2014-11-12T15:41:34-06:00 2013-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2013-01-01 381357020 HENRY FORD HEALTH SYSTEM HENR 3138768714 ONE FORD PLACE - 5F DETROIT MI 48202 EDWARD G CHADWICK EVP/CFO 3138768714 2014-11-12 P00121981 3133963000 2013 2015-11-30 17:44:51Z EDWARD G CHADWICK ONE FORD PLACE DETROIT MI 48202 2480288287 0 X WWW.HENRYFORD.COM X 1915 MI TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. 21 14 19289 613 14130739 -3236851 39102359 81272136 2246297088 2205701741 22055433 44029071 52541957 63051021 2359996837 2394053969 3713320 4382510 0 0 1303406357 1341928645 378507 58480 5882377 1045667322 1071834895 2353165506 2418204530 6831331 -24150561 1917359827 1965056471 1356831080 1344803705 560528747 620252766 X AS ONE OF THE NATION'S LEADING INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HENRY FORD HEALTH SYSTEM TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. SINCE ITS FOUNDING IN 1915, HFHS HAS BEEN COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF ALL OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION. 0 0 1075824770 4382510 1075199385 INPATIENT HOSPITALS: HENRY FORD HEALTH SYSTEM IS HONORED TO BE THE ONLY ORGANIZATION IN MICHIGAN AND ONE OF FOUR NATIONALLY TO RECEIVE THE 2011 MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR PERFORMANCE EXCELLENCE. A KEY FACET OF OUR AWARD-WINNNING OPERATIONS IS THE COMMUNITY PILLAR, SUPPORTING OUR VISION OF TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. THE ORGANIZATION OPERATES HENRY FORD HOSPITAL (HFH), AN 877 BED TERTIARY CARE HOSPITAL, EDUCATION AND RESEARCH COMPLEX IN THE NEW CENTER AREA OF DETROIT, MICHIGAN. THE HOSPITAL IS RECOGNIZED FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF CARDIOLOGY AND CARDIOVASCULAR SURGERY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS AND SPORTS MEDICINE, AND TREATMENT OF PROSTATE, BREAST AND LUNG CANCERS AMONG OTHERS. THE HOSPITAL IS A MULTI-ORGAN TRANSPLANT CENTER AND LEVEL 1 TRAUMA CENTER. THE HOSPITAL HAD REVENUES OF MORE THAN $855 MILLION AND MORE THAN 41,000 ADMISSIONS DURING 2013. MORE THAN 1,000 MEDICAL RESIDENTS, FELLOWS AND STUDENTS PARTICIPATED IN THE ORGANIZATION'S VARIOUS EDUCATIONAL PROGRAMS.WEST BLOOMFIELD HOSPITAL, AN OPERATING UNIT OF HFHS, OPENED MARCH 15, 2009. LOCATED IN WEST BLOOMFIELD, THE 300-BED, ALL PRIVATE ROOM HOSPITAL OPENED WITH 191 BEDS, WITH AN ADDITIONAL 109 BEDS PLANNED. OFFERS COMPREHENSIVE MEDICAL CARE, INCLUDING 24-HOUR EMERGENCY CARE, NEUROSCIENCES, WOMEN'S AND CHILDREN'S HEALTH, ORTHOPAEDICS, DIAGNOSTIC TESTING AND A WELLNESS CENTER WITH COMPLEMENTARY THERAPIES. A GREENHOUSE GROWS ORGANIC PRODUCE FOR PATIENTS, STAFF AND COMMUNITY. THE HOSPITAL HAD REVENUES OF $220 MILLION, AND ADMITTED 13,000 PATIENTS DURING 2013.TEACHING, RESEARCH, AND ADVANCED PATIENT CARE MAKE HFHS A PREMIER ACADEMIC MEDICAL CENTER. AFFILIATED WITH WAYNE STATE UNIVERSITY'S SCHOOL OF MEDICINE, HENRY FORD PROVIDES INNOVATIVE PHYSICIAN TRAINING PROGRAMS AND COLLABORATES ON LEADING-EDGE MEDICAL RESEARCH.HENRY FORD MEDICAL EDUCATION OVERVIEW:MEDICAL EDUCATION PROGRAMS OFFERED BY HENRY FORD HEALTH SYSTEM INCLUDE UNDERGRADUATE, GRADUATE, CONTINUING, AND ALLIED HEALTH TRAINING PROGRAMS THROUGHOUT SOUTHEAST MICHIGAN. THE SYSTEM'S FLAGSHIP HOSPITAL, HENRY FORD HOSPITAL IN DETROIT, IS ONE OF THE NATION'S LARGEST RESEARCH CENTERS, WITH MORE THAN $70 MILLION IN RESEARCH FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHER SOURCES. AS ONE OF THE LARGEST MEDICAL EDUCATION TEACHING CENTERS IN THE NATION, HENRY FORD TRAINS MORE THAN 1,600 DOCTORS EVERY YEAR.HENRY FORD HOSPITAL DOCTORS TRAIN MORE THAN 600 MEDICAL SCHOOL STUDENTS, 500 RESIDENTS AND 150 FELLOWS ACROSS 46 DIFFERENT AREAS OF MEDICINE EVERY YEAR. HENRY FORD HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS. HENRY FORD MACOMB HOSPITALS AND HENRY FORD WYANDOTTE HOSPITAL TRAIN MORE THAN 200 MEDICAL STUDENTS AND 200 RESIDENTS EVERY YEAR. THESE HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS. AS TEACHING PHYSICIANS, HENRY FORD MEDICAL GROUP DOCTORS ARE ALSO FACULTY MEMBERS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE, AND MANY OTHER HENRY FORD TEACHING DOCTORS ARE FACULTY MEMBERS AT THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HENRY FORD HOSPITAL HEALTH SYSTEM'S CENTER FOR SIMULATION, EDUCATION AND RESEARCH ALLOWS DOCTORS TO PRACTICE NEW SKILLS ON LIFE-LIKE MANNEQUINS (ADULT AND CHILD) TO GAIN EXPERIENCE BEFORE CARING FOR THE HUMAN PATIENT.THIS 15,000 SQUARE FOOT TRAINING CENTER INCLUDES HIGH-TECH COMPUTERS WHICH CREATE HUNDREDS OF DIFFERENT MEDICAL CONDITIONS IN SURGERY, LABOR AND DELIVERY, INTENSIVE CARE, EMERGENCY AND ROUTINE HOSPITAL PROCEDURES. 783960701 691932206 OUTPATIENT CLINICS: THE ORGANIZATION INCLUDES THE HENRY FORD MEDICAL GROUP (HFMG),ONE OF THE NATION'S LARGEST GROUP PRACTICES, WITH 1,200 PHYSICIANS AND RESEARCHERS IN 40 SPECIALTIES FROM 60 COUNTRIES WHO STAFF HENRY FORD HOSPITAL AND HENRY FORD WEST BLOOMFIELD HOSPITAL, ALONG WITH 29 HENRY FORD MEDICAL CENTERS, ENCOMPASSING MORE THAN 2.2 MILLION VISITS. HENRY FORD'S MEDICAL CENTERS ARE LOCATED IN WAYNE, OAKLAND, MACOMB AND WASHTENAW COUNTIES. SOME MEDICAL GROUP PHYSICIANS ALSO ARE ON STAFF AT OTHER HENRY FORD HOSPITALS. THREE MEDICAL CENTERS PROVIDE 24-HOUR EMERGENCY CARE AND AMBULATORY SURGERY AND ARE PRIMARY CARE STROKE CENTERS.FOUNDED IN 1915 AFTER CONSULTATIONS WITH PHYSICIANS AT JOHNS HOPKINS HOSPITAL AND THE MAYO CLINIC, THE HENRY FORD MEDICAL GROUP HAS ESTABLISHED ITSELF AS ONE OF THE PREMIER GROUP PRACTICES IN THE NATION. OUR LARGE ACADEMIC ENTERPRISE PLACES US IN THE TOP THREE OF TRADITIONALLY INDEPENDENT GROUP PRACTICES THROUGH:CLINICAL CARE: THE BREADTH AND DEPTH OF THE HENRY FORD MEDICAL GROUP'S CLINICAL SERVICES IS UNPARALLELED BY ANY OTHER INDEPENDENT ACADEMIC MEDICAL CENTER. OUR SCALE AND SCOPE ARE IN THE 99TH PERCENTILE OF ALL GROUP PRACTICES, WITH VISIT VOLUMES LARGER THAN MOST GROUP PRACTICES. WE ARE NATIONAL LEADERS IN PRIMARY CARE WITH EXPERTISE IN PREVENTIVE CARE SERVICES AND THE HEALTH MANAGEMENT OF SENIOR CITIZENS. OUR SPECIALTY CENTERS OF EXCELLENCE ARE NATIONAL LEADERS AS WELL, PROVIDING ADVANCED TERTIARY AND QUATERNARY CARE WITH A FOCUS ON DISCOVERY AND INNOVATION.EDUCATION: ONE-THIRD OF ALL PHYSICIANS IN MICHIGAN RECEIVED TRAINING AT HENRY FORD, AND OUR POST-GRADUATE MEDICAL EDUCATION ENTERPRISE IS AMONG THE LARGEST IN THE COUNTRY.RESEARCH: HENRY FORD IS IN THE TOP 20% OF ALL INSTITUTIONS GRANTED FUNDING BY THE NIH AND U.S. PUBLIC HEALTH SERVICE, AND RANKS FIRST IN MICHIGAN FOR NIH-RESEARCH FUNDING FOR NON-UNIVERSITY BASED HEALTH CARE SYSTEMS.LEADERS IN ACADEMIC MEDICINE AND CLINICAL CARE: THE HENRY FORD MEDICAL GROUP IS AMONG THE BEST ORGANIZED IN THE COUNTRY. OUR SELF-GOVERNED, EMPLOYED PHYSICIAN PRACTICE PROGRAM HAS BEEN COPIED BY MANY OTHERS BECAUSE OF OUR CONTINUING SUCCESS EVEN THROUGH THE TOUGHEST ECONOMIC TIMES. THE BRIGHTEST MINDS IN MEDICINE ARE ATTRACTED TO BECOME PART OF THE HENRY FORD MEDICAL GROUP BECAUSE OUR ORGANIZATION PROVIDES PHYSICIANS THE INDEPENDENCE TO PURSUE ADVANCED CLINICAL CARE WHILE UNDERTAKING RESEARCH AS WELL AS ACADEMIC EDUCATIONAL INITIATIVES.FOR NEARLY 100 YEARS NOW THE HENRY FORD MEDICAL GROUP HAS FOSTERED ADVANCEMENT IN PATIENT CARE, RESEARCH, AND EDUCATION WHILE ENCOURAGING INNOVATION IN TECHNOLOGY AND PATIENT CARE PROCESSES BOTH IN THE OUTPATIENT AND HOSPITAL SETTINGS. FOR THESE REASONS HENRY FORD MEDICAL GROUP PHYSICIANS ARE CONSISTENTLY SELECTED BY THEIR PHYSICIAN PEERS AS TOP DOCTORS IN VARIOUS LOCAL AND NATIONAL PUBLISHED SURVEYS AND TO LEAD NATIONAL AND STATE MEDICAL ASSOCIATIONS. HENRY FORD MEDICAL GROUP PHYSICIANS WORK TOGETHER IN LEADERSHIP AND AS EVERYDAY PARTNERS TO CONTINUE TO BRING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE. 130694419 128086200 EMERGENCY ROOM SERVICES: THE ORGANIZATION DIRECTLY OPERATES FIVE 24 HOUR EMERGENCY FACILITIES, ONE OF WHICH IS A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT. EMERGENCY SERVICES RECOGNIZED MORE THAN $128 MILLION IN REVENUE DURING 2013 REPRESENTING 220,000 PATIENT VISITS. 161820206 372378594 OTHER PROGRAM SERVICES INCLUDES HFHS RESEARCH SERVICES, ALONG WITH HFHS COMMUNITY CARE SERVICES, WHICH OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS INCLUDING NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, DIALYSIS AND A DEDICATED CANCER CENTER; APARTMENT RENTALS FOR MEDICAL RESIDENTS & PATIENT FAMILY MEMBERS; FITNESS CENTER & ATHLETIC TRAINING SERVICES, AND SCHOOL BASED HEALTH PROGRAMS.RESEARCH IS A VITAL COMPONENT OF THE MISSION OF HENRY FORD HEALTH SYSTEM-HENRY FORD HEALTH SYSTEM'S MISSION IS TO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THIS MISSION IS STRONGLY SUPPORTED AND ENHANCED BY THE DEDICATED STAFF PURSUING SCIENTIFIC ACTIVITIES. SINCE 1915, HENRY FORD HOSPITAL PHYSICIANS AND SCIENTISTS HAVE FOCUSED THEIR EFFORTS ON A WIDE VARIETY OF TOPICS CRITICAL TO UNDERSTANDING THE MECHANISMS OF DISEASE AND DEVELOPING NEW, VIABLE TREATMENT OPTIONS. OVER THE PAST YEAR AND A HALF, HENRY FORD HEALTH SYSTEM (HFHS) HAS ENJOYED GREAT SUCCESS IN SECURING EXTERNAL RESEARCH GRANTS AND CONTRACTS. EXTERNAL GRANT FUNDING HAS BEEN RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH), OTHER FEDERAL AGENCIES, PHARMACEUTICAL COMPANIES AND INDUSTRY, STATE AND LOCAL AGENCIES, AND FOUNDATIONS, SUCH AS THE AMERICAN HEART ASSOCIATION. IN 2013, $27.4 MILLION WAS AWARDED BY NIH AND OTHER FEDERAL AGENCIES AND $29 MILLION BY INDUSTRY. "DESPITE THE FACT THAT THE NIH BUDGET HAS NOT KEPT UP WITH INFLATION SINCE 2002, AND THE FACT THAT THE RECENT RECESSION RESULTED IN SUBSTANTIVE FUNDING CUTS, OUR SCIENTISTS AND PHYSICIANS HAVE WORKED DILIGENTLY TO CONTINUE TO SUBMIT GRANTS FOR ALL AVAILABLE FUNDING OPPORTUNITIES," SAYS MARGOT LAPOINTE, PH.D., VICE PRESIDENT FOR RESEARCH, HENRY FORD HEALTH SYSTEM. "WE ARE HOPEFUL THAT OUR RESEARCH ENTERPRISE IS NOW ON A GROWTH TRAJECTORY AFTER SEVERAL YEARS OF STAGNATION." ALTHOUGH HFHS IS NOT PART OF A UNIVERSITY OR MEDICAL SCHOOL, THERE HAS BEEN SUPPORT FOR THE SYSTEM'S RESEARCH THROUGHOUT ITS HISTORY. THIS DRIVE TO UNDERSTAND DISEASE MECHANISM AND DISCOVER NEW THERAPIES IS MANIFESTED BY THE CONTINUUM OF BIOMEDICAL RESEARCH PERFORMED AT HENRY FORD. THE SYSTEM HAS 80 FULL-TIME RESEARCH BIO-SCIENTIFIC STAFF DOING BASIC SCIENCE STUDIES IN CARDIOVASCULAR AND RENAL DISEASES SUCH AS HYPERTENSION AND HEART FAILURE, STROKE/BRAIN INJURY/BRAIN TUMORS, POPULATION HEALTH AND HEALTHCARE RESEARCH, CANCER THERAPEUTICS, BONE AND JOINT DISEASES, IMMUNOLOGY AND IMAGING, AMONG OTHERS. IN ADDITION, DOZENS OF PHYSICIANS AND THEIR CLINICAL SUPPORT STAFF ARE ENGAGED IN PATIENT-ORIENTED STUDIES. AT THIS TIME, HFHS HAS MORE THAN 1,800 OPEN STUDIES APPROVED BY ITS INSTITUTIONAL REVIEW BOARD, WITH A SMALL NUMBER OF THESE STUDIES ALSO APPROVED IN CONJUNCTION WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY. THE BASIC SCIENCE BIOMEDICAL RESEARCH PROGRAMS RECEIVING THE MOST EXTERNAL FUNDING DURING THIS TIME PERIOD OF GROWTH WERE PUBLIC HEALTH SCIENCES, NEUROLOGY RESEARCH (STROKE, TRAUMATIC BRAIN INJURY, ETC.), HYPERTENSION RESEARCH AND CARDIOVASCULAR RESEARCH (IN PARTICULAR, HEART FAILURE). IN CLINICAL RESEARCH, THE MAJORITY OF FUNDING HAS GONE TO THE DEPARTMENT OF INTERNAL MEDICINE WHERE THE DIVISIONS OF INFECTIOUS DISEASES, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY AND CARDIOLOGY ARE LEADING THE WAY. THE INFRASTRUCTURE AT HFHS ALLOWS US TO HAVE A RESEARCH PROGRAM FAR LARGER THAN OTHER NON-UNIVERSITY-BASED HEALTH CARE SYSTEMS IN THE STATE OF MICHIGAN, WHERE OUR NIH FUNDING IS TEN TIMES HIGHER THAN HFHS'S CLOSEST COMPETITOR. IN 2013, HFHS WAS FOURTH IN MICHIGAN, TRAILING ITS THREE LARGEST UNIVERSITIES, AND RANKED 192ND OUT OF ALL 2,495 INSTITUTIONS RECEIVING NIH GRANTS. 161820206 372378594 2152300096 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 985 25 1 19289 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 X 21 14 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 FL X EDWARD G CHADWICK 3138768714 ONE FORD PLACE DETROIT MI 48202 LYNN FORD ALANDT TRUSTEE 1.00 2.00 X 0 0 0 N CHARLES ANDERSON TRUSTEE 1.00 1.00 X 0 0 0 EDWARD J BAGALE TRUSTEE 1.00 1.00 X 0 0 0 GREGORY L BARKLEY MD TRUSTEE 60.00 1.00 X 325001 0 57187 STEPHANIE W BERGERON TRUSTEE - VICE CHAIR 2.00 2.00 X X 0 0 0 EDWARD D CALLAGHAN PHD TRUSTEE - VICE CHAIR 2.00 2.00 X X 0 0 0 WILLIAM A CONWAY MD TRUSTEE 60.00 2.00 X 707229 0 138225 WILLIAM CLAY FORD JR TRUSTEE 1.00 1.00 X 0 0 0 LINDA D FORTE TRUSTEE 1.00 1.00 X 0 0 0 JAMES GROSFELD TRUSTEE 1.00 1.00 X 0 0 0 DAVID M HEMPSTEAD TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH R JORDAN TRUSTEE 1.00 1.00 X 0 0 0 MARK A KELLEY MD PHYS TRUSTEE/EVP THRU 1/2/13 1.00 0.00 X 989334 0 1017709 ALAN M KIRILUK TRUSTEE 1.00 2.00 X 0 0 0 DAVID BAKER LEWIS TRUSTEE 1.00 1.00 X 0 0 0 JACK MARTIN TRUSTEE - VICE CHAIR 2.00 3.00 X X 0 0 0 SANDRA E PIERCE TRUSTEE - CHAIR 2.00 2.00 X X 0 0 0 CHARLES H PODOWSKI TRUSTEE - VICE CHAIR 2.00 2.00 X X 0 0 0 NANCY M SCHLICTING PRESIDENT AND C.E.O. 60.00 8.00 X X 3052458 0 53629 GARY C VALADE TRUSTEE 1.00 3.00 X 0 0 0 KATHLEEN L YAREMCHUK MD PHYSICIAN TRUSTEE 60.00 1.00 X 652972 0 59330 LEROY C RICHIE TRUSTEE 1.00 1.00 X 0 0 0 CATHERINE A ROBERTS TRUSTEE 1.00 1.00 X 0 0 0 JAMES M CONNELLY TREASURER/C.F.O. 50.00 16.00 X 1108016 0 45562 EDITH L EISENMANN SECRETARY 60.00 8.00 X 220523 0 38669 BRIAN R GAMBLE ASSISTANT TREASURER 60.00 4.00 X 264418 0 51228 WILLIAM ALVIN C.E.O.-HAP THRU 9-30-13 5.00 56.00 X 1071930 0 43518 GERALD VAN GRINSVEN CEO-W BLMFLD HOSP THRU 6/2/13 60.00 1.00 X 364325 0 166129 EDWARD COFFEY MD VP - BEHAVIORAL SERVICES 60.00 1.00 X 434960 0 58332 JOHN POPOVICH MD CEO-HF HOSPITAL/PHYSICIAN 60.00 2.00 X 1195627 0 142725 JOHN J POLANSKI CEO-COMMUNITY CARE SERVICE 60.00 5.00 X 629828 0 35948 ROBERT G RINEY SENIOR VP AND C.O.O. 60.00 4.00 X 1458742 0 53368 LYNN TOROSSIAN CEO-W BLMFLD HOSP START 11/25/13 1.00 1.00 X 24827 0 1347 MANI MENON MD PHYSICIAN 60.00 0.00 X 1576280 0 55588 MARK L ROSENBLUM MD PHYSICIAN 60.00 1.00 X 1237677 0 58139 THEODORE W PARSONS MD PHYSICIAN 60.00 0.00 X 957884 0 52103 GHAUS MALIK MD PHYSICIAN 60.00 0.00 X 975086 0 54839 WILLIAM O'NEIL MD PHYSICIAN 60.00 0.00 X 1017810 0 55304 18264927 0 2238879 1791 0 1 0 SIEMENS ENTERPRISE COMMUNICATIONS INC PO BOX 99076 CHICAGO IL 606939076 INFORMATION SERVICES 43771937 CSC COVANSYS CORPORATION 22475 NETWORK PLACE CHICAGO IL 606731224 INFORMATION SERVICES 32030033 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 INFORMATION SERVICES 15826245 ACT 1 PERSONNEL SERVICES PO BOX 2886 TORRANCE CA 905092886 STAFFING SERVICES 13335914 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X 356109532 417220254 115761853 110962777 88657362 92069735 560528747 620252766 1917359827 1965056471 X -24150561 1919751 81954829 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 11042 11042 95753 95753 106795 106795 2418097735 3189691754 2418204530 3189798549 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 125491 105250 82852 106795 420388 250000 250000 250000 250000 1000000 1500000 11550 10013 9325 11042 41930 204419215 80875393 10518567 92780663 203032512 197339688 38461282 11992464 43374219 204419215 197372633 35658290 -777973 34913262 197339688 179222662 39377929 11274382 32502340 197372633 166916793 36940603 17532736 42167470 179222662 0.45350 0.54650 0 1 1 19618888 19618888 1026266628 488297757 537968871 9970757 1851274 8119483 1090327027 794678460 295648567 56946896 56946896 918302705 INVESTMENTS IN PARTNERSHIP 500856 INVESTMENTS IN JOINT VENTURES 6163998 FITNESS CENTER 411639 DEFERRED COMPENSATION 91464969 ASSETS HELD FOR SALE 2756675 101298137 POST RETIREMENT EMPLOYEE BENEFITS 166614461 RESERVE FOR MALPRACTICE 88477923 DEFERRED COMPENSATION 91633110 OTHER LIABILITIES 21374669 368100163 X PART V, LINE 4: EARNINGS FROM THE ORGANIZATION'S ENDOWMENT FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2013 & 2012. CENTRAL AMERICA AND CARRIBEAN INVESTMENTS 85694246 MIDDLE EAST AND NORTH AFRICA PROVIDE CONSULTING SERVICES FOR DESIGN AND CONSTRUCTION OF A HEALTH CLINIC. 414086 0 0 0 0 0 0 86108332 0 86108332 1 0 1 0 1 1 PART I, LINE 3, COL. F TOTAL EXPENDITURES AND INVESTMENTS FOR THE REGION ARE REPORTED AT COST BASIS OR BOOK VALUE. X X X X X X X 1 FULKERSON SALES INC 5760 SNOWSHOE CIRCLE BLOOMFIELD HILLS MI 48301 EVENT SOLICITATIONS 0 602858 91948 510910 HARRIS CONNECT 1400-A CROSSWAYS BLVD CHESAPEAKE VA 23320 TELEPHONE CAMPAIGN 0 48302 58480 -10178 651160 150428 500732 MI FL GET YOUR HEART RACING 753329 597224 156105 612 224869 GRAND BALL 416548 334706 81842 0 199300 8 1240171 896436 343735 70783 519811 2410048 1828366 581682 71395 943980 1015375 -433693 94042 10800 45992 300 1 1.00000 94042 10800 45992 300 57092 36950 MI 1 0 1 0 1.00000 REBECCA BLANKEN HFHS EVENTS-ONE FORD PLACE DETROIT MI 48202 0 0 1 1 X 1 X 0 1 1 0 1 1 50425839 50425839 0.02210 384265441 310598140 73667301 0.03220 434691280 310598140 124093140 0.05430 15107409 6671998 8435411 0.00370 98354809 47446596 50908213 0.02230 28067015 24637637 3429378 0.00150 61157445 44179986 16977459 0.00740 1273241 27976 1245265 0.00050 203959919 122964193 80995726 0.03540 638651199 433562333 205088866 0.08970 1300769 1300769 0.00060 578377 578377 0.00030 839853 839853 0.00040 2444 2444 0.00000 90750 90750 0.00000 60688 60688 0.00000 108146 108146 0.00000 2981027 2981027 0.00130 0 131763404 32940851 648338787 737951922 -89613135 X 1 1 5 1 HENRY FORD HOSPITAL 2799 W GRAND BLVD DETROIT MI 48202 HTTP://WWW.HENRYFORD.COM/HOMEPAGE_HFH. 1060000026 X X X X X 2 HENRY FORD WEST BLOOMFIELD HOSPITAL 6777 W MAPLE RD WEST BLOOMFIELD MI 48322 HTTP://WWW.HENRYFORD.COM/HOME_WBLOOMFI 1060000155 X X X X 3 HENRY FORD COTTAGE HOSPITAL 159 KERCHEVAL GROSSE POINTE FARMS MI 48236 HTTP://WWW.HENRYFORD.COM/BODY.CFM?XYZP 1060000064 X X X 4 HENRY FORD KINGSWOOD HOSPITAL 10300 W EIGHT MILE RD FERNDALE MI 48220 HTTP://WWW.HENRYFORD.COM/BODY.CFM?ID=5 1080000037 X X PSYCHIATRIC HOSPITAL 5 HENRY FORD MAPLEGROVE HOSPITAL 6773 W MAPLE RD WEST BLOOMFIELD MI 48322 HTTP://WWW.HENRYFORD.COM/BODY.CFM?ID=4 SA0630142 X CHEMICAL DEPENDENCY FACILITY HENRY FORD HOSPITAL 1 1 X X X X X X X 13 1 1 1 X WWW.HENRYFORD.COM/DOCUMENTS/COMMUNITYHEAL X X X X X X 0 0 1 1 200.000000000000 0 1 X X X X X X 1 1 X X X X X 1 0 1 X 0 0 HENRY FORD WEST BLOOMFIELD HOSPITAL 2 1 X X X X X X X 13 1 1 1 X WWW.HENRYFORD.COM/DOCUMENTS/COMMUNITYHEAL X X X X X X 0 0 1 1 200.000000000000 0 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 HENRY FORD COTTAGE HOSPITAL 3 1 X X X X X X X 13 1 1 1 X WWW.HENRYFORD.COM/DOCUMENTS/COMMUNITYHEAL X X X X X X 1 0 1 1 200.000000000000 0 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 HENRY FORD KINGSWOOD HOSPITAL 4 1 X X X X X X X 13 1 1 1 X WWW.HENRYFORD.COM/DOCUMENTS/COMMUNITYHEAL X X X X X X 1 0 1 1 200.000000000000 0 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 HENRY FORD MAPLEGROVE HOSPITAL 5 1 X X X X X X X 13 1 1 1 WWW.HENRYFORD.COM/DOCUMENTS/COMMUNITYHEAL X X X X X X 0 0 1 1 200.000000000000 0 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 HENRY FORD HOSPITAL PART V, SECTION B, LINE 3: AS PART OF THE CHNA PROCESS, A COMMUNITY STAKEHOLDER SURVEY WAS DEVELOPED AND CONDUCTED BY HENRY FORD HEALTH SYSTEM. THE SURVEY WAS DESIGNED TO GATHER INPUT FROM MAJOR COMMUNITY STAKEHOLDERS IN THE TRI-COUNTY AREA AND BE USED TO COMPLEMENT AND VALIDATE THE TRENDS IN DEMOGRAPHIC AND COMMUNITY HEALTH DATA IDENTIFIED WITHIN THE CHNA. THE SURVEY ALSO ASSISTED IN ACHIEVING COMPLIANCE WITH THE IRS REQUIREMENTS OF GATHERING COMMUNITY INPUT. AREAS OF SPECIFIC FOCUS IN THE SURVEY INCLUDED: PROMOTING HEALTHY BEHAVIORS, MANAGING CHRONIC DISEASE, PUBLIC HEALTH INFRASTRUCTURE/ENVIRONMENTAL HAZARDS AND ADDITIONAL OPEN ENDED QUESTIONS. KEY COMMUNITY STAKEHOLDERS THROUGHOUT THE WAYNE, MACOMB AND OAKLAND TRI-COUNTY AREA WERE INVITED TO PARTICIPATE IN THE SURVEY VIA A LINK TO THE ELECTRONIC SURVEY FROM NOVEMBER, 2011 TO DECEMBER, 2012. SEE APPENDIX 2 OF THE CHNA TO VIEW THE STAKEHOLDER SURVEY TEMPLATE. APPENDIX 3 DETAILS THE COMMUNITY STAKEHOLDERS INVITED TO PARTICIPATE AS WELL AS THE STAKEHOLDERS THAT COMPLETED THE SURVEY. HENRY FORD HOSPITAL PART V, SECTION B, LINE 4: HENRY FORD HOSPITALHENRY FORD KINGSWOOD HOSPITALHENRY FORD MACOMB HOSPITALSHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTER HENRY FORD HOSPITAL PART V, SECTION B, LINE 7: WHILE HFHS IS ADDRESSING THE MAJORITY OF THE IDENTIFIED HEALTH ISSUES, IT WILL NOT DIRECTLY ADDRESS THE FOLLOWING PRIORITY: INFANT MORTALITY IN OAKLAND COUNTY (PONTIAC). THIS PRIORITY DID NOT MEET THE EVALUATION CRITERIA. IT WAS DETERMINED THAT DUE TO THE LOCATION OF OUR HOSPITAL IN OAKLAND COUNTY, WE DID NOT HAVE SUFFICIENT FINANCIAL AND PERSONNEL RESOURCES AVAILABLE TO INFLUENCE CHANGE. IN ADDITION, THERE ARE OTHER COMMUNITY HOSPITALS LOCATED IN THE IMMEDIATE VICINITY OF THE CITY OF PONTIAC, WHERE THIS HEALTH ISSUE RESIDES. HENRY FORD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM. HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM. HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM. HENRY FORD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. 75 HENRY FORD MEDICAL CENTER - FAIRLANE 19401 HUBBARD DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM HENRY FORD MEDICAL CENTER - LAKESIDE 14500 HALL RD STERLING HEIGHTS MI 48313 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - STERLING HGT 3500 FIFTEEN MILE RD STERLING HEIGHTS MI 48310 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM HENRY FORD MEDICAL CENTER - LIVONIA 29200 SCHOOLCRAFT RD LIVONIA MI 48150 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - COLUMBUS 39450 W TWELVE MILE ROAD NOVI MI 48377 CLINICAL DIAGNOSIS MEDICAL SERVICES HENRY FORD MEDICAL CENTER - TAYLOR 24555 HAIG RD TAYLOR MI 48180 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - DETROIT NW 7800 W OUTER DRIVE DETROIT MI 48235 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - CANTON 6100 HAGGERTY CANTON MI 48187 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - E JEFFERSON 24725 E JEFFERSON SAINT CLAIR SHORES MI 48080 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - PIERSONGPF 131 KERCHEVAL AVENUE GROSSE POINTE FARMS MI 48236 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - TROY 2825 LIVERNOIS RD TROY MI 48083 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - PLYMOUTH 14300 BECK RD PLYMOUTH MI 48170 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - WOODHAVEN 25505 ALLEN ROAD WOODHAVEN MI 48183 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - BLOOMFIELD 2520 S TELEGRAPH ROAD BLOOMFIELD HILLS MI 48302 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - FARMINGTON 6530 FARMINGTON ROAD WEST BLOOMFIELD MI 48322 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - ANN ARBOR 2755 CARPENTER RD ANN ARBOR MI 48108 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - SOUTHLAND 21901 EUREKA RD TAYLOR MI 48180 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - HAMTRAMCK 9100 BROMBACK STREET HAMTRAMCK MI 48212 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - ROYAL OAK 26300 WOODWARD AVENUE ROYAL OAK MI 48067 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - SOUTHFIELD 22777 W ELEVEN MILE RD SOUTHFIELD MI 48034 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - WARREN 8600 CHICAGO RD SOUTH WARREN MI 48093 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - DEARBORN 5500 AUTO CLUB DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - HARBORTOWN 3370 E JEFFERSON AVENUE DETROIT MI 48207 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - NEW CNTR ONE 3031 W GRAND BLVD DETROIT MI 48202 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - CHRYSLER 1000 CHRYSLER DRIVE AUBURN HILLS MI 48326 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HFHS - NORTHWEST DETROIT DIALYSIS 7800 W OUTER DRIVE DETROIT MI 48325 DIALYSIS CENTER HFHS - NORTHWEST LAHSER DIALYSIS 25664 LAHSER RD SOUTHFIELD MI 48034 DIALYSIS CENTER HFHS - EASTPOINTE DIALYSIS 21400 KELLY RD EASTPOINTE MI 48021 DIALYSIS CENTER HFHS - FAIRLANE DIALYSIS 19001 HUBBARD DR DEARBORN MI 48126 DIALYSIS CENTER HFHS - NORTHLAND PARK DIALYSIS 21000 NORTHWESTERN HWY SOUTHFIELD MI 48075 DIALYSIS CENTER HFHS - SE MI KIDNEY CENTER 1695 W 12 MILE ROAD BERKLEY MI 48072 DIALYSIS CENTER HFHS - ST JOSEPH DIALYSIS 44200 WOODWARD SUITE 109 PONTIAC MI 48341 DIALYSIS CENTER HFHS - TAYLOR DIALYSIS 24555 HAIG RD TAYLOR MI 48180 DIALYSIS CENTER HFHS - TROY DIALYSIS 2050 LIVERNOIS SUITE A TROY MI 48083 DIALYSIS CENTER HFHS - ST MARY DIALYSIS 14555 LEVAN LIVONIA MI 48154 DIALYSIS CENTER HFHS - OPTIMEYES 4355 24TH AVENUE PORT HURON MI 48059 VISION SERVICES HFHS - OPTIMEYES 2025 25 MILE ROAD SHELBY TOWNSHIP MI 48316 VISION SERVICES HFHS - OPTIMEYES SUPER VISION CENTER 32600 GRATIOT ROSEVILLE MI 48066 VISION SERVICES HFHS - OPTIMEYES SUPER VISION CENTER 35184 CENTRAL CITY PARKWAY WESTLAND MI 48185 VISION SERVICES HFHS - OPTIMEYES SUPER VISION CENTER 6530 FARMINGTON ROAD WEST BLOOMFIELD MI 48322 VISION SERVICES HFHS - OPTIMEYES SUPER VISION CENTER 43910 SCHOENHERR STERLING HEIGHTS MI 48313 VISION SERVICES HFHS - OPTIMEYES SUPER VISION CENTER 735 JOHN R ROAD TROY MI 48083 VISION SERVICES HFHS - OPTIMEYES SUPER VISION CENTER 18900 EUREKA RD SOUTHGATE MI 48195 VISION SERVICES HFHS - OPTIMEYES 2799 W GRAND BLVD DETROIT MI 48202 VISION SERVICES HFHS - OPTIMEYES 516 HIGHLAND AVE MILFORD MI 48381 VISION SERVICES HFHS - OPTIMEYES 504 N TELEGRAPH ROAD MONROE MI 48162 VISION SERVICES HFHS - OPTIMEYES 400 RENAISSANCE CENTER 2ND FLOOR DETROIT MI 48235 VISION SERVICES HFHS - OPTIMEYES 38487 W 10 MILE RD FARMINGTON HILLS MI 48335 VISION SERVICES HFHS - OPTIMEYES 7800 W OUTER DRIVE DETROIT MI 48235 VISION SERVICES HFHS - OPTIMEYES 30800 SOUTHFIELD RD SOUTHFIELD MI 48076 VISION SERVICES HFHS - OPTIMEYES SUPER VISION CENTER 5500 AUTO CLUB DRIVE DEARBORN MI 48126 VISION SERVICES HFHS - OPTIMEYES 684 S LAPEER RD LAKE ORION MI 48362 VISION SERVICES HFHS - OPTIMEYES 3500 FIFTEEN MILE RD STERLING HEIGHTS MI 48310 VISION SERVICES HFHS - OPTIMEYES 15401 E JEFFERSON GROSSE POINTE PARK MI 48230 VISION SERVICES HFHS - OPTIMEYES 27903 23 MILE ROAD CHESTERFIELD MI 48051 VISION SERVICES HENRY FORD MEDICAL CLINIC - COMMERCE 8391 COMMERCE ROAD COMMERCE TOWNSHIP MI 48382 PHYSICIAN PRACTICE HENRY FORD MEDICAL CENTER - RESEARCH 440 BURROUGHS DETROIT MI 48202 RESEARCH CENTER HENRY FORD MEDICAL CENTER - TROY IVF 1500 W BIG BEAVER RD SUITE 105 TROY MI 48084 PHYSICIAN PRACTICE HFHS - ALLEN PARK REHABILITATION 7445 ALLEN RD SUITE 102 ALLEN PARK MI 48101 REHABILITATION SERVICES HFHS - HOSPICE RESIDENT CARE 11700 E TEN MILE ROAD WARREN MI 48089 HOSPICE CARE HFHS - HOSPICE RESIDENT CARE 26900 FRANKLIN ROAD SOUTHFIELD MI 48033 HOSPICE CARE HFHS - CENTER FOR ATHLETIC MEDICINE 6525 SECOND AVENUE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES HFHS - BEHAVIORAL SERVICES 42633 GARFIELD ROAD CLINTON TOWNSHIP MI 48038 CLINICAL DIAGNOSIS MEDICAL SERVICES HFHS - BEHAVIORAL SERVICES 5110 AUTO CLUB DRIVE SUITE 112 DEARBORN MI 48126 CLINICAL DIAGNOSIS MEDICAL SERVICES HFHS - ONE FORD PLACE ONE FORD PLACE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES HENRY FORD HEALTH PRODUCTS - NW DETROIT 7940 W OUTER DRIVE DETROIT MI 48235 MEDICAL EQUIPMENT SUPPLY SERVICES HENRY FORD HEALTH PRODUCTS - RIVERVIEW 17763 FORT STREET RIVERVIEW MI 48192 MEDICAL EQUIPMENT SUPPLY SERVICES HENRY FORD HEALTH PRODUCTS - WALLED LAKE 39630 FOURTEEN MILE ROAD WALLED LAKE MI 48390 MEDICAL EQUIPMENT SUPPLY SERVICES HENRY FORD HEALTH PRODUCTS - WOODHAVEN 23400 ALLEN ROAD WOODHAVEN MI 48183 MEDICAL EQUIPMENT SUPPLY SERVICES HFHS - FAIRLANE REHABILITATION 5225 AUTO CLUB DRIVE SUITE 100 DEARBORN MI 48126 REHABILITATION SERVICES HENRY FORD HEALTH PRODUCTS - WARREN 13355 E TEN MILE ROAD WARREN MI 48089 MEDICAL EQUIPMENT SUPPLY SERVICES HENRY FORD MEDICAL CENTER - NOVI 40000 8 MILE RD NORTHVILLE MI 48167 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD HEALTH - CARDIOVASCULAR SV 16001 W NINE MILE ROAD SOUTHFIELD MI 48075 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - ACCESS 6450 MAPLE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER HENRY FORD MEDICAL CENTER - CHASS 7436 WOODWARD AVENUE DETROIT MI 48202 OUTPATIENT CLINIC/DIAGNOSTIC CENTER PART I, LINE 7G: SUBSIDIZED SERVICES CONSIST OF INPATIENT WOMENS' SERVICES AND BEHAVIORAL HEALTH SERVICES. THIS INCLUDES BOTH PHYSICIAN AND FACILITY COSTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 131,763,404. PART II, COMMUNITY BUILDING ACTIVITIES: HFHS BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS A DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFHS INCLUDES IN ITS COMMITMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ON THE BENEFITS OF HEALTHIER BEHAVIORS ARE HEARD. HFHS LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS TO ADDRESS THE NEEDS OF OUR SERVICE AREA. PART III, LINE 2: THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED IN PATIENT GROSS CHARGES. PART III, LINE 4: FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNT OF UP TO 40% OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE SYSTEM'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE SYSTEM'S FINANCIAL ASSISTANCE POLICIES REMAINED CONSISTENT DURING 2012 AND 2013. THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES. FOR UNINSURED PATIENTS WHO FAIL TO QUALIFY FOR ANY PROGRAM TO SUPPORT THE COST OF THEIR MEDICAL CARE, MEDICALLY NECESSARY SERVICES WILL BE PROVIDED AT A COST NOT TO EXCEED 115% OF THE STANDARD MEDICARE RATE. IN ACCORDANCE WITH THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM, THE COST OF CARE MAY BE FURTHER REDUCED AND IN SOME INSTANCES WILL BE PROVIDED AT NO COST. PART III, LINE 9B: IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY (PFAP) PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES"PATIENTS NOT DEEMED TO QUALIFY UNDER OUR PATIENT FINANCIAL ASSISTANCE PROGRAM (PFAP) RECEIVE 2 CYCLES OF INTERNAL BILLING STATEMENTS INCLUDING INSTRUCTIONS ON APPLYING FOR OUR PFAP. BASED ON THE VOLUME OF OUTSTANDING SERVICES, DETERMINATION ON FURTHER COLLECTION EFFORTS WILL BE MADE WHICH INCLUDES INTERNAL COLLECTION EFFORTS OR ASSIGNMENT TO AN EXTERNAL COLLECTION AGENCY. PART VI, LINE 2: HENRY FORD HEALTH SYSTEM (HFHS) CONSIDERS THE ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AS AN ESSENTIAL FUNCTION. IT PROVIDES KEY INFORMATION REGARDING THE DEMOGRAPHICS AND MAJOR NEEDS OF THE COMMUNITIES SERVED, IT SUPPORTS THE PRIORITIZATION OF THE SERVICES MADE AVAILABLE, AND IT HELPS TARGET POPULATIONS WITH THE MOST VULNERABILITY TO HEALTH NEEDS SUCH AS THE POOR, UNINSURED, AS WELL AS VARIOUS OTHER POPULATIONS THAT MAY HAVE BEEN OVERLOOKED. THE COMMUNITY HEALTH NEEDS ASSESSMENT ALSO PROVIDES VALUABLE INFORMATION REGARDING OTHER ORGANIZATIONS SUPPORTING THE NEEDS WITHIN THE COMMUNITY SO PROGRAMS CAN BE COORDINATED AND LEVERAGED TO ENSURE THAT EVERY DOLLAR IS INVESTED WISELY.THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN THREE PHASES. THE FIRST PHASE INCLUDES DATA COLLECTION FROM A VARIETY OF PUBLIC AND PROPRIETARY SOURCES THAT PROVIDED INFORMATION AROUND POPULATION DEMOGRAPHICS, SOCIOECONOMIC DATA, HEALTH STATUS INDICATORS, AS WELL AS SEVERAL OTHER DATA POINTS. SOURCES FOR THIS FIRST PHASE INCLUDED THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH), MICHIGAN BEHAVIORAL RISK FACTOR SURVEY, CLARITAS INC. /TRUVEN HEALTH ANALYTICS, MICHIGAN STATE HOMELESS MANAGEMENT INFORMATION SYSTEM (MSHMIS), AND THE MICHIGAN INPATIENT DATABASE. THE SECOND PHASE INVOLVED DEVELOPING AND DISTRIBUTING A KEY STAKEHOLDER SURVEY TO CAPTURE THE INPUT OF OTHER COMMUNITY ORGANIZATIONS AND COALITIONS ABOUT WHAT THEY BELIEVE ARE THEMAJOR HEALTH NEEDS THAT SHOULD BE PRIORITIZED AND ADDRESSED IN THE TRI-COUNTY AREA. THE THIRD PHASE INCORPORATED THE QUANTITATIVE AND QUALITATIVE DATA THAT WAS COLLECTED IN THE FIRST TWO PHASES, AND BASED ON THIS INFORMATION IDENTIFIED PRIORITIES FOR HENRY FORD HEALTH SYSTEM TO ADDRESS WITH THE COMMUNITIES IT SERVES.THIS ASSESSMENT WAS PREPARED BY THE CORPORATE PLANNING DEPARTMENT WITHIN HENRY FORD HEALTH SYSTEM. RESULTS ARE USED AS A FOUNDATION FOR PLANNING, DEVELOPING, AND REFINING HFHS'S FUTURE COMMUNITY SERVICES IN THE TRI-COUNTY AREA. PART VI, LINE 3: HFHS HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HFHS HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN ONE OF OUR EMERGENCY ROOMS FOR SERVICES.ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED WITH REGARD TO HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFHS AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFHS HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS. PART VI, LINE 4: ALTHOUGH HFHS AND ITS AFFILIATES PROVIDE SERVICES TO INDIVIDUALS RESIDING THROUGHOUT THE STATE OF MICHIGAN AND IN SOME CASES FROM AROUND THE WORLD, IT DEFINES ITS COMMUNITIES SERVED BASED ON THE AREAS GENERATING THE HIGHEST INPATIENT VOLUMES. MORE THAN 94% OF THIS VOLUME FOR HFHS ORIGINATES IN THE TRI-COUNTY AREA, INCLUDING THE CITY OF DETROIT. THE TRI-COUNTY AREA INCLUDES THE CONTIGUOUS COUNTIES OF WAYNE, OAKLAND AND MACOMB, WHICH ARE LOCATED IN SOUTHEASTERN MICHIGAN AND ACCOUNT FOR 39% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULATED COUNTIES IN MICHIGAN. OF THE NEARLY 4 MILLION RESIDENTS, APPROXIMATELY 52% OF THE POPULATION IS FEMALE. WITH REGARD TO RACE/ETHNICITY, THE TRI-COUNTY AREA IS 65% WHITE, COMPARED TO A NATIONAL AVERAGE OF 62%. OF NOTE, THE TRI-COUNTY AREA IS 25% BLACK, WHICH IS OVER TWICE THE NATIONAL PERCENTAGE OF 12%. CONVERSELY, THE HISPANIC POPULATION (4.0%) IS LESS THAN ONE QUARTER OF THE NATIONAL PERCENTAGE OF 17%. THE NUMBER OF TRI-COUNTY RESIDENTS IS EXPECTED TO DECREASE BY 1% OVER THE NEXT SEVERAL YEARS,WHICH CONTRASTS WITH THE 3% INCREASE EXPECTED NATIONWIDE. IN ADDITION, FEMALES OF CHILD BEARING AGE (15-44), WHO MAKE UP 19% OF THE TRI-COUNTY'S POPULATION, ARE EXPECTED TO DECLINE BY 4% OVER THE NEXT SEVERAL YEARS. WHEN EXAMINING AGE DISTRIBUTION, THE TRI-COUNTY HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY AND 14% OF THE POPULATION IS ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE TRI-COUNTY AREA WITH THE 55 YEARS OLD AND ABOVE POPULATION EXPECTED TO RISE BY 9% FROM 2013 TO 2018. WITH REGARDS TO EDUCATION, THE TRI-COUNTY HAS APPROXIMATELY 12% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 15%. FURTHER, 28% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE.THE TRI-COUNTY AREA IS DIVERSE IN REGARDS TO POPULATION, RACIAL/ETHNIC COMPOSITION, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTH CARE SECTOR IS ALSO REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL (CRAIN'S DETROIT 2012 LISTINGS OF MAJOR EMPLOYERS). THE AVERAGE HOUSEHOLD INCOME WITHIN THE TRI-COUNTY AREA ($63,344) IS LESS THAN THE NATIONAL AVERAGE ($69,637). WITHIN THE TRI-COUNTY AREA, THE AVERAGE HOUSEHOLD INCOME IN OAKLAND COUNTY ($80,157) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($53,355) AND MACOMB COUNTY ($58,589). AT THE ZIP CODE LEVEL, AVERAGE HOUSEHOLD INCOMES VARY SIGNIFICANTLY,RANGING FROM $25,145 TO $163,374. LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND COSTS OF BASIC NECESSITIES. AS A RESULT, THE TRI-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT (UNITED WAY RESEARCH INCOME DOWN ACROSS STATE: POVERTY INCREASING AND SPREADING THROUGHOUT THE TRICOUNTY 2006, HTTP://WWW.UWSEM.ORG). IN ADDITION, WITHIN THE TRI-COUNTY AREA THE UNEMPLOYMENT RATE IS SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE OF 7.6% AND RANGES FROM 8.3% IN OAKLAND COUNTY TO 11% IN WAYNE COUNTY (LOCAL AREA UNEMPLOYMENT STATISTIC UPDATE MARCH 2013, OAKLAND COUNTY MICHIGAN).AS STATED PREVIOUSLY, THE TRI-COUNTY AREA IS RATHER DIVERSE THROUGHOUT ITS THREE COUNTIES. FOR EXAMPLE, AGE, SEX, EDUCATION, AND INCOME DISTRIBUTION DIFFER FROM COUNTY TO COUNTY. IN ORDER TO INCREASE THE UTILITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS IMPORTANT TO ANALYZE THE PROFILE(S) OF EACH OF THESE COUNTIES AT A MORE DETAILED LEVEL, SUCH AS ZIP CODES, SO THAT CERTAIN DIFFERENCES WITHIN THE AREA BECOME EVIDENT.ONE COMMUNITY IN PARTICULAR NEED OF ATTENTION IS THE CITY OF DETROIT. WHEN EXAMININGTHE CITY OF DETROIT THE AVERAGE HOUSEHOLD INCOME IS $36,186, WHICH IS SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL TRI-COUNTY AREA ($63,344). REGARDING EDUCATION, 22% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 12% OF HAVE A BACHELOR'S DEGREE OR HIGHER. IN TERMS OF RACIAL/ETHNIC DIVERSITY, APPROXIMATELY 93% OF DETROIT IS COMPOSED OF A MINORITY POPULATION VERSUS 36% FOR THE TRI-COUNTY AREA AS A WHOLE. THE DETROIT UNEMPLOYMENT RATE IS 17.5%, WHICH IS SIGNIFICANTLY GREATER THAN THE NATIONAL AVERAGE OF 7.6% (LOCAL AREA UNEMPLOYMENT STATISTIC UPDATE MARCH 2013, OAKLAND COUNTY MICHIGAN).WHEN LOOKING OUTSIDE OF THE CITY OF DETROIT, VARIOUS ZIP CODES IN THE TRI-COUNTY AREA REPRESENT SECTIONS OF THE REGION THAT HAVE LOWER INCOMES, LESS EDUCATION, AND ARE MORE RACIALLY AND ETHNICALLY DIVERSE. OF THE ZIP CODES THAT RANK IN THE TOP 20 ZIP CODES FOR BOTH LOWEST AVERAGE HOUSEHOLD INCOME AND HIGHEST PROPORTION OF THE POPULATION WITHOUT A HIGH SCHOOL DIPLOMA IN THE TRI-COUNTY AREA, THE AVERAGE HOUSEHOLD INCOME IS $41,724, WHICH IS SIGNIFICANTLY LESS THAN THE AVERAGE HOUSEHOLD INCOME OF $63,344 FOR THE OVERALL TRI-COUNTY AREA. OVERALL, 21% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 12% FOR THE TRI-COUNTY AREA. THESE 20 ZIP CODES HAVE A SLIGHTLY HIGHER PERCENTAGE OF RACIAL/ETHNIC MINORITIES AS COMPARED TO THE REST OF THE TRI-COUNTY AREA. AS A WHOLE THESE ZIP CODES ARE COMPRISED OF 42% MINORITIES COMPARED TO 36% FOR THE TRI-COUNTY AREA.AS A RESULT, THE DETROIT AREA AND ABOVE 20 ZIP CODES, AS WELL AS OTHER ZIP CODES WITH SIMILAR CHARACTERISTICS, SHOULD BE OF PARTICULAR INTEREST WHEN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE TRI-COUNTY AREA. PART VI, LINE 5: HFHS IS ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEASTERN MICHIGAN. HFHS IS GOVERNED BY DEDICATED COMMUNITY BOARDS, AND IN TOTAL PROVIDES APPROXIMATELY 55,000 INPATIENTS STAYS AND 2.3 MILLION PHYSICIAN VISITS ANNUALLY. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD HOSPITAL AN 877 BED TERTIARY CARE HOSPITAL WITH A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT, SERVING AS A COMMUNITY HOSPITAL FOR ITS IMMEDIATE NEIGHBORHOODS AS WELL AS A REFERRAL CENTER FOR THE SURROUNDING REGION. IT IS SUPPORTED BY THE HENRY FORD MEDICAL GROUP (HFMG) WHO ALSO PROVIDES CARE IN THE MORE THAN 30 OUTPATIENT MEDICAL CENTERS LOCATED THROUGHOUT SOUTHEAST MICHIGAN. HFHS ALSO INCLUDES HENRY FORD WEST BLOOMFIELD HOSPITAL, A 191 BED COMMUNITY HOSPITAL, BEHAVIORAL HEALTH SERVICES PROVIDED THROUGHOUT THE ABOVE FACILITIES AS WELL AS AT HENRY FORD KINGSWOOD HOSPITAL, A 100 BED PSYCHIATRIC HOSPITAL, AND THE MAPLEGROVE CENTER, A 67 BED FACILITY. HFHS COMMUNITY CARE SERVICES OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS INCLUDING NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, DIALYSIS AND A DEDICATED CANCER CENTER.THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS.COMMUNITY PARTNERSHIPS:HENRY FORD DEVELOPS INNOVATIVE WAYS TO ADDRESS THE SOCIAL, ECONOMIC AND EDUCATIONAL ISSUES THAT AFFECT THE HEALTH OF THE METRO DETROIT COMMUNITY. THESE INCLUDE:CENTER FOR HEALTH SERVICES RESEARCH-CONDUCTS RESEARCH FOCUSING ON OUTCOMES, EFFECTIVENESS AND COST-EFFECTIVENESS OF THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF SUCH DISEASES AS CANCER, DIABETES, ASTHMA AND CONGESTIVE HEART FAILURE AS WELL AS COMMON ACUTE CONDITIONS.COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) CLINIC-PROVIDES PRIMARY CARE SERVICES TO MORE THAN 3,500 UNINSURED DETROIT RESIDENTS EVERY MONTH. HFHS PHYSICIANS STAFF THE TWO CLINICS, WHICH ARE LOCATED IN SOUTHWEST DETROIT AND IN THE NEW CENTER AREA.INNOVATION INSTITUTE AT HENRY FORD HOSPITAL - IN COLLABORATION WITH WAYNE STATE UNIVERSITY SCHOOL OF ENGINEERING AND CENTER FOR CREATIVE STUDIES, THE INNOVATION INSTITUTE AIMS TO RESEARCH AND DESIGN MEDICAL PRODUCTS TO ENHANCE MEDICAL USE AND TO CREATE NEW INDUSTRY IN THE REGIONINSTITUTE ON MULTICULTURAL HEALTH-STUDIES THE DISPARITIES IN HEALTH CARE AMONG PEOPLE OF COLOR AND FINDS SOLUTIONS FOR GETTING EARLY DIAGNOSIS AND TREATMENT OF DISEASES.SCHOOL-BASED AND COMMUNITY HEALTH PROGRAM - PROVIDES STUDENTS ACCESS TO A HEALTH CARE CLINIC IN EIGHT DETROIT SCHOOLS, ONE DETROIT YOUTH CENTER AND ONE WARREN SCHOOL, INCLUDING PRIMARY CARE, DENTAL SERVICES, MENTAL HEALTH AND HEALTH EDUCATION. IT HAS DEMONSTRATED BETTER ATTENDANCE AND TEST SCORES BY STUDENTS. THE PROGRAM ALSO OFFERS A MOBILE PEDIATRIC MEDICAL CLINIC CALLED HANK, WHICH TRAVELS TO SEVEN DETROIT SCHOOLS EVERY WEEK AND IS FUNDED BY THE CHILDREN'S HEALTH FUND. PART VI, LINE 6: THE INTEGRATED HEALTH SYSTEM ALSO INCLUDES 4 COMMUNITY HOSPITALS ENCOMPASSING MORE THAN 1,000 BEDS WITH EMERGENCY SERVICES AND OPEN MEDICAL STAFFS LOCATED IN SUBURBAN REGIONS OF SOUTHEAST MICHIGAN. THESE ENTITIES ARE SEPARATE CORPORATIONS AND THE RESULTS OF THEIR COMMUNITY BENEFIT ACTIVITIES ARE REFLECTED IN THEIR RESPECTIVE TAX RETURNS. 1 AMERICAN KIDNEY FUND 6110 EXECUTIVE BLVD-STE 1010 ROCKVILLE MD 20852 237124261 501(C)(3) 180000 ORGANIZATIONAL SUPPORT DETROIT CRISTO REY HIGH SCHOOL 5679 W VERNOR HIGHWAY DETROIT MI 48209 043730980 501(C)(3) 30000 ORGANIZATIONAL SUPPORT CROHN'S & COLITIS FOUNDATION OF AMERICA 25882 ORCHARD LAKE RD-SUITE 102 FARMINGTON HILLS MI 48336 136193105 501(C)(3) 6500 ORGANIZATIONAL SUPPORT CITY YEAR DETROIT (CITY YEAR INC) 1 FORD PLACE-SUITE 1F DETROIT MI 48202 222882549 501(C)(3) 15000 101050 FAIR MARKET VALUE PROVISION OF OFFICE SPACE & POSTAGE AT NO COST ORGANIZATIONAL SUPPORT AMERICAN HEART ASSOCIATION 24445 NORTHWESTERN HWY SOUTHFIELD MI 48075 135613797 501(C)(3) 20000 ORGANIZATIONAL SUPPORT NATIONAL KIDNEY FOUNDATION OF MICHIGAN 1169 OAK VALLEY DRIVE ANN ARBOR MI 48108 381559941 501(C)(3) 5800 ORGANIZATIONAL SUPPORT MICHIGAN UNIVERSAL HEALTHCARE ACCESS NETWORK 35828 SMITHFIELD FARMINGTON HILLS MI 48335 743142101 501(C)(3) 10000 ORGANIZATIONAL SUPPORT DOWNTOWN DETROIT PARTNERSHIP 600 RENAISSANCE CENTER-SUITE 1740 DETROIT MI 48243 383436456 501(C)(3) 9150 ORGANIZATIONAL SUPPORT ALLIANCE FOR VISION RESEARCH (A NIGHT FOR SIGHT) 29201 TELEGRAPH ROAD-SUITE 324 SOUTHFIELD MI 48034 331088835 501(C)(3) 8500 ORGANIZATIONAL SUPPORT 100 BLACK MEN OF GREATER DETROIT 1 FORD PLACE DETROIT MI 48202 383124115 501(C)(3) 5000 13800 FAIR MARKET VALUE BUILDING SPACE PROVISION ORGANIZATIONAL SUPPORT M-1 RAIL 600 RENAISSANCE CENTER-SUITE 1740 DETROIT MI 48243 262310566 501(C)(3) 600000 ORGANIZATIONAL SUPPORT ORGANIZATIONAL SUPPORT VATTIKUTI FOUNDATION 3350 EASTPOINTE LN BLOOMFIELD MI 48302 383380162 501(C)(3) 35000 ORGANIZATIONAL SUPPORT ORGANIZATIONAL SUPPORT ARAB COMMUNITY CENTER FOR ECONOMIC & SOCIAL SERVICES 2651 SAULINO COURT DEARBORN MI 48120 237444497 501(C)(3) 6000 ORGANIZATIONAL SUPPORT VOICES OF DETROIT INITIATIVE 4201 ST ANTOINE-UHC 9D DETROIT MI 48201 202333719 501(C)(3) 25000 ORGANIZATIONAL SUPPORT ORGANIZATIONAL SUPPORT AUTISM ALLIANCE OF MICHIGAN PO BOX 532558 LIVONIA MI 48153 270472137 501(C)(3) 5450 ORGANIZATIONAL SUPPORT ORGANIZATIONAL SUPPORT FRIENDSHIP CIRCLE 6892 WEST MAPLE ROAD W BLOOMFIELD MI 48322 383613944 501(C)(3) 10000 ORGANIZATIONAL SUPPORT ST JOSEPH MERCY HOSPITAL-OAKLAND 44405 WOODWARD AVENUE PONTIAC MI 48341 382113393 501(C)(3) 7500 ORGANIZATIONAL SUPPORT CARING ATHLETES TEAM FOR CHILDREN'S AND HENRY FORD HOSPITAL 3011 W GRAND BLVD-SUITE 223 DETROIT MI 48202 382746810 501(C)(3) 8800 ORGANIZATIONAL SUPPORT MICHIGAN PHYSICAL FITNESS HEALTH AND SPORTS FOUNDATION PO BOX 27187 LANSING MI 48909 383172025 501(C)(3) 15000 ORGANIZATIONAL SUPPORT DETROIT REGIONAL CHAMBER FOUNDATION INC ONE WOODWARD AVE-SUITE 1900 DETROIT MI 48226 322352462 501(C)(3) 25000 ORGANIZATIONAL SUPPORT MOSAIC YOUTH THEATRE OF DETROIT 3011 WEST GRAND BLVD SUITE 1510 DETROIT MI 48202 383069610 6500 ORGANIZATIONAL SUPPORT MI COUNCIL FOR MATERNAL & CHILD HEALTH 221 N WALNUT LANSING MI 48933 382445458 501(C)(3) 25000 ORGANIZATIONAL SUPPORT DETROIT HISTORICAL SOCIETY 5401 WOODWARD AVENUE DETROIT MI 48202 381381144 501(C)(3) 11000 ORGANIZATIONAL SUPPORT DETROIT ECONOMIC CLUB 211 WEST FORT STREET DETROIT MI 48226 380508823 501(C)(3) 10000 ORGANIZATIONAL SUPPORT COMMUNITY HEALTH & SOCIAL SERVICES CENTER INC (CHASS) 5635 W FORT STREET DETROIT MI 48209 383094394 501(C)(3) 1344047 COST PROVISION OF MEDICAL OFFICE & STAFF FOR COMMUNITY HEALTH CENTER ORGANIZATIONAL SUPPORT MICHIGAN THANKSGIVING PARADE FOUNDATION 9500 MT ELLIOTT-SUITE A DETROIT MI 48211 382460378 501(C)(3) 8000 ORGANIZATIONAL SUPPORT UNIVERSITY CULTURAL CENTER ASSOCIATION 3939 WOODWARD AVENUE DETROIT MI 48201 382134035 501(C)(3) 904000 ORGANIZATIONAL SUPPORT URBAN LEAGUE OF DETROIT AND SOUTHEASTERN MICHIGAN 208 MACK AVENUE DETROIT MI 48201 381358387 501(C)(3) 10000 ORGANIZATIONAL SUPPORT MHA HEALTH FOUNDATION (PATIENT SAFETY ORGANIZATION) 6215 W ST JOSEPH HWY LANSING MI 48917 386091188 501(C)(3) 70606 ORGANIZATIONAL SUPPORT SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS 1501 M STREET NW-7TH FLOOR WASHINGTON DC 20005 205913680 501(C)(3) 10000 ORGANIZATIONAL SUPPORT YMCA OF METROPOLITAN DETROIT 1401 BROADWAY - 3A DETROIT MI 48226 381358055 501(C)(3) 6000 ORGANIZATIONAL SUPPORT 31 0 HELPING HANDS PROGRAM 94 169743 PATIENT MEDICAL SUPPLIES & PHARMACEUTICALS 887 665064 COST PATIENTS MEETING FINANCIAL ASSISTANCE PROGRAM GUIDELINES MAY BE PROVIDED WITH PHARMACEUTICALS & MEDICAL SUPPLIES AT NO CHARGE UPON DISCHARGE PART I, LINE 2: THE HENRY FORD HEALTH SYSTEM HELPING HANDS PROGRAM IS A CHARITABLE INITIATIVE SPONSORED AND FUNDED ENTIRELY BY EMPLOYEES TO HELP CO-WORKERS, VOLUNTEERS AND RETIREES IN TIMES OF NEED. SINCE ITS INCEPTION IN 1992, THE PROGRAM HAS PROVIDED FINANCIAL ASSISTANCE TO HUNDREDS OF PEOPLE. HELPING HANDS PROVIDES FINANCIAL ASSISTANCE OF UP TO $1,800 TO ELIGIBLE EMPLOYEES AND UP TO $500 TO ELIGIBLE VOLUNTEERS AND RETIREES WHO, DUE TO A CATASTROPHE-SUCH AS A HOME FIRE, ILLNESS OR INJURY-CAN'T AFFORD BASIC NECESSITIES INCLUDING FOOD, CLOTHING AND MEDICAL CARE. A HELPING HANDS EXECUTIVE COMMITTEE ("THE COMMITTEE") COMPRISED OF A REPRESENTATIVE FROM EACH BUSINESS UNIT OF THE HEALTH SYSTEM OVERSEES THE HELPING HANDS PROGRAM. THE COMMITTEE PROVIDES PERIODIC OVERSIGHT OF THE POLICIES AND CRITERIA THAT GOVERN THE DISTRIBUTION OF FUNDS AND PRODUCES AND MAINTAINS THE PROGRAM'S FINANCIAL REPORTS. APPLICATIONS FOR FUNDS, ELIGIBILITY DETERMINATIONS AND DISTRIBUTION OF FUNDS ARE ADMINISTERED AT THE BUSINESS UNIT LEVEL EITHER BY A BUSINESS UNIT HELPING HANDS COMMITTEE OR A HELPING HANDS REPRESENTATIVE. SCHEDULE I, PART I, LINE 2 THE COMMUNITY OUTREACH DEPARTMENT MONITORS GRANTS PAID TO CHARITABLE AND GOVERNMENTAL ENTITIES. X 1 1 X X X X X 0 1 0 1 0 0 0 1 0 GREGORY L BARKLEY MD TRUSTEE 285712 0 9400 0 29889 0 31858 0 25329 0 382188 0 0 0 WILLIAM A CONWAY MD TRUSTEE 637554 0 50782 0 18893 0 118540 0 19685 0 845454 0 0 0 MARK A KELLEY MD PHYS TRUSTEE/EVP THRU 1/2/13 36480 0 302728 0 650126 0 1016477 0 1232 0 2007043 0 1663223 0 NANCY M SCHLICTING PRESIDENT AND C.E.O. 1419555 0 1033403 0 599500 0 29308 0 24321 0 3106087 0 0 0 KATHLEEN L YAREMCHUK MD PHYSICIAN TRUSTEE 601794 0 29009 0 22169 0 31858 0 27472 0 712302 0 0 0 JAMES M CONNELLY TREASURER/C.F.O. 662923 0 268013 0 177080 0 29308 0 16254 0 1153578 0 0 0 EDITH L EISENMANN SECRETARY 180375 0 19688 0 20460 0 25545 0 13124 0 259192 0 0 0 BRIAN R GAMBLE ASSISTANT TREASURER 217136 0 24438 0 22844 0 31373 0 19855 0 315646 0 0 0 WILLIAM ALVIN C.E.O.-HAP THRU 9-30-13 445022 0 217182 0 409726 0 31858 0 11660 0 1115448 0 0 0 GERALD VAN GRINSVEN CEO-W BLMFLD HOSP THRU 6/2/13 196748 0 137909 0 29668 0 156202 0 9927 0 530454 0 165238 0 EDWARD COFFEY MD VP - BEHAVIORAL SERVICES 385911 0 18970 0 30079 0 31859 0 26473 0 493292 0 0 0 JOHN POPOVICH MD CEO-HF HOSPITAL/PHYSICIAN 790946 0 288641 0 116040 0 115858 0 26867 0 1338352 0 0 0 JOHN J POLANSKI CEO-COMMUNITY CARE SERVICE 438547 0 131513 0 59768 0 31858 0 4090 0 665776 0 0 0 ROBERT G RINEY SENIOR VP AND C.O.O. 917323 0 370356 0 171063 0 31859 0 21509 0 1512110 0 0 0 LYNN TOROSSIAN CEO-W BLMFLD HOSP START 11/25/13 24785 0 0 0 42 0 0 0 1347 0 26174 0 0 0 MANI MENON MD PHYSICIAN 874904 0 683455 0 17921 0 31859 0 23729 0 1631868 0 0 0 MARK L ROSENBLUM MD PHYSICIAN 780756 0 206000 0 250921 0 31859 0 26280 0 1295816 0 0 0 THEODORE W PARSONS MD PHYSICIAN 891841 0 41114 0 24929 0 26758 0 25345 0 1009987 0 0 0 GHAUS MALIK MD PHYSICIAN 628921 0 10468 0 335697 0 31858 0 22981 0 1029925 0 0 0 WILLIAM O'NEIL MD PHYSICIAN 671169 0 326984 0 19657 0 26759 0 28545 0 1073114 0 0 0 PART I, LINE 1A IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY NO TAXABLE INCOME IS REPORTED. THERE WERE NO PAYMENTS OR REIMBURSEMENTS OF FIRST CLASS DURING 2013. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. PART I, LINE 4B 4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: SCH J, LINE 4B, PERSON PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 NANCY SCHLICHTING 568,441 - - 568,441 PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 MARK KELLEY, MD - 1,663,223 - 650,126 JAMES CONNELLY 136,600 - - 136,600 WILLIAM CONWAY, MD - - 86,682 - ROBERT RINEY 149,090 - - 149,090 JOHN POLANSKI 39,724 - - 39,724 JOHN POPOVICH, MD 90,667 - - 90,667 GERARD VAN GRINSVEN - 165,238 - 29,668 WILLIAM ALVIN 392,770 - - 392,770 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2013 CONTR. 2013 CONTR. TAX GROSS-UP W-2 AMOUNTS NANCY SCHLICHTING - 17,500 421 17,921 MANI MENON, MD - 17,500 421 17,921 MARK ROSENBLUM, MD - 17,500 421 17,921 THEODORE PARSONS, MD - 17,500 421 17,921 JAMES CONNELLY - 17,500 421 17,921 ROBERT RINEY - 17,500 421 17,921 EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2013 CONTR. 2013 CONTR. TAX GROSS-UP W-2 AMOUNTS GHAUS MALIK, MD - 17,500 421 17,921 JOHN POPOVICH, MD - 17,500 421 17,921 WILLIAM ALVIN - 11,293 272 11,564 JOHN POLANSKI 6,604 10,896 262 17,762 EDITH EISENMANN 17,500 - - 17,500 KATHLEEN YAREMCHUK, MD - 17,500 421 17,921 WILLIAM O'NEILL, MD - 15,715 378 16,093 GREG BARKLEY, MD - 2,475 60 2,535 WILLIAM CONWAY, MD 1,163 16,337 393 17,893 C.E. COFFEY, SR. MD 9,195 8,305 200 17,700 ACCRUALS TO SELECT SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN 2013 ACCRUALS JOHN POPOVICH, M.D. 84,000 PART I, LINE 5 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A CONTRACTUAL FORMULA THAT PROVIDES FOR A MINIMUM BASE SALARY AND INCREMENTAL COMPENSATION WHEN DEPARTMENTAL NET REVENUE EXCEEDS A PREDETERMINED LEVEL. SUCH ARRANGEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. PART I, LINE 7 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A BASE SALARY AND AN INCENTIVE PAYMENT WHEN SERVICE VOLUMES EXCEED A PREDETERMINED LEVEL. SUCH AGREEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HDM5 2006-06-27 403115204 SEE PART VI 0 0 0 B MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HGS9 2007-11-29 165735000 SEE PART VI 0 0 0 C MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 594654MA1 2009-11-03 322571412 SEE PART VI 0 0 0 D MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 2013-12-20 75000000 SEE PART VI 0 0 0 A 21245000 447442232 24165427 3541881 253937393 165797531 2009 0 1 1 1 B 14140000 165735000 1453729 164281271 2007 0 0 1 1 C 21360000 322571784 23348894 12938234 4474851 87119305 194690500 2009 1 0 1 1 D 56602793 56602793 18397207 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 1 0.01990 1 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 1 0.00140 1 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 1 1 B 0 0 0 1 1 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, COLUMN (F), DESCRIPTION OF PURPOSE (A) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND 1999 (10/12/99), 1992A (9/16/92) & 2003A BONDS (2/13/03); FUND NEW CONSTRUCTION (B) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: FUND ACQUISITION OF ASSETS (C) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND 2006B&C (6/27/06) BONDS; FUND NEW CONSTRUCTION (D) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: FUND ACQUISITION OF ASSETS AND EQUIPMENT PART I, COLUMN (E) AND PART II, LINE 3 - DIFFERENCES BETWEEN THE ISSUE PRICE SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART II, LINE 3, COLUMN A - FOR PURPOSES OF DETERMINING PROCEEDS ON THE ISSUE, WE HAVE ASSUMED THAT THE "PROJECT PERIOD" WITH RESPECT TO THE REFUNDING PORTION OF AN ISSUE ENDS ON THE DATE THE REFUNDED BONDS ARE CALLED AND RETIRED. PART IV, LINE 2C, COLUMN A - DATE OF REBATE COMPUTATION, 3/24/2011 PART IV, LINE 2C, COLUMN B - DATE OF REBATE COMPUTATION, 11/28/2012 PART IV, LINE 6, COLUMN A - THIS WAS AN ADVANCE REFUNDING ISSUE, WHICH HAS A 30-DAY TEMPORARY PERIOD. AS SUCH, THE PROCEEDS HAVE BEEN YIELD RESTRICTED. 0 WALGREENS SEE BELOW 6488670 SEE BELOW 0 COMERICA BANK SEE BELOW 918017 SEE BELOW 0 STERIS CORP SEE BELOW 506043 SEE BELOW 0 FORD MOTOR LAND DEV SEE BELOW 297857 SEE BELOW 0 DETROIT LIONS SEE BELOW 146000 SEE BELOW 0 JUSTIN COFFEY MD SEE BELOW 276690 SEE BELOW 0 COLLEEN GRACE MD SEE BELOW 272158 SEE BELOW 0 CHARLES E COFFEY JR MD SEE BELOW 206721 SEE BELOW 0 NANCY SAMMONS SEE BELOW 130071 SEE BELOW 0 PEGGY ORR SEE BELOW 100155 SEE BELOW 0 SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: WALGREENS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/CURRENT OFFICER(D) DESCRIPTION OF TRANSACTION: PHARMACY SERVICES (A) NAME OF PERSON: COMERICA BANK(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: BANKING SERVICES(A) NAME OF PERSON: STERIS CORP.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(A) NAME OF PERSON: FORD MOTOR LAND DEVELOPMENT CO.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: BUILDING RENT(A) NAME OF PERSON: DETROIT LIONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OFFICER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: MEDICAL SERVICES(A) NAME OF PERSON: JUSTIN M. COFFEY, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: COLLEEN GRACE, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT TRUSTEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: CHARLES E. COFFEY, JR., MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: NANCY SAMMONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: PEGGY ORR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(CONTINUATION), PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: ELIZABETH TYLER WANG(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(C) AMOUNT OF TRANSACTION $68,675(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: THOMAS EISENMANN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $60,504.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: JOSHUA GAMBLE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $27,671.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: SUSAN CONWAY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT TRUSTEE(C) AMOUNT OF TRANSACTION $21,852.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: DETROIT LIONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OFFICER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $20,021.00(D) DESCRIPTION OF TRANSACTION: SPORTING TICKETS(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: FORD MOTOR COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OFFICER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $18,256.00(D) DESCRIPTION OF TRANSACTION: FACILITY FEES(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: KERRY CONWAY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT TRUSTEE(C) AMOUNT OF TRANSACTION $12,576.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: PAMELA THEISEN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $15,600.00(D) DESCRIPTION OF TRANSACTION: CONSULTING SERVICES(E) SHARING OF ORGANIZATION'S REVENUES? NO X 4 8000 FAIR MARKET VALUE X 19 954848 MARKET VALUE X 3 216398 FAIR MARKET VALUE X MISCELLANEOUS 183 308880 FAIR MARKET VALUE 0 1 1 PART I, LINE 32B: BROKERAGE FIRM SELLS DONATIONS OF STOCK FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP - STEPHANIE BERGERON (CURRENT TRUSTEE) AND EDWARD CALLAGHAN, PHD. (CURRENT TRUSTEE) FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS CONTRACTED WITH H2O, LLC TO PROVIDE SENIOR LEADERSHIP TO ITS HUMAN RESOURCES FUNCTION. UNDER THE TERMS OF THIS AGREEMENT, H2O PROVIDES HFHS WITH THE SERVICES OF THE CHIEF HUMAN RESOURCES OFFICER OF HFHS. FORM 990, PART VI, SECTION B, LINE 11 THE TAX DEPARTMENT OF THE ORGANIZATION PREPARES THE FORM 990 AND HAS IT REVIEWED BY ITS INDEPENDENT TAX SERVICE PROVIDER. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HFHS CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF EXECUTIVE OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF TRUSTEES - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES - PROVIDE A COPY OF THE RETURN TO THE HFHS BOARD OF TRUSTEES FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES AND EMPLOYEES. ANNUALLY, TRUSTEES, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL EXTERNAL TRUSTEES. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH SYSTEM. SCHEDULE R, PART V, LINE 1D AND 1E THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE BOND MASTER INDENTURE. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISIONS THAT ARE NOT SEPARATE LEGAL ENTITIES BUT HAVE THEIR OWN UNIQUE ASSIGNED EIN'S. FINANCIAL INFORMATION RELATING TO THESE DIVISIONS ARE INCLUDED IN THIS RETURN. -HENRY FORD WEST BLOOMFIELD HOSPITAL (26-3896897) -CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE (30-0092342) -HENRY FORD HEALTH SYSTEM - SCHOOL BASED HEALTH INITIATIVE (87-0729167) -COTTAGE HOSPITAL PHYSICIAN PRACTICE (26-4245539) -HENRY FORD PATHOLOGY (41-2223561) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 63,561,813. INTERCOMPANY TRANSFERS 18,393,016. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HFHS PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH SYSTEM USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK, AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED. FORM 990, PART XII, LINE 2C THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH SYSTEM (HFHS) AND AFFILIATES. THE GOVERNING BODY OF HFHS HAS DELEGATED THE OVERSIGHT OF FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF FINANCIAL AUDITORS, TO ITS AUDIT COMMITTEE. 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