medicine
27931 C Drive North	Albion	MI	49224	Family medicine
78 - Henry Ford Allegiance Family Medicine
7845 Spring Arbor Road	Spring Arbor	MI	49283	Family medicine
79 - Henry Ford Allegiance Plastic Surgery
3305 Spring Arbor Rd Ste 200	Spring Arbor	MI	49283	Plastic Surgery
80 - Henry Ford Allegiance Dermatology
3333 Spring Arbor Rd Ste 500	Spring Arbor	MI	49283	Dermatology
81 - Henry Ford Allegiance Podiatry
3333 Spring Arbor Rd Ste 200	Spring Arbor	MI	49283	Podiatry

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	The Hospital prepares an annual community benefit report, which can be accessed at www.Henryford.com/locations/allegiance-health/about/giving-back/report-to-the-community
Part I, Line 7:	The Hospital used a cost-to-charge ratio to calculate the cost of charity care and Medicaid shortfall. Community Health Improvement Services, Health Professions Education, Research and Contributions are actual amounts.
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 $20,331,439
Part II, Community Building Activities:	The Hospital is involved in numerous community building activities. We believe these activities, such as supporting affordable housing, working in partnership with the local community college to develop skilled nurses and supporting economic development programs directly improve the general health and wellness of the community. Also, staff at every level of the organization are encouraged to serve community groups that promote education, health and economic advocacy for the less fortunate.
Part III, Line 2:	The organization's bad debt expense is stated in patient gross charges.
Part III, Line 4:	Accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its historical experience and identifies trends for each of its major payor sources to estimate the appropriate allowance for uncollectible accounts and the provision for bad debts. Management regularly reviews data about these major payor sources in evaluating the sufficiency of the allowance for uncollectible accounts. For receivables associated with services provided to patients who have third-party health care coverage, the Hospital analyzes contractually due amounts and provides an allowance for uncollectible accounts and provision for bad debts. For receivables associated with self-pay accounts (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for uncollectible accounts. The amount of bad debt reported for the tweleve months ended Decemember 31,2018 financial statements was $20,331,439.
Part III, Line 8:	The Organization believes the entire Medicare shortfall reported on Line 7 should be treated as Community Benefit. Henry Ford Allegiance Health is nationally recognized by Healthgrades as being in the top five percent nationally for patient safety (seven years in a row). Henry Ford Allegiance Health also benchmarks favorably on overall cost per case and is deemed to be an efficient provider. The Organization is subsidizing a government program and sustaining significant losses in providing health care to Medicare receipients. By continuing to treat patients eligible for Medicare, hospitals alleviate the federal government's burden for directly providing medical services.
Part III, Line 9b:	The Hospital does not collect from patients known to qualify for charity care or other financial assistance. Patients having difficulty paying their bills are directed to financial counselors. These counselors review the patient's information in order to see if they qualify for assistance. In addition, bills sent to patients include a number to call for help in providing the required financial information to qualify for charity care.
Part VI, Line 2:	The Health Improvement Organization (HIO) was founded on the understanding that long-term health improvement requires that we extend beyond acute medical care to affect the social and environmental determinants of health. Since its creation in 2000, the HIO has evolved to become a national best practice model for organizing population health improvement efforts in a region. The Health Improvement Organization Coordinating Council (HIO CC) is the community stakeholder collaborative, led by Henry Ford Allegiance Health, responsible for completing shared needs assessments, identifying high priority health issues, developing and coordinating implementation of collaborative action plans and monitoring progress over time. In FY16, the HIO CC completed an updated Community Health Assessment report and 2016-2017 Community Action Plan. The Community Health Assessment was posted on the Henry Ford Allegiance Health and HIO websites and adopted by the Henry Ford Allegiance Board of Trustees and HIO Coordinating Council in June 2016. This plan reflects significant work of many dedicated organizations and individuals: Over 1200 Jackson County residents responded to our third Community Health Assessment phone survey or participated in focus group discussions to provide insight about local health status, attitudes, beliefs, behaviors and opportunities. More than 30 HIO Coordinating Council representatives from local government, public health, health care, school districts, mental health, employers and other human service sectors spent months reviewing local data, best practice research and community input to revise our Goals and Objectives for 2016-2017. Three existing community initiatives were voted into the Health Improvement Organization, resulting in seven Health Action Teams leading change around priority health issues.Over 20 organizations and individuals stepped up to lead Health Action Teams and champion specific strategies.Our Community Health Assessment gives Jackson a powerful tool to measure health indicators within geographic and demographic subpopulations and to track changes over time. Based on the most recent data, the HIO continues to prioritize obesity, smoking and behavioral health as targets for improvement. Action Teams organized around goals in each of these areas are pursuing evidence-based community strategies such as increasing access to healthy food, enhanced mental health screening, and anti-tobacco policies. In addition to topic-specific teams around improving nutrition, physical activity, smoke-free lifestyles, behavioral health, teen pregnancy prevention, maternal and child health, and substance abuse prevention, the HIO is active in two cross-network initiatives. The Collaborative Council is a stakeholder group comprised of individuals from health, education, and financial stability. The Collaborative Council exists to coordinate the work of all strands and agencies to maximize efficiency across the community. The Community Engagement Committee is a partnership of the HIO and Cradle to Career, Jackson's education network. Leaders from both initiatives recognized parallel goals to engage populations served and made the decision to combine efforts in order to maximize resources.The Community Action Plan (CAP) report approved by the Board of Trustees during FY 2016 clearly communicates Henry Ford Allegiance Health's role and responsibilities relative to implementation of action plans.
Part VI, Line 3:	Uninsured inpatients and observation patients are referred to a financial counselor (contracted agent/partner) for assistance with Medicaid, SSI, and Henry Ford Allegiance Health program applications. Many outpatients needing or having received hospital services are also referred to the agent/partner for assistance. ER patients are provided with a packet of information at discharge from the department. This packet includes information about how assistance may be obtained through the local Medicaid office and about how to apply for our income structured payment plan and uncompensated care programs. When patients are billed for balances they owe, we solicit them to call the Business Office with any questions or for assistance. Additionally, a series of letters are sent to patients to apprise them of payment and assistance options. Allegiance has a printed brochure that is available through Registration that includes information regarding Medicaid application assistance and our internal programs. The Henry Ford Allegiance Health website includes a series of web pages related to transparency, quality, pricing, and our financial policies, procedures, and programs. Uninsured patients needing mental health services are screened for eligibility through our partnership with the Jackson Community Mental Health Agency, which funds care for indigent, dual diagnosis, and Medicaid patients. Patients seeking substance abuse care are linked with the Mid-South Substance Abuse Commission. Registration and Business Office team members receive direct training on our programs and scripting for ensuring information is provided to the patients and families with whom our staff interact. Education is provided to organizational leaders to ensure that team members outside of Finance are aware of our programs and where to direct patients and families who may need or who are seeking assistance.
Part VI, Line 4:	Henry Ford Allegiance Health's market is determined geographically by the boundaries of Jackson County. The hospital is a tax exempt Health System that serves the collective health needs of the more than 160,000 residents of Jackson County. The gender distribution of Jackson County residents is 49% female and 51% male. The age distribution of Jackson County is 26% of residents 19 years and under, 18% between 20 and 34 years, 29% between 35 and 54 years, 13% between 55 and 64 years, and 14% of residents are 65 years and older. Racial distribution of Jackson County residents according to the 2011 Census Data is 88.0% as white, 7.9% as African American, 0.7% as Asian, 0.4% as American Indian or Alaska Native, and 3.0% as some other race or two or more races. Of males aged 15 years and over, 33.0% have never married, 50.4% are married, 1.5% are separated, 2.9% are widowed, and 12.3% are divorced. Of females aged 15 and over, 25.0% have never married, 50.4% are married, 1.7% are separated, 9.8% are widowed, and 13.2% are divorced. According to the Bureau of Labor Statistics (2013), Jackson County also experiences a high unemployment rate of 8.8%. With 69,400 individuals in the civilian labor force, 6,100 residents are currently unemployed. Of those employed, major industries represented include educational services, health care, and social assistance (23.9%); manufacturing (18.7%); retail trade (12.1%); professional, scientific, management, administrative, and waste management services (7.7%); and arts, entertainment, recreation, accommodation, and food services (7.5%). Approximately 51% of Allegiance Hospital patients were covered by Medicare, while 27% were on Medicaid and 1% were uninsured. During the 2018 fiscal year, Henry Ford Allegiance Health had 20,466 inpatient discharges, of which 9,939 Medicare discharges and 6,047 Medicaid discharges from inpatient services. Physician practice visits totaled 379,518 during FY 2018, with 178,377 primary care visits and 201,141 visits to specialists.
Part VI, Line 5:	The mission of Henry Ford Allegiance Health is to improve peoples's lives through excellence in the science and art of healthcare and healing.Recently celebrating a century of providing care to our community, Henry Ford Allegiance Health's success in creating an environment for safe, clinically sound, patient-centered care has earned many accolades from across the health care industry. While these awards recognize our commitment to providing exceptional patient care, they also challenge us toward continuous improvement across the continuum.CMS Four-Star Rating - Henry Ford Allegiance Health has received a four-star rating from the Centers for Medicare & Medicaid Services (CMS), largely reflecting our significant commitment to quality and safety.Fall 2019 "A" for Patient Safety from The Leapfrog Group - The Leapfrog Group, a national patient safety watchdog, once again awarded Henry Ford Allegiance Health with an "A," ranking it among the safest hospitals in the United States. We Honor Veterans - Henry Ford Allegiance Health is proud to have been designated a Level 3 Hospice Partner of the We Honor Veterans program, a collaboration with the National Hospice Palliative Care Organization and the Veterans Administration.Looking Toward our Community's Future: In September 2018, a new three-story, 59,000 square-feet patient tower opened on the hospital campus, creating a total of 66 private rooms. A two-story Center for Health Innovation & Education center-a regional training center for health care professionals that includes leading-edge technology, such as a simulation lab designed to look and feel like real inpatient and outpatient settings.Jackson Health Network is collaborating with Henry Ford Physician Network (comprised of more than 1,800 physicians throughout southeast Michigan) on ways to improve patient care system-wide.Clinicians and administrators are working to identify opportunities to bring new services to the Jackson area. Most recently, patients have been given access to new services related to oncology, rheumatology, urology, cardiovascular health and the neurosciences, including neurosurgery.Promoting Continuous Health Improvement in Our CommunityThe Health Improvement Organization (HIO) was created by our health system in 2000 to promote a culture of continuous health improvement in our community and integrate wellness and prevention throughout our services. The Henry Ford Allegiance Department of Prevention and Community Health provides staff and infrastructure to facilitate the coordination of local health improvement activities.
Part VI, Line 6:	The Hospital's sole corporate member is Henry Ford Allegiance Health Group, a 501(c)(3) organization. Other affiliates include: Henry Ford Allegiance Health Foundation; Henry Ford Allegiance Hospice; Henry Ford Allegiance Specialty Hospital, a Long Term Acute Care Hospital (LTACH); Volunteers of Henry Ford Allegiance Health. These are all 501(c)(3) non-profit organizations working together to improve healthcare in and around Jackson, MI. Additionally, the Hospital recently formed Jackson Health Network (JHN), a clinically integrated network. The Hospital is also affilated with Henry Ford Allegiance Pharmacy.The Foundation and the Volunteer organization work closely with Henry Ford Allegiance Health Group and the hospital to raise funds for projects and services that benefit the overall well-being of the community. Previous campaigns successfully raised funds to expand and improve our Graduate Medical Education program, cancer care service line and provided free medical care to indigent patients. Jackson Health Network works to improve patient clinical outcomes thru coordinated care and lowering overall health care costs.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Center for Family Health
505 N Jackson St	Jackson	MI	49201	383251354	501(c)(3)	$100,000	N/A	The Center for Family Health grant provides operational support for medically underserved populations.
Jackson Symphony Orchestra
215 W Michigan Ave	Jackson	MI	49201	382146747	501(c)(3)	$5,000	N/A	Contribution to Endowment fund in support of Symphony Operations.
Anchor Initiative
141 S Jackson St	Jackson	MI	49201	472475316	501(c)(3)	$50,000	N/A	Annual Contribution to community growth org.
Family Services and Childrens Aid
330 W Michigan Ave	Jackson	MI	49201	386088382	501(c)(3)	$45,000	N/A	Support Of Jackson County guardianship program.
Region II Area Agency on Aging
102 N Main St	Brooklyn	MI	49230	382056030	501(c)(3)	$8,000	N/A	Support of educational programs
Enterprise Group
100 E Michigan Ave 1100	Jackson	MI	49201	383326101	501(c)(6)	$25,000	N/A	Annual Contribution to community growth org.
Jackson Community Foundation
100 S Jackson St Suite 206B	Jackson	MI	49201	386070739	501(c)(3)	$5,000	N/A	Contribution to child advocacy fund honoring falle police officer

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Staff Assistance Fund for Emergencies	125	$102,658
We Care Patient Needs Fund	50	$3,053
Womens Health Center Oncology Aesthetics	10	$2,220
Cancer Patient Immedicate Needs Funds	100	$44,702

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Awards are granted based on an application and review process.The Organization sends out an award letter to all grantee recipents. The letter outlines what the funding may be used for and requests a final report detailing the year's activities.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Georgia R Fojtasek RN EdD
Trustee-President & CEO	$0	$644,465	$0	$426,550	$0	$203,929	$0	$26,534	$0	$28,166	$0	$1,329,644	$0	$0
Robert G Riney
Trustee	$0	$990,589	$0	$593,292	$0	$253,480	$0	$26,535	$0	$23,478	$0	$1,887,374	$0	$0
Adnan R Munkarah MD
Physician Trustee	$0	$734,522	$0	$173,026	$0	$15,975	$0	$23,784	$0	$31,840	$0	$979,147	$0	$0
Sandra Kilian MD
Trustee	$136,053	$0	$0	$0	$43,098	$0	$15,444	$0	$11,014	$0	$205,609	$0	$34,514	$0
Mohan G Kulkarni MD
Physician Trustee	$456,182	$0	$336,034	$0	$169,351	$0	$63,066	$0	$28,854	$0	$1,053,487	$0	$0	$0
Kenneth W Empey
General Counsel	$241,414	$0	$120,555	$0	$122,673	$0	$27,999	$0	$21,178	$0	$533,819	$0	$90,008	$0
Ondrea L Bates RN
SVP Patient Care	$277,696	$0	$183,048	$0	$36,664	$0	$23,437	$0	$33,887	$0	$554,732	$0	$0	$0
Mark A Smith MD
Chief Medical Officer	$338,742	$0	$36,634	$0	$36,942	$0	$19,690	$0	$41,154	$0	$473,162	$0	$0	$0
Kevin P Leonard
VP Finance/ CFO	$215,434	$0	$122,362	$0	$32,724	$0	$19,201	$0	$10,896	$0	$400,617	$0	$11,616	$0
Azam Basheer MD
Physician	$745,205	$0	$814,401	$0	$326,729	$0	$117,217	$0	$24,838	$0	$2,028,390	$0	$0	$0
Timothy Ephrian Ekpo DO
Physician	$692,279	$0	$329,179	$0	$373,795	$0	$78,160	$0	$24,507	$0	$1,497,920	$0	$292,598	$0
Amritraj G Loganathan MD
Physician	$744,140	$0	$547,189	$0	$340,902	$0	$94,394	$0	$25,896	$0	$1,752,521	$0	$0	$0
Frank LaMarca MD
Physician	$1,143,362	$0	$600,324	$0	$351,687	$0	$122,814	$0	$25,811	$0	$2,243,998	$0	$0	$0
Stephen Lee Kirkner DO
Physician	$444,627	$0	$366,591	$0	$514,720	$0	$64,821	$0	$19,900	$0	$1,410,659	$0	$351,261	$0
Karen Chaprnka
Former SVP & COO	$143,647	$0	$0	$0	$13,059	$0	$0	$0	$0	$0	$156,706	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Henry Ford Allegiance Health provides a country club membership to three executives. The executives reimburse the hospital for any personal use of the club. These benefits did not result in taxable compensation during FY 18.
Part I, Line 3	The Chief Executive Officer for W.A. Foote Memorial Hospital is an employee of Henry Ford Health System (the sole member of Henry Ford Allegiance Health Group). Henry Ford Health System ("HFHS") has a Compensation Committee of the Board of Trustees consisting of all independent trustees. The committee meets throughout the year and is charged with the approval of the organization's overall compensation and benefit programs as well as the specific review and approval of the compensation of certain employees including the Chief Executive Officer of W.A. Foote Memorial Hospital. The committee directly engages an independent compensation advisor to assist with this process. The process includes evaluation of the individual's performance, utilization of compensation studies of similarly situated positions as well as comparisons to compensation as reported by other health care organizations. The reasonableness of compensation is evaluated based upon these and other factors. The CEO is accountable for ensuring that Allegiance Health's mission is efficiently carried out with the highest levels of quality, safety and service, while at the same time ensuring that the organization is financially healthy. Executive compensation is reviewed annually by the Executive Compensation Committee of the Board of Trustees. This committee works with an independent compensation consultant to ensure that Henry Ford Allegiance Health compensation practices are consistent with industry standards and that compensation levels are fair compared to similar healthcare organizations nationally. The compensation consultant benchmarks Henry Ford Allegiance Health's positions against data from multiple published surveys of health care executive compensation in the national health care labor market. Based upon the consultants recommendations, the Executive Compensation Committee makes a recommendation to the Board of Trustees for approval of the executive compensation program. Only independent Trustees vote on this recommendation.
Part I, Line 4b	4b. Certain members of the Organization's senior leadership team participate in supplemental retirement programs that result in reportable taxable income as the benefits accrue, and/or as paid. It is an element of some plan designs to absorb the advance tax impact of these plans for the participants. In such cases the related amounts are reported as taxable income to the individual and included in the determination of reasonable compensation. The following provides the required listing of the participating individuals: Sec 457(f)-Non-Qualified Deferred Compensation Retirement Plan - W.A. FOOTE MEMORIAL HOSPITAL Reportable Accrual Distribution Non-Vested W-2 Amounts Ray King 11,250 20,658 - 20,658 Mohan Kulkarni 63,066 - - - Ondrea Bates 15,875 - - - Mark Smith M.D. 15,565 - - - Ken Empey 13,626 90,008 - 90,008 Kevin Leonard 11,616 11,616 - 11,616 Amritra J Longanathan 94,394 - - - Frank LaMarca 122,814 - - - Stephen Kirkner 64,824 351,261 - 351,261 Azam Basheer 117,217 - - - Timothy E. Ekpo 78,160 292,598 - 292,598 Sandra Kilian 15,444 34,514 - 34,514 Sec 457(f) - Supplemental Executive Retirement Plan (SERP) - HENRY FORD HEALTH SYSTEM Participant Accrual Distribution Non-Vested Reportable W-2 Robert G. Riney 230,078 - - 230,078 Georgia Fojtasek 172,223 - - 172,223 Adnan R. Munkarah - - 154,094 - Sec 457(b)-Non-Qualified Deferred Compensation Retirement Plan - HENRY FORD HEALTH SYSTEM Employee Employer Medicare Reportable 2018 Contr. 20187 Contr. Tax gross-Up W-2 Amounts Robert G. Riney 18,500 - - 18,500 Adnan R. Munkarah 11,072 - - 11,072 Georgia Fojtasek 18,500 - - 18,500
Part I, Line 7	Column B(ii) of Part II, Schedule J includes non-fixed payments to certain physicians based on their productivity and other performance metrics.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Patrick Nally	PersonNm
Relationship With Org	Son of John Nally, Chairman of Allegiance Health	RelationshipWithOrgTxt
Loan Purpose	Employee Recruitment Loan	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$115,000	OriginalPrincipalAmt
Balance Due	$115,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$115,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Patrick Nally	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family Member/Officer	RelationshipDescriptionTxt
Transaction	$131,214	TransactionAmt
Transaction	Employee Wages	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The Corporation is organized on a membership basis. The sole corporate member of the Corporation is Henry Ford Allegiance Health Group (formerly Allegiance Health Services).
Form 990, Part VI, Section A, line 7a	The sole Member of the organization may elect and remove, with or without cause, the Corporation's Trustees.
Form 990, Part VI, Section A, line 7b	The following powers are reserved for the sole corporate Member of the hospital. Approve any change in the Articles of Incorporation, purposes or philosophy of the Corporation; Approve changes in those provisions of the Corporation's Bylaws which affect the size, composition, and method of selection of the Board of Trustees, or which affect this Article; Approve plans of merger, consolidation or dissolution of the Corporation; Elect and remove, with or without cause, the Corporation's Trustees, upon a simple majority vote of the Directors then serving on the Board of the Member present at a meeting at which a quorum is present; Approve guarantees by the Corporation of the debt of others in excess of maximum limits established by the Member, upon a simple majority vote of the Directors then serving on the Board of the Member present at a meeting at which a quorum is present; Authorize the sale, lease, mortgage or other disposition of all or substantially all of the assets owned, held or leased by or to the Corporation, approve any decision by the Corporation which would have the net effect of diminution of governance control of the Member, and any decision by the Corporation which would have the net effect of diminution in the Corporation's governance control over it's own subsidiary; Ratify or reject operating and capital budgets developed by the Board and any non-budgetary expenditures or creations of debt in excess of an amount designated by the Member from time to time, upon a simple majority vote of the Directors then serving on the Board of the Member present at a meeting at which a quorum is present; and Authorize the formation or acquisition of new subsidiaries of the Corporation or the sale or other disposition of existing subsidiaries.
Form 990, Part VI, Section B, line 11b	The organization is an affiliate of Henry Ford Health System (HFHS) and the tax department of HFHS prepares the organization's Form 990. As part of the preparation and review process prior to filing the return, the following review process is conducted: - Reviewed by the Organization's Director and VP of Finance, Chief Executive Officer, General Counsel, and Compliance Officer. - Review of the entire return with the HFHS 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 HFHS Board of directors - Review of the return with the HFHS Audit and Compliance Committee of the Board of director, including the CEO and COO - Final copies of the return are distributed to the Hospital's Board of Trustees before the return is filed.
Form 990, Part VI, Section B, line 12c	The organization is an affiliate of Henry Ford Health System (HFHS) who oversees the conflict of interest process with regard to the organization. HFHS has a standing Conflict of Interest Committee (the Committee) that is responsible for oversight of all conflict of interest matters. The HFHS 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 HFHS Board of Directors.
Form 990, Part VI, Section B, line 15	The organization is an affiliate of Henry Ford Health System (HFHS) who has responsibility to oversee the compensation practices of the organization. HFHS 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	Forms 1023, 990 and 990-T are available upon request. The conflict of interest policy is not available to the public. PART IV, LINE 12 The Organization is an element of the external audit report obtained for the consolidated operations of Henry Ford Health System. FORM 990, PART IV, LINE 24a, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH SYSTEM.
Form 990, Part IX, line 11g	Professional Other: Program service expenses 11,228,459. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,228,459. Physican Services: Program service expenses 17,746,119. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,746,119. Purchased Services Other: Program service expenses 23,812,301. Management and general expenses 7,564,265. Fundraising expenses 0. Total expenses 31,376,566.
Form 990, Part XI, line 9:	PENSION LIABILITY ADJUSTMENT 7,814,030. AFFILIATE EQUITY TRANSFERS 3,590,796.
Form 990, Part XII, Line 2C	Henry Ford Allegiance Health is included in the consolidated financial statements of Henry Ford Health System (the sole member of Henry Ford Allegiance Health Group). The governing body of Henry Ford Health System has delegated the oversight of its financial statements, including the choice of independent auditors, to its audit committee.
FORM 990, PART VII:	Average hours per week devoted to related organizations: Many executive employees of Henry Ford Health System and affiliates provide services to multiple affiliated entities. Henry Ford Health System and affiliates use estimates for reporting average hours per week in all sections of Form 990. Generally 60 hours are reported for the hours associated for the organization that the individual has principal responsibility for. Hours associated with other hospitals or affiliates are reported at between 1 to 5 hours per week.
Form 5713 - International Boycott Activity:	A Form 5713, International Boycott Report, has been filed on our behalf by Henry Ford Health System (sole member of Henry Ford Allegiance Health Group). Henry Ford Allegiance Health did not itself have any activities associated with an international boycott country.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
Physicians Choice Network LLC
205 N East Avenue	Jackson	MI	49201	Provider Network	MI	$116,529	$54,637	Henry Ford Allegiance Health
Jackson Health Network L3C
205 N East Avenue	Jackson	MI	49201	Clinically Integrated Network	MI	$3,150,850	$4,453,366	Henry Ford Allegiance Health	453253643
Jackson Community Medical Records LLC
205 N East Avenue	Jackson	MI	49201	Electronic Medical Records	MI	$6,013,063	$1,640,016	Henry Ford Allegiance Health	371502443
It's Your Life Services LLC
205 N East Avenue	Jackson	MI	49201	Prevention and Community Health	MI	$40,542	$0	Henry Ford Allegiance Health
Telehealth Michigan
205 N East Avenue	Jackson	MI	49201	Electronic Health Monitoring	MI	$0	$0	Henry Ford Allegiance Health

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Henry Ford Allegiance Health Group
205 N East Avenue	Jackson	MI	49201	382756428	Exempt Health System	MI	501(c)(3)	Line 12b, II	Henry Ford Health System	Yes (1)
Allegiance Health Foundation
205 N East Avenue	Jackson	MI	49201	383607833	Supports Allegiance Health	MI	501(c)(3)	Line 12b, II	Henry Ford Allegiance Health Group	Yes (1)
Hospice of Jackson dba Allegiance Hospice
205 N East Avenue	Jackson	MI	49201	382336367	Hospice Care	MI	501(c)(3)	Line 7	Heathlink	Yes (1)
The Hospice of Jackson Endowment Fund
One Jackson Square	Jackson	MI	49201	383422146	Raise Funds for Allegiance Hospice	MI	501(c)(3)	Line 12b, II	Allegiance Hospice	Yes (1)
Healthlink
205 N East Avenue	Jackson	MI	49201	382756425	Home Health Care	MI	501(c)(3)	Line 12a, I	Henry Ford Allegiance Health Group	Yes (1)
Henry Ford Allegiance Specialty Hospital
110 North Elm Avenue	Jackson	MI	49202	381218485	Long Term Acute Care Hospital	MI	501(c)(3)	Line 3	Henry Ford Allegiance Health Group	Yes (1)
Henry Ford Health System
One Ford Place	Detroit	MI	48202	381357020	Healthcare Service Provider	MI	501(c)(3)	Line 3		0	N/A
Henry Ford Wyandotte Hospital
2333 Biddle Ave	Wyandotte	MI	48192	382791823	Healthcare Service Provider	MI	501(c)(3)	Line 3	Henry Ford Health System	Yes (1)
Henry Ford Health System Foundation
One Ford Place	Detroit	MI	48202	237383042	Supporting Organization	MI	501(c)(3)	Line 12a, I	Henry Ford Health System	Yes (1)
Health Alliance Plan
2850 W Grand Blvd	Detroit	MI	48202	382242827	Health Maintenance Organization	MI	501(c)(4)	N/A	Henry Ford Health System	Yes (1)
HFHS Self Funded Liability
One Ford Place	Detroit	MI	48202	386553031	Malpractice Insurance	MI	501(c)(4)	N/A	Henry Ford Health System	Yes (1)
HFII Corporation
One Ford Place	Detroit	MI	48202	900840304	Scientific Research	MI	501(c)(3)	Line 7	Henry Ford Health System	Yes (1)
Henry Ford Health System Government Affairs Services
One Ford Place	Detroit	MI	48202	464064067	Advocacy Services for HFHS and affiliates	ME	501(c)(4)	N/A	Henry Ford Health System	Yes (1)
Henry Ford Macomb Hospital Corporation
One Ford Place	Detroit	MI	48202	382947657	Healthcare Service Provider	DE	501(c)(3)	Line 3	Henry Ford Health System	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Foote Health Center Associates
1100 E Michigan Avenue	Jackson	MI	49201	383017711	Lessor of Medical Condominiums	MI	Henry Ford Allegiance Health	Related	$107,489	$1,107,666	0	0	0.62000
Northwest Detroit Dialysis
30100 Telegraph	Bingham Farms	MI	48025	383232668	Operate Dialysis Clinic	MI	Henry Ford Health System	Related			0	0
Macomb Regional Dialysis Centers
16151 Nineteen Mile Rd	Clinton Township	MI	48038	260423581	Operate Dialysis Clinic	MI	Henry Ford Health System	related			0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Henry Ford Allegiance Pharmacy
205 N East Avenue	Jackson	MI	49201	383370242	Pharmacy	MI	Henry Ford Allegiance Health Group	C	Yes (1)
Sha Realy Inc
One Ford Place	Detroit	MI	48202	381378121	Real Estate Holding	MI	Henry Ford Health System	C	Yes (1)
Fairlane Health Services
30100 Telegraph	Bingham Farms	MI	48025	382565235	Healthcare Management	MI	Henry Ford Health System	C	Yes (1)
Alliance Health and Life Insurnace
2850 W Grand Blvd	Detroit	MI	48202	383291563	Health Insurance Provider	MI	Health Alliance Plan	C	Yes (1)
HAP Preferred Inc
2850 W Grand Blvd	detroit	MI	48202	382513504	Provider Network Leasing	MI	Health Alliance Plan	C	Yes (1)
Onika Insurance Ltd
					Captive Insurance		Henry Ford Health System	C	Yes (1)	First Carribean House	Grand Cayman	CJ	CJ
Henry Ford Physician Network
One Ford Place	Detroit	MI	48202	320306774	Physician Network	MI	Henry Ford Health System	C	Yes (1)
Adminstration Systems Research Corporation
2850 W Grand Blvd	detroit	MI	48202	382651185	Third Party Insurance Admin.	MI	Health Alliance Plan	C	Yes (1)
HAP Midwest Health Plan Inc
2850 W Grand Blvd	Detroit	MI	48202	383123777	Health Insurance Provider	MI	Health Alliance Plan	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Hospice of Jackson dba Henry Ford Allegiance Hospice
J	$126,060	Cost
Hospice of Jackson dba Henry Ford Allegiance Hospice
L	$619,129	Cost
Alliance Health & Life Insurance Co
P	$1,890,316	Cost
Allegiance Health Foundation
S	$2,756,386	Cost
CareLink of Jackson
L	$571,783	Cost
Volunteers of Henry Ford Allegiance Health
R	$171,312	FMV
Health Alliance Plan
L	$2,715,820	cost
Jackson Community Ambulance
M	$213,750	cost
Health Alliance Plan
M	$1,890,316	cost
Onika Insurance Ltd
P	$1,714,894	Cost
Onika Insurance Ltd
Q	$1,593,061	Cost

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 1D & 1E:	FormAndLineReferenceDesc
Explanation	The Organization is a member of the Henry Ford Health System Obligated Group. Members of the Obligated Group are jointly and severally liable for outstanding obligations issued under the 2016 HFHS Bond Master Indenture.	ExplanationTxt