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      <MissionDesc>AS ONE OF THE NATION'S LEADING INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HENRY FORD HEALTH TO IMPROVE PEOPLE'S LIVES THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HENRY FORD HEALTH IS ONE OF MICHIGAN'S MOST DIVERSE EMPLOYERS, AND WE ARE DEEPLY COMMITTED TO DIVERSITY, EQUITY, INCLUSION AND JUSTICE. FOUNDED IN 1915 BY AUTO PIONEER HENRY FORD, HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") IS A $7 BILLION COMPREHENSIVE, INTEGRATED AND ACADEMIC HEALTH SYSTEM, PROVIDING BOTH HEALTH CARE DELIVERY AND COVERAGE, AS WELL AS A ROBUST RESEARCH AND MEDICAL EDUCATION TRAINING PROGRAM. WITH MORE THAN 33,000 TEAM MEMBERS AND 6,000 PHYSICIANS AND RESEARCHERS, THE HEALTH SYSTEM DELIVERS EXCEPTIONAL AND COMPASSIONATE CARE AT ITS 5 ACUTE CARE HOSPITALS, AND OVER 250 SITES, INCLUDING MEDICAL CENTERS AND CLINICS.</MissionDesc>
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      <Desc>INPATIENT HOSPITALS: A KEY FACET OF OUR AWARD-WINNING OPERATIONS IS OUR COMMITMENT TO ALL COMMUNITIES WE SERVE, SUPPORTING OUR VISION OF TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. WE WILL BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE.THE ORGANIZATION OPERATES HENRY FORD HEALTH HOSPITAL (HFH), AN 877 LICENSED BED TERTIARY, AND QUATERNARY CARE HOSPITAL, EDUCATION AND RESEARCH COMPLEX IN THE NEW CENTER AREA OF DETROIT, MICHIGAN. HENRY FORD HEALTH HOSPITAL IS A MAGNET HOSPITAL, AWARDED BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCCI), AND IS RECOGNIZED FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF CARDIOLOGY AND CARDIOVASCULAR SURGERY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, CANCER CARE AND SPORTS MEDICINE, AMONG OTHERS. THE HOSPITAL IS A MULTI-ORGAN TRANSPLANT CENTER AND LEVEL 1 TRAUMA CENTER. THE HOSPITAL POSTED REVENUES OF APPROXIMATELY $1.3 BILLION DOLLARS AND 32,249 DISCHARGES DURING 2023. ANNUALLY ABOUT 975 MEDICAL RESIDENTS AND FELLOWS ALONG WITH 1,075 MEDICAL STUDENTS PARTICIPATE IN THE ORGANIZATION'S VARIOUS EDUCATIONAL PROGRAMS.HF HEALTH_MICHIGAN STATE UNIVERSITY PARTNERSHIP HF HEALTH AND MICHIGAN STATE UNIVERSITY HAVE A 30 YEAR FULLY INTEGRATED ACADEMIC HEALTH CARE PARTNERSHIP.OUR PARTNERSHIP IS A CATALYST FOR CHANGE, REIMAGINING HOW WE THINK ABOUT, INNOVATE, AND DELIVER HEALTH AND WELLNESS. OUR GOAL IS TO SET A NEW STANDARD FOR HOW INDIVIDUALS AND COMMUNITIES EXPERIENCE CARE ACROSS THE STATE OF MICHIGAN AND THE NATION. THROUGH A JOINT RESEARCH ENTERPRISE, A PREMIER CANCER CENTER, AND A FOCUS ON ACADEMIC MEDICAL AND HEALTH EDUCATION OF THE FUTURE, THIS PARTNERSHIP IS WORKING TO FIGHT THE HEALTH DISPARITIES THAT PLAGUE OUR MOST VULNERABLE COMMUNITIES. WE'RE FUELED BY PASSION, CURIOSITY, AND A LITTLE BIT OF GRIT-TIRELESSLY DEVELOPING SOLUTIONS, TREATMENTS AND PROGRAMS TO MAKE LIFE COLLECTIVELY BETTER. WE'RE COMMITTED TO WORKING TOGETHER WITH COMMUNITIES ACROSS THE STATE, TOWARD SUBSTANTIAL CHANGE FOR THE NEXT 30 YEARS AND BEYOND. BECAUSE TOGETHER, WE CAN ACHIEVE MORE. TOGETHER, WE CAN TRANSFORM LIVES. FOR MORE THAN A CENTURY, HENRY FORD HAS EMBODIED CLINICAL RESEARCH EXPERTISE, INTRODUCING THE NEWEST THERAPIES FOR PATIENTS. MSU, AN ACADEMIC POWERHOUSE FOR MORE THAN 150 YEARS, HAS RENOWNED STRENGTH IN BASIC RESEARCH. TOGETHER, WE ARE BRINGING MEDICAL DISCOVERIES FROM BENCH TO BEDSIDE.SINCE ACHIEVING RECOGNITION BY THE NATIONAL INSTITUTES OF HEALTH (NIH) AS A SINGLE, ALIGNED RESEARCH ORGANIZATION, THE PARTNERSHIP'S RESEARCHERS HAVE SUBMITTED MORE THAN 200 NIH GRANT PROPOSALS TOTALING NEARLY $500 MILLION IN FUNDING REQUESTS.OUR WORLD CLASS RESEARCH FACILITY IN DETROIT, SET TO OPEN IN 2027, WILL FURTHER FUSE BASIC AND TRANSLATIONAL RESEARCH, SERVING AS AN EPICENTER FOR INNOVATION AND DISCOVERY.GRAND DESTINATION HENRY FORD HEALTH, TOM GORES AND THE DETROIT PISTONS, AND MICHIGAN STATE UNIVERSITY ANNOUNCED A SWEEPING COMMUNITY DEVELOPMENT PROJECT THAT INTENDS TO INVEST $2.5 BILLION OVER THE NEXT DECADE TO TURN DETROIT'S NEW CENTER NEIGHBORHOOD INTO A VIBRANT, WALKABLE COMMUNITY WITH STATE-OF-THE-ART RESIDENTIAL, COMMERCIAL, RETAIL, RECREATIONAL AND HEALTH CARE COMPONENTS ANCHORED BY A NEW HENRY FORD HOSPITAL AND JOINT RESEARCH BUILDING. THIS FUTURE OF HEALTH DEVELOPMENT WILL SUPPORT APPROXIMATELY 25,000 JOBS, WHICH INCLUDES AN ESTIMATED 16,000 CURRENT JOBS, 8,200 CONSTRUCTION JOBS, AND 700 NEW POST-CONSTRUCTION FULL- AND PART-TIME POSITIONS. IN SEPTEMBER 2023, AN EXTENSIVE COMMUNITY BENEFITS ORDINANCE PROCESS BEGAN WHICH PROVIDES AN OPPORTUNITY TO PARTNER WITH RESIDENTS LIVING IN IMPACTED AREAS TO ENSURE THEIR NEEDS AND FEEDBACK ARE REFLECTED ACROSS THESE PROJECTS. SHIRLEY RYAN ABILITYLAB TOGETHER WITH THE GILBERT FAMILY FOUNDATION AND THE SHIRLEY RYAN ABILITYLAB, HENRY FORD HEALTH ANNOUNCED A HISTORIC PARTNERSHIP TO BRING A 72-BED STATE-OF-THE-ART PHYSICAL MEDICINE AND REHABILITATION FACILITY TO DETROIT. THE FACILITY WILL BE MANAGED BY SHIRLEY RYAN ABILITYLAB AND WILL BECOME PART OF THE DETROIT CAMPUS EXPANSION. THE GILBERT FAMILY FOUNDATION ALSO ANNOUNCED THE CREATION OF THE NICK GILBERT NEUROFIBROMATOSIS RESEARCH INSTITUTE, WHICH WILL BE INCORPORATED INTO THE HENRY FORD HEALTH + MICHIGAN STATE UNIVERSITY HEALTH SCIENCES RESEARCH BUILDING. NAMED FOR DAN AND JENNIFER GILBERT'S SON NICK, WHO PASSED AWAY FROM NEUROFIBROMATOSIS IN 2023, THE INSTITUTE WILL COLLABORATE WITH RESEARCHERS FROM AROUND THE WORLD TO CREATE NOVEL TREATMENTS. THE GILBERT FAMILY FOUNDATION WILL CONTRIBUTE NEARLY $375 MILLION IN GRANT FUNDING TO BRING THESE PROJECTS TO LIFE. THE CORONAVIRUS IMPACT WITH AN ESTABLISHED RESEARCH STRUCTURE AND ACCESS TO A DIVERSE PATIENT COMMUNITY, HENRY FORD WAS ABLE TO ACT IMMEDIATELY WHEN THE CORONAVIRUS PANDEMIC STRUCK. HENRY FORD UTILIZED EMERGENCY-USE AUTHORIZATIONS FROM THE FDA TO TREAT AND TRACK COVID-19 PATIENTS, CREATING AND MONITORING DATABASE REGISTRIES TO INFORM FUTURE CLINICAL TREATMENT. HENRY FORD RESEARCHERS INITIATED AND CONTINUE TO LEAD A COLLABORATIVE REGISTRY THAT INCLUDES NEARLY ALL COVID INPATIENTS AND TREATMENT-RELATED OUTCOME DATA FROM DETROIT-AREA HOSPITALS.HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL:HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL (HFWBH), AN OPERATING UNIT OF HF HEALTH, OFFERS COMPREHENSIVE MEDICAL CARE, INCLUDING 24-HOUR EMERGENCY CARE, NEUROSCIENCES, WOMEN'S AND CHILDREN'S HEALTH, ORTHOPEDICS, DIAGNOSTIC TESTING AND A WELLNESS CENTER WITH COMPLEMENTARY THERAPIES. HENRY FORD WEST BLOOMFIELD HOSPITAL STRIVES TO PROVIDE THE HIGHEST QUALITY IN PATIENT SAFETY, CLINICAL EXCELLENCE, INTEGRATIVE SERVICES AND INNOVATION IN A UNIQUE ENVIRONMENT THAT ENCOURAGES WELLNESS AND PROVIDES ACCESS TO INFORMATION AND SUPPORT. IT IS OUR GOAL TO DELIVER A COMPREHENSIVE HEALTHCARE EXPERIENCE LIKE NO OTHERONE THAT INCLUDES MIND, BODY AND SPIRIT AS ESSENTIAL ELEMENTS IN THE HEALING PROCESS.WITH OUR DIVERSE WELLNESS OFFERINGS INCLUDING YOGA, THE LIVEWELL SHOPPE AND THE GREENHOUSE, OUR NATION'S FIRST EVER, HOSPITAL-BASED ORGANIC GREENHOUSE, HENRY FORD WEST BLOOMFIELD HOSPITAL HOPES TO NOT ONLY MEET THE NEEDS OF OUR PATIENTS AND VISITORS, BUT TO EXCEED THEM.AT HENRY FORD WEST BLOOMFIELD HOSPITAL, WE PARTNER WITH THE PATIENT ON THEIR JOURNEY TO OPTIMAL HEALTH.IN 2023, THE HOSPITAL HAD REVENUES OF $399 MILLION, AND DISCHARGED 14,191 PATIENTS. TEACHING, RESEARCH, AND ADVANCED PATIENT CARE MAKE HF HEALTH A PREMIER ACADEMIC MEDICAL CENTER. AFFILIATED WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY SCHOOLS OF MEDICINE, HENRY FORD HEALTH PROVIDES INNOVATIVE PHYSICIAN TRAINING PROGRAMS AND COLLABORATES ON LEADING-EDGE MEDICAL RESEARCH. HENRY FORD MEDICAL EDUCATION OVERVIEW:HENRY FORD HEALTH HAS ONE OF THE LARGEST MEDICAL EDUCATION ENTERPRISES IN THE UNITED STATES. THE SYSTEM SPONSORS 105 ACCREDITED AND NON-ACCREDITED GRADUATE TRAINING PROGRAMS IN MICHIGAN. OUR DEDICATION TO EDUCATION AND RESEARCH IS SUPPORTED BY $102 MILLION IN ANNUAL GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHER PUBLIC AND PRIVATE FOUNDATIONS. THE SYSTEM'S FLAGSHIP HOSPITAL, HENRY FORD HEALTH HOSPITAL IN DETROIT, IS ONE OF THE NATION'S LARGEST RESEARCH CENTERS. AS ONE OF THE LARGEST MEDICAL EDUCATION TEACHING CENTERS IN THE NATION, HF HEALTH TRAINS OVER 1,300 MEDICAL STUDENTS EACH YEAR. HENRY FORD HEALTH HOSPITAL CLINICIANS TRAIN MORE THAN 1,050 MEDICAL STUDENTS AND OVER 975 RESIDENTS AND FELLOWS ACROSS 87 RESIDENCY AND FELLOWSHIP PROGRAMS. ADDITIONALLY HENRY FORD HEALTH JACKSON, MACOMB AND WYANDOTTE HOSPITALS TRAIN ABOUT 300 MEDICAL STUDENTS AND 390 RESIDENTS ANNUALLY ACROSS 18 RESIDENCY PROGRAMS. AS TEACHING PHYSICIANS, HENRY FORD MEDICAL GROUP DOCTORS ARE ALSO FACULTY MEMBERS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE, AND MANY OTHER HF HEALTH TEACHING DOCTORS ARE FACULTY MEMBERS AT THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HENRY FORD HEALTH HOSPITAL'S CENTER FOR SIMULATION, EDUCATION AND RESEARCH PROVIDES PARTICIPANTS A RISK-FREE ENVIRONMENT WHERE STATE-OF-THE-ART COMPUTERS AND MANNEQUINS SIMULATE HUNDREDS OF MEDICAL CONDITIONS, ALLOWING HEALTH PROFESSIONALS TO PRACTICE AND AUGMENT THEIR SKILLS.</Desc>
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        <Desc>OUTPATIENT CLINICS: THE ORGANIZATION INCLUDES THE HENRY FORD MEDICAL GROUP (HFMG),ONE OF THE NATION'S LARGEST GROUP PRACTICES, WITH MORE THAN 1,900 PHYSICIANS AND RESEARCHERS IN MORE THAN 40 SPECIALTIES AT LOCATIONS THROUGHOUT SOUTHEAST AND CENTRAL MICHIGAN, ENCOMPASSING APPROXIMATELY 3 MILLION TOTAL OUTPATIENT FACILITY VISITS ANNUALLY. HENRY FORD'S MEDICAL CENTERS ARE LOCATED IN WAYNE, OAKLAND, MACOMB AND JACKSON COUNTIES. SOME MEDICAL GROUP PHYSICIANS ALSO ARE ON STAFF AT OTHER HENRY FORD HOSPITALS. SIX MEDICAL CENTERS PROVIDE 24-HOUR EMERGENCY CARE WITH SEVERAL PROVIDING AMBULATORY SURGERY AND PRIMARY STROKE CARE. FOUNDED IN 1915 AFTER CONSULTATIONS WITH PHYSICIANS AT JOHNS HOPKINS HOSPITAL AND THE MAYO CLINIC, THE HENRY FORD MEDICAL GROUP HAS ESTABLISHED ITSELF AS ONE OF THE PREMIER GROUP PRACTICES IN THE NATION. OUR LARGE ACADEMIC ENTERPRISE PLACES US IN THE TOP THREE OF TRADITIONALLY INDEPENDENT GROUP PRACTICES THROUGH:CLINICAL CARE: THE BREADTH AND DEPTH OF THE HENRY FORD MEDICAL GROUP'S CLINICAL SERVICES IS UNPARALLELED BY ANY OTHER INDEPENDENT ACADEMIC MEDICAL CENTER. OUR SCALE AND SCOPE ARE IN THE 99TH PERCENTILE OF ALL GROUP PRACTICES, WITH VISIT VOLUMES LARGER THAN MOST GROUP PRACTICES. WE ARE NATIONAL LEADERS IN PRIMARY CARE WITH EXPERTISE IN PREVENTIVE CARE SERVICES AND THE HEALTH MANAGEMENT OF SENIOR CITIZENS. OUR SPECIALTY CENTERS OF EXCELLENCE ARE NATIONAL LEADERS AS WELL, PROVIDING ADVANCED TERTIARY AND QUATERNARY CARE WITH A FOCUS ON DISCOVERY AND INNOVATION.EDUCATION: OUR POST-GRADUATE MEDICAL EDUCATION ENTERPRISE IS AMONG THE LARGEST IN THE COUNTRY. APPROXIMATELY ONE THIRD OF ALL PHYSICIANS IN MICHIGAN FORMALLY TRAINED AT HF HEALTH DURING SOME POINT IN THEIR CAREER.RESEARCH: HENRY FORD HEALTH IS AMONG TOP NATIONAL INSTITUTES OF HEALTH FUNDED INSTITUTIONS IN MICHIGAN.LEADERS IN ACADEMIC MEDICINE AND CLINICAL CARE: THE HENRY FORD MEDICAL GROUP IS CONSIDERED AMONG THE BEST ORGANIZED IN THE COUNTRY. OUR SELF-GOVERNED, EMPLOYED PHYSICIAN PRACTICE PROGRAM HAS BECOME A MODEL FOR MANY OTHERS BECAUSE OF OUR CONTINUING SUCCESS. THE BRIGHTEST MINDS IN MEDICINE ARE ATTRACTED TO BECOME PART OF THE HENRY FORD MEDICAL GROUP BECAUSE OUR ORGANIZATION PROVIDES PHYSICIANS THE INDEPENDENCE TO PURSUE ADVANCED CLINICAL CARE WHILE UNDERTAKING RESEARCH AS WELL AS ACADEMIC EDUCATIONAL INITIATIVES.FOR OVER 100 YEARS THE HENRY FORD MEDICAL GROUP HAS FOSTERED ADVANCEMENT IN PATIENT CARE, RESEARCH, AND EDUCATION WHILE ENCOURAGING INNOVATION IN TECHNOLOGY AND PATIENT CARE PROCESSES BOTH IN THE OUTPATIENT AND HOSPITAL SETTINGS. FOR THESE REASONS HENRY FORD MEDICAL GROUP PHYSICIANS ARE CONSISTENTLY SELECTED BY THEIR PHYSICIAN PEERS AS TOP DOCTORS IN VARIOUS LOCAL AND NATIONAL PUBLISHED SURVEYS AND TO LEAD NATIONAL AND STATE MEDICAL ASSOCIATIONS. HENRY FORD MEDICAL GROUP PHYSICIANS WORK TOGETHER IN LEADERSHIP AND AS EVERYDAY PARTNERS TO CONTINUE TO BRING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE.</Desc>
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        <Desc>EMERGENCY ROOM SERVICES: THE ORGANIZATION DIRECTLY OPERATES SIX 24-HOUR EMERGENCY FACILITIES, ONE OF WHICH IS A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT. EMERGENCY SERVICES REVENUES APPROXIMATED $195 MILLION DURING 2023, REPRESENTING 228,902 PATIENT VISITS.</Desc>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>223236</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14695</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADNAN R MUNKARAH MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>59.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>2335257</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68285</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN N KALKANIS MD</PersonNm>
        <TitleTxt>CEO-HFMG</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>2075030</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>334579</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTONIA MARIA RAMSEY</PersonNm>
        <TitleTxt>EVP- CHIEF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>1228653</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62356</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER GEISLER</PersonNm>
        <TitleTxt>EVP-CHIEF MARKETING</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>834086</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>156383</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY JANE VOGT</PersonNm>
        <TitleTxt>EVP- PHILANTHROPY</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>705971</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>105311</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL A GENORD MD</PersonNm>
        <TitleTxt>CEO - HAP</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>64.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>1525458</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34016</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE BROOKS-WILLIAMS</PersonNm>
        <TitleTxt>CEO MARKETS</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>43.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>1641896</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47881</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID F SHEPHERD</PersonNm>
        <TitleTxt>CEO - COMMUNITY CARE SVC</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>1294522</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52966</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNA JOHNSON</PersonNm>
        <TitleTxt>CEO - W BLMFLD HOSP</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>31.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>534903</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50380</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM W O'NEILL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>2032552</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53823</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TREVOR RAYMOND BANKA MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1586036</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57403</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON J DAVIS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1486601</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61585</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HASSAN NEMEH MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1445848</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68149</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD M SEYFRIED MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1431180</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30284</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM A CONWAY MD</PersonNm>
        <TitleTxt>FORMER DIRECTOR/CEO-HFMG</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>167405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34375</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN L YAREMCHUK MD</PersonNm>
        <TitleTxt>FORMER DIRECTOR-PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>1004264</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58208</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VERONICA M HALL RN</PersonNm>
        <TitleTxt>FORMER INT. CEO-HF HOSP</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>781795</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>106365</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC WALLIS</PersonNm>
        <TitleTxt>FORMER CEO - W BLMFLD HOSP</TitleTxt>
        <AverageHoursPerWeekRt>60.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>739770</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>152259</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLADENISE A EDWARDS PHD</PersonNm>
        <TitleTxt>FORMER EVP-CHIEF STRATEGY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>1000937</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>33381101</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1780282</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5069</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRO DIVERSITY PARTNERS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 769009</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78245</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP NURSING SERVICES</ServicesDesc>
        <CompensationAmt>23026913</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIG RONCELLI LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>535 GRISWOLD ST STE 2050</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48226</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>13563190</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEMARIA IDEAL JOINT VENTUREDEMARIA IDEA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>45500 GRAND RIVER</AddressLine1Txt>
            <CityNm>NOVI</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>13369172</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROLINK HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4600 MONTGOMERY RD STE 300</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45212</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP NURSING SERVICES</ServicesDesc>
        <CompensationAmt>12762032</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RIGHTSOURCING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 515743</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>900515118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>10525996</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>296</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>914853</FundraisingAmt>
      <RelatedOrganizationsAmt>19100000</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>41827905</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>68845144</AllOtherContributionsAmt>
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      <TotalContributionsAmt>130687902</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INPATIENT HOSPITALS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1708155689</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1708155689</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT CLINICS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>413107655</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>413107655</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EMERGENCY ROOM SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>214351218</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL EDUCATION-GME</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>58248642</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58248642</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>2737177</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2737177</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>1649130155</RelatedOrExemptFuncIncomeAmt>
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      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>1064261</TotalRevenueColumnAmt>
        <ExclusionAmt>1064261</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>346425018</SecuritiesAmt>
        <OtherAmt>4520119</OtherAmt>
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        <OtherAmt>3769364</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>26122372</SecuritiesAmt>
        <OtherAmt>750755</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <RelatedOrExemptFuncIncomeAmt>26122372</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>-574382</TotalRevenueColumnAmt>
        <ExclusionAmt>-574382</ExclusionAmt>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>11143</TotalRevenueColumnAmt>
        <ExclusionAmt>11143</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>323462806</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>221483182</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>101979624</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>95430160</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>6549464</UnrelatedBusinessRevenueAmt>
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        <Desc>OTHER PHARMACY</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>123969549</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>123969549</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA &amp; GIFT SHOP</Desc>
        <BusinessCd>455000</BusinessCd>
        <TotalRevenueColumnAmt>6463576</TotalRevenueColumnAmt>
        <ExclusionAmt>6463576</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PARKING FEES</Desc>
        <BusinessCd>812930</BusinessCd>
        <TotalRevenueColumnAmt>819043</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>819043</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>3711023</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3693484</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>17539</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueTotalAmt>134963191</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4495865667</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4295765144</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>18597021</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>50815600</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>2097479</TotalAmt>
        <ProgramServicesAmt>2097479</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>779096</TotalAmt>
        <ProgramServicesAmt>779096</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>20993075</TotalAmt>
        <ProgramServicesAmt>7592731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11651395</ManagementAndGeneralAmt>
        <FundraisingAmt>1748949</FundraisingAmt>
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        <TotalAmt>4209375</TotalAmt>
        <ProgramServicesAmt>2553925</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1506305</ManagementAndGeneralAmt>
        <FundraisingAmt>149145</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>1912314531</TotalAmt>
        <ProgramServicesAmt>1539216812</ProgramServicesAmt>
        <ManagementAndGeneralAmt>369597559</ManagementAndGeneralAmt>
        <FundraisingAmt>3500160</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>49932143</TotalAmt>
        <ProgramServicesAmt>39928960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9867667</ManagementAndGeneralAmt>
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          <AddressLine1Txt>11861 WESY LINE STE 600</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63146</ZIPCd>
        </USAddress>
        <ActivityTxt>TELEPHONE CAMPAIGN</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>88781</GrossReceiptsAmt>
        <RetainedByContractorAmt>269445</RetainedByContractorAmt>
        <NetToOrganizationAmt>-180664</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>J MILITO AND ASSOCIATES INC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1133 MAPLEGROVE DR NW</AddressLine1Txt>
          <CityNm>GRAND RAPIDS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49504</ZIPCd>
        </USAddress>
        <ActivityTxt>TELEPHONE CAMPAIGN</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>28545</GrossReceiptsAmt>
        <RetainedByContractorAmt>23169</RetainedByContractorAmt>
        <NetToOrganizationAmt>5376</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>411666</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>345414</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>66252</TotalNetToOrganizationAmt>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>GRAND BALL</Event1Nm>
        <GrossReceiptsEvent1Amt>764861</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>632600</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>132261</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>622245</OtherDirectExpensesEvent1Amt>
        <Event2Nm>EYES ON DESIGN</Event2Nm>
        <GrossReceiptsEvent2Amt>434697</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>212039</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>222658</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>290032</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>82853</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>70214</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>12639</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>29663</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>1282411</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>914853</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>367558</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>941940</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>941940</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-574382</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>11143</GrossRevenueOtherGamingAmt>
        <NonCashPrizesOtherGamingAmt>0</NonCashPrizesOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>1</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>1.00000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>11143</GrossRevenueTotalGamingAmt>
        <NetGamingIncomeSummaryAmt>11143</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>MI</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>0</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <PersonsWithBooksName>
        <BusinessNameLine1Txt>AMY STRAUSS</BusinessNameLine1Txt>
      </PersonsWithBooksName>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>HFHS EVENTS-ONE FORD PLACE</AddressLine1Txt>
        <CityNm>DETROIT</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>48202</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>250.000000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>51144496</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>51144496</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01180</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>996</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>906096346</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>681184420</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>224911926</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05210</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>996</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>957240842</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>681184420</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.06390</TotalExpensePct>
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      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>23538313</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6257503</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>17280810</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00400</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <PersonsServedCnt>1708</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>127157644</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>68446503</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>58711141</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01360</TotalExpensePct>
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      <SubsidizedHealthServicesGrp>
        <PersonsServedCnt>3950</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>45298629</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.00630</TotalExpensePct>
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      <ResearchGrp>
        <PersonsServedCnt>2640</PersonsServedCnt>
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        <DirectOffsettingRevenueAmt>90342770</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.00520</TotalExpensePct>
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      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>3895987</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3895987</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00090</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <PersonsServedCnt>8298</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>312752229</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>182944254</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>129807975</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03000</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <PersonsServedCnt>9294</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1269993071</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>864128674</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>405864397</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09390</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <PersonsServedCnt>100</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>647250</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>647250</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <PersonsServedCnt>12597</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>89939</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>89939</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <PersonsServedCnt>5110</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>559198</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>559198</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <PersonsServedCnt>100</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>55307</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>14150</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>41157</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <CoalitionBuildingGrp>
        <PersonsServedCnt>1524</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>15348</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>15348</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <PersonsServedCnt>105740</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>680977</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>680977</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <PersonsServedCnt>2594</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1297077</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>12500</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1284577</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <PersonsServedCnt>127765</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>3345096</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>26650</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3318446</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>64010702</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>16002675</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>885917219</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>976920341</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-91003122</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>4</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2799 W GRAND BLVD</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>HTTPS://WWW.HENRYFORD.COM/LOCATIONS</WebsiteAddressTxt>
        <StateLicenseNum>1060000026</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH WEST BLOOMFIELD HOSP</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>6777 W MAPLE RD</AddressLine1Txt>
          <CityNm>WEST BLOOMFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48322</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>HTTPS://WWW.HENRYFORD.COM/LOCATIONS</WebsiteAddressTxt>
        <StateLicenseNum>1060000155</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH COTTAGE HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>159 KERCHEVAL AVE</AddressLine1Txt>
          <CityNm>GROSSE POINTE FARMS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48236</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>HTTPS://WWW.HENRYFORD.COM/LOCATIONS</WebsiteAddressTxt>
        <StateLicenseNum>1060000064</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH KINGSWOOD HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>10300 W EIGHT MILE RD</AddressLine1Txt>
          <CityNm>FERNDALE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48220</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>HTTPS://WWW.HENRYFORD.COM/LOCATIONS</WebsiteAddressTxt>
        <StateLicenseNum>1080000037</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <OtherDesc>PSYCHIATRIC HOSPITAL</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE LINE 10A BELOW</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, PAGE 8</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH WEST BLOOMFIELD HOSP</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>2</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE LINE 10A BELOW</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, PAGE 8</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
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        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: TO GET A COMPREHENSIVE PICTURE OF THE HEALTH OF THE COMMUNITIES WE SERVE, OUR CHNA PROCESS INCLUDED AN IN-DEPTH REVIEW OF STATE AND LOCAL DATA, FROM WHICH MANY COMMON HEALTH ISSUES AND TRENDS EMERGED. THESE DATA WERE GATHERED LARGELY FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) VITAL STATISTICS, THE MICHIGAN BEHAVIORAL RISK FACTOR (BRFS) SURVEY, AND THE AMERICAN COMMUNITIES SURVEY. THE MOST UPDATED DATA WERE GENERALLY COLLECTED FROM 2018 TO 2020. DATA FROM 2020 MAY BE INFLUENCED BY THE COVID-19 PANDEMIC. HOWEVER, SINCE DATA MORE RECENT THAN 2020 IS LARGELY NOT YET AVAILABLE, THIS CHNA IS NOT ABLE TO FULLY REFLECT THE IMPACT OF COVID-19. WE ALSO EXAMINED TRENDS IN THESE DATA SINCE COMPLETING OUR LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019, FROM WHICH DATA WERE MOSTLY COLLECTED DURING 2015-2017.OUR METHODOLOGY INCLUDED REVIEWING DATA COLLECTED FROM STATE AND LOCAL SOURCES AND COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS.SURVEYS WERE USED TO GATHER INPUT FROM A VARIETY OF STAKEHOLDERS IN THE CITY OF DETROIT AS WELL AS WAYNE, MACOMB AND OAKLAND COUNTIES, INCLUDING COMMUNITY MEMBERS AND LEADERS, AND STAKEHOLDER ORGANIZATIONS SERVING THE WELLBEING OF RESIDENTS. THE TWO GROUPS, COMMUNITY MEMBERS AND THOSE WORKING AT STAKEHOLDER ORGANIZATIONS, RESPONDED TO SEPARATE SURVEYS. SURVEYS WERE ADMINISTERED USING SURVEYMONKEY AND HENRY FORD'S INSIGHTS PLATFORM DURING MARCH-APRIL 2022. SURVEYS GATHERED INPUT ON BARRIERS PEOPLE FACE IN ACHIEVING GOOD HEALTH AND ACCESSING HEALTHCARE. RESPONDENTS WERE ASKED TO RANK HEALTH AND SOCIAL ISSUES THAT ARE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH, AMONGST OTHER QUESTIONS ABOUT BARRIERS TO ACHIEVING GOOD HEALTH. 1,571 RESPONSES FROM COMMUNITY MEMBERS AND STAKEHOLDERS WERE COLLECTED.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS AUTHORITY HEALTH; DETROIT HEALTH DEPARTMENT; LINCOLN PARK SCHOOLS; CHALDEAN COMMUNITY FOUNDATION; MACOMB COUNTY HEALTH DEPARTMENT; MICHIGAN PUBLIC HEALTH INSTITUTE AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE AND REPRESENTED A RANGE OF RACIAL/ETHNIC BACKGROUNDS. FROM THEIR SURVEY RESPONSES WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES WHICH FACE OUR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH MACOMB HOSPITALHENRY FORD HEALTH WEST BLOOMFIELD HOSP.HENRY FORD HEALTH WYANDOTTE HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD HEALTH JACKSON HOSPITALHENRY FORD ALLEGIANCE SPECIALTY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: CHNA PRIORITIESTHE THREE (3) SELECTED PRIORITIES WHICH EMERGED FROM THE 2022 CHNA WERE: CHRONIC DISEASE PREVENTION &amp; MANAGEMENT, BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER AND INFANT MORTALITY.THE FOLLOWING ARE STRATEGIES TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA. CHRONIC DISEASE PREVENTION &amp; MANAGEMENT EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.CONTINUE TO ENHANCE PROGRAMMING AND EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES PREVENTION (DPP) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.ENGAGE PROVIDER ORGANIZATIONS IN SYSTEMATIC CLINICAL IMPROVEMENTS TO REDUCE RACIAL DISPARITIES IN HYPERTENSION AND/OR DIABETES CONTROL.HENRY FORD HEALTH WILL PARTNER WITH COMMUNITY ORGANIZATIONS VIA A COMMUNITY INFORMATION EXCHANGE (CIE) TO CLOSE 50% OF THE SOCIAL NEEDS GAPS IDENTIFIED (REFERRALS MADE) WITHIN POPULATIONS SCREENED BY 2025. BY 2025, HENRY FORD HEALTH WILL INVEST $15 MILLION THROUGH INTERMEDIARIES INTO PROJECTS THAT POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH (SDOH) ACROSS MARKETS WE SERVE. INVESTMENTS WILL YIELD RETURNS THAT MAY BE BELOW GENERAL MARKET EXPECTATIONS, BUT SUFFICIENT TO REPLENISH FUNDING FOR FUTURE ROUNDS OF INVESTMENT. BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER PROVIDE DEPRESSION SCREENING FOR ALL THOSE SEEKING PSYCHIATRIC CARE.PATIENTS SUFFERING FROM OPIATE USE DISORDER (OUD), NOT IN REMISSION, WILL BE PRESCRIBED NAXLOXONE AS A SAFETY MEASURE TO PREVENT MORBIDITY AND MORTALITY.IMPROVE ACCESS IN OUR PSYCHIATRIC SPECIALTY CLINICS AND IN OUR COLLABORATIVE CARE MODEL FOR ADULT PATIENTS. INFANT MORTALITY IMPROVE PRENATAL AND PEDIATRIC ASSESSMENTS OF ALL PATIENTS BY IDENTIFYING AND ADDRESSING SDOH AND PROVIDING IMPROVED CARE NAVIGATION. EXPAND IMPLICIT BIAS EDUCATION/TRAINING TO ALL HFHS OBSTETRIC, PEDIATRIC/NEONATOLOGY NURSING AND PROVIDERS (INCLUDES REDUCING UNCONSCIOUS BIAS, AND IMPERATIVE (RUBI) CURRICULUM).ENSURE OB/GYN PATIENTS ARE RECEIVING RESPECTFUL CARE.SCALE WIN NETWORK: DETROIT ENHANCED MODEL OF GROUP PRENATAL CARE TO ADDITIONAL SITES.ESTABLISH A MODEL FOR PROVIDING FOLLOW-UP SERVICES AND REFERRALS TO RESOURCES FOR MEDICAID PRETERM BIRTHS AT HENRY FORD HOSPITAL THAT CAN BE DISSEMINATED ACROSS THE REGION AND ENSURE MATERNAL-CHILD TEAM MEMBERS ARE ABLE TO CONNECT THE IMPACT OF THESE SERVICES TO THE HOSPITAL'S MORTALITY RATE.CHNA SIGNIFICANT NEEDS NOT ADDRESSEDSIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA WHICH ARE NOT BEING ADDRESSED IN THE CHNA IMPLEMENTATION PLANS: VACCINATIONS ASTHMA ALZHEIMER'S KIDNEY DISEASE PNEUMONIA AND INFLUENZA HENRY FORD HEALTH ACKNOWLEDGES THE NUMEROUS AND WIDE RANGE OF HEALTH NEEDS THAT EXIST IN OUR COMMUNITIES SERVED, AND WE ACKNOWLEDGE THAT THERE ARE CERTAIN HEALTH NEEDS NOT CHOSEN AS PRIORITIES, LISTED ABOVE. WE HAVE DETERMINED THAT OUR IMPLEMENTATION PLANS ARE ONLY ABLE TO EFFECTIVELY ADDRESS THE MOST PRESSING NEEDS IDENTIFIED BY OUR STAKEHOLDERS AND IN RELEVANT DATA AND SURVEYS, WHICH INCLUDE CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, CANCER, AND INFANT MORTALITY. THE SELECTED PRIORITIES WERE ANALYZED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, AS WELL AS HEALTH SYSTEM RESOURCES, AND REPRESENT THE KEY HEALTH ISSUES WHICH ARE MOST PRESSING WITH THE MOST COMPELLING DATA. WHILE HFH PROVIDES SUPPORTIVE CLINICAL SERVICES IN THESE AREAS, THEY WILL NOT BE INCLUDED AS AREAS OF PRIMARY ACTIVITY AS IT RELATES TO THE IMPLEMENTATION PLANS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH WEST BLOOMFIELD HOSP.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: CHNA PRIORITIESTHE THREE (3) SELECTED PRIORITIES WHICH EMERGED FROM THE 2022 CHNA WERE: CHRONIC DISEASE PREVENTION &amp; MANAGEMENT, BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER AND CANCER PREVENTION &amp; SCREENING.THE FOLLOWING ARE STRATEGIES TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA. CHRONIC DISEASE PREVENTION &amp; MANAGEMENT EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.CONTINUE TO ENHANCE PROGRAMMING AND EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES PREVENTION (DPP) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.ENGAGE PROVIDER ORGANIZATIONS IN SYSTEMATIC CLINICAL IMPROVEMENTS TO REDUCE RACIAL DISPARITIES IN HYPERTENSION AND/OR DIABETES CONTROL.HENRY FORD HEALTH WILL PARTNER WITH COMMUNITY ORGANIZATIONS VIA A COMMUNITY INFORMATION EXCHANGE (CIE) TO CLOSE 50% OF THE SOCIAL NEEDS GAPS IDENTIFIED (REFERRALS MADE) WITHIN POPULATIONS SCREENED BY 2025. BY 2025, HENRY FORD HEALTH WILL INVEST $15 MILLION THROUGH INTERMEDIARIES INTO PROJECTS THAT POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH (SDOH) ACROSS MARKETS WE SERVE. INVESTMENTS WILL YIELD RETURNS THAT MAY BE BELOW GENERAL MARKET EXPECTATIONS, BUT SUFFICIENT TO REPLENISH FUNDING FOR FUTURE ROUNDS OF INVESTMENT. BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER PROVIDE DEPRESSION SCREENING FOR ALL THOSE SEEKING PSYCHIATRIC CARE.PATIENTS SUFFERING FROM OPIATE USE DISORDER (OUD), NOT IN REMISSION, WILL BE PRESCRIBED NAXLOXONE AS A SAFETY MEASURE TO PREVENT MORBIDITY AND MORTALITY.IMPROVE ACCESS IN OUR PSYCHIATRIC SPECIALTY CLINICS AND IN OUR COLLABORATIVE CARE MODEL FOR ADULT PATIENTS. CANCER PREVENTION &amp; SCREENING INCREASE PROSTATE, BREAST, LUNG AND COLORECTAL CANCER SCREENING VOLUMES. HOLD EVENTS TO INCREASE AWARENESS AND EDUCATION AROUND CANCER SCREENING FOR BREAST, LUNG, COLON AND PROSTATE CANCER.CHNA SIGNIFICANT NEEDS NOT ADDRESSEDSIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA WHICH ARE NOT BEING ADDRESSED IN THE CHNA IMPLEMENTATION PLANS: VACCINATIONS ASTHMA ALZHEIMER'S KIDNEY DISEASE PNEUMONIA AND INFLUENZA HENRY FORD HEALTH ACKNOWLEDGES THE NUMEROUS AND WIDE RANGE OF HEALTH NEEDS THAT EXIST IN OUR COMMUNITIES SERVED, AND WE ACKNOWLEDGE THAT THERE ARE CERTAIN HEALTH NEEDS NOT CHOSEN AS PRIORITIES, LISTED ABOVE. WE HAVE DETERMINED THAT OUR IMPLEMENTATION PLANS ARE ONLY ABLE TO EFFECTIVELY ADDRESS THE MOST PRESSING NEEDS IDENTIFIED BY OUR STAKEHOLDERS AND IN RELEVANT DATA AND SURVEYS, WHICH INCLUDE CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, CANCER, AND INFANT MORTALITY. THE SELECTED PRIORITIES WERE ANALYZED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, AS WELL AS HEALTH SYSTEM RESOURCES, AND REPRESENT THE KEY HEALTH ISSUES WHICH ARE MOST PRESSING WITH THE MOST COMPELLING DATA. WHILE HFH PROVIDES SUPPORTIVE CLINICAL SERVICES IN THESE AREAS, THEY WILL NOT BE INCLUDED AS AREAS OF PRIMARY ACTIVITY AS IT RELATES TO THE IMPLEMENTATION PLANS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH COTTAGE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: CHNA PRIORITIESTHE THREE (3) SELECTED PRIORITIES WHICH EMERGED FROM THE 2022 CHNA WERE: CHRONIC DISEASE PREVENTION &amp; MANAGEMENT, BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER AND INFANT MORTALITY.THE FOLLOWING ARE STRATEGIES TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA. CHRONIC DISEASE PREVENTION &amp; MANAGEMENT EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.CONTINUE TO ENHANCE PROGRAMMING AND EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES PREVENTION (DPP) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.ENGAGE PROVIDER ORGANIZATIONS IN SYSTEMATIC CLINICAL IMPROVEMENTS TO REDUCE RACIAL DISPARITIES IN HYPERTENSION AND/OR DIABETES CONTROL.HENRY FORD HEALTH WILL PARTNER WITH COMMUNITY ORGANIZATIONS VIA A COMMUNITY INFORMATION EXCHANGE (CIE) TO CLOSE 50% OF THE SOCIAL NEEDS GAPS IDENTIFIED (REFERRALS MADE) WITHIN POPULATIONS SCREENED BY 2025. BY 2025, HENRY FORD HEALTH WILL INVEST $15 MILLION THROUGH INTERMEDIARIES INTO PROJECTS THAT POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH (SDOH) ACROSS MARKETS WE SERVE. INVESTMENTS WILL YIELD RETURNS THAT MAY BE BELOW GENERAL MARKET EXPECTATIONS, BUT SUFFICIENT TO REPLENISH FUNDING FOR FUTURE ROUNDS OF INVESTMENT. BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER PROVIDE DEPRESSION SCREENING FOR ALL THOSE SEEKING PSYCHIATRIC CARE.PATIENTS SUFFERING FROM OPIATE USE DISORDER (OUD), NOT IN REMISSION, WILL BE PRESCRIBED NAXLOXONE AS A SAFETY MEASURE TO PREVENT MORBIDITY AND MORTALITY.IMPROVE ACCESS IN OUR PSYCHIATRIC SPECIALTY CLINICS AND IN OUR COLLABORATIVE CARE MODEL FOR ADULT PATIENTS. INFANT MORTALITY IMPROVE PRENATAL AND PEDIATRIC ASSESSMENTS OF ALL PATIENTS BY IDENTIFYING AND ADDRESSING SDOH AND PROVIDING IMPROVED CARE NAVIGATION. EXPAND IMPLICIT BIAS EDUCATION/TRAINING TO ALL HFHS OBSTETRIC, PEDIATRIC/NEONATOLOGY NURSING AND PROVIDERS (INCLUDES REDUCING UNCONSCIOUS BIAS, AND IMPERATIVE (RUBI) CURRICULUM).ENSURE OB/GYN PATIENTS ARE RECEIVING RESPECTFUL CARE.SCALE WIN NETWORK: DETROIT ENHANCED MODEL OF GROUP PRENATAL CARE TO ADDITIONAL SITES.ESTABLISH A MODEL FOR PROVIDING FOLLOW-UP SERVICES AND REFERRALS TO RESOURCES FOR MEDICAID PRETERM BIRTHS AT HENRY FORD HOSPITAL THAT CAN BE DISSEMINATED ACROSS THE REGION AND ENSURE MATERNAL-CHILD TEAM MEMBERS ARE ABLE TO CONNECT THE IMPACT OF THESE SERVICES TO THE HOSPITAL'S MORTALITY RATE.CHNA SIGNIFICANT NEEDS NOT ADDRESSEDSIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA WHICH ARE NOT BEING ADDRESSED IN THE CHNA IMPLEMENTATION PLANS: VACCINATIONS ASTHMA ALZHEIMER'S KIDNEY DISEASE PNEUMONIA AND INFLUENZA HENRY FORD HEALTH ACKNOWLEDGES THE NUMEROUS AND WIDE RANGE OF HEALTH NEEDS THAT EXIST IN OUR COMMUNITIES SERVED, AND WE ACKNOWLEDGE THAT THERE ARE CERTAIN HEALTH NEEDS NOT CHOSEN AS PRIORITIES, LISTED ABOVE. WE HAVE DETERMINED THAT OUR IMPLEMENTATION PLANS ARE ONLY ABLE TO EFFECTIVELY ADDRESS THE MOST PRESSING NEEDS IDENTIFIED BY OUR STAKEHOLDERS AND IN RELEVANT DATA AND SURVEYS, WHICH INCLUDE CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, CANCER, AND INFANT MORTALITY. THE SELECTED PRIORITIES WERE ANALYZED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, AS WELL AS HEALTH SYSTEM RESOURCES, AND REPRESENT THE KEY HEALTH ISSUES WHICH ARE MOST PRESSING WITH THE MOST COMPELLING DATA. WHILE HFH PROVIDES SUPPORTIVE CLINICAL SERVICES IN THESE AREAS, THEY WILL NOT BE INCLUDED AS AREAS OF PRIMARY ACTIVITY AS IT RELATES TO THE IMPLEMENTATION PLANS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH KINGSWOOD HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: CHNA PRIORITIESTHE THREE (3) SELECTED PRIORITIES WHICH EMERGED FROM THE 2022 CHNA WERE: CHRONIC DISEASE PREVENTION &amp; MANAGEMENT, BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER AND INFANT MORTALITY.THE FOLLOWING ARE STRATEGIES TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA. CHRONIC DISEASE PREVENTION &amp; MANAGEMENT EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.CONTINUE TO ENHANCE PROGRAMMING AND EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES PREVENTION (DPP) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.ENGAGE PROVIDER ORGANIZATIONS IN SYSTEMATIC CLINICAL IMPROVEMENTS TO REDUCE RACIAL DISPARITIES IN HYPERTENSION AND/OR DIABETES CONTROL.HENRY FORD HEALTH WILL PARTNER WITH COMMUNITY ORGANIZATIONS VIA A COMMUNITY INFORMATION EXCHANGE (CIE) TO CLOSE 50% OF THE SOCIAL NEEDS GAPS IDENTIFIED (REFERRALS MADE) WITHIN POPULATIONS SCREENED BY 2025. BY 2025, HENRY FORD HEALTH WILL INVEST $15 MILLION THROUGH INTERMEDIARIES INTO PROJECTS THAT POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH (SDOH) ACROSS MARKETS WE SERVE. INVESTMENTS WILL YIELD RETURNS THAT MAY BE BELOW GENERAL MARKET EXPECTATIONS, BUT SUFFICIENT TO REPLENISH FUNDING FOR FUTURE ROUNDS OF INVESTMENT. BEHAVIORAL HEALTH &amp; SUBSTANCE USE DISORDER PROVIDE DEPRESSION SCREENING FOR ALL THOSE SEEKING PSYCHIATRIC CARE.PATIENTS SUFFERING FROM OPIATE USE DISORDER (OUD), NOT IN REMISSION, WILL BE PRESCRIBED NAXLOXONE AS A SAFETY MEASURE TO PREVENT MORBIDITY AND MORTALITY.IMPROVE ACCESS IN OUR PSYCHIATRIC SPECIALTY CLINICS AND IN OUR COLLABORATIVE CARE MODEL FOR ADULT PATIENTS. INFANT MORTALITY IMPROVE PRENATAL AND PEDIATRIC ASSESSMENTS OF ALL PATIENTS BY IDENTIFYING AND ADDRESSING SDOH AND PROVIDING IMPROVED CARE NAVIGATION. EXPAND IMPLICIT BIAS EDUCATION/TRAINING TO ALL HFHS OBSTETRIC, PEDIATRIC/NEONATOLOGY NURSING AND PROVIDERS (INCLUDES REDUCING UNCONSCIOUS BIAS, AND IMPERATIVE (RUBI) CURRICULUM).ENSURE OB/GYN PATIENTS ARE RECEIVING RESPECTFUL CARE.SCALE WIN NETWORK: DETROIT ENHANCED MODEL OF GROUP PRENATAL CARE TO ADDITIONAL SITES.ESTABLISH A MODEL FOR PROVIDING FOLLOW-UP SERVICES AND REFERRALS TO RESOURCES FOR MEDICAID PRETERM BIRTHS AT HENRY FORD HOSPITAL THAT CAN BE DISSEMINATED ACROSS THE REGION AND ENSURE MATERNAL-CHILD TEAM MEMBERS ARE ABLE TO CONNECT THE IMPACT OF THESE SERVICES TO THE HOSPITAL'S MORTALITY RATE.CHNA SIGNIFICANT NEEDS NOT ADDRESSEDSIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA WHICH ARE NOT BEING ADDRESSED IN THE CHNA IMPLEMENTATION PLANS: VACCINATIONS ASTHMA ALZHEIMER'S KIDNEY DISEASE PNEUMONIA AND INFLUENZA HENRY FORD HEALTH ACKNOWLEDGES THE NUMEROUS AND WIDE RANGE OF HEALTH NEEDS THAT EXIST IN OUR COMMUNITIES SERVED, AND WE ACKNOWLEDGE THAT THERE ARE CERTAIN HEALTH NEEDS NOT CHOSEN AS PRIORITIES, LISTED ABOVE. WE HAVE DETERMINED THAT OUR IMPLEMENTATION PLANS ARE ONLY ABLE TO EFFECTIVELY ADDRESS THE MOST PRESSING NEEDS IDENTIFIED BY OUR STAKEHOLDERS AND IN RELEVANT DATA AND SURVEYS, WHICH INCLUDE CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, CANCER, AND INFANT MORTALITY. THE SELECTED PRIORITIES WERE ANALYZED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, AS WELL AS HEALTH SYSTEM RESOURCES, AND REPRESENT THE KEY HEALTH ISSUES WHICH ARE MOST PRESSING WITH THE MOST COMPELLING DATA. WHILE HFH PROVIDES SUPPORTIVE CLINICAL SERVICES IN THESE AREAS, THEY WILL NOT BE INCLUDED AS AREAS OF PRIMARY ACTIVITY AS IT RELATES TO THE IMPLEMENTATION PLANS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: HENRY FORD HEALTH HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH WEST BLOOMFIELD HOSP.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH COTTAGE HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: HENRY FORD HEALTH COTTAGE HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HENRY FORD HEALTH KINGSWOOD HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: HENRY FORD HEALTH KINGSWOOD HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HENRY FORD HEALTH HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HENRY FORD HEALTH COTTAGE HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HENRY FORD HEALTH KINGWOOD HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>90</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - HENRY FORD MEDICAL CENTER - FAIRLANE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19401 HUBBARD DRIVE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48126</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - HENRY FORD MEDICAL CENTER - COLUMBUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>39450 W TWELVE MILE ROAD</AddressLine1Txt>
            <CityNm>NOVI</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48377</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL DIAGNOSIS MEDICAL SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - HENRY FORD MEDICAL CENTER-ROYAL OAK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>110 EAST SECOND STREET</AddressLine1Txt>
            <CityNm>ROYAL OAK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48067</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - HENRY FORD MEDICAL CENTER - FORD RD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5500 AUTO CLUB DRIVE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48126</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - HENRY FORD MEDICAL CENTER - ANN ARBOR RD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>40777 ANN ARBOR ROAD</AddressLine1Txt>
            <CityNm>PLYMOUTH</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48170</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - HENRY FORD MEDICAL CENTER - NEW CNTR ONE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3031 W GRAND BLVD</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - HENRY FORD MEDICAL CNTR - BLOOMFIELD TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1961 S TELEGRAPH ROAD</AddressLine1Txt>
            <CityNm>BLOOMFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48302</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - HENRY FORD MEDICAL CENTER - LAKESIDE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14500 HALL RD</AddressLine1Txt>
            <CityNm>STERLING HEIGHTS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48313</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - HENRY FORD MEDICAL CENTER - LIVONIA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>29200 SCHOOLCRAFT RD</AddressLine1Txt>
            <CityNm>LIVONIA</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48150</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - HENRY FORD MEDICAL CENTER -DET NW</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7800 W OUTER DRIVE</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48235</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - HENRY FORD MEDICAL CENTER - STERLING HGT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3500 FIFTEEN MILE RD</AddressLine1Txt>
            <CityNm>STERLING HEIGHTS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48310</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - HENRY FORD MEDICAL CENTER - TROY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2825 LIVERNOIS RD</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48083</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - HENRY FORD MEDICAL CENTER - TAYLOR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>24555 HAIG RD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48180</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - HENRY FORD MEDICAL CENTER -FARMINGTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6530 FARMINGTON ROAD</AddressLine1Txt>
            <CityNm>WEST BLOOMFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48323</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - HENRY FORD MEDICAL CENTER - PIERSON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>131 KERCHEVAL AVENUE</AddressLine1Txt>
            <CityNm>GROSSE POINTE FARMS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48236</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - HENRY FORD MEDICAL CENTER - BECK ROAD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14300 BECK RD</AddressLine1Txt>
            <CityNm>PLYMOUTH</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48170</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - HENRY FORD MEDICAL CENTER - WOODHAVEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22505 ALLEN ROAD</AddressLine1Txt>
            <CityNm>WOODHAVEN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48183</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - HENRY FORD MEDICAL CENTER - HAMTRAMCK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9100 BROMBACK STREET</AddressLine1Txt>
            <CityNm>HAMTRAMCK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48212</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - HENRY FORD MEDICAL CENTER-HARBORTOWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3370 E JEFFERSON AVENUE</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48207</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - HENRY FORD MEDICAL CENTER - ACCESS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6450 MAPLE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48126</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - HENRY FORD MEDICAL CENTER -JEFFERSON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>24725 E JEFFERSON</AddressLine1Txt>
            <CityNm>SAINT CLAIR SHORES</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48080</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - HENRY FORD MEDICAL CENTER - WARREN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8600 CHICAGO RD</AddressLine1Txt>
            <CityNm>WARREN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48093</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - HENRY FORD SPECIALTY CENTER - SAGINAW</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5375 HAMPTON PLACE</AddressLine1Txt>
            <CityNm>SAGINAW</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48604</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - HENRY FORD MEDICAL CENTER - SECOND AVE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6525 SECOND AVENUE</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL DIAGNOSIS MEDICAL SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 - HENRY FORD MEDICAL CENTER - COMMERCE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8391 COMMERCE ROAD SUITES 108-109</AddressLine1Txt>
            <CityNm>COMMERCE TOWNSHIP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48382</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>26 - HENRY FORD REPRODUCTIVE MED-FLINT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2 HURLEY PLAZA SUITE 209</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48503</ZIPCd>
          </USAddress>
          <FacilityTxt>REPRODUCTIVE MEDICAL SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>27 - HENRY FORD REPRODUCTIVE MED-ROCH HILLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3950 ROCHESTER ROAD</AddressLine1Txt>
            <CityNm>ROCHESTER HILLS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48307</ZIPCd>
          </USAddress>
          <FacilityTxt>REPRODUCTIVE MEDICAL SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>28 - HENRY FORD MEDICAL CENTER - RESEARCH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>440 BURROUGHS SUITE 408 415 446</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </USAddress>
          <FacilityTxt>RESEARCH CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - HENRY FORD MAPLE GROVE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6773 W MAPLE ROAD</AddressLine1Txt>
            <CityNm>WEST BLOOMFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48322</ZIPCd>
          </USAddress>
          <FacilityTxt>CHEMICAL DEPENDENCY FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - HENRY FORD CANCER INSTITUTE-DETROIT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2800 WEST GRAND BLVD</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>31 - HENRY FORD CANCER INSTITUTE-BROWNSTWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19675 ALLEN ROAD</AddressLine1Txt>
            <CityNm>BROWNSTOWN TWP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48183</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>32 - HENRY FORD HEALTH - ONE FORD PLACE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL DIAGNOSIS MEDICAL SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>33 - HFH OCCUPATIONAL HEALTH-HARBORTOWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3300 E JEFFERSON AVE SUITE 100</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48207</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>34 - HFH - ADVANCED HEART FAILURE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16001 W NINE MILE ROAD</AddressLine1Txt>
            <CityNm>SOUTHFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48075</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>35 - HFH BEHAVIORAL HEALTH-SEVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15420 19 MILE SUITE 100</AddressLine1Txt>
            <CityNm>CLINTON TOWNSHIP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48038</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICAL DIAGNOSIS MEDICAL SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>36 - HENRY FORD HEALTH MEDICAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5777 MAPLE SUITE 200</AddressLine1Txt>
            <CityNm>WEST BLOOMFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48322</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY/CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>37 - HFH - NW DET DIAL -LAHSER ROAD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25664 LAHSER RD</AddressLine1Txt>
            <CityNm>SOUTHFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48034</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>38 - HFH - NW DET DIAL NORTHLAND PK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21000 NORTHWESTERN HWY</AddressLine1Txt>
            <CityNm>SOUTHFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48075</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>39 - HFH - EASTPOINTE DIALYSIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21400 KELLY RD</AddressLine1Txt>
            <CityNm>EASTPOINTE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48021</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>40 - HFH - FAIRLANE DIALYSIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19001 HUBBARD DR</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48126</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>41 - HFH - SE MI KIDNEY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1695 W 12 MILE RD SUITE 250</AddressLine1Txt>
            <CityNm>BERKLEY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48072</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>42 - HFH - ST JOSEPH DIALYSIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>44200 WOODWARD SUITE 109</AddressLine1Txt>
            <CityNm>PONTIAC</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48341</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>43 - HFH - TAYLOR DIALYSIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>24565 HAIG RD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48180</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>44 - HFH - TROY DIALYSIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2050 LIVERNOIS SUITE A</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48083</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>45 - HFH - NORTHWEST DIALYSIS CENTER LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7800 W OUTER DRIVE</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48325</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>46 - HFH - ST MARY DIALYSIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14555 LEVAN</AddressLine1Txt>
            <CityNm>LIVONIA</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48154</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>47 - HFH - WESTERN REGIONAL HOME DIALYSIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>39525 W 14 MILE ROAD SUITE 200</AddressLine1Txt>
            <CityNm>NOVI</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48377</ZIPCd>
          </USAddress>
          <FacilityTxt>DIALYSIS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>48 - HENRY FORD REHAB - ALLEN PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7445 ALLEN RD SUITE 102</AddressLine1Txt>
            <CityNm>ALLEN PARK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48101</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>49 - HFH PHYSICAL THERAPY - BEVERLY HILLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>31555 SOUTHFIELD ROAD</AddressLine1Txt>
            <CityNm>BEVERLY HILLS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48025</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>50 - HFH REHAB - LOWELL PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>44800 DELCO BLVD</AddressLine1Txt>
            <CityNm>STERLING HEIGHTS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48313</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>51 - HENRY FORD OPTIMEYES SVC-DEARBORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5500 AUTO CLUB DRIVE</AddressLine1Txt>
            <CityNm>DEARBORN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48126</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>52 - HENRY FORD OPTIMEYES SVC-TROY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>735 JOHN R ROAD</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48083</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>53 - HENRY FORD OPTIMEYES SVC-CLINTON TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33100 GRATIOT</AddressLine1Txt>
            <CityNm>ROSEVILLE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48066</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>54 - HENRY FORD OPTIMEYES SVC-WESTLAND</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>35184 CENTRAL CITY PARKWAY</AddressLine1Txt>
            <CityNm>WESTLAND</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48185</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>55 - HENRY FORD OPTIMEYES SVC-WEST BLOOM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7230 ORCHARD LAKE ROAD</AddressLine1Txt>
            <CityNm>WEST BLOOMFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48322</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>56 - HENRY FORD OPTIMEYES SVC-STERLING HGTS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>44987 SCHOENHERR</AddressLine1Txt>
            <CityNm>STERLING HEIGHTS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48313</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>57 - HENRY FORD OPTIMEYES SVC-SOUTHFIELD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>29350 SOUTHFIELD ROAD</AddressLine1Txt>
            <CityNm>SOUTHFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48076</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>58 - HENRY FORD OPTIMEYES SVC-TAYLOR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22395 EUREKA ROAD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48180</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>59 - HENRY FORD OPTIMEYES-H F HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2799 W GRAND BLVD</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48202</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>60 - HENRY FORD OPTIMEYES-FARMINGTON HILLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22500 HAGGERTY</AddressLine1Txt>
            <CityNm>FARMINGTON HILLS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48335</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>61 - HENRY FORD OPTIMEYES-DETROIT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>400 RENAISSANCE CENTER SUITE 1402</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48243</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>62 - HENRY FORD OPTIMEYES-MILFORD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>516 HIGHLAND AVE</AddressLine1Txt>
            <CityNm>MILFORD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48381</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>63 - HENRY FORD OPTIMEYES-LAKE ORION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1376 S LAPEER RD</AddressLine1Txt>
            <CityNm>LAKE ORION</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48362</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>64 - HENRY FORD OPTIMEYES-BLOOMFIELD TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1961 S TELEGRAPH ROAD</AddressLine1Txt>
            <CityNm>BLOOMFIELD TWP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48302</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>65 - HENRY FORD OPTIMEYES-COMMERCE TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3271 UNION LAKE ROAD</AddressLine1Txt>
            <CityNm>COMMERCE TOWNSHIP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48382</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>66 - HENRY FORD OPTIMEYES-CHESTERFIELD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>27903 23 MILE ROAD</AddressLine1Txt>
            <CityNm>CHESTERFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48051</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>67 - HENRY FORD OPTIMEYES-MONROE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>504 N TELEGRAPH ROAD</AddressLine1Txt>
            <CityNm>MONROE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48162</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>68 - HENRY FORD OPTIMEYES-FORT GRATIOT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4281 24TH AVENUE</AddressLine1Txt>
            <CityNm>FORT GRATIOT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48059</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>69 - HENRY FORD OPTIMEYES-SHELBY TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2025 25 MILE ROAD</AddressLine1Txt>
            <CityNm>SHELBY TOWNSHIP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48316</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>70 - HENRY FORD OPTIMEYES-GROSSE POINTE PK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15401 E JEFFERSON</AddressLine1Txt>
            <CityNm>GROSSE POINTE PARK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48230</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>71 - HENRY FORD OPTIMEYES-PLYMOUTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>40895 ANN ARBOR RD</AddressLine1Txt>
            <CityNm>PLYMOUTH</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48170</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>72 - HENRY FORD OPTIMEYES-ROYAL OAK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>110 EAST SECOND STREET</AddressLine1Txt>
            <CityNm>ROYAL OAK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48067</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>73 - HENRY FORD OPTIMEYES-GROSSE POINTE WOODS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19683 MACK AVE</AddressLine1Txt>
            <CityNm>GROSSE POINTE WOODS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48236</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>74 - DETROIT INSTITUTE OF OPHTHALMOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15415 E JEFFERSON</AddressLine1Txt>
            <CityNm>GROSSE POINTE PARK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48230</ZIPCd>
          </USAddress>
          <FacilityTxt>VISION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>75 - HFH-GOHEALTH-BERKLEY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>27897 WOODWARD AVE</AddressLine1Txt>
            <CityNm>BERKLEY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48072</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>76 - HFH-GOHEALTH-BLOOMFIELD HILLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3580 W MAPLE ROAD</AddressLine1Txt>
            <CityNm>BLOOMFIELD HILLS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48301</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>77 - HFH-GOHEALTH-BRUCE TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>71050 VAN DYKE ROAD</AddressLine1Txt>
            <CityNm>BRUCE TWP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48065</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>78 - HFH-GOHEALTH-CANTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>43821 FORD RD</AddressLine1Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48187</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>79 - HFH-GOHEALTH-CHESTERFIELD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30795 23 MILE RD</AddressLine1Txt>
            <CityNm>CHESTERFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48047</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>80 - HFH-GOHEALTH-CLINTON TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>40463 SOUTH GROESBECK HWY</AddressLine1Txt>
            <CityNm>CLINTON TOWNSHIP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48036</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>81 - HFH-GOHEALTH-DEARBORN HGTS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>26763 FORD RD</AddressLine1Txt>
            <CityNm>DEARBORN HEIGHTS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48127</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>82 - HFH-GOHEALTH-FRASER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15717 15 MILE RD</AddressLine1Txt>
            <CityNm>CLINTON TOWNSHIP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48035</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>83 - HFH-GOHEALTH-LIVONIA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>29613 W SEVEN MILE RD</AddressLine1Txt>
            <CityNm>LIVONIA</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48152</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>84 - HFH-GOHEALTH-SOUTHFIELD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>28670 TELEGRAPH RD</AddressLine1Txt>
            <CityNm>SOUTHFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48034</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>85 - HFH-GOHEALTH-SOUTHGATE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16258 FORT STREET</AddressLine1Txt>
            <CityNm>SOUTHGATE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48195</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>86 - HFH-GOHEALTH-STCLAIR SHORES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21435 GREATER MACK AVE</AddressLine1Txt>
            <CityNm>ST CLAIR SHORES</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48080</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>87 - HFH-GOHEALTH-TAYLOR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23600 EUREKA ROAD</AddressLine1Txt>
            <CityNm>TAYLOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48180</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>88 - HFH-GOHEALTH-WEST BLOOMFIELD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6901 ORCHARD LAKE RD</AddressLine1Txt>
            <CityNm>WEST BLOOMFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48322</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>89 - HFH-GOHEALTH-WONDERLAND VILLAGE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>29531 PLYMOUTH RD SUITE 110</AddressLine1Txt>
            <CityNm>LIVONIA</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48150</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>90 - HFH-GOHEALTH-COMMERCE TWP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>259 HAGGERTY RD</AddressLine1Txt>
            <CityNm>COMMERCE TOWNSHIP</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48390</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED SERVICES PRIMARILY CONSISTS OF WOMENS' HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES AND HOSPICE SERVICES. THIS INCLUDES BOTH PHYSICIAN AND FACILITY COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $64,010,702</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR VISION IS TO BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE-ONE PERSON AT A TIME. TO BE A TRULY TRANSFORMATIVE FORCE FOR COMMUNITIES AND A TRUSTED PARTNER, IT IS IMPERATIVE THAT AS AN ORGANIZATION, WE LISTEN TO THE VOICES OF THOSE WE SERVE. WE SERVE MANY DIVERSE COMMUNITIES AND POPULATIONS WITH UNIQUE HISTORIES, CHARACTERISTICS, STRUGGLES AND STRENGTHS.TO ACHIEVE THIS VISION, WE MUST BUILD TRUSTED RELATIONSHIPS WITH OUR PATIENTS AND COMMUNITY MEMBERS AND ENSURE THOSE WE SERVE THAT THEIR NEEDS INFORM OUR PRACTICES, POLICIES AND ALLOCATION OF RESOURCES. OUR PATIENTS ENTRUST OUR ORGANIZATION WITH THEIR LIVES AND THE LIVES OF THOSE THEY LOVE. ASSESSING AND RESPONDING TO THE CHANGING NEEDS OF THESE PATIENTS IS VITAL TO DEVELOPING AND MAINTAINING TRUSTED RELATIONSHIPS AS WE WORK TOWARD A COMMON GOAL COMMUNITIES FULL OF HEALTHY, THRIVING PEOPLE OF ALL AGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED BASED UPON GROSS CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 138% OF MEDICARE RATES.THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED.IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY (PFAP) PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT'S 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES ARE SELECTED AFTER CONSIDERING THE DATA ON HEALTH AND SOCIAL NEEDS, WEIGHED ALONGSIDE INPUT RECEIVED FROM COMMUNITY MEMBERS AND STAKEHOLDERS REGARDING THE ISSUES THEY BELIEVE TO BE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH. THE FOLLOWING CRITERIA WERE CONSIDERED MOST IMPORTANT WHEN THE CHNA WORKGROUP WAS SELECTING THE RECOMMENDED PRIORITIES: ISSUES SIGNIFICANTLY CONTRIBUTING TO DEATH ISSUES SIGNIFICANTLY CONTRIBUTING TO PREVENTABLE HOSPITALIZATIONS SIGNIFICANT RACIAL DISPARITIES IN DISEASE OR MORTALITY PREVALENCE SIGNIFICANT WORSENING OF A HEALTH ISSUE SINCE 2019 CHNA RANKING IN TOP 4 ISSUES IMPORTANT TO IMPROVING COMMUNITY HEALTH BY COMMUNITY MEMBERS AND STAKEHOLDERSHENRY FORD'S CHNA WORKGROUP, A WORKGROUP OF COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE-WIDE (CHANCE), REVIEWED THE DATA COLLECTED FROM STATE AND LOCAL SOURCES AND THE COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS. THE WORKGROUP IDENTIFIED HIGHLY PREVALENT HEALTH ISSUES, ISSUES WHICH AFFECT PEOPLE IN OUR SERVICE AREA MORE THAN MICHIGAN RESIDENTS ON AVERAGE, AND ISSUES WHICH HAVE SIGNIFICANTLY WORSENED SINCE THE 2019 CHNA. AFTER CONSIDERING THE DATA, COMMUNITY INPUT, AND OUR RESOURCES AND INITIATIVES, PRIORITIES WERE RECOMMENDED BY THE CHNA WORKGROUP FOR APPROVAL BY THE PRESIDENT OF EACH HENRY FORD HEALTH HOSPITAL. CHNA WORKGROUP LEADERSHIP MET ONE-ON-ONE WITH EACH HOSPITAL PRESIDENT TO PRESENT NEEDS ASSESSMENT FINDINGS, PRIORITY RECOMMENDATIONS AND JUSTIFICATIONS FOR THE SELECTED PRIORITIES. APPROVAL WAS RECEIVED FROM EACH PRESIDENT FOR THE RECOMMENDED PRIORITIES. THE RECOMMENDED PRIORITIES WERE THEN PRESENTED TO AND RATIFIED BY EACH HOSPITAL BOARD OF TRUSTEES AND THE HENRY FORD HEALTH EXECUTIVE COUNCIL IN THE THIRD QUARTER OF 2022. THE COMMUNITY HEALTH LEADERSHIP COUNCIL RECOMMENDED THIS CHNA FOR APPROVAL BY THE BOARD OF DIRECTORS ON NOVEMBER 4, 2022. THE SELECTED PRIORITIES WERE RATIFIED BY THE HENRY FORD HEALTH BOARD OF DIRECTORS ON DECEMBER 16, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>HF HEALTH 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. HF HEALTH HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN ONE OF OUR EMERGENCY ROOMS FOR SERVICES. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED REGARDING HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HF HEALTH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS THAT WOULD OFFER POTENTIAL SUPPORT. HF HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUR-COUNTY AREA INCLUDES THE WAYNE, OAKLAND, MACOMB AND JACKSON COUNTIES, WHICH ARE LOCATED IN SOUTHEASTERN AND SOUTHCENTRAL MICHIGAN AND ACCOUNT FOR 41% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULOUS COUNTIES IN MICHIGAN; JACKSON IS A MUCH SMALLER COUNTY. OF THE OVER 4 MILLION RESIDENTS IN THE FOUR-COUNTY AREA, APPROXIMATELY 51% OF THE POPULATION IS FEMALE. THE FOUR-COUNTY AREA IS 63% WHITE, 24% BLACK, AND 5% HISPANIC.POPULATION IN THE FOUR-COUNTY AREA IS EXPECTED TO REMAIN FLAT UNTIL 2026. WHEN EXAMINING AGE DISTRIBUTION, THE FOUR-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 18% OF THE POPULATION ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE FOUR-COUNTY AREA WITH THE 65-YEAR-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 14% FROM 2021 TO 2026.REGARDING EDUCATION, THE FOUR-COUNTY AREA HAS APPROXIMATELY 10% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 12%. FURTHER, 30% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE FOUR-COUNTY AREA IS DIVERSE IN POPULATION, RACE/ETHNICITY, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTHCARE SECTOR IS REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL.WITHIN THE FOUR-COUNTY AREA, THE MEDIAN HOUSEHOLD INCOME IN OAKLAND COUNTY ($81,587) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($49,359), JACKSON COUNTY ($54,511), AND MACOMB COUNTY ($64,641). THE UNITED WAY ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT SHOWS THE NUMBER OF HOUSEHOLDS WHOSE AVERAGE INCOME IS INSUFFICIENT TO AFFORD BASIC EXPENSES, INCLUDING HOUSING, CHILDCARE, HEALTH CARE AND TRANSPORTATION, BY COUNTY AND CITY.LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND ABILITY TO AFFORD NECESSITIES. THE FOUR-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT. MICHIGAN RANKS 33RD IN THE COUNTRY FOR CHILDREN UNDER AGE 18 IN FAMILIES BELOW POVERTY LEVEL, AT 17.3% IN 2019, A 2% IMPROVEMENT FROM 2018.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, WHERE THE AVERAGE HOUSEHOLD INCOME IS $52,005, SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL FOUR-COUNTY AREA ($96,462). 18% OF DETROIT RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 15% HAVE A BACHELOR'S DEGREE OR HIGHER.IN ADDITION TO THE CITY OF DETROIT, THERE ARE OTHER ZIP CODES IN THE FOUR-COUNTY AREA WITH LOWER INCOMES AND LOWER EDUCATIONAL ATTAINMENT. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES RANGES FROM $27,380-$65,690, LOWER THAN THE FOUR-COUNTY SERVICE AREA. OVERALL, 17% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 9% FOR THE FOUR-COUNTY AREA.THE POPULATIONS IN THESE ZIP CODES ARE MORE RACIALLY AND ETHNICALLY DIVERSE COMPARED TO THE FOUR-COUNTY AREA. 39% OF THE RESIDENTS OF THESE TOP 20 ZIP CODES ARE RACIAL MINORITIES COMPARED TO 37% OF RESIDENTS IN THE ENTIRE FOUR-COUNTY AREA.AS A RESULT, THE CITY OF DETROIT AND ABOVE TWENTY ZIP CODES ARE OF PARTICULAR INTEREST IN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE FOUR-COUNTY AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>HF HEALTH IS ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING SOUTHEASTERN MICHIGAN. HF HEALTH IS GOVERNED BY DEDICATED COMMUNITY BOARDS, AND IN TOTAL PROVIDES APPROXIMATELY 100,000 INPATIENT STAYS AND 6.9 MILLION PHYSICIAN VISITS ANNUALLY. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD HEALTH HOSPITAL AN 877 LICENSED BED TERTIARY, AND QUATERNARY CARE HOSPITAL WITH A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT, SERVING AS A COMMUNITY HOSPITAL FOR ITS IMMEDIATE NEIGHBORHOODS AS WELL AS A REFERRAL CENTER FOR THE SURROUNDING REGION. IT IS SUPPORTED BY THE HENRY FORD MEDICAL GROUP (HFMG) WHICH ALSO PROVIDES CARE IN NUMEROUS OUTPATIENT MEDICAL CENTERS LOCATED THROUGHOUT SOUTHEAST MICHIGAN. HF HEALTH ALSO INCLUDES HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL A 191 LICENSED BED COMMUNITY HOSPITAL AND COTTAGE HOSPITAL, A MEDICAL FACILITY WITH FOUR (4) LICENSED BEDS. BEHAVIORAL HEALTH SERVICES ARE PROVIDED THROUGHOUT THE ABOVE FACILITIES AS WELL AS AT HENRY FORD KINGSWOOD HOSPITAL, A PSYCHIATRIC HOSPITAL WITH 221 LICENSED BEDS, AND THE MAPLEGROVE CENTER, A 43 LICENSED BED SUBSTANCE ABUSE FACILITY. HF HEALTH COMMUNITY CARE SERVICES OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS. SERVICES PROVIDED INCLUDE NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, AND DIALYSIS.THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS. COMMUNITY PARTNERSHIPS: HENRY FORD HEALTH 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 ABOUT 11,000 UNINSURED AND UNDERINSURED DETROIT RESIDENTS ANNUALLY. HF HEALTH PHYSICIANS STAFF THE CLINIC LOCATED IN SOUTHWEST DETROIT.INNOVATION INSTITUTE AT HENRY FORD HEALTH HOSPITAL - IN COLLABORATION WITH WAYNE STATE UNIVERSITY SCHOOL OF ENGINEERING AND CENTER FOR CREATIVE STUDIES, THE INNOVATION INSTITUTE AIMS TO RESEARCH AND DESIGN MEDICAL PRODUCTS TO ENHANCE MEDICAL USE AND TO CREATE NEW INDUSTRY IN THE REGION.INSTITUTE ON MULTICULTURAL HEALTH- THIS INSTITUTE STUDIES THE DISPARITIES IN HEALTH CARE AMONG PEOPLE OF COLOR AND FINDS SOLUTIONS FOR GETTING EARLY DIAGNOSIS AND TREATMENT OF DISEASES.SCHOOL-BASED AND COMMUNITY HEALTH PROGRAM - OPERATES 15 CHILD AND ADOLESCENT HEALTH CENTERS THAT PROVIDE PRIMARY CARE SERVICES IN DETROIT AND OTHER METRO DETROIT COMMUNITIES. IT HAS DEMONSTRATED BETTER ATTENDANCE AND TEST SCORES BY STUDENTS. THE PROGRAM ALSO OFFERS A MOBILE PEDIATRIC MEDICAL CLINIC CALLED CLARA WHICH TRAVELS TO SEVERAL DETROIT SCHOOLS WEEKLY AND IS FUNDED BY THE CHILDRENS'S HEALTH FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTEGRATED HEALTH SYSTEM ALSO INCLUDES 5 COMMUNITY HOSPITALS ENCOMPASSING MORE THAN 2,400 LICENSED BEDS WITH, EMERGENCY SERVICES AND OPEN MEDICAL STAFFS LOCATED IN SUBURBAN REGIONS OF SOUTHEAST MICHIGAN. SOME OF THESE ENTITIES ARE SEPARATE CORPORATIONS AND THE RESULTS OF THEIR COMMUNITY BENEFIT ACTIVITIES ARE REFLECTED IN THEIR RESPECTIVE TAX RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DDP BIKE SHARE CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 CAMPUS MARTIUS NO 380</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48226</ZIPCd>
        </USAddress>
        <RecipientEIN>811577310</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>450000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN THANKSGIVING PARADE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 MT ELLIOTT NO A</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48211</ZIPCd>
        </USAddress>
        <RecipientEIN>382460378</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>128750</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ACCESS COMMUNITY HEALTH AND RESEARCH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6450 MAPLE</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48126</ZIPCd>
        </USAddress>
        <RecipientEIN>237444497</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL KIDNEY FOUNDATION OF MICHIGAN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1169 OAK VALLEY DRIVE</AddressLine1Txt>
          <CityNm>ANN ARBOR</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48108</ZIPCd>
        </USAddress>
        <RecipientEIN>381559941</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>43500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7272 GREENVILLE AVENUE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75231</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARING ATHLETES TEAM FOR CHILDREN'S AND HENRY FORD HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3011 W GRAND BLVD-SUITE 223</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>382746810</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HENRY FORD ESTATE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 FAIRLANE DRIVE</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48128</ZIPCd>
        </USAddress>
        <RecipientEIN>274877171</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DETROIT REGIONAL CHAMBER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 33840</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48232</ZIPCd>
        </USAddress>
        <RecipientEIN>380477570</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>47961</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN ROUNDTABLE FOR DIVERSITY &amp; INCLUSION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3031 W GRAND BOULEVARD SUITE 535</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>203122770</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DETROIT ECONOMIC CLUB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>211 WEST FORT STREET NO 710</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48226</ZIPCd>
        </USAddress>
        <RecipientEIN>380508823</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY CENTER OF GROSSE POINTE &amp; HARPER WOODS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>32 LAKE SHORE DRIVE</AddressLine1Txt>
          <CityNm>GROSSE POINTE FARMS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48236</ZIPCd>
        </USAddress>
        <RecipientEIN>383596904</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YESHIVATH BETH YEHUDAH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>15751 LINCOLN DR</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48075</ZIPCd>
        </USAddress>
        <RecipientEIN>381437939</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RACING FOR KIDS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>131 KERCHEVAL AVENUE SUITE 100</AddressLine1Txt>
          <CityNm>GROSSE POINTE FARMS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48236</ZIPCd>
        </USAddress>
        <RecipientEIN>383457448</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OAKLAND UNIVERSITY ATHLETICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>433 MEADOW BROOK ROAD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48309</ZIPCd>
        </USAddress>
        <RecipientEIN>381714400</RecipientEIN>
        <IRCSectionDesc>115 GOVERMENT</IRCSectionDesc>
        <CashGrantAmt>95200</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALS ASSOCIATION MICH CHAPTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 26599</AddressLine1Txt>
          <CityNm>FRASER</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48026</ZIPCd>
        </USAddress>
        <RecipientEIN>133271855</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 18819</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31126</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NF FORWARD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1074 WOODWARD AVE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48226</ZIPCd>
        </USAddress>
        <RecipientEIN>821672519</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SCHWARTZ CENTER FOR COMPASSIONATE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 417597</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>022417597</ZIPCd>
        </USAddress>
        <RecipientEIN>041564655</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DETROIT BELLE ISLE GRAND PRIX INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 RENAISSANCE CENTER SUITE 2311</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48243</ZIPCd>
        </USAddress>
        <RecipientEIN>205885762</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN DIABETES ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3011 W GRAND BLVD SUITE 500</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>203099071</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN SOCIETY OF EMPLOYERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5505 CORPORATE DRIVE 200</AddressLine1Txt>
          <CityNm>TROY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48098</ZIPCd>
        </USAddress>
        <RecipientEIN>380519450</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DETROIT INSTITUTE OF ARTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5200 WOODWARD AVENUE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>482024008</ZIPCd>
        </USAddress>
        <RecipientEIN>381359510</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DETROIT SYMPHONY ORCHESTRA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3711 WOODWARD AVENUE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>482012005</ZIPCd>
        </USAddress>
        <RecipientEIN>381385132</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE HELM AT THE BOLL LIFE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>158 RIDGE ROAD</AddressLine1Txt>
          <CityNm>GROSSE POINTE FARMS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48236</ZIPCd>
        </USAddress>
        <RecipientEIN>382254509</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INTERNATIONAL WOMENS FORUM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1155 15TH STREET NW 1000</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>840919612</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN MINORITY PURCHASING COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 RIVER PLACE 300</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48207</ZIPCd>
        </USAddress>
        <RecipientEIN>382292187</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NW GOLDBERG CARES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6122 15TH ST</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48208</ZIPCd>
        </USAddress>
        <RecipientEIN>821819545</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RHONDA WALKER FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6421 FRENCH ROAD</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48213</ZIPCd>
        </USAddress>
        <RecipientEIN>352197960</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROCKET GIVING FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1074 WOODWARD AVENUE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48226</ZIPCd>
        </USAddress>
        <RecipientEIN>830873868</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>44500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SKY FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>33 BLOOMFIELD HILLS PARKWAY 275</AddressLine1Txt>
          <CityNm>BLOOMFIELD HILLS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48304</ZIPCd>
        </USAddress>
        <RecipientEIN>262720583</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CHILDRENS FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3011 W GRAND BLVD SUITE 218</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>320087353</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF MICHIGAN- DEARBORN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4901 EVERGREEN RD 1040 AB</AddressLine1Txt>
          <CityNm>DEARBORN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48128</ZIPCd>
        </USAddress>
        <RecipientEIN>386006309</RecipientEIN>
        <IRCSectionDesc>115 GOVERMENT</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CROHNS AND COLITIS FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26555 EVERGREEN RD SUITE 625</AddressLine1Txt>
          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48076</ZIPCd>
        </USAddress>
        <RecipientEIN>136193105</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DETROIT MOTTEP FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>736 LOTHROP ROAD</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>203640869</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DETROIT REGIONAL CHAMBER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 77359</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>482770359</ZIPCd>
        </USAddress>
        <RecipientEIN>382352462</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER ROYAL OAK CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>220 S WASHINGTON AVE</AddressLine1Txt>
          <CityNm>ROYAL OAK</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48067</ZIPCd>
        </USAddress>
        <RecipientEIN>381200435</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>METROPOLITAN AFFAIRS COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 WOODWARD AVENUE SUITE 1400</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48226</ZIPCd>
        </USAddress>
        <RecipientEIN>381602801</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLYMOUTH COMMUNITY CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>850 W ANN ARBOR TRL</AddressLine1Txt>
          <CityNm>PLYMOUTH</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48170</ZIPCd>
        </USAddress>
        <RecipientEIN>380933390</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>6950</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RINK AT ROYAL OAK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 WEST 4TH STREET SUITE 440</AddressLine1Txt>
          <CityNm>ROYAL OAK</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48067</ZIPCd>
        </USAddress>
        <RecipientEIN>383153880</RecipientEIN>
        <CashGrantAmt>20500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1230 SCOTT HALL 540 E CANFIELD</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48201</ZIPCd>
        </USAddress>
        <RecipientEIN>386028429</RecipientEIN>
        <IRCSectionDesc>115 GOVERMENT</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY FOR SOUTHEASTERN MICHIGAN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3011 WEST GRAND BLVD SUITE 500</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <RecipientEIN>203099071</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>36</Total501c3OrgCnt>
      <TotalOtherOrgCnt>5</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HELPING HANDS PROGRAM</GrantTypeTxt>
        <RecipientCnt>109</RecipientCnt>
        <CashGrantAmt>195815</CashGrantAmt>
        <NonCashAssistanceDesc>SEE PART IV</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>PATIENT MEDICAL SUPPLIES &amp; PHARMACEUTICALS</GrantTypeTxt>
        <RecipientCnt>1167</RecipientCnt>
        <NonCashAssistanceAmt>583281</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>PATIENTS MEETING FINANCIAL ASSISTANCE PROGRAM GUIDELINES MAY BE PROVIDED WITH SUPPLIES AT NO CHARGE UPON DISCHARGE</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HF HEALTH HELPING HANDS: THE HENRY FORD HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY OUTREACH DEPARTMENT MONITORS GRANTS PAID TO CHARITABLE AND GOVERNMENTAL ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>1</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT G RINEY</PersonNm>
        <TitleTxt>DIRECTOR/ PRESIDENT/CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>27441</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>29598</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>4524962</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBIN S DAMSCHRODER</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN N KALKANIS MD</PersonNm>
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        <BonusFilingOrganizationAmount>605154</BonusFilingOrganizationAmount>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES O PEABODY MD</PersonNm>
        <TitleTxt>DIRECTOR-PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>483693</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35267</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>33998</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27441</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36764</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>617163</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHANNA JOHNSON</PersonNm>
        <TitleTxt>CEO - W BLMFLD HOSP</TitleTxt>
        <BaseCompensationFilingOrgAmt>396809</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>123498</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14596</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>45624</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4756</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>585283</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARJORIE A STATEN JD</PersonNm>
        <TitleTxt>SECRETARY (START 10/2023)</TitleTxt>
        <BaseCompensationFilingOrgAmt>187185</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33653</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2398</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2866</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11829</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237931</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM A CONWAY MD</PersonNm>
        <TitleTxt>FORMER DIRECTOR/CEO-HFMG</TitleTxt>
        <BaseCompensationFilingOrgAmt>167405</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11691</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22684</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201780</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP RECEIVE MEMBERSHIP TO SOCIAL CLUBS INTENDED TO FURTHER THE BUSINESS NEEDS OF THE ORGANIZATION. USAGE IS REIMBURSED ON A CASE BY CASE BASIS BASED UPON DOCUMENTATION OF BUSINESS PURPOSE. IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS, THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: PART I, LINES 4A: SEVERANCE PAYMENTS CARLADENISE EDWARDS $844,815 PART I, LINE 4B, PERSON PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE PARTICIPANT ACCRUAL DISTRIBUTIONS DISTRIBUTIONS NON-VESTED W-2 ROBERT G. RINEY 736,518 - - - 736,518 ROBIN DAMSCHRODER 370,240 - - - 370,240 MICHELLE JOHNSON TIDJANI 220,161 - - - 220,161 ADNAN R. MUNKARAH, M.D. 359,641 - - - 359,641 DENISE BROOKS-WILLIAMS 229,220 - - - 229,220 STEVEN KALKANIS, M.D. 191,173 - - 275,244 191,173 MICHAEL GENORD, M.D. 228,968 - - - 228,968 ANTONIA RAMSEY 169,310 - - - 169,310 DAVID SHEPHERD 441,185 - - - 441,185 HEATHER GEISLER - - - 128,008 - ERIC WALLIS - - - 112,621 - VERONICA HALL - - - 65,046 - MARY JANE VOGT - - - 66,117 - SHANNA JOHNSON - - - 40,674 - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2023 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBERT G. RINEY 22,500 - - 22,500 WILLIAM W. O'NEILL, MD - 22,500 541 23,041 ADNAN R. MUNKARAH, M.D. 22,500 - - 22,500 STEVEN N. KALKANIS, M.D. 22,500 - - 22,500 DAVID SHEPHERD 22,500 - - 22,500 ROBIN DAMSCHRODER 22,500 - - 22,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 VERONICA M. HALL, R.N. 4,950 - - 4,950 MICHAEL GENORD, M.D. 22,500 - - 22,500 MICHELLE JOHNSON TIDJANI 19,904 - - 19,904 ANTONIA RAMSEY 22,500 - - 22,500 KATHLEEN YAREMCHUK, M.D. - 22,500 541 23,041 ERIC WALLIS 22,500 - - 22,500 HEATHER GEISLER 22,500 - - 22,500 JASON DAVIS, M.D. - 22,500 541 23,041 TREVOR RAYMOND BANKA, M.D. - 22,500 541 23,041 JAMES PEABODY, M.D. 12,639 9,861 237 22,737 DONALD M SEYFRIED, M.D. - 22,500 541 23,041 HASSAN NEMEH, M.D. 1,350 21,150 509 23,009</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>800596186</BondIssuerEIN>
        <CUSIPNum>59447TMQ3</CUSIPNum>
        <BondIssuedDt>2016-09-28</BondIssuedDt>
        <IssuePriceAmt>965679157</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>800596186</BondIssuerEIN>
        <CUSIPNum>59447TUJO</CUSIPNum>
        <BondIssuedDt>2019-05-02</BondIssuedDt>
        <IssuePriceAmt>250004191</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>800596186</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2022-06-30</BondIssuedDt>
        <IssuePriceAmt>300000000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>69725000</RetiredAmt>
        <TotalProceedsAmt>965679157</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>6583154</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>158579421</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>800516582</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>251472917</TotalProceedsAmt>
        <CapitalExpendituresAmt>251472917</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>305324518</TotalProceedsAmt>
        <CapitalExpendituresAmt>274180409</CapitalExpendituresAmt>
        <UnspentAmt>31144109</UnspentAmt>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.01550</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.01550</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (F), DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (2016 BONDS) (A) DESCRIPTION OF PURPOSE: REFUND ALL OUTSTANDING HFHS 2014 BONDS, A PORTION OF HFHS 2009 BONDS ISSUED 11/3/2009 (REMAINING WAS DEFEASED WITH HFHS 2016 TAXABLE LOAN) AND ALL OUTSTANDING 2006 BONDS ISSUED 6/27/2006. ADDITIONALLY, IN CONJUCTION WITH AFFILIATION WITH ALLEGIANCE HEALTH ON 03/04/2016, REFINANCE ALLEGIANCE 2011A BONDS, 2011B BONDS AND ALLEGIANCE 2010A/2006B-2/2006C BONDS PURSUANT TO THE RULES FOR ACQUISITION FINANCING IN TREAS. REG. SECTION 1.150-1(D)(2)(II)(C). BOND PROCEEDS OF $158,579,421 WERE USED FOR THIS PURPOSE. (B) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (2019 BONDS) (B) DESCRIPTION OF PURPOSE: FINANCING THE CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES. (C) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (2022 BONDS) (C) DESCRIPTION OF PURPOSE: FINANCING THE CONSTRUCTION OF HOSPITAL FACILITIES. (A) PART II, LINE (13), YEAR OF SUBSTANTIAL COMPLETION SERIES 2016 HFHS 2006A - 2009 HFHS 2009 - 2009 HFHS 2014 - 2007 ALLEGIANCE 2011AB - 2011 ALLEGIANCE 2010/2006B-2/2006C-2010 PART IV, LINE 2C, COLUMN A- DATE THE REBATE COMPUTATION WAS PERFORMED: 3/28/2017 PART IV, LINE 2C, COLUMN B- DATE THE REBATE COMPUTATION WAS PERFORMED: 9/27/2021 PART IV, LINES 3 AND 4A, COLUMN C HFHS ENTERED INTO RATE LOCK AGREEMENTS WITH THE THREE BANK PURCHASERS OF THE 2022 BONDS PRIOR TO THE ISSUE DATE OF THE 2022 BONDS. THE INTEREST RATE LOCK AGREEMENTS WERE TERMINATED AT THE TIME THE 2022 BONDS WERE ISSUED AT THE RATES SET FORTH THEREIN. PART IV, LINE 6, COLUMN A- THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>NANCY J SAMMONS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE BELOW</RelationshipDescriptionTxt>
        <TransactionAmt>32117</TransactionAmt>
        <TransactionDesc>SEE BELOW</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RICHARD HALEY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE BELOW</RelationshipDescriptionTxt>
        <TransactionAmt>131880</TransactionAmt>
        <TransactionDesc>SEE BELOW</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF PERSON: NANCY J. SAMMONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: RICHARD A. HALEY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 166(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 12,275,847(D) DESCRIPTION OF TRANSACTION: PROVIDED DIAGNOSTIC SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 123(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 577,406(D) DESCRIPTION OF TRANSACTION: PROVIDED INNOVATIVE MEDICINES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 347(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,041,435(D) DESCRIPTION OF TRANSACTION: PROVIDED MANANGEMENT AND PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 232(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,842,680(D) DESCRIPTION OF TRANSACTION: PROVIDED INNOVATIVE VISION PRODUCTS (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 4(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 9,887,834(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL SUPPORT SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 72(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 26,517,945(D) DESCRIPTION OF TRANSACTION: INNOVATIVE MEDICAL PRODUCT SOLUTIONS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 34(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 361,752(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICINE TREATMENTS FOR BLEEDING DISORDER (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 187(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,937,366 (D) DESCRIPTION OF TRANSACTION: PROVIDED PROPERTY MANAGEMENT SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 367(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,886,734(D) DESCRIPTION OF TRANSACTION: AUDIT, CONSULTING AND TAX SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 228(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 6,645,420(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 293(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 931,968 (D) DESCRIPTION OF TRANSACTION: EXPANSION OF COMMUNITY PARTNERSHIP WITH HFHS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 81(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 14,696,067 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL INNOVATION FOR HEART DISEASE(E) SHARING OF ORGANIZATION'S REVENUE? NO A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 48(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 141,674 (D) DESCRIPTION OF TRANSACTION: INVESTS ESSENTIAL GOODS AND SERVICES, EDUCATION FOR THE FUTURE AND ENTREPRENEURSHIP (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 244(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 352,445 (D) DESCRIPTION OF TRANSACTION: PROVIDED ENGINEERING AND COMMUNITY PLANNING SERVICES (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON SUBSTANTIAL CONTRIBUTOR 276(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 10,101,660 (D) DESCRIPTION OF TRANSACTION: PROVIDED ORGAN AND TISSUE SERVICES (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 18(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 782,886(D) DESCRIPTION OF TRANSACTION: PROVIDED VARIOUS BEHAVIORL HEALTH, BIOSTATISTICS, CANCER, CARDIOVASCULAR AND OTHER RESEARCH SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 253(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 579,970(D) DESCRIPTION OF TRANSACTION: PROVIDED FIRE PROTECTION SERVICE(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 257(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 170,014(D) DESCRIPTION OF TRANSACTION: PROVIDED THERAPEUTIC RHEUMATOLOTY, AUTO-IMMUNE DISEASE, AND PEDIATRIC SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 115(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 19,945,664(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 132(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 669,541(D) DESCRIPTION OF TRANSACTION: PROVIDED PUBLIC LAND-GRANT RESEARCH SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 218(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,252,100(D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL SUPPLIES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 200(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,931,090(D) DESCRIPTION OF TRANSACTION: PROVIDED INTERIOR DECORATORS &amp; DESIGNERS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 316(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,250,113(D) DESCRIPTION OF TRANSACTION: PROVIDED ADVANCED DIAGNOSTIC, THERAPEUTIC AND MINIMALLY INVASIVE PROCEDURES TO HEALTHCARE PROFESSIONALS.(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 116(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,126,410(D) DESCRIPTION OF TRANSACTION: BIOPHARMACEUTICAL HEALTHCARE IMPROVEMENT SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 22(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,732,248(D) DESCRIPTION OF TRANSACTION: PROVIDE SPECIALTY OUTPATIENT SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 408(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 992,945(D) DESCRIPTION OF TRANSACTION: PROVIDED INTERACTIVE TECHNOLOGY PLATFORM FOR HOSPITALS(E) SHARING OF ORGANIZATION'S REVENUE? NOA) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 194(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,621,087(D) DESCRIPTION OF TRANSACTION: PHARMACEUTICAL HEALTHCARE IMPROVEMENT SERVICE(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR 214(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,473,608(D) DESCRIPTION OF TRANSACTION: PROVIDER OF MEDICAL TECHNOLOGIES(E) SHARING OF ORGANIZATION'S REVENUE? NO</ExplanationTxt>
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    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>32950</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>18</ContributionCnt>
        <NoncashContributionsRptF990Amt>3148320</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EVENTS</Desc>
        <ContributionCnt>9</ContributionCnt>
        <NoncashContributionsRptF990Amt>13988</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BROKERAGE FIRM SELLS DONATIONS OF STOCK</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HF HEALTH SENIOR VICE PRESIDENT, FINANCIAL OPERATIONS, AND CHIEF FINANCIAL OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS - REVIEW OF THE RETURN WITH THE HF HEALTH CEO AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS - PROVIDE A COPY OF THE RETURN TO THE HF HEALTH BOARD OF DIRECTORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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. SCHEDULE R, PART V, LINE 1D AND 1E THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE BOND MASTER INDENTURE. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISIONS THAT ARE NOT SEPARATE LEGAL ENTITIES BUT HAVE THEIR OWN UNIQUE ASSIGNED EIN'S. FINANCIAL INFORMATION RELATING TO THESE DIVISIONS ARE INCLUDED IN THIS RETURN. -HENRY FORD WEST BLOOMFIELD HOSPITAL (26-3896897) -HENRY FORD WEST BLOOMFIELD PHYSICIANS (47-2146687) -CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE (30-0092342) -HENRY FORD HEALTH- SCHOOL BASED HEALTH INITIATIVE (87-0729167) -HENRY FORD COTTAGE HOSPITAL PHYSICIAN PRACTICES (26-4245539) -HENRY FORD PATHOLOGY (41-2223561) -HENRY FORD URGENT CARE (87-2673604) -HENRY FORD POPULATION HEALTH MANAGEMENT (87-4054418) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII:</FormAndLineReferenceDesc>
        <ExplanationTxt>AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HFHEALTH PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, DIVERSITY, EQUITY, INCLUSION AND JUSTICE (DEIJ):</FormAndLineReferenceDesc>
        <ExplanationTxt>HENRY FORD HEALTH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF MICHIGAN'S DIVERSE COMMUNITIES, WHILE SERVING AS ONE OF THE REGION'S LARGEST AND MOST DIVERSE EMPLOYERS. THE SYSTEM HAS STRENGTHENED ITS COMMITMENT TO DIVERSITY, EQUITY, INCLUSION AND JUSTICE (DEIJ) BY EMBEDDING SOCIAL JUSTICE PRINCIPLES IN EVERY ASPECT OF ITS OPERATION. BUILDING ON A TRADITION OF MORE THAN 100 YEARS OF EXCELLENCE IN HEALTHCARE, HENRY FORD RECOGNIZES THAT THERE ARE DISPROPORTIONATE NUMBERS OF UNDERREPRESENTED RACIAL AND ETHNIC POPULATIONS AFFECTED BY SERIOUS AND CHRONIC MEDICAL CONDITIONS. THE SYSTEM WORKS TO UNDERSTAND AND ADDRESS RACIAL AND ETHNIC HEALTH DISPARITIES BY SUPPORTING RESEARCH AND PROGRAMS CONDUCTED BY ITS RESEARCH AND POPULATION HEALTH TEAMS, HEALTH DISPARITIES RESEARCH COLLABORATIVE AND INSTITUTE ON MULTICULTURAL HEALTH. OPERATIONALLY, HENRY FORD IS DEVELOPING A FIVE-YEAR DEIJ STRATEGIC PLAN TO ENSURE THAT ITS WORKPLACE IS INCREASINGLY DIVERSE AND OFFERS GENUINE OPPORTUNITY, THAT IT SERVES A THRIVING COMMUNITY OFFERING QUALITY CARE IN CULTURALLY SENSITIVE WAYS, AND THAT IT COLLABORATES WITH A FLOURISHING BUSINESS COMMUNITY COMMITTED TO THE SAME PRINCIPLES. THIS MEANS THE SYSTEM WILL VALUE AND ENCOURAGE DIVERSITY IN ITS WORKFORCE; MANAGE AND MAINTAIN AN INVESTMENT PORTFOLIO THAT REFLECTS ITS VALUES; CREATE AND SUPPORT A DIVERSE SUPPLIER NETWORK; CULTIVATE VOLUNTEER LEADERSHIP THAT REFLECTS THE DIVERSE COMMUNITIES SERVED; ACTIVELY ADVOCATE FOR DEIJ AMONG ELECTED OFFICIALS, LAW ENFORCEMENT AND THE BUSINESS COMMUNITY; AND, CONSISTENTLY WORK TO IDENTIFY AND ELIMINATE RACIAL AND CULTURAL DISPARITIES IN HEALTH CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SUSTAINABILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>ENVIRONMENTAL FACTORS IMPACT COMMUNITY HEALTH AND HENRY FORD HEALTH RECOGNIZES THAT AS A COMMUNITY PARTNER WE CAN INFLUENCE MANY OF THESE FACTORS. OUR SUSTAINABILITY GOALS ARE INTENDED TO SIMULTANEOUSLY REDUCE GREENHOUSE GAS EMISSIONS, REDRESS ENVIRONMENTAL INJUSTICES, AND IMPROVE THE HEALTH OF THE PATIENTS, EMPLOYEES, AND COMMUNITIES WE SERVE. HENRY FORD HEALTH HAS ESTABLISHED THE FOLLOWING SUSTAINABILITY GOALS TO BE ACHIEVED BY 2030: REDUCE GREENHOUSE GAS EMISSIONS FROM OPERATIONS BY 50%, TARGETING NET-ZERO BY 2040 ELIMINATE CHEMICALS OF CONCERN FROM PRIORITY PRODUCTS REDUCE WASTE SENT TO LANDFILL BY 50% MEET LOCAL OR SUSTAINABLE CRITERIA FOR 30% OF FOOD PURCHASES INCREASE ANNUAL INVESTMENT IN GREEN AND HEALTHY INFRASTRUCTURE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION LIABILITY ADJUSTMENT -3,867,929. AFFILIATE EQUITY ADJUSTMENT -155,759,480.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - PART XII - LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY OF HF HEALTH HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE.</ExplanationTxt>
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        <EndOfYearAssetsAmt>272375</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENRY FORD MACOMB HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>382947657</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICE PROVIDER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENRY FORD WYANDOTTE HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2333 BIDDLE AVE</AddressLine1Txt>
          <CityNm>WYANDOTTE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48192</ZIPCd>
        </USAddress>
        <EIN>382791823</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICE PROVIDER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>237383042</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH ALLIANCE PLAN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3031 W GRAND BLVD</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>382242827</EIN>
        <PrimaryActivitiesTxt>HEALTH MAINTENANCE ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HFII CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>900840304</EIN>
        <PrimaryActivitiesTxt>SCIENTIFIC RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>464064067</EIN>
        <PrimaryActivitiesTxt>ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENRY FORD ALLEGIANCE HEALTH GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 N EAST AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49201</ZIPCd>
        </USAddress>
        <EIN>382756428</EIN>
        <PrimaryActivitiesTxt>EXEMPT ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLEGIANCE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 N EAST AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49201</ZIPCd>
        </USAddress>
        <EIN>383607833</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD ALLEGIANCE HEALTH GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 N EAST AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49201</ZIPCd>
        </USAddress>
        <EIN>382336367</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHLINK</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHLINK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 N EAST AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49201</ZIPCd>
        </USAddress>
        <EIN>382756425</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD ALLEGIANCE HEALTH GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARELINK OF JACKSON</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 NORTH ELM AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49202</ZIPCd>
        </USAddress>
        <EIN>381218485</EIN>
        <PrimaryActivitiesTxt>LONG TERM ACUTE CARE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD ALLEGIANCE HEALTH GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 N EAST AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48201</ZIPCd>
        </USAddress>
        <EIN>382027689</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICE PROVIDER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD ALLEGIANCE HEALTH GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3031 WEST GRAND BOULEVARD NO 800</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>382682321</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENRY FORD PHYSICIAN PARTNERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>871633901</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH PARENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>934079536</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWEST DETROIT DIALYSIS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>30100 TELEGRAPH</AddressLine1Txt>
          <CityNm>BINGHAM FARMS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48025</ZIPCd>
        </USAddress>
        <EIN>383232668</EIN>
        <PrimaryActivitiesTxt>OPERATE DIALYSIS CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>10041632</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>5378528</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.56250</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MACOMB REGIONAL DIALYSIS CENTERS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>16151 NINETEEN MILE ROAD</AddressLine1Txt>
          <CityNm>CLINTON TOWNSHIP</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48038</ZIPCd>
        </USAddress>
        <EIN>260423581</EIN>
        <PrimaryActivitiesTxt>OPERATE DIALYSIS CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>4378087</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>747114</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.60000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FOOTE HEALTH CENTER</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1100 E MICHIGAN AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49201</ZIPCd>
        </USAddress>
        <EIN>383017711</EIN>
        <PrimaryActivitiesTxt>LESSOR OF MEDICAL CONDOMINIUMS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH JACKSON HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HFHS-SCA HOLDINGS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>569 BROOKWOOD VILLAGE SUITE 901</AddressLine1Txt>
          <CityNm>BIRMINGHAM</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35209</ZIPCd>
        </USAddress>
        <EIN>465291602</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT SURGERY CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>520822</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1780032</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HAP EMPOWERED HOLDING LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3031 W GRAND BLVD</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>922877012</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH ALLIANCE PLAN OF MICHIGAN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FAIRLANE HEALTH SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>30100 TELEGRAPH</AddressLine1Txt>
          <CityNm>BINGHAM FARMS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48025</ZIPCd>
        </USAddress>
        <EIN>382565235</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SHA REALTY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE FORD PLACE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>381378121</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HENRY FORD HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ALLIANCE HEALTH AND LIFE INSURANCE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3031 W GRAND BLVD</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48202</ZIPCd>
        </USAddress>
        <EIN>383291563</EIN>
        <PrimaryActivitiesTxt>HEALTH INSURANCE PROVIDER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH ALLIANCE PLAN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HENRY FORD ALLEGIANCE PHARMACY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>205 N EAST AVENUE</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49201</ZIPCd>
        </USAddress>
        <EIN>383370242</EIN>
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