2021-11-11T13:52:18-06:00 2020-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2020-01-01 381357020 HENRY FORD HEALTH SYSTEM HENR 3138768704 ONE FORD PLACE - 5F DETROIT MI 48202 ROBIN DAMSCHRODER EVP FINANCE/CFO 3138768714 2021-11-11 0 ROBIN DAMSCHRODER 999009999 ALICIA JANISCH P00741382 3133963000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROBIN DAMSCHRODER ONE FORD PLACE - 5F DETROIT MI 48202 3790755734 0 X WWW.HENRYFORD.COM X 1915 MI WE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: WE WILL BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE. 14 12 26182 306 12353030 0 81880767 365377930 3091975855 2952666934 161939165 42236102 177447739 205037722 3513243526 3565318688 2978441 6049310 0 0 1859089047 1888108010 121489 159330 5589128 1408857644 1496098650 3271046621 3390415300 242196905 174903388 3049325128 3726639370 1898110492 2267593223 1151214636 1459046147 X AS ONE OF THE NATION'S LEADING INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HENRY FORD HEALTH SYSTEM TO IMPROVE PEOPLE'S LIVES THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HENRY FORD HEALTH SYSTEM 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 IS A $6.6 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 5,800 PHYSICIANS, THE HEALTH SYSTEM DELIVERS EXCEPTIONAL AND COMPASSIONATE CARE AT ITS 5 ACUTE CARE HOSPITALS, AND MORE THAN 250 SITES, INCLUDING MEDICAL CENTERS AND CLINICS. HFHS RECENTLY SIGNED A 30- YEAR AGREEMENT WITH MICHIGAN STATE UNIVERSITY TO CREATE A FULLY INTEGRATED ACADEMIC HEALTH CARE PARTNERSHIP. 0 0 1493715258 6049310 1243796337 INPATIENT HOSPITALS: HENRY FORD HEALTH SYSTEM IS HONORED TO HAVE BEEN A RECIPIENT OF THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR PERFORMANCE EXCELLENCE. A KEY FACET OF OUR AWARD-WINNING OPERATIONS IS OUR COMMITMENT TO ALL COMMUNITIES WE SERVE, SUPPORTING OUR VISION OF TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. WE WILL BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE.THE ORGANIZATION OPERATES HENRY FORD HOSPITAL (HFH), AN 877 BED TERTIARY, AND QUATERNARY CARE HOSPITAL, EDUCATION AND RESEARCH COMPLEX IN THE NEW CENTER AREA OF DETROIT, MICHIGAN. HENRY FORD 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 MORE THAN ONE BILLION DOLLARS AND 31,654 DISCHARGES DURING 2020. ANNUALLY ABOUT 875 MEDICAL RESIDENTS AND FELLOWS ALONG WITH 1,000 MEDICAL STUDENTS PARTICIPATE IN THE ORGANIZATION'S VARIOUS EDUCATIONAL PROGRAMS.HFHS AND AFFILIATES ("SYSTEM") RESPONSE TO COVID-19 ANTICIPATING THE RISK AHEAD, THE SYSTEM INITIATED PLANS TO ADDRESS COVID-19 IN EARLY FEBRUARY 2020, WITH TARGETED TRAINING AND EDUCATION FOR HEALTH CARE TEAMS, EXPANDING TO THE TOTAL WORKFORCE, CONTINUING TO THIS DAY AS INFORMATION CONTINUES TO EVOLVE. THE SYSTEM ACTIVATED ITS SYSTEM INCIDENT COMMAND (SIC) LED BY THE CHIEF QUALITY OFFICER DURING THE FIRST WEEK OF MARCH 2020, WHICH SERVES TO CONNECT FEDERAL AND STATE INFORMATION AND GUIDELINES TO OUR OPERATING UNITS AND SERVES AS A POINT OF COORDINATED COMMUNICATIONS ACROSS THE SYSTEM, WITH LOCAL AGENCIES, AND TO THE COMMUNITIES WE SERVE.THE SYSTEM ADMITTED ITS FIRST COVID-19 PATIENT ON MARCH 11, 2020. ALIGNING WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AND STATE RECOMMENDATIONS, IN THE THIRD WEEK OF MARCH 2020, THE SYSTEM BEGAN CANCELING ALL NON-TIME SENSITIVE VISITS AND CLOSING AND CONSOLIDATING ITS MEDICAL CENTERS AND CLINICS. THE SYSTEM'S PLAN INCLUDED RAPID CYCLE EXPANSION OF VIRTUAL VISITS, CREATION OF A COVID-19 HOTLINE, CONVERSION, OR REDEPLOYMENT OF ALL NON-ESSENTIAL WORKERS TO REMOTE WORK ARRANGEMENTS, AND CANCELING NON-ESSENTIAL BUSINESS TRAVEL AND SYSTEM EVENTS.IN MARCH 2020, THE SYSTEM LAUNCHED PUBLIC SERVICE MESSAGING TO SUPPORT SAFE SOCIAL PRACTICES, CREATED OUTREACH PROGRAMS WITH KEY SOCIAL SERVICES ORGANIZATIONS, AND PARTNERED WITH LOCAL GOVERNMENTS. THIS INCLUDED WORKING WITH THE CITY OF DETROIT TO ESTABLISH THE REGION'S LARGEST DRIVE-THROUGH COVID-19 TESTING FACILITY AND PARTNERING WITH THE STATE TO CONVERT THE REGION'S LARGEST CONVENTION CENTER INTO A FEDERAL EMERGENCY MANAGEMENT ASSOCIATION SURGE FACILITY. IN ADDITION, THE SYSTEM PROVIDED ON SITE TESTING AT SKILLED NURSING FACILITIES AND SENIOR CENTERS.ON MAY 29, 2020, IN ALIGNMENT WITH THE MICHIGAN GOVERNOR'S EXECUTIVE ORDERS, THE SYSTEM BEGAN A STRUCTURED REOPENING OF ITS MEDICAL CENTERS AND CLINICS WITH AN INITIAL FOCUS ON THE PREVIOUSLY POSTPONED PROCEDURES. AS OF THE END OF 2020, PATIENT SERVICE VOLUME IS NEAR THE PRE COVID-19 BASELINE, WITH ALL FORMS OF VIRTUAL VISITS EXCEEDING 9,800 PER WEEK AND ALMOST ALL OF THE PREVIOUSLY FURLOUGHED WORKERS HAVE BEEN CALLED BACK. COVID-19 INPATIENT VOLUMES, WHICH WERE 861 AT THEIR PEAK IN EARLY APRIL, REACHED A LOW OF 27 IN EARLY JULY, AND INCREASED IN EARLY DECEMBER TO 526. RECOGNIZING THE POTENTIAL IMPLICATIONS OF THIS INCREASE, SIC WAS REACTIVATED IN EARLY OCTOBER 2020. CONSISTENT WITH PATTERNS ACROSS THE STATE, THE SYSTEM'S COVID-19 VOLUME DECREASED TO 118 ADMITTED PATIENTS BY MARCH 14, 2021.WHILE THE ONGOING PATTERN OF COVID-19 CANNOT BE PREDICTED, THE SYSTEM BELIEVES THAT THE KNOWLEDGE GAINED DURING 2020 REGARDING EFFECTIVE CLINICAL PRACTICES AND TREATMENT PROTOCOLS, THE OPTIMAL APPROACH TO PROTECTING STAFF AND PATIENTS FROM VIRUS TRANSMISSION, AND HOW TO SANITIZE PHYSICAL ENVIRONMENTS HAS POSITIONED THE SYSTEM WELL TO MAINTAIN FULL SCOPE OF OPERATIONS.THE SYSTEM'S RESPONSE INCLUDED EFFORTS TO REPRIORITIZE THE WORK OF THE ENTIRE EXECUTIVE TEAM, REDIRECT RESOURCES TO THE FRONTLINE CLINICAL AREAS SUPPORTING COVID, INVESTMENT IN TEMPORARY FACILITIES, EXPANDING CARE CAPACITY, ACQUISITION OF EQUIPMENT TO SUPPORT PATIENT CARE AND COVID TESTING, AS WELL AS ACQUISITION OF PERSONAL PROTECTIVE EQUIPMENT TO HELP PROTECT OUR PATIENTS, OUR TEAM MEMBERS, AND OUR COMMUNITIES. THE EFFORTS TO MEASURE THE COST OF RESPONDING TO THE PANDEMIC ARE ONGOING. NOT CONSIDERING THE COST OF ALL REDEPLOYED ASSETS AND TEAM MEMBERS, THE DIRECT INCREMENTAL COSTS OF RESPONDING TO THE PANDEMIC IN 2020 ALONE IS NOW ESTIMATED TO EXCEED $80 MILLION. HENRY FORD WEST BLOOMFIELD HOSPITAL:HENRY FORD WEST BLOOMFIELD HOSPITAL (HFWBH), AN OPERATING UNIT OF HFHS, OFFERS COMPREHENSIVE MEDICAL CARE, INCLUDING 24-HOUR EMERGENCY CARE, NEUROSCIENCES, WOMEN'S AND CHILDREN'S HEALTH, ORTHOPEDICS, DIAGNOSTIC TESTING AND A WELLNESS CENTER WITH COMPLEMENTARY THERAPIES. A GREENHOUSE GROWS ORGANIC PRODUCE FOR PATIENTS, STAFF AND THE LOCAL COMMUNITY. HENRY FORD WEST BLOOMFIELD EARNED THE BABY FRIENDLY HOSPITAL DESIGNATION IN 2015. BY HFWBH IMPLEMENTING 10 IMPORTANT STEPS, HFWBH JOINED ALMOST 300 HOSPITALS NATIONWIDE TO OFFER OPTIMAL CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. TO COMPLEMENT THE SERVICES AT ITS BREAST CENTER, HFWBH WAS THE FIRST HOSPITAL IN THE SYSTEM TO ADD TOMOSYNTHESIS TECHNOLOGY FOR IMAGING OF DENSE BREASTS. THE HOSPITAL HAD REVENUES OF $309 MILLION, AND DISCHARGED 12,352 PATIENTS DURING 2020. TEACHING, RESEARCH, AND ADVANCED PATIENT CARE MAKE HFHS A PREMIER ACADEMIC MEDICAL CENTER. AFFILIATED WITH WAYNE STATE UNIVERSITY'S SCHOOL OF MEDICINE, HENRY FORD PROVIDES INNOVATIVE PHYSICIAN TRAINING PROGRAMS AND COLLABORATES ON LEADING-EDGE MEDICAL RESEARCH. HENRY FORD MEDICAL EDUCATION OVERVIEW:HENRY FORD HEALTH SYSTEM HAS ONE OF THE LARGEST MEDICAL EDUCATION ENTERPRISES IN THE UNITED STATES. THE SYSTEM SPONSORS 72 ACCREDITED GRADUATE TRAINING PROGRAMS IN MICHIGAN. OUR DEDICATION TO EDUCATION AND RESEARCH IS SUPPORTED BY $100 MILLION IN ANNUAL GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHER PUBLIC AND PRIVATE FOUNDATIONS. THE SYSTEM'S FLAGSHIP HOSPITAL, HENRY FORD HOSPITAL IN DETROIT, IS ONE OF THE NATION'S LARGEST RESEARCH CENTERS. AS ONE OF THE LARGEST MEDICAL EDUCATION TEACHING CENTERS IN THE NATION, HENRY FORD TRAINS ABOUT 1,000 MEDICAL STUDENTS EACH YEAR. HENRY FORD HOSPITAL DOCTORS TRAIN APPROXIMATELY 900 MEDICAL SCHOOL STUDENTS, 675 RESIDENTS AND FELLOWS ACROSS 50 DIFFERENT AREAS OF MEDICINE ANNUALLY. HENRY FORD HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS. HENRY FORD ALLEGIANCE , MACOMB AND WYANDOTTE HOSPITALS TRAIN ABOUT 100 MEDICAL STUDENTS AND 200 RESIDENTS EVERY YEAR. THESE HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS. AS TEACHING PHYSICIANS, HENRY FORD MEDICAL GROUP DOCTORS ARE ALSO FACULTY MEMBERS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE, AND MANY OTHER HENRY FORD TEACHING DOCTORS ARE FACULTY MEMBERS AT THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HENRY FORD HOSPITAL'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. 986614222 940256789 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 MORE THAN 2.5 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. FOUR MEDICAL CENTERS PROVIDE 24-HOUR EMERGENCY CARE AND AMBULATORY SURGERY AND ARE PRIMARY CARE STROKE CENTERS. FOUNDED IN 1915 AFTER CONSULTATIONS WITH PHYSICIANS AT JOHNS HOPKINS HOSPITAL AND THE MAYO CLINIC, THE HENRY FORD MEDICAL GROUP HAS ESTABLISHED ITSELF AS ONE OF THE PREMIER GROUP PRACTICES IN THE NATION. OUR LARGE ACADEMIC ENTERPRISE PLACES US IN THE TOP THREE OF TRADITIONALLY INDEPENDENT GROUP PRACTICES THROUGH:CLINICAL CARE: THE BREADTH AND DEPTH OF THE HENRY FORD MEDICAL GROUP'S CLINICAL SERVICES IS UNPARALLELED BY ANY OTHER INDEPENDENT ACADEMIC MEDICAL CENTER. OUR SCALE AND SCOPE ARE IN THE 99TH PERCENTILE OF ALL GROUP PRACTICES, WITH VISIT VOLUMES LARGER THAN MOST GROUP PRACTICES. WE ARE NATIONAL LEADERS IN PRIMARY CARE WITH EXPERTISE IN PREVENTIVE CARE SERVICES AND THE HEALTH MANAGEMENT OF SENIOR CITIZENS. OUR SPECIALTY CENTERS OF EXCELLENCE ARE NATIONAL LEADERS AS WELL, PROVIDING ADVANCED TERTIARY AND QUATERNARY CARE WITH A FOCUS ON DISCOVERY AND INNOVATION.EDUCATION: OUR POST-GRADUATE MEDICAL EDUCATION ENTERPRISE IS AMONG THE LARGEST IN THE COUNTRY. APPROXIMATELY 40 PERCENT OF ALL PHYSICIANS IN MICHIGAN FORMALLY TRAINED AT HENRY FORD DURING SOME POINT IN THEIR CAREER.RESEARCH: HENRY FORD HEALTH SYSTEM 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. 133890535 135255575 EMERGENCY ROOM SERVICES: THE ORGANIZATION DIRECTLY OPERATES FIVE 24-HOUR EMERGENCY FACILITIES, ONE OF WHICH IS A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT. EMERGENCY SERVICES REVENUES APPROXIMATED $130 MILLION DURING 2020, REPRESENTING 176,981 PATIENT VISITS. 221773798 821478047 OTHER PROGRAM SERVICES INCLUDES HFHS RESEARCH SERVICES, ALONG WITH HFHS COMMUNITY CARE SERVICES, WHICH OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS INCLUDING NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, DIALYSIS, HOUSING FOR MEDICAL RESIDENTS & PATIENT FAMILY MEMBERS, FITNESS CENTER & ATHLETIC TRAINING SERVICES, SCHOOL- BASED HEALTH PROGRAMS AND A DEDICATED CANCER CENTER. RESEARCH IS A VITAL COMPONENT OF THE MISSION OF HENRY FORD HEALTH SYSTEM. HENRY FORD HEALTH SYSTEM'S MISSION IS TO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THIS MISSION IS STRONGLY SUPPORTED AND ENHANCED BY THE DEDICATED STAFF'S PURSUIT OF SCIENTIFIC ADVANCEMENT.SINCE 1915, HENRY FORD HOSPITAL PHYSICIANS AND SCIENTISTS HAVE FOCUSED THEIR EFFORTS ON A WIDE VARIETY OF TOPICS CRITICAL TO UNDERSTANDING THE MECHANISMS OF DISEASE AND DEVELOPING NEW, VIABLE TREATMENT OPTIONS. HENRY FORD HEALTH SYSTEM (HFHS) HAS ENJOYED GREAT SUCCESS IN SECURING EXTERNAL RESEARCH GRANTS AND CONTRACTS. EXTERNAL GRANT FUNDING HAS BEEN RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH), OTHER FEDERAL AGENCIES, PHARMACEUTICAL COMPANIES AND INDUSTRY, STATE AND LOCAL AGENCIES, AND FOUNDATIONS. IN 2018 HFHS RECEIVED $86 MILLION IN EXTERNALLY- AWARDED GRANTS, CONTRACTS AND SUB-CONTRACTS, $45 MILLION OF WHICH WAS AWARDED BY NIH AND OTHER FEDERAL AGENCIES. ALTHOUGH HFHS IS NOT FORMALLY PART OF A UNIVERSITY OR MEDICAL SCHOOL, THERE HAS BEEN STRONG SUPPORT FOR THE SYSTEM'S RESEARCH THROUGHOUT ITS HISTORY. THIS DRIVE TO UNDERSTAND DISEASE MECHANISM AND DISCOVER NEW THERAPIES IS MANIFESTED BY THE CONTINUUM OF BIOMEDICAL RESEARCH PERFORMED AT HENRY FORD. THE SYSTEM HAS A STAFF OF 82 BIO-SCIENTIFIC RESEARCHERS ENGAGING IN BASIC SCIENCE STUDIES IN CARDIOVASCULAR AND RENAL DISEASES SUCH AS HYPERTENSION AND HEART FAILURE, STROKE/BRAIN INJURY/BRAIN TUMORS, POPULATION HEALTH AND HEALTHCARE RESEARCH, CANCER THERAPEUTICS, BONE AND JOINT DISEASES, IMMUNOLOGY AND IMAGING, AMONG OTHERS. IN ADDITION, DOZENS OF PHYSICIANS AND THEIR CLINICAL SUPPORT STAFF ARE ENGAGED IN PATIENT-ORIENTED STUDIES. AT THIS TIME, HFHS HAS MORE THAN 2,000 ACTIVE RESEARCH PROJECTS APPROVED BY ITS INSTITUTIONAL REVIEW BOARD, INCLUDING STUDIES APPROVED IN CONJUNCTION WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY. THE BASIC SCIENCE BIOMEDICAL RESEARCH PROGRAMS RECEIVING THE MOST EXTERNAL FUNDING WERE PUBLIC HEALTH SCIENCES, NEUROLOGY RESEARCH (STROKE, TRAUMATIC BRAIN INJURY, ETC.), HYPERTENSION RESEARCH AND CARDIOVASCULAR RESEARCH (IN PARTICULAR, HEART FAILURE). IN CLINICAL RESEARCH, A MAJORITY OF FUNDING HAS GONE TO THE DEPARTMENT OF INTERNAL MEDICINE WHERE THE DIVISIONS OF INFECTIOUS DISEASES, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY AND CARDIOLOGY ARE LEADING THE WAY.THE INFRASTRUCTURE AT HFHS ALLOWS US TO HAVE A RESEARCH PROGRAM FAR LARGER THAN OTHER NON-UNIVERSITY-BASED HEALTH CARE SYSTEMS IN THE STATE OF MICHIGAN, WHERE OUR NIH FUNDING IS TEN TIMES GREATER THAN HFHS'S CLOSEST COMPETITOR. IN 2018, HFHS WAS FOURTH IN MICHIGAN, TRAILING THE STATES THREE LARGEST UNIVERSITIES, AND RANKED 182ND OUT OF MORE THAN 2,500 INSTITUTIONS RECEIVING NIH GRANTS NATIONALLY. 221773798 821478047 2835993813 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 1 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1616 0 1 26182 1 1 1 1 CJ 0 0 0 0 1 0 0 0 0 1 0 X 14 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 FL X ROBIN DAMSCHRODER 3138768714 ONE FORD PLACE DETROIT MI 48202 X WRIGHT L LASSITER III DIRECTOR/PRESIDENT/CEO 56.00 9.00 X X 3857524 0 56246 KATHLEEN L YAREMCHUK MD DIRECTOR-PHYSICIAN START 1/1/20 60.00 2.00 X 925896 0 55019 BARRY G PORTER DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL S RAFFERTY DIRECTOR 1.00 2.00 X 0 0 0 LYNN FORD ALANDT DIRECTOR 1.00 3.00 X 0 0 0 EDGAR L VANN II DIRECTOR - VICE CHAIR 2.00 2.00 X X 0 0 0 SANDRA E PIERCE DIRECTOR - VICE CHAIR 2.00 2.00 X X 0 0 0 CHARLES G MCCLURE JR DIRECTOR - VICE CHAIR 2.00 2.00 X X 0 0 0 JOSEPH J RICHARDSON JR DIRECTOR - VICE CHAIR 2.00 2.00 X X 0 0 0 LAWRENCE H SCHULTZ DIRECTOR 1.00 2.00 X 0 0 0 DAVID M HEMPSTEAD DIRECTOR 1.00 3.00 X 0 0 0 SHARI L BURGESS DIRECTOR 1.00 4.00 X 0 0 0 STEPHANIE W BERGERON DIRECTOR - VICE CHAIR 2.00 2.00 X X 0 0 0 DAVID J BREEN DIRECTOR - CHAIR 2.00 4.00 X X 0 0 0 ROBIN S DAMSCHRODER TREASURER/CFO 55.00 10.00 X 1276437 0 253972 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 53.00 12.00 X 1012041 0 184055 MARJORIE A STATEN JD ASST. SECRETARY 48.00 12.00 X 205420 0 12672 ROBERT G RINEY COO /PRESIDENT-HEALTHCARE 59.00 6.00 X 2113063 0 40617 STEVEN N KALKANIS MD CEO-HFMG 60.00 2.00 X 1455771 0 235134 ADNAN R MUNKARAH MD CHIEF MEDICAL OFFICER 60.00 4.00 X 1258647 0 59792 RICHARD O DAVIS PHD CEO HF HOSPITAL & SOUTH MARKET 40.00 22.00 X 1484827 0 204760 DENISE BROOKS-WILLIAMS CEO NORTH MARKET 30.00 31.00 X 959404 0 54057 DAVID F SHEPHERD CEO - COMMUNITY CARE SERVI 60.00 0.00 X 670254 0 131691 ERIC WALLIS CEO - W BLMFLD HOSP 60.00 1.00 X 407011 0 32596 MICHAEL GENORD MD CEO - HAP 1.00 64.00 X 958441 93661 193393 ANTONIA MARIA RAMSEY EVP- CHIEF HUMAN RESOURCES START 1/1/20 60.00 0.00 X 889417 0 166574 CARLADENISE A EDWARDS PHD EVP-CHIEF STRATEGY START 7/13/2020 58.00 2.00 X 459240 0 18776 HEATHER GEISLER EVP-CHIEF MARKETING START 9/1/2020 60.00 0.00 X 211499 0 8570 MARY JANE VOGT EVP- PHILANTHROPY 60.00 1.00 X 496007 0 38039 WILLIAM W O'NEILL MD PHYSICIAN 60.00 0.00 X 2012380 0 42096 MUWAFFAK M ABDULHAK MD PHYSICIAN 60.00 0.00 X 1226409 0 58242 THEODORE WILLIAM PARSONS MD PHYSICIAN 60.00 0.00 X 1373096 0 51667 MOKBEL K CHEDID MD PHYSICIAN 60.00 0.00 X 1109913 0 66882 SCOTT DULCHAVSKY MD PHYSICIAN 60.00 0.00 X 1105488 0 60372 WILLIAM A CONWAY MD FORMER DIRECTOR/CEO-HFMG THRU 1/1/2020 60.00 0.00 X 945156 0 50205 LYNN M TOROSSIAN FORMER CEO - W BLMFLD HOSP 0.00 0.00 X 129083 0 0 TERESA L KLINE FORMER CEO - HAP 0.00 0.00 X 226669 0 0 VERONICA M HALL RN FORMER INT. CEO-HF HOSP 60.00 0.00 X 733476 0 39721 27502569 93661 2115148 3337 1 1 0 TURNER CONSTRUCTION 535 GRISWOLD STE 1525 DETROIT MI 48226 CONSTRUCTION SERVICES 23008016 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 INFORMATION SERVICES 8439212 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 STAFFING SERVICES 5085691 TRACE 3 LLC 1525 W W T HARRIS BLVD 2C2 CHARLOTTE NC 92618 INFORMATION SERVICES 5067081 GEORGE W AUCH COMPANY 65 UNIVERSITY DRIVE PONTIAC PONTIAC MI 48342 CONSTRUCTION SERVICES 4747446 246 16300000 291440225 57637705 5770963 365377930 INPATIENT HOSPITALS 900099 1243796337 1243796337 OUTPATIENT CLINICS 621400 940256789 940256789 EMERGENCY ROOM SERVICES 900099 135255575 135255575 MEDICAL EDUCATION-GME 900099 58621964 58621964 PATIENT-RELATED RENTAL 531110 2533612 2533612 572202657 568322927 3879730 2952666934 40702035 40702035 177 177 1457897 258740 0 182747 1457897 75993 1533890 1457897 75993 301113288 225254299 75858989 67385689 8473300 OTHER PHARMACY 900099 111597570 111597570 CAFETERIA & GIFT SHOP 900099 5096043 5096043 JOINT VENTURE INCOME 621400 3826362 3826362 8658758 7732026 926732 129178733 3565318688 3140786748 12353030 46800980 2207468 2207468 3841842 3841842 17544573 6995427 9240322 1308824 2087679 948821 1043976 94882 1581110741 1306309042 272450940 2350759 34157141 28058920 6020012 78209 148643279 122443386 25863883 336010 104564597 85895683 18429488 239426 2666242 784006 1882236 1273200 1273200 159330 159330 112683026 77873993 34085466 723567 12426039 2007104 10418935 72568463 47236725 25107029 224709 33411891 10128947 23278516 4428 32685961 23778496 8907465 4834368 4164112 657316 12940 5455944 4903739 549350 2855 20411717 14474860 5936857 108054471 66544166 41499925 10380 38027338 38027338 MEDICAL SUPPLIES 803959662 801907263 2052391 8 UNCOMPENSATED CARE 61822241 61822241 QAAP TAX 60835437 60835437 REPAIRS & MAINTENANCE 36481868 33096492 3372511 12865 88500782 31708305 56762541 29936 3390415300 2835993813 548832359 5589128 139255 157775 437296777 723414050 98943777 55081799 323883656 375448400 1688647 2689496 75865300 103032659 52715098 62800878 2561129592 1548501349 984299584 1012628243 729444276 987899419 246255 5200981 344802503 398285670 3049325128 3726639370 421594804 738774159 863144332 834439191 31068255 43566308 582303101 650813565 1898110492 2267593223 X 888026518 1139174971 263188118 319871176 1151214636 1459046147 3049325128 3726639370 X 174903388 107574469 25353654 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 144546 144546 144546 144546 3345474804 4258668710 3345619350 4258813256 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 109897 95445 134266 144546 484154 250000 250000 250000 250000 1000000 1500000 9860 6327 16187 263188118 100844924 28050091 72211958 319871175 234731046 81447879 32464821 85455628 263188118 239389752 53856258 -11375775 47139189 234731046 229180494 39403221 17294265 46488228 239389752 192859411 65963302 9230559 38872778 229180494 0.38510 0.61490 0 1 1 44339691 44339691 1181158584 714531743 466626841 44558813 23771564 20787249 1089374467 810198042 279176425 201698037 201698037 1012628243 INVESTMENTS IN PARTNERSHIP 30289685 INVESTMENTS IN JOINT VENTURES 26785554 OTHER 681401 DEFERRED COMPENSATION 167291564 INVESTMENT EQUITY 410329 RIGHT OF USE ASSET- FINANCE LEASES 34797519 RIGHT OF USE ASSET- OPERATING LEASES 138029618 398285670 POST RETIREMENT EMPLOYEE BENEFITS 149913957 RESERVE FOR MALPRACTICE 113237377 DEFERRED COMPENSATION 167291564 OTHER LIABILITIES 220370667 650813565 X PART V, LINE 4: EARNINGS FROM THE ORGANIZATION'S ENDOWMENT FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 & 2019. CENTRAL AMERICA AND CARRIBEAN INVESTMENTS 171383060 MIDDLE EAST AND NORTH AFRICA PROVIDE CONSULTING SERVICES FOR DESIGN AND CONSTRUCTION OF A HEALTH CLINIC. 1194842 SOUTH ASIA (INDIA) CONSULTING ACTIVITIES 197821 0 0 0 0 0 0 172775723 0 172775723 1 0 1 1 1 1 PART III ACCOUNTING METHOD: PART I, LINE 3, COLUMN F TOTAL EXPENDITURES AND INVESTMENTS FOR THE REGIONS ARE REPORTED AT COST BASIS OR BOOK VALUE X X X X X X X 1 THUMBS UP INC 11861 WESY LINE STE 600 ST LOUIS MO 63146 TELEPHONE CAMPAIGN 0 153073 120000 33073 FULKERSON SALES INC 5760 SNOWSHOE CIRCLE BLOOMFIELD HILLS MI 48301 EVENT SOLICITATIONS 0 89500 36236 53264 J MILITO AND ASSOCIATES INC 1133 MAPLEGROVE DR NW GRAND RAPIDS MI 49504 TELEPHONE CAMPAIGN 0 0 3094 -3094 242573 159330 83243 MI FL MI 1 0 0 0 BARBARA BROWN HFHS EVENTS-ONE FORD PLACE DETROIT MI 48202 0 0 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 28400337 28400337 0.00840 769535339 616678751 152856588 0.04510 797935676 616678751 181256925 0.05350 12542606 5855336 6687270 0.00200 119608504 53798898 65809606 0.01940 32241184 21901204 10339980 0.00300 85032177 67389222 17642955 0.00520 2329806 2960 2326846 0.00070 251754277 148947620 102806657 0.03030 1049689953 765626371 284063582 0.08380 781000 781000 0.00020 5191 5191 0.00000 1138960 1138960 0.00030 376606 376606 0.00010 15526 15526 0.00000 456029 456029 0.00010 2773312 2773312 0.00070 0 59374160 14843540 711060358 892663608 -181603250 X 1 1 4 1 HENRY FORD HOSPITAL 2799 W GRAND BLVD DETROIT MI 48202 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000026 X X X X X 2 HENRY FORD WEST BLOOMFIELD HOSPITAL 6777 W MAPLE RD WEST BLOOMFIELD MI 48322 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000155 X X X X 3 HENRY FORD COTTAGE HOSPITAL 159 KERCHEVAL AVE GROSSE POINTE FARMS MI 48236 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000064 X X X 4 HENRY FORD KINGSWOOD HOSPITAL 10300 W EIGHT MILE RD FERNDALE MI 48220 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1080000037 X X PSYCHIATRIC HOSPITAL HENRY FORD HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 10A BELOW X 1 19 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD WEST BLOOMFIELD HOSPITAL 2 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 10A BELOW X 1 19 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD COTTAGE HOSPITAL 3 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 10A BELOW X 1 19 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD KINGSWOOD HOSPITAL 4 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 10A BELOW X 1 19 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD HOSPITAL PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN WAYNE COUNTY AND THE CITY OF DETROIT USING A WEB-BASED 5-QUESTION SURVEY. THE SURVEY WAS DISTRIBUTED TO HEALTH LEADERS AND OTHER RESPECTED INDIVIDUALS WITHIN THE COMMUNITY REPRESENTING PUBLIC AGENCIES AND PROGRAMS FROM MAY THROUGH JULY OF 2019. INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS ACCESS; DETROIT HEALTH DEPARTMENT; WAYNE COUNTY HEALTH DEPARTMENT; AMERICAN LUNG ASSOCIATION; INTERFAITH LEADERSHIP COUNCIL; GREATER DETROIT HEALTH COUNCIL AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE. FROM THEIR SURVEY RESPONSES WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES FACING OUR COMMUNITIES. OUR METHODOLOGY ALSO INCLUDED A WIDE VARIETY OF SECONDARY DATA SOURCES IN ADDITION TO RESULTS OBTAINED FROM BOTH SURVEY AND FOCUS GROUP PARTICIPANTS IN OAKLAND, MACOMB AND JACKSON COUNTIES. ADDITIONALLY, WE LOCATED STATE HEALTH NEEDS DATA FOR HFHS USING THE MICHIGAN BEHAVIORAL RISK FACTOR SURVEY AND MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES PROFILES AMONG OTHER SOURCES. DATA FROM THESE SOURCES CAN BE FOUND IN THE APPENDIX. HENRY FORD HOSPITAL PART V, SECTION B, LINE 6A: HENRY FORD HOSPITALHENRY FORD KINGSWOOD HOSPITALHENRY FORD MACOMB HOSPITALSHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD ALLEGIANCE HEALTHHENRY FORD ALLEGIANCE SPECIALTY HOSPITAL HENRY FORD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD HOSPITAL'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES & DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND INFANT MORTALITY. HENRY FORD HOSPITAL (HFH) WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HFH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HFH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD WEST BLOOMFIELD HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HFWBH'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND CANCER. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HFWBH ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HFWBH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT HFWBH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH SYSTEM WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD HEALTH SYSTEM'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND INFANT MORTALITY. HENRY FORD HEALTH SYSTEM WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH SYSTEM ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HFHS WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HFHS WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH SYSTEM WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD HEALTH SYSTEM'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND INFANT MORTALITY. HENRY FORD HEALTH SYSTEM WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH SYSTEM ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HFHS WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HFHS WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD HOSPITAL PART V, SECTION B, LINE 13B: HENRY FORD 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. PART V, SECTION B, LINE 22A:HENRY FORD 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. HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 13B: HENRY FORD 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.PART V, SECTION B, LINE 22A:HENRY FORD 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. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 13B: HENRY FORD 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. PART V, SECTION B, LINE 22A:HENRY FORD 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. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 13B: HENRY FORD 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. PART V, SECTION B, LINE 22A:HENRY FORD 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. 77 1 - HENRY FORD MEDICAL CENTER - FAIRLANE 19401 HUBBARD DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM 2 - HENRY FORD MEDICAL CENTER - LAKESIDE 14500 HALL RD STERLING HEIGHTS MI 48313 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 3 - HENRY FORD MEDICAL CENTER - STERLING HGT 3500 FIFTEEN MILE RD STERLING HEIGHTS MI 48310 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM 4 - HENRY FORD MEDICAL CENTER - LIVONIA 29200 SCHOOLCRAFT RD LIVONIA MI 48150 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 5 - HENRY FORD MEDICAL CNTR - BLOOMFIELD TWP 1961 S TELEGRAPH ROAD BLOOMFIELD MI 48302 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 6 - HENRY FORD MEDICAL CENTER - TAYLOR 24555 HAIG RD TAYLOR MI 48180 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 7 - HENRY FORD MEDICAL CENTER -DET NW 7800 W OUTER DRIVE DETROIT MI 48235 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 8 - HENRY FORD MEDICAL CENTER - CANTON 6100 HAGGERTY CANTON MI 48187 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 9 - HENRY FORD MEDICAL CENTER -JEFFERSON 24725 E JEFFERSON SAINT CLAIR SHORES MI 48080 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 10 - HENRY FORD MEDICAL CENTER - PIERSON 131 KERCHEVAL AVENUE GROSSE POINTE FARMS MI 48236 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 11 - HENRY FORD MEDICAL CENTER - TROY 2825 LIVERNOIS RD TROY MI 48083 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 12 - HENRY FORD MEDICAL CENTER - PLYMOUTH 14300 BECK RD PLYMOUTH MI 48170 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 13 - HENRY FORD MEDICAL CENTER - WOODHAVEN 22505 ALLEN ROAD WOODHAVEN MI 48183 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 14 - HENRY FORD PHYSICAL THERAPY - ROYAL OAK 616 N MAIN STREET ROYAL OAK MI 48067 OUTPATIENT CLINIC/PHYSICAL THERAPY 15 - HENRY FORD MEDICAL CENTER -FARMINGTON 6530 FARMINGTON ROAD WEST BLOOMFIELD MI 48323 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 16 - HFHS - DEARBORN HEMATOLOGY & ONCOLOGY 861 MONROE STREET DEARBORN MI 48124 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 17 - HFHS - CANTON FAMILY MEDICINE 5958 CANTON CENTER RD SUITE 200 CANTON MI 48187 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 18 - HENRY FORD MEDICAL CENTER - HAMTRAMCK 9100 BROMBACK STREET HAMTRAMCK MI 48212 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 20 - HENRY FORD MEDICAL CENTER -SOUTHFIELD 22777 W ELEVEN MILE RD SOUTHFIELD MI 48033 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 21 - HENRY FORD MEDICAL CENTER - WARREN 8600 CHICAGO RD WARREN MI 48093 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 22 - HENRY FORD MEDICAL CENTER - WATERFORD 6620 HIGHLAND ROAD SUITE 101 WATERFORD MI 48327 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 23 - HENRY FORD MEDICAL CENTER-HARBORTOWN 3370 E JEFFERSON AVENUE DETROIT MI 48207 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 24 - HENRY FORD MEDICAL CENTER - NEW CNTR ONE 3031 W GRAND BLVD DETROIT MI 48202 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 25 - HENRY FORD MEDICAL CENTER - CHRYSLER 1000 CHRYSLER DRIVE SUITE W2001 AUBURN HILLS MI 48326 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 26 - HENRY FORD MEDICAL CENTER - NOVI 40000 8 MILE RD NORTHVILLE MI 48167 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 27 - HENRY FORD MEDICAL CENTER - FORD RD 5500 AUTO CLUB DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 28 - HENRY FORD MEDICAL CENTER - ACCESS 6450 MAPLE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 30 - HENRY FORD MEDICAL CENTER - MILFORD 1265 N MILFORD ROAD MILFORD MI 48381 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 31 - HFHS - ADVANCED HEART FAILURE CLINIC 16001 W NINE MILE ROAD SOUTHFIELD MI 48075 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 32 - HENRY FORD MAPLE GROVE CENTER 6773 W MAPLE ROAD WEST BLOOMFIELD MI 48322 CHEMICAL DEPENDENCY FACILITY 33 - HENRY FORD MEDICAL CENTER - COLUMBUS 39450 W TWELVE MILE ROAD NOVI MI 48377 CLINICAL DIAGNOSIS MEDICAL SERVICES 34 - HENRY FORD BEHAVIORAL HEALTH-SEVILLE 15420 19 MILE SUITE 100 CLINTON TOWNSHIP MI 48038 CLINICAL DIAGNOSIS MEDICAL SERVICES 35 - HENRY FORD MEDICAL CENTER-SECOND AVE 6525 SECOND AVENUE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES 36 - HFHS - ONE FORD PLACE ONE FORD PLACE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES 37 - HFHS - NW DETROIT LAHSER ROAD CENTER 25664 LAHSER RD SOUTHFIELD MI 48034 DIALYSIS CENTER 38 - HFHS - EASTPOINTE DIALYSIS 21400 KELLY RD EASTPOINTE MI 48021 DIALYSIS CENTER 39 - HFHS - FAIRLANE DIALYSIS 19001 HUBBARD DR DEARBORN MI 48126 DIALYSIS CENTER 40 - HFHS - NW DET DIALYSIS NORTHLAND PARK 21000 NORTHWESTERN HWY SOUTHFIELD MI 48075 DIALYSIS CENTER 41 - HFHS - SE MI KIDNEY CENTER 1695 W 12 MILE RD SUITE 250 BERKLEY MI 48072 DIALYSIS CENTER 42 - HFHS - ST JOSEPH DIALYSIS 44200 WOODWARD SUITE 109 PONTIAC MI 48341 DIALYSIS CENTER 43 - HFHS - TAYLOR DIALYSIS 24565 HAIG RD TAYLOR MI 48180 DIALYSIS CENTER 44 - HFHS - TROY DIALYSIS 2050 LIVERNOIS SUITE A TROY MI 48083 DIALYSIS CENTER 45 - HFHS - NORTHWEST DIALYSIS CENTER LLC 7800 W OUTER DRIVE DETROIT MI 48325 DIALYSIS CENTER 46 - HFHS - ST MARY DIALYSIS 14555 LEVAN LIVONIA MI 48154 DIALYSIS CENTER 47 - HFHS - WESTERN REGIONAL HOME DIALYSIS 39525 W 14 MILE ROAD SUITE 200 NOVI MI 48377 DIALYSIS CENTER 48 - HENRY FORD REPRODUCTIVE MEDICINE 1500 W BIG BEAVER RD SUITE 105 TROY MI 48084 PHYSICIAN PRACTICE 49 - HENRY FORD MEDICAL CLINIC - COMMERCE 8391 COMMERCE ROAD SUITES 108-109 COMMERCE TOWNSHIP MI 48382 PHYSICIAN PRACTICE 50 - HENRY FORD REHABILITATION - ALLEN PARK 7445 ALLEN RD SUITE 102 ALLEN PARK MI 48101 REHABILITATION SERVICES 51 - HF PHYSICAL THERAPY -BEVERLY HILLS 31555 SOUTHFIELD ROAD BEVERLY HILLS MI 48025 REHABILITATION SERVICES 52 - HENRY FORD REHABILITATION - LOWELL PARK 44800 DELCO BLVD STERLING HEIGHTS MI 48313 REHABILITATION SERVICES 53 - HENRY FORD MEDICAL CENTER - RESEARCH 440 BURROUGHS SUITE 408 415 446 DETROIT MI 48202 RESEARCH CENTER 54 - HENRY FORD OPTIMEYES SVC-DEARBORN 5500 AUTO CLUB DRIVE DEARBORN MI 48126 VISION SERVICES 55 - HENRY FORD OPTIMEYES-HENRY FORD HOSPITAL 2799 W GRAND BLVD DETROIT MI 48202 VISION SERVICES 56 - HENRY FORD OPTIMEYES-FARMINGTON HILLS 38487 W 10 MILE RD FARMINGTON HILLS MI 48335 VISION SERVICES 57 - HENRY FORD OPTIMEYES-DETROIT 400 RENAISSANCE CENTER SUITE 1402 DETROIT MI 48243 VISION SERVICES 58 - HENRY FORD OPTIMEYES-MILFORD 516 HIGHLAND AVE MILFORD MI 48381 VISION SERVICES 59 - HENRY FORD OPTIMEYES SVC-TROY 735 JOHN R ROAD TROY MI 48083 VISION SERVICES 60 - HENRY FORD OPTIMEYES-LAKE ORION 1376 S LAPEER RD LAKE ORION MI 48362 VISION SERVICES 61 - HENRY FORD OPTIMEYES-BLOOMFIELD TWP 1961 S TELEGRAPH ROAD BLOOMFIELD TWP MI 48302 VISION SERVICES 62 - HENRY FORD OPTIMEYES SVC-CLINTON TWP 33100 GRATIOT ROSEVILLE MI 48066 VISION SERVICES 63 - HENRY FORD OPTIMEYES SVC-WESTLAND 35184 CENTRAL CITY PARKWAY WESTLAND MI 48185 VISION SERVICES 64 - HENRY FORD OPTIMEYES SVC-WEST BLOOMFIELD 7230 ORCHARD LAKE ROAD WEST BLOOMFIELD MI 48322 VISION SERVICES 65 - HENRY FORD OPTIMEYES SVC-STERLING HGTS 44987 SCHOENHERR STERLING HEIGHTS MI 48313 VISION SERVICES 66 - HENRY FORD OPTIMEYES SVC-SOUTHFIELD 29350 SOUTHFIELD ROAD SOUTHFIELD MI 48076 VISION SERVICES 67 - HENRY FORD OPTIMEYES-COMMERCE TWP 3271 UNION LAKE ROAD COMMERCE TOWNSHIP MI 48382 VISION SERVICES 68 - HENRY FORD OPTIMEYES SVC-TAYLOR 22395 EUREKA ROAD TAYLOR MI 48180 VISION SERVICES 69 - HENRY FORD OPTIMEYES-CHESTERFIELD 27903 23 MILE ROAD CHESTERFIELD MI 48051 VISION SERVICES 70 - HENRY FORD OPTIMEYES-MONROE 504 N TELEGRAPH ROAD MONROE MI 48162 VISION SERVICES 71 - HENRY FORD OPTIMEYES-FORT GRATIOT 4281 24TH AVENUE FORT GRATIOT MI 48059 VISION SERVICES 72 - HENRY FORD OPTIMEYES-SHELBY TWP 2025 25 MILE ROAD SHELBY TOWNSHIP MI 48316 VISION SERVICES 73 - HENRY FORD OPTIMEYES-GROSSE POINTE PARK 15401 E JEFFERSON GROSSE POINTE PARK MI 48230 VISION SERVICES 74 - HENRY FORD CANCER INSTITUTE-DETROIT 2800 WEST GRAND BLVD DETROIT MI 48202 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 75 - HENRY FORD MEDICAL CENTER-ROYAL OAK 110 EAST SECOND STREET ROYAL OAK MI 48067 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 76 - HENRY FORD OCCUPATIONAL HEALTH-HARBORTWN 3300 E JEFFERSON AVE SUITE 100 DETROIT MI 48207 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 77 - HENRY FORD MEDICAL CENTER-CAPITOL PARK 45 GRAND RIVER AVE DETROIT MI 48226 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 78 - HENRY FORD CANCER INSTITUTE-BROWNSTOWN 19675 ALLEN ROAD BROWNSTOWN TWP MI 48183 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 79 - HENRY FORD MEDICAL CENTER-SAGINAW 5375 HAMPTON PLACE SAGINAW MI 48604 OUTPATIENT CLINIC/DIAGNOSTIC CENTER PART I, LINE 7G: SUBSIDIZED SERVICES CONSIST OF INPATIENT WOMENS' SERVICES AND BEHAVIORAL HEALTH SERVICES. THIS INCLUDES BOTH PHYSICIAN AND FACILITY COSTS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $59,374,160 PART II, COMMUNITY BUILDING ACTIVITIES: HFHS BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS A DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFHS INCLUDES IN ITS COMMITMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ARE HEARD ON THE BENEFITS OF HEALTHIER BEHAVIORS. HFHS LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS TO ADDRESS THE NEEDS OF OUR SERVICE AREA. PART III, LINE 2: THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED BASED UPON GROSS CHARGES. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS 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. PART III, LINE 9B: SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED.IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY (PFAP) PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT'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. PART VI, LINE 2: THE ASSESSMENT OF COMMUNITY HEALTH NEEDS IS AN ESSENTIAL FUNCTION OF A HEALTH CARE ORGANIZATION FOR SEVERAL REASONS. FIRST, IT PROVIDES AN UNDERSTANDING OF THE DEMOGRAPHICS AND MAJOR HEALTH NEEDS OF THE COMMUNITIES IT SERVES AND INSIGHT INTO WHAT SERVICES SHOULD BE OFFERED TO MEET THOSE NEEDS. SECOND, BY UNDERSTANDING THE MAJOR HEALTH NEEDS OF THE COMMUNITY, STRATEGIES CAN BE PRIORITIZED AND A MORE TAILORED APPROACH DEVELOPED, RESULTING IN GREATER USE OF THE LIMITED RESOURCES OF MANY HEALTHCARE ORGANIZATIONS. THIRD, VULNERABLE POPULATIONS WITH SIGNIFICANT HEALTH NEEDS CAN BE IDENTIFIED AND TARGETED FOR INTERVENTION SUCH AS THE POOR, UNINSURED, UNDERINSURED, OR VARIOUS RACIAL/ETHNIC OR OTHER VULNERABLE POPULATIONS THAT OTHERWISE MAY HAVE BEEN OVERLOOKED. THROUGH IDENTIFICATION, PROGRAMS CAN THEN BE DEVELOPED SO THAT ALL POPULATIONS WE SERVE WILL RECEIVE APPROPRIATE AND TIMELY ACCESS TO HEALTHCARE SERVICES. IN ADDITION, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ENCOURAGES AN ORGANIZATION TO IDENTIFY AND PARTNER WITH OTHER ORGANIZATIONS AND COMMUNITY AGENCIES. THROUGH PARTNERSHIP, KNOWLEDGE IS SHARED AND RESOURCES CAN BE ALIGNED AND MORE OPTIMALLY UTILIZED TO BENEFIT THE COMMUNITIES SERVED. INTERNALLY THE COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE (CHANCE) PROVIDES EXECUTIVE OVERSIGHT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HENRY FORD HEALTH SYSTEM. TEAM MEMBERS APPROVE HENRY FORD HEALTH SYSTEM'S ONGOING WORK AS A NATIONAL AND STATE LEADER IN COMMUNITY HEALTH ADVOCACY THAT SEEKS TO IMPROVE HEALTH STATUS IN DETROIT AND THE SURROUNDING SUBURBS. THIS IS ACHIEVED THROUGH TARGETED HEALTH IMPROVEMENT PROGRAMS SUCH AS OUR WOMEN-INSPIRED NEIGHBORHOOD (WIN) NETWORK: DETROIT, GENERATION WITH PROMISE, FAITH COMMUNITY NURSING INITIATIVES, SCHOOL-BASED HEALTH CLINICS, HEALTH LITERACY IMPROVEMENT PROJECTS AND OTHER ACTIVITIES. THROUGH TARGETED VOLUNTEERISM AND PARTNERSHIPS, THE SYSTEM'S GOAL IS TO CULTIVATE NEW COMMUNITY RELATIONSHIPS. THIS ASSESSMENT WAS PREPARED JOINTLY BY THE HFHS BUSINESS INTEGRITY SERVICES AND CORPORATE STRATEGIC PLANNING DEPARTMENTS, ALONG WITH THE OFFICE OF COMMUNITY HEALTH, EQUITY AND WELLNESS. RESULTS ARE BEING USED AS A FOUNDATION FOR PLANNING, DEVELOPING, AND REFINING HFHS'S FUTURE COMMUNITY SERVICES IN THE FOUR-COUNTY AREAS. RESULTS OF THIS ASSESSMENT HAVE BEEN REVIEWED WITH SEVERAL HENRY FORD HEALTH SYSTEM LEADERS, LEADING TO STRATEGIC AND IMPLEMENTATION PLAN MODIFICATIONS TO ALIGN STRATEGY WITH IDENTIFIED NEEDS. PART VI, LINE 3: HFHS HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HFHS HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN ONE OF OUR EMERGENCY ROOMS FOR SERVICES. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED REGARDING HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFHS AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS THAT WOULD OFFER POTENTIAL SUPPORT. HFHS HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS. PART VI, LINE 4: THE FOUR-COUNTY AREA INCLUDES THE COUNTIES OF WAYNE, OAKLAND, MACOMB, AND JACKSON WHICH ARE LOCATED IN SOUTHEASTERN AND SOUTHCENTRAL MICHIGAN AND ACCOUNT FOR 41% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULATED COUNTIES IN MICHIGAN. JACKSON COUNTY IS MUCH SMALLER. OF THE NEARLY 4 MILLION RESIDENTS , APPROXIMATELY 51% OF THE POPULATION IS FEMALE. WITH REGARD TO RACE/ETHNICITY, THE FOUR-COUNTY AREA IS 64% WHITE, COMPARED TO A NATIONAL AVERAGE OF 60%. OF NOTE, THE FOUR-COUNTY AREA IS 24% BLACK, WHICH IS TWICE THE NATIONAL PERCENTAGE OF 12%. CONVERSELY, THE HISPANIC POPULATION (5.0%) IS A LITTLE UNDER ONE THIRD THE NATIONAL PERCENTAGE OF 18%.THE NUMBER OF FOUR-COUNTY RESIDENTS IS EXPECTED TO REMAIN FLAT OVER THE NEXT SEVERAL YEARS. WHEN EXAMINING AGE DISTRIBUTION, THE FOUR-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 17% OF THE POPULATION ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE FOUR-COUNTY AREA WITH THE 65-YEARS-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 15% FROM 2019 TO 2024.WITH REGARDS TO EDUCATION, THE FOUR-COUNTY AREA HAS APPROXIMATELY 11% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 13%. FURTHER, 29% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE FOUR-COUNTY AREA IS DIVERSE IN POPULATION, RACE/ETHNICITY, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTH CARE SECTOR IS REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL. THE AVERAGE MEDIAN HOUSEHOLD INCOME WITHIN THE FOUR-COUNTY AREA ($56,240) IS SLIGHTLY LESS THAN THE NATIONAL AVERAGE ($57,652). WITHIN THE FOUR-COUNTY AREA, THE MEDIAN HOUSEHOLD INCOME IN OAKLAND COUNTY ($73,369) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($43,702), JACKSON COUNTY ($49,715) AND MACOMB COUNTY ($58,175). AT THE ZIP CODE LEVEL, AVERAGE HOUSEHOLD INCOMES VARY SIGNIFICANTLY.LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND COSTS OF BASIC NECESSITIES. AS A RESULT, THE FOUR-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT. MICHIGAN RANKS 33RD IN THE COUNTRY FOR CHILDREN UNDER 18 IN FAMILIES BELOW THE POVERTY LEVEL, AT 19.3%, A 3% IMPROVEMENT FROM 2016. UNEMPLOYMENT IN MICHIGAN HAS DROPPED TO 4.6% IN 2018, WHICH IS SIMILAR TO THE NATIONAL AVERAGE AND A DECLINE OF 0.8% SINCE 2016 IN MICHIGAN. CONVERSELY, WITHIN THE FOUR-COUNTY AREA THE UNEMPLOYMENT RATE MATCHES THE NATIONAL AVERAGE OF 4% AND RANGES FROM 3.2% IN OAKLAND COUNTY TO 5.0% IN WAYNE COUNTY.THERE ARE KEY DEMOGRAPHIC DIFFERENCES BETWEEN THE RESIDENTS OF EACH COUNTY WITHIN THE FOUR-COUNTY AREA. FOR EXAMPLE, AGE, SEX, EDUCATION, AND INCOME DISTRIBUTION DIFFER FROM COUNTY TO COUNTY. IN ORDER TO INCREASE THE UTILITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS IMPORTANT TO ANALYZE THE PROFILE(S) OF EACH OF THESE COUNTIES AT A MORE DETAILED LEVEL, SUCH AS ZIP CODES, SO THAT CERTAIN DIFFERENCES WITHIN THE AREA BECOME EVIDENT.ONE COMMUNITY IN PARTICULAR NEED OF ATTENTION IS THE CITY OF DETROIT. WHEN EXAMINING THE CITY OF DETROIT THE AVERAGE HOUSEHOLD INCOME IS $40,314, WHICH IS SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL FOUR-COUNTY AREA ($68,064). REGARDING EDUCATION, 23% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 14% HAVE A BACHELOR'S DEGREE OR HIGHER. IN TERMS OF RACE/ETHNICITY, APPROXIMATELY 91% OF DETROIT IS COMPOSED OF A MINORITY POPULATION VERSUS 37% FOR THE FOUR-COUNTY AREA AS A WHOLE. THE DETROIT UNEMPLOYMENT RATE IS 7.9% (NOVEMBER 2018), DOWN FROM 11.5% IN SEPTEMBER 2015.WHEN LOOKING OUTSIDE OF THE CITY OF DETROIT, VARIOUS OTHER ZIP CODES IN THE FOUR-COUNTY AREA INDICATE SECTIONS OF THE REGION THAT HAVE LOWER INCOMES, LESS EDUCATION, AND ARE MORE RACIALLY AND ETHNICALLY DIVERSE. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES RANGES FROM $29,486-$54,251, LOWER THAN THE FOUR-COUNTY SERVICE AREA. OVERALL, 17% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 11% FOR THE FOUR-COUNTY AREA. THESE TWENTY ZIP CODES HAVE A SLIGHTLY DIFFERENT PERCENTAGE OF RACIAL/ETHNIC MINORITIES AS COMPARED TO THE REST OF THE FOUR-COUNTY AREA. AS A WHOLE THESE ZIP CODES ARE COMPOSED OF 40% MINORITIES COMPARED TO 36% FOR THE FOUR-COUNTY AREA.AS A RESULT, THE CITY OF DETROIT AND ABOVE TWENTY ZIP CODES ARE OF PARTICULAR INTEREST IN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE FOUR-COUNTY AREA. PART VI, LINE 5: HFHS IS ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING SOUTHEASTERN MICHIGAN. HFHS IS GOVERNED BY DEDICATED COMMUNITY BOARDS, AND IN TOTAL PROVIDES APPROXIMATELY 54,000 INPATIENTS STAYS AND 4.6 MILLION PHYSICIAN VISITS ANNUALLY. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD HOSPITAL AN 877- BED TERTIARY, AND QUATERNARY CARE HOSPITAL WITH A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT, SERVING AS A COMMUNITY HOSPITAL FOR ITS IMMEDIATE NEIGHBORHOODS AS WELL AS A REFERRAL CENTER FOR THE SURROUNDING REGION. IT IS SUPPORTED BY THE HENRY FORD MEDICAL GROUP (HFMG) WHICH ALSO PROVIDES CARE IN THE MORE THAN 30 OUTPATIENT MEDICAL CENTERS LOCATED THROUGHOUT SOUTHEAST MICHIGAN. HFHS ALSO INCLUDES HENRY FORD WEST BLOOMFIELD HOSPITAL A 191- BED COMMUNITY HOSPITAL. BEHAVIORAL HEALTH SERVICES ARE PROVIDED THROUGHOUT THE ABOVE FACILITIES AS WELL AS AT HENRY FORD KINGSWOOD HOSPITAL, A 100- BED PSYCHIATRIC HOSPITAL, AND THE MAPLEGROVE CENTER, A 67-BED SUBSTANCE ABUSE FACILITY. HFHS COMMUNITY CARE SERVICES OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS. SERVICES PROVIDED INCLUDE NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, AND DIALYSIS.THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS. COMMUNITY PARTNERSHIPS: HENRY FORD DEVELOPS INNOVATIVE WAYS TO ADDRESS THE SOCIAL, ECONOMIC AND EDUCATIONAL ISSUES THAT AFFECT THE HEALTH OF THE METRO DETROIT COMMUNITY. THESE INCLUDE:CENTER FOR HEALTH SERVICES RESEARCH- CONDUCTS RESEARCH FOCUSING ON OUTCOMES, EFFECTIVENESS AND COST-EFFECTIVENESS OF THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF SUCH DISEASES AS CANCER, DIABETES, ASTHMA AND CONGESTIVE HEART FAILURE AS WELL AS COMMON ACUTE CONDITIONS.COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) CLINIC- PROVIDES PRIMARY CARE SERVICES TO MORE THAN 1,300 UNINSURED AND UNDERINSURED DETROIT RESIDENTS EACH MONTH. HFHS PHYSICIANS STAFF THE CLINIC LOCATED IN SOUTHWEST DETROIT.INNOVATION INSTITUTE AT HENRY FORD HOSPITAL - IN COLLABORATION WITH WAYNE STATE UNIVERSITY SCHOOL OF ENGINEERING AND CENTER FOR CREATIVE STUDIES, THE INNOVATION INSTITUTE AIMS TO RESEARCH AND DESIGN MEDICAL PRODUCTS TO ENHANCE MEDICAL USE AND TO CREATE NEW INDUSTRY IN THE REGION.INSTITUTE ON MULTICULTURAL HEALTH- 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 16 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. PART VI, LINE 6: THE INTEGRATED HEALTH SYSTEM ALSO INCLUDES 5 COMMUNITY HOSPITALS ENCOMPASSING MORE THAN 1,000 BEDS WITH, EMERGENCY SERVICES AND OPEN MEDICAL STAFFS LOCATED IN SUBURBAN REGIONS OF SOUTHEAST MICHIGAN. SOME OF THESE ENTITIES ARE SEPARATE CORPORATIONS AND THE RESULTS OF THEIR COMMUNITY BENEFIT ACTIVITIES ARE REFLECTED IN THEIR RESPECTIVE TAX RETURNS. 1 DDP BIKE SHARE CORPORATION 1 CAMPUS MARTIUS NO 380 DETROIT MI 48226 811577310 501(C)(3) 550000 ORGANIZATIONAL SUPPORT AMERICAN KIDNEY FUND 6110 EXECUTIVE BLVD-STE 1010 ROCKVILLE MD 20852 237124261 501(C)(3) 290000 ORGANIZATIONAL SUPPORT MICHIGAN THANKSGIVING PARADE FOUNDATION 9500 MT ELLIOTT NO A DETROIT MI 48211 382460378 501(C)(3) 128000 ORGANIZATIONAL SUPPORT ARAB AMERICAN AND CHALDEAN COUNCIL 363 W BIG BEAVER ROAD NO 300 TROY MI 48084 382311840 501(C)(3) 5000 ORGANIZATIONAL SUPPORT MICHIGAN ECONOMIC DEVELOPMENT FOUNDATION PO BOX 13063 LANSING MI 48901 382527475 501(C)(3) 25000 ORGANIZATIONAL SUPPORT NATIONAL KIDNEY FOUNDATION OF MICHIGAN 1169 OAK VALLEY DRIVE ANN ARBOR MI 48108 381559941 501(C)(3) 26000 ORGANIZATIONAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 17500 ORGANIZATIONAL SUPPORT MICHIGAN FITNESS FOUNDATION PO BOX 27187 LANSING MI 48909 383172025 501(C)(3) 15000 ORGANIZATIONAL SUPPORT CARING ATHLETES TEAM FOR CHILDREN'S AND HENRY FORD HOSPITAL 3011 W GRAND BLVD-SUITE 223 DETROIT MI 48202 382746810 501(C)(3) 17500 ORGANIZATIONAL SUPPORT WOMEN OF TOMORROW MENTOR & SCHOLARSHIP PROGRAM DETROIT METRO 500 WEST 14 MILE ROAD TROY MI 48083 800735541 501(C)(3) 10000 ORGANIZATIONAL SUPPORT DETROIT CHILDREN'S FUND 100 TALON CENTRE DRIVE SUITE 100 DETROIT MI 48207 462499615 501(C)(3) 5000 ORGANIZATIONAL SUPPORT THE CHILDREN'S FOUNDATION 3011 W GRAND BLVD NO 218 DETROIT MI 48202 320087353 501(C)(3) 5000 ORGANIZATIONAL SUPPORT CRIME STOPPERS OF MICHIGAN 18000 WEST NINE MILE ROAD NO 500 SOUTHFIELD MI 48075 383113586 501(C)(3) 5000 ORGANIZATIONAL SUPPORT DETROIT REGIONAL CHAMBER PO BOX 33840 DETROIT MI 48232 380477570 501(C)(6) 5000 ORGANIZATIONAL SUPPORT DETROIT DONATES INC 1216 BEAUBIEN DETROIT MI 48226 813017340 501(C)(3) 5000 ORGANIZATIONAL SUPPORT DETROIT ECONOMIC CLUB 211 WEST FORT STREET NO 710 DETROIT MI 48226 380508823 501(C)(3) 11000 ORGANIZATIONAL SUPPORT THE EMPOWERMENT PLAN 7640 KERCHEVAL AVENUE DETROIT MI 48214 453265365 501(C)(3) 5000 ORGANIZATIONAL SUPPORT FAMILY CENTER OF GROSSE POINTE & HARPER WOODS 32 LAKE SHORE DRIVE GROSSE POINTE FARMS MI 48236 383596904 501(C)(3) 7500 ORGANIZATIONAL SUPPORT URBAN LEAGUE OF DETROIT AND SOUTHEASTERN MICHIGAN 208 MACK AVENUE DETROIT MI 48201 381358387 501(C)(3) 5000 ORGANIZATIONAL SUPPORT FORGOTTEN HARVEST INC 21800 GREENFIELD ROAD OAK PARK MI 48237 382926476 501(C)(3) 5000 ORGANIZATIONAL SUPPORT GLEANERS COMMUNITY FOOD BANK INC OF SOUTHEASTERN MICHIGAN 2131 BEAUFAIT DETROIT MI 48207 382156255 501(C)(3) 8500 ORGANIZATIONAL SUPPORT GREATER DETROIT AREA HEALTH COUNCIL INC 30200 TELEGRAPH NO 105 BINGHAM FARMS MI 48025 381360904 501(C)(3) 5000 ORGANIZATIONAL SUPPORT JACK AND JILL OF AMERICAN INC DETROIT CHAPTER PO BOX 21383 DETROIT MI 48221 386098323 501(C)(3) 5000 ORGANIZATIONAL SUPPORT YESHIVATH BETH YEHUDAH 15751 LINCOLN DR SOUTHFIELD MI 48075 381437939 501(C)(3) 5000 ORGANIZATIONAL SUPPORT THE HEAT AND WARMTH FUND 535 GRISWOLD SUITE 200 DETROIT MI 48226 382646924 501(C)(3) 5000 ORGANIZATIONAL SUPPORT SOUTHWEST SOLUTIONS 5716 MICHIGAN AVE 3000 DETROIT MI 48210 382672000 501(C)(3) 5000 ORGANIZATIONAL SUPPORT RACING FOR KIDS 131 KERCHEVAL AVENUE SUITE 100 GROSSE POINTE FARMS MI 48236 383457448 501(C)(3) 5000 ORGANIZATIONAL SUPPORT OAKLAND UNIVERSITY SCHOOL OF NURSING 433 MEADOW BROOK ROAD ROCHESTER MI 48309 381714400 115 GOVERMENT 20000 ORGANIZATIONAL SUPPORT NW GOLDBERG CARES 6122 15TH STREET DETROIT MI 48208 821819545 501(C)(3) 5875 ORGANIZATIONAL SUPPORT ALS ASSOCIATION MICHIGAN CHAPTER 675 EAST BIG BEAVER ROAD TROY MI 48083 382190726 501(C)(3) 5000 ORGANIZATIONAL SUPPORT NATIONAL ACTION NETWORK 6100 14TH STREET DETROIT MI 48208 113269182 501(C)(4) 5000 ORGANIZATIONAL SUPPORT NATIONAL MEDICAL FELLOWSHIP 12 E 46TH STREET SUITE 5E NEW YORK NY 10017 010963657 501(C)(3) 5000 ORGANIZATIONAL SUPPORT CHALDEAN AMERICAN CHAMBER OF COMMERCE 30095 NORTHWESTERN HIGHWAY SUITE 101 FARMINGTON HILLS MI 48334 161657532 501(C)(6) 6133 ORGANIZATIONAL SUPPORT THE NATIONAL ASSOCIATION OF HEALTH SERVICES EXECUTIVES 1050 CONNECTICUT AVENUE NW 5TH FLOOR WASHINGTON DC 20036 621312239 501(C)(3) 15000 ORGANIZATIONAL SUPPORT MARCH OF DIMES SCA DETROIT 26261 EVERGREEN STE 290 SOUTHFIELD MI 48076 131846366 501(C)(3) 5000 ORGANIZATIONAL SUPPORT MACK AVENUE COMMUNITY CHURCH COMMUNITY DEVELOPMENT CORP 7900 MACK AVENUE DETROIT MI 48214 272810691 501(C)(3) 5000 ORGANIZATIONAL SUPPORT LEADERS ADVANCING AND HELPING COMMUNITIES 5275 KENILWORTH STREET DEARBORN MI 48126 383081799 501(C)(3) 6000 ORGANIZATIONAL SUPPORT 100 BLACK MEN OF GREATER DETROIT INC 1 FORD PLACE DETROIT MI 48202 383124115 501(C)(3) 5000 ORGANIZATIONAL SUPPORT CONGRESS OF NEUROLOGICAL SURGEONS FOUNDATION INC 10 N MARTINGALE RD NO 190 SCHAUMBURG IL 60173 900917138 501(C)(3) 10000 ORGANIZATIONAL SUPPORT GROSSE POINTE SOUTH HIGH SCHOOLS ATHLETIC BOOSTER CLUB 11 GROSSE POINTE BLVD GROSSE POINTE MI 48236 611428687 501(C)(3) 5000 ORGANIZATIONAL SUPPORT CITY YEAR DETROIT (CITY YEAR INC) 1 FORD PLACE-SUITE 1F DETROIT MI 48202 222882549 501(C)(3) 130501 FAIR MARKET VALUE PROVISION OF OFFICE SPACE & POSTAGE AT NO COST ORGANIZATIONAL SUPPORT COMMUNITY HEALTH & SOCIAL SERVICES CENTER INC (CHASS) 5635 W FORT STREET DETROIT MI 48209 383094394 501(C)(3) 561000 COST PROVISION OF MEDICAL OFFICE & STAFF FOR COMMUNITY ORGANIZATIONAL SUPPORT 38 4 HELPING HANDS PROGRAM 156 281192 SEE PART IV PATIENT MEDICAL SUPPLIES & PHARMACEUTICALS 3125 1562997 COST PATIENTS MEETING FINANCIAL ASSISTANCE PROGRAM GUIDELINES MAY BE PROVIDED WITH SUPPLIES AT NO CHARGE UPON DISCHARGE HFHS SEC. 139 QUALIFIED DISASTER RELIEF PROGRAM 799 1997653 SEE PART IV PART I, LINE 2: HFHS HELPING HANDS: THE HENRY FORD HEALTH SYSTEM HELPING HANDS PROGRAM IS A CHARITABLE INITIATIVE SPONSORED AND FUNDED ENTIRELY BY EMPLOYEES TO HELP CO-WORKERS, VOLUNTEERS AND RETIREES IN TIMES OF NEED. SINCE ITS INCEPTION IN 1992, THE PROGRAM HAS PROVIDED FINANCIAL ASSISTANCE TO HUNDREDS OF PEOPLE. -HELPING HANDS PROVIDES FINANCIAL ASSISTANCE OF UP TO $1,800 TO ELIGIBLE EMPLOYEES AND UP TO $500 TO ELIGIBLE VOLUNTEERS AND RETIREES WHO, DUE TO A CATASTROPHE-SUCH AS A HOME FIRE, ILLNESS OR INJURY-CAN'T AFFORD BASIC NECESSITIES INCLUDING FOOD, CLOTHING AND MEDICAL CARE. A HELPING HANDS EXECUTIVE COMMITTEE ("THE COMMITTEE") COMPRISED OF A REPRESENTATIVE FROM EACH BUSINESS UNIT OF THE HEALTH SYSTEM OVERSEES THE HELPING HANDS PROGRAM. THE COMMITTEE PROVIDES PERIODIC OVERSIGHT OF THE POLICIES AND CRITERIA THAT GOVERN THE DISTRIBUTION OF FUNDS AND PRODUCES AND MAINTAINS THE PROGRAM'S FINANCIAL REPORTS. APPLICATIONS FOR FUNDS, ELIGIBILITY DETERMINATIONS AND DISTRIBUTION OF FUNDS ARE ADMINISTERED AT THE BUSINESS UNIT LEVEL EITHER BY A BUSINESS UNIT HELPING HANDS COMMITTEE OR A HELPING HANDS REPRESENTATIVE. HFHS SEC. 139 QUALIFIED DISASTER RELIEF PROGRAM: HENRY FORD HEALTH SYSTEM ("HFHS") ESTABLISHED THE HFHS QUALIFIED DISASTER RELIEF PROGRAM (THE "PROGRAM") PURSUANT TO SECTION 139 OF THE INTERNAL REVENUE CODE. THE PURPOSE OF THE PROGRAM IS TO ASSIST ELIGIBLE EMPLOYEES WHO HFHS HAS DETERMINED IN ITS SOLE DISCRETION HAVE BEEN ADVERSELY IMPACTED BY THE CORONAVIRUS PANDEMIC AND ARE IN NEED OF CASH OR IN-KIND (E.G. GIFT CARDS) PAYMENTS TO REIMBURSE OR PAY REASONABLE AND NECESSARY PERSONAL, FAMILY, LIVING, AND MEDICAL EXPENSES INCURRED DIRECTLY OR INDIRECTLY AS A RESULT OF THE CORONAVIRUS PANDEMIC. -THE PROGRAM IS A CHARITABLE INITIATIVE SPONSORED AND FUNDED ENTIRELY BY EMPLOYEES TO HELP ALL HFHS EMPLOYEES WHO ARE EXPERIENCING SIGNIFICANT FINANCIAL HARDSHIP DUE DIRECTLY TO THE PANDEMIC AND CAN DEMONSTRATE THE HARDSHIP. -THE PROGRAM PROVIDES UP TO $2,500 TO EMPLOYEES WITH COVID RELATED MEDICAL EXPENSES OR LOSS OF INCOME DUE TO THE PANDEMIC. THE FUNDS MAY BE USED FOR MORTGAGE/RENT PAYMENT, UTILITY BILLS, CAR PAYMENTS, INSURANCE, AND GROCERIES. SCHEDULE I, PART I, LINE 2 THE COMMUNITY OUTREACH DEPARTMENT MONITORS GRANTS PAID TO CHARITABLE AND GOVERNMENTAL ENTITIES. X X 1 1 X X X X X 1 1 0 1 0 0 0 1 0 WRIGHT L LASSITER III DIRECTOR/PRESIDENT/CEO 1754642 0 1441274 0 661608 0 24441 0 31805 0 3913770 0 0 0 ROBERT G RINEY COO /PRESIDENT-HEALTHCARE 1175353 0 629415 0 308295 0 27291 0 13326 0 2153680 0 0 0 WILLIAM W O'NEILL MD PHYSICIAN 1735735 0 250000 0 26645 0 25866 0 16230 0 2054476 0 0 0 STEVEN N KALKANIS MD CEO-HFMG 969423 0 465138 0 21210 0 207213 0 27921 0 1690905 0 0 0 RICHARD O DAVIS PHD CEO HF HOSPITAL & SOUTH MARKET 935385 0 522418 0 27024 0 168707 0 36053 0 1689587 0 0 0 ROBIN S DAMSCHRODER TREASURER/CFO 830349 0 425346 0 20742 0 221611 0 32361 0 1530409 0 0 0 THEODORE WILLIAM PARSONS MD PHYSICIAN 1057924 0 287679 0 27493 0 25866 0 25801 0 1424763 0 0 0 ADNAN R MUNKARAH MD CHIEF MEDICAL OFFICER 808899 0 425346 0 24402 0 25866 0 33926 0 1318439 0 0 0 MUWAFFAK M ABDULHAK MD PHYSICIAN 849339 0 310838 0 66232 0 25866 0 32376 0 1284651 0 0 0 MICHAEL GENORD MD CEO - HAP 693365 87163 248857 0 16219 6498 166005 383 22427 4578 1146873 98622 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 705834 0 293497 0 12710 0 152227 0 31828 0 1196096 0 0 0 MOKBEL K CHEDID MD PHYSICIAN 768539 0 266927 0 74447 0 27291 0 39591 0 1176795 0 0 0 SCOTT DULCHAVSKY MD PHYSICIAN 818732 0 259263 0 27493 0 27291 0 33081 0 1165860 0 0 0 ANTONIA MARIA RAMSEY EVP- CHIEF HUMAN RESOURCES START 1/1 597750 0 267976 0 23691 0 135538 0 31036 0 1055991 0 0 0 DENISE BROOKS-WILLIAMS CEO NORTH MARKET 574982 0 259375 0 125047 0 24441 0 29616 0 1013461 0 0 0 WILLIAM A CONWAY MD FORMER DIRECTOR/CEO-HFMG THRU 1/1/20 454167 0 391846 0 99143 0 27291 0 22914 0 995361 0 0 0 KATHLEEN L YAREMCHUK MD DIRECTOR-PHYSICIAN START 1/1/20 778560 0 127367 0 19969 0 27291 0 27728 0 980915 0 0 0 DAVID F SHEPHERD CEO - COMMUNITY CARE SERVI 425475 0 221715 0 23064 0 107624 0 24067 0 801945 0 0 0 VERONICA M HALL RN FORMER INT. CEO-HF HOSP 505671 0 206955 0 20850 0 27291 0 12430 0 773197 0 0 0 MARY JANE VOGT EVP- PHILANTHROPY 348402 0 142110 0 5495 0 27291 0 10748 0 534046 0 0 0 CARLADENISE A EDWARDS PHD EVP-CHIEF STRATEGY START 7/13/2020 341293 0 60000 0 57947 0 0 0 18776 0 478016 0 0 0 ERIC WALLIS CEO - W BLMFLD HOSP 273308 0 116885 0 16818 0 4275 0 28321 0 439607 0 0 0 TERESA L KLINE FORMER CEO - HAP 0 0 226669 0 0 0 0 0 0 0 226669 0 0 0 HEATHER GEISLER EVP-CHIEF MARKETING START 9/1/2020 137874 0 40000 0 33625 0 0 0 8570 0 220069 0 0 0 MARJORIE A STATEN JD ASST. SECRETARY 167759 0 36162 0 1499 0 2978 0 9694 0 218092 0 0 0 LYNN M TOROSSIAN FORMER CEO - W BLMFLD HOSP 0 0 0 0 129083 0 0 0 0 0 129083 0 0 0 PART I, LINE 1A IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY NO TAXABLE INCOME IS REPORTED. THERE WERE NO PAYMENTS OR REIMBURSEMENTS OF FIRST CLASS DURING 2020. ADDITIONALLY, IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. PART I, LINES 4A-B PART 1 LINE 4A: SEVERANCE PAYMENTS LYNN M. TOROSSIAN $129,083 4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: PART I, LINE 4B, PERSON PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE PARTICIPANT ACCRUAL DISTRIBUTIONS DISTRIBUTIONS NON-VESTED W-2 WRIGHT LASSITER 637,206 - - - 637,206 ROBERT G. RINEY 281,271 - - - 281,271 WILLIAM A. CONWAY,MD 99,143 - - - 99,143 ROBIN DAMSCHRODER - - - 197,170 - MICHELLE JOHNSON TIDJANI - - - 128,499 - ADNAN R. MUNKARAH, M.D. - - - 191,258 - DENISE BROOKS-WILLIAMS 105,525 - - - 105,525 RICHARD O. DAVIS, PH.D - - - 163,720 - STEVEN KALKANIS, M.D. - - - 181,347 - MICHAEL GENORD, M.D. - - - 161,017 - ANTONIA RAMSEY - - - 111,097 - DAVID SHEPHERD - - - 80,333 - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2020 CONTR. 2020 CONTR. TAX GROSS-UP W-2 AMOUNTS THEODORE W. PARSONS,MD - 19,500 469 19,969 ROBERT G. RINEY 19,500 - - 19,500 WILLIAM W. O'NEILL, MD - 19,500 469 19,969 WRIGHT L. LASSITER III 19,500 - - 19,500 MUWAFFAK M. ABDULHAK,MD - 19,500 469 19,969 ADNAN R. MUNKARAH, M.D. 19,500 - - 19,500 STEVEN N. KALKANIS, M.D. 19,500 - - 19,500 DAVID SHEPHERD 19,500 - - 19,500 ROBIN DAMSCHRODER 19,500 - - 19,500 RICHARD O. DAVIS, PH.D 19,500 - - 19,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 VERONICA M. HALL, R.N. 6,300 13,200 318 19,818 MICHAEL GENORD, M.D. 14,000 - - 14,000 MICHELLE JOHNSON TIDJANI 11,000 - - 11,000 MOKBEL CHEDID, M.D. - 19,500 469 19,969 ANTONIA RAMSEY 19,500 - - 19,500 KATHLEEN YAREMCHUK, M.D. - 19,500 469 19,969 MARY JANE VOGT - 4,153 100 4,253 CARLADENISE EDWARDS 11,195 - - 11,195 ERIC WALLIS 11,750 346 - 12,096 HEATHER GEISLER 19,500 - - 19,500 SCOTT DULCHAVSKKY, M.D. - 19,500 469 19,500 PART I, LINE 5 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A CONTRACTUAL FORMULA THAT PROVIDES FOR A MINIMUM BASE SALARY AND INCREMENTAL COMPENSATION WHEN DEPARTMENTAL NET REVENUE EXCEEDS A PREDETERMINED LEVEL. SUCH ARRANGEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. PART I, LINE 7 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A BASE SALARY AND AN INCENTIVE PAYMENT WHEN SERVICE VOLUMES EXCEED A PREDETERMINED LEVEL. SUCH AGREEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. A MICHIGAN FINANCE AUTHORITY 800596186 59447TMQ3 2016-09-28 965679157 SEE PART VI 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59447TUJ0 2019-05-02 250004191 SEE PART VI 0 0 0 A 17150000 965679157 6583154 158579421 800516582 1 1 1 1 B 251471992 251471992 0 0 0 1 A 0 1 0 0 0.01590 0.01590 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART I, COLUMN (F), DESCRIPTION OF PURPOSE (A) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (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 (B) DESCRIPTION OF PURPOSE: FINANCING THE CONSTRUCTION, RENOVATION AND EQUIPPING OF HOSPITAL FACILITIES. PART II, LINE (13), YEAR OF SUBSTANTIAL COMPLETION SERIES 2016 HFHS 2006A - 2009 HFHS 2009 - 2009 HFHS 2014 - 2007 ALLEGIANCE 2011AB - 2011 ALLEGIANCE 2010/2006B-2/2006C-2010 PART IV, LINE 6, COLUMN A- THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. KIRCO MANIX CONSTRUCTION SEE BELOW 20500 SEE BELOW 0 NANCY J SAMMONS SEE BELOW 190038 SEE BELOW 0 SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KIRCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FORMER BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: CONSTRUCTION SERVICES(A) NAME OF PERSON: NANCY J. SAMMONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: ABBOTT LABORATORIES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 8,362,267(D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL PRODUCTS AND MEDICINE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ALLERGAN INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 625,490(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL BILLING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: BOSTON SCIENTIFIC CORP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 18,119,767(D) DESCRIPTION OF TRANSACTION: INNOVATIVE MEDICAL PRODUCT SOLUTIONS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: CASCADE HEMOPHILIA CONSORTIUM(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 187,812(D) DESCRIPTION OF TRANSACTION: PROVIDED SPECIALTY PHARMACY PRODUCTS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: D&B LANDSCAPING INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,654,737(D) DESCRIPTION OF TRANSACTION: PROVIDED LANDSCAPING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DEMARIA BUILDING COMPANY INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,210,400 (D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DETROIT PISTONS BASKETBALL COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 897,082 (D) DESCRIPTION OF TRANSACTION: DONATED PROTECTIVE EQUIPMENT MASKS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: EDWARDS LIFE SCIENCES, LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 8,938,143 (D) DESCRIPTION OF TRANSACTION: PROVIDED INNOVATIVE MEDICAL PRODUCTS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: FORD MOTOR COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 250,000 (D) DESCRIPTION OF TRANSACTION: MANUFACTURED AND DONATED RESPIRATOR PRODUCTS (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: GREATER DETROIT AREA HEALTH COUNCIL INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 120,250(D) DESCRIPTION OF TRANSACTION: PROVIDED COMMUNITY HEALTH SPONSORSHIP (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: GRUNWELL CASHERO COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 341,526 (D) DESCRIPTION OF TRANSACTION: PROVIDED ARCHITECTURAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: JOHNSON AND JOHNSON(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 7,427,971(D) DESCRIPTION OF TRANSACTION: PROVIDED DIAGNOSTIC PRODUCTS AND DEVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: KAISER FOUNDATION RESEARCH INSTITUTE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,198,510(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: LAWRENCE GREEN FIRE PROTECTION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 678,004(D) DESCRIPTION OF TRANSACTION: PROVIDED MAINTENANCE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MEDTRONIC USA INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 18,278,822(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: MERCK SHARP & DOHME CORP.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 552,635(D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL SUPPLIES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: PFIZER INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,238,940(D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL VACINES AND SUPPLIES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: TURNER CONSTRUCTION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 23,008,016 (D) DESCRIPTION OF TRANSACTION: PROVIDED CONTRACTOR SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: VARIAN MEDICAL SYSTEMS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 4,764,607(D) DESCRIPTION OF TRANSACTION: PURCHASE OF MEDICAL DEVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: WAYNE STATE UNIVERSITY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 226,881(D) DESCRIPTION OF TRANSACTION: RENTAL PAYMENTS(E) SHARING OF ORGANIZATION'S REVENUE? NO X 2 5450 FAIR MARKET VALUE X 127230 FAIR MARKET VALUE X 27 1847175 MARKET VALUE X 197 2851247 FAIR MARKET VALUE X PROFESSIONAL SERVICES 4 539203 FAIR MARKET VALUE X FOOD FOR HEALTHCARE WORKERS 174 398634 FAIR MARKET VALUE X EVENT ITEMS 3 2024 FAIR MARKET VALUE 0 1 1 PART I, LINE 32B: BROKERAGE FIRM SELLS DONATIONS OF STOCK FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR TO DIRECTOR BUSINESS RELATIONSHIP: MICHAEL RAFFERY AND SANDRA PIERCE. FORM 990, PART VI, SECTION B, LINE 11B THE TAX DEPARTMENT OF THE ORGANIZATION PREPARES THE FORM 990 AND HAS IT REVIEWED BY ITS INDEPENDENT TAX SERVICE PROVIDER. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HFHS SENIOR VICE PRESIDENT, FINANCIAL OPERATIONS, AND CHIEF FINANCIAL OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF DIRECTORS - REVIEW OF THE RETURN WITH THE HFHS COO, CEO AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS - PROVIDE A COPY OF THE RETURN TO THE HFHS BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH SYSTEM. SCHEDULE R, PART V, LINE 1D AND 1E THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE BOND MASTER INDENTURE. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISIONS THAT ARE NOT SEPARATE LEGAL ENTITIES BUT HAVE THEIR OWN UNIQUE ASSIGNED EIN'S. FINANCIAL INFORMATION RELATING TO THESE DIVISIONS ARE INCLUDED IN THIS RETURN. -HENRY FORD WEST BLOOMFIELD HOSPITAL (26-3896897) -HENRY FORD WEST BLOOMFIELD PHYSICIANS (47-2146687) -CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE (30-0092342) -HENRY FORD HEALTH SYSTEM - SCHOOL BASED HEALTH INITIATIVE (87-0729167) -COTTAGE HOSPITAL PHYSICIAN PRACTICE (26-4245539) -HENRY FORD PATHOLOGY (41-2223561) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HFHS PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH SYSTEM USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -7,674,603. INTERCOMPANY TRANSFERS 4,999,020. AFFILIATE EQUITY ADJUSTMENT 28,029,237. 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