2021-11-11T13:01:06-06:00 2020-12-31 990 2020-01-01 237383042 HENRY FORD HEALTH SYSTEM FOUNDATION HENR 3138768704 ONE FORD PLACE - 5F DETROIT MI 48202 ROBIN DAMSCHRODER EVP FINANCE/CFO 3138768714 2021-11-11 ROBIN DAMSCHRODER 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROBIN DAMSCHRODER ONE FORD PLACE - 5F DETROIT MI 48202 110804686 0 X N/A X 1974 MI TO IMPROVE LIFE BY SUPPORTING EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. 37 31 0 0 0 0 0 0 0 0 24456527 3172498 16375 23070 24472902 3195568 16213100 16318616 0 0 0 0 0 0 0 1147862 360561 17360962 16679177 7111940 -13483609 341894595 365525098 16200000 16300000 325694595 349225098 X THE HENRY FORD HEALTH SYSTEM FOUNDATION (THE FOUNDATION) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) SERVING THE METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, THE FOUNDATION EXISTS TO ADVANCE THE GOALS AND MISSION OF HFHS AND TO IMPROVE THE QUALITY OF HUMAN LIFE THROUGH ITS SUPPORT OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THE ORGANIZATION PROVIDES FINANCING TO VARIOUS RESEARCH AND OTHER INITIATIVES OF HFHS. 0 0 16318616 16318616 1111641 THE FOUNDATION'S PURPOSE IS TO MANAGE AN ENDOWMENT FUND AND BASED ON THE RESULTS OF HFHS NEEDS ANALYSIS, PROVIDE FUNDING TO VARIOUS RESEARCH AND OTHER INITIATIVES OF HFHS AND ITS AFFILIATES. 16318616 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 37 31 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X ROBIN DAMSCHRODER 3138768714 ONE FORD PLACE DETROIT MI 48202 WRIGHT L LASSITER III TRUSTEE- PRESIDENT 2.00 63.00 X X 0 3857524 56246 HENRY W LIM MD PHYSICIAN TRUSTEE 1.00 60.00 X 0 664012 53199 TAMER A GHANEM MD PHYSICIAN TRUSTEE 1.00 60.00 X 0 388229 53250 CELESTE WILLIAMS MD PHYSICIAN TRUSTEE 1.00 60.00 X 0 430894 31126 MARY JANE VOGT TRUSTEE 1.00 60.00 X 0 496007 38039 WALTER E DOUGLAS TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL E BERGER TRUSTEE 1.00 0.00 X 0 0 0 THOMAS C BUHL TRUSTEE - CHAIR 2.00 0.00 X X 0 0 0 ROBERT C BOBB TRUSTEE 1.00 0.00 X 0 0 0 IAN BURNSTEIN TRUSTEE 1.00 0.00 X 0 0 0 GRETCHEN GONZALES DAVIDSON TRUSTEE 1.00 0.00 X 0 0 0 ALLEN H DEMCHIK TRUSTEE 1.00 0.00 X 0 0 0 TIFFANY SLEMMONS DOUGLAS TRUSTEE 1.00 0.00 X 0 0 0 SHARI E FINSILVER TRUSTEE 1.00 0.00 X 0 0 0 DAVID M HEMPSTEAD TRUSTEE 1.00 3.00 X 0 0 0 NIKOLAOS MOSCHOURIS TRUSTEE 1.00 0.00 X 0 0 0 KATHLEEN J WHELAN TRUSTEE 1.00 0.00 X 0 0 0 BENSON FORD JR TRUSTEE 1.00 0.00 X 0 0 0 PETER D CUMMINGS TRUSTEE 1.00 0.00 X 0 0 0 CALVIN R FORD TRUSTEE 1.00 0.00 X 0 0 0 LINDA HAYMAN TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY TAMAROFF TRUSTEE 1.00 0.00 X 0 0 0 FREDERICK LAVERY JR TRUSTEE 1.00 0.00 X 0 0 0 KYLE ANNE SASENA TRUSTEE 1.00 0.00 X 0 0 0 WENDY WILLIAMS POWERS TRUSTEE 1.00 0.00 X 0 0 0 VONDA GRANT TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW S SOSIN TRUSTEE 1.00 0.00 X 0 0 0 RONNIE J BOJI TRUSTEE 1.00 0.00 X 0 0 0 RAVINDER T SHAHANI TRUSTEE 1.00 0.00 X 0 0 0 TODD A WYETT TRUSTEE 1.00 0.00 X 0 0 0 LYNN FORD ALANDT TRUSTEE 1.00 3.00 X 0 0 0 CHARLOTTE A FORD TRUSTEE 1.00 0.00 X 0 0 0 KENNETH A FRUEHAUF TRUSTEE 1.00 0.00 X 0 0 0 STEVEN N KALKANIS MD PHYSICIAN TRUSTEE 1.00 61.00 X 0 1455771 235134 DAVID P LARSEN TRUSTEE 1.00 0.00 X 0 0 0 VIVIAN ROGERS PICKARD TRUSTEE 1.00 0.00 X 0 0 0 LEROY C RICHIE TRUSTEE 1.00 0.00 X 0 0 0 ROBIN S DAMSCHRODER TREASURER 2.00 63.00 X 0 1276437 253972 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 2.00 63.00 X 0 1012041 184055 MARJORIE A STATEN JD ASSISTANT SECRETARY 2.00 58.00 X 0 205420 12672 WILLIAM A CONWAY MD FORMER PHYSICIAN TRUSTEE 0.00 60.00 X 0 945156 50205 0 10731491 967898 0 1 1 0 0 2060857 2060857 108720759 107609118 1111641 1111641 1111641 ROYALTY INCOME 523000 23070 23070 23070 3195568 1111641 0 2083927 16318616 16318616 INVESTMENT FEES 358561 358561 ACCOUNTING FEES 2000 2000 16679177 16318616 360561 0 1634529 1638604 247286130 316876385 92973964 47005655 -28 4454 341894595 365525098 16200000 16300000 16200000 16300000 X 325694595 349225098 325694595 349225098 341894595 365525098 -13483609 37014112 0 X X 0 1 X 1 0 X X 1 HENRY FORD HEALTH SYSTEM 381357020 3 1 16318616 0 1 16318616 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 OTHER SECURITIES 21139770 F HFHS MALPRACTICE 481266 F VENTURE CAPITAL, PARTNER 25384619 F 47005655 X PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019. 1 HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 501(C)(3) 16318616 RESEARCH FUNDING TO HENRY FORD HEALTH SYSTEM RESEARCH FUNDING TO HFII CORPORATION (HENRY FORD INNOVATION INSTITUTE) 1 X X X X 0 1 0 0 0 0 0 0 0 WRIGHT L LASSITER III TRUSTEE- PRESIDENT 0 1754642 0 1441274 0 661608 0 24441 0 31805 0 3913770 0 0 STEVEN N KALKANIS MD PHYSICIAN TRUSTEE 0 969423 0 465138 0 21210 0 207213 0 27921 0 1690905 0 0 ROBIN S DAMSCHRODER TREASURER 0 830349 0 425346 0 20742 0 221611 0 32361 0 1530409 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 0 705834 0 293497 0 12710 0 152227 0 31828 0 1196096 0 0 WILLIAM A CONWAY MD FORMER PHYSICIAN TRUSTEE 0 454167 0 391846 0 99143 0 27291 0 22914 0 995361 0 0 HENRY W LIM MD PHYSICIAN TRUSTEE 0 639556 0 125 0 24331 0 27291 0 25908 0 717211 0 0 MARY JANE VOGT TRUSTEE 0 348402 0 142110 0 5495 0 27291 0 10748 0 534046 0 0 CELESTE WILLIAMS MD PHYSICIAN TRUSTEE 0 371061 0 31481 0 28352 0 25866 0 5260 0 462020 0 0 TAMER A GHANEM MD PHYSICIAN TRUSTEE 0 338871 0 13603 0 35755 0 24441 0 28809 0 441479 0 0 MARJORIE A STATEN JD ASSISTANT SECRETARY 0 167759 0 36162 0 1499 0 2978 0 9694 0 218092 0 0 PART I, LINE 4B SCH J, LINE 4B, PERSON PARTICIPATING IN HFHS NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) VALUE OF TAXABLE REPORTABLE 2020 ACCRUAL NON VESTED 2020 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT WILLIAM A. CONWAY,MD 99,143 - - 99,143 WRIGHT L. LASSITER III 637,207 - - 637,206 MICHELLE JOHNSON TIDJANI - 128,499 - - STEVEN KALKANIS, M.D. - 181,347 - - ROBIN DAMSCHRODER - 197,170 - - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2020 CONTRIBUTIONS 2020 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS HENRY W. LIM, M.D. - 19,500 469 19,969 WRIGHT LASSITER III 19,500 - - 19,500 TAMER A. GHANEM, M.D. - 2,587 62 2,649 ROBIN DAMSCHRODER 19,500 - - 19,500 CELESTE THOMAS WILLIAMS 13,000 4,950 119 18,069 STEVEN KALKANIS, M.D. 19,500 - - 19,500 MICHELLE JOHNSON TIDJANI 11,000 - - 11,000 MARY JANE VOGT - 4,153 100 4,253 FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP AMONGST BOAD MEMBERS: LYNN FORD ALANDT, CHARLOTTE A. FORD AND BENSON FORD JR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A TAX EXEMPT MEMBERSHIP CORPORATION AND THE SOLE MEMBER OF THE ORGANIZATION IS HENRY FORD HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF THE ORGANIZATION, HFHS HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS. FORM 990, PART VI, SECTION A, LINE 7B BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) AND THE TAX DEPARTMENT OF HFHS PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - 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 HFHS COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AND CEO AND COO - PROVIDE A COPY OF THE RETURN TO THE HFHS BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HFHS HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HFHS CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HFHS HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. FORM 990, PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH SYSTEM. FORM 990, PART XII - LINE 2C HENRY FORD FOUNDATION (FUND) IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH SYSTEM. THE GOVERNING BODY OF HFHS HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH SYSTEM (PARENT OF OUR CONTROLLED GROUP OF WHICH THE ORGANIZATION IS A MEMBER). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. 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. HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 N/A 0 HENRY FORD WYANDOTTE HOSPITAL 2333 BIDDLE AVE WYANDOTTE MI 48192 382791823 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HEALTH ALLIANCE PLAN 2850 W GRAND BLVD DETROIT MI 48202 382242827 HEALTH MAINTENANCE ORGANIZATION MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 HFII CORPORATION ONE FORD PLACE DETROIT MI 48202 900840304 SCIENTIFIC RESEARCH MI 501(C)(3) LINE 7 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES ONE FORD PLACE DETROIT MI 48202 464064067 ADVOCACY SERVICES FOR HFHS AND AFFILIATES MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 HENRY FORD MACOMB HOSPITAL CORPORATION ONE FORD PLACE DETROIT MI 48192 382947657 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD ALLEGIANCE HEALTH GROUP 205 N EAST AVENUE JACKSON MI 49201 382756428 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 ALLEGIANCE HEALTH FOUNDATION 205 N EAST AVENUE JACKSON MI 49201 383607833 SUPPORT ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD ALLEGIANCE HEALTH GROUP 1 HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE 205 N EAST AVENUE JACKSON MI 49201 382336367 HOSPICE MI 501(C)(3) LINE 7 HEALTHLINK 1 HEALTHLINK 205 N EAST AVENUE JACKSON MI 49201 382756425 HOME HEALTH CARE MI 501(C)(3) LINE 12A, I HENRY FORD ALLEGIANCE HEALTH GROUP 1 CARELINK OF JACKSON 110 NORTH ELM AVENUE JACKSON MI 49202 381218485 LONG TERM ACUTE HOSPITAL MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 1 WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD ALLEGIANCE HEALTH 205 N EAST AVENUE JACKSON MI 48201 382027689 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 1 THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND 3031 WEST GRAND BOULEVARD NO 800 DETROIT MI 48202 382682321 SUPPORT ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 NORTHWEST DETROIT DIALYSIS 30100 TELEGRAPH BINGHAM FARMS MI 48025 383232668 OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM N/A 0 0 MACOMB REGIONAL DIALYSIS CENTERS 16151 NINETEEN MILE RD CLINTON TOWNSHIP MI 48038 260423581 OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM N/A 0 0 FOOTE HEALTH CENTER ASSOCIATES 1100 E MICHIGAN AVENUE JACKSON MI 49201 383017711 LESSOR OF MEDICAL CONDOMINIUM MI HENRY FORD ALLEGIANCE HEALTH GROUP RELATED 0 0 SHA REALTY INC ONE FORD PLACE DETROIT MI 48202 381378121 REAL ESTATE HOLDING MI HENRY FORD HEALTH SYSTEM FOUNDATION C 486406 7374256 1.00000 1 FAIRLANE HEALTH SERVICES 30100 TELEGRAPH BINGHAM FARMS MI 48025 382565235 HEALTHCARE MANAGEMENT MI HENRY FORD HEALTH SYSTEM C 1 ALLIANCE HEALTH AND LIFE INSURANCE 2850 W GRAND BLVD DETROIT MI 48202 383291563 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN C 1 HAP PREFERRED INC 2850 W GRAND BLVD DETROIT MI 48202 382513504 PROVIDER NETWORK LEASING MI HEALTH ALLIANCE PLAN C 1 ONIKA INSURANCE LTD FIRST CARRIBEAN HOUSE GRAND CAYMAN CAYMAN ISLANDS CJ CAPTIVE INSURANCE CJ HENRY FORD HEALTH SYSTEM C 1 HENRY FORD PHYSICIAN NETWORK ONE FORD PLACE DETROIT MI 48202 320306774 PHYSICIAN NETWORK MI HENRY FORD HEALTH SYSTEM C 1 ADMINISTRATION SYSTEMS RESEARCH CORPORATION 2850 W GRAND BLVD DETROIT MI 48202 382651185 THIRD PARTY INSURANCE ADMINISTRATOR MI HEALTH ALLIANCE PLAN C 1 HAP EMPOWERED HEALTH PLAN INC 2850 W GRAND BLVD DETROIT MI 48202 383123777 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN C 1 HENRY FORD ALLEGIANCE PHARMACY 205 N EAST AVENUE JACKSON MI 49201 383370242 PHARMACY MI HENRY FORD ALLEGIANCE HEALTH GROUP C 1 HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION 1150 ELIJAH MCCOY DR DETROIT MI 48202 852144748 CONDOMINIUM ASSOCIATION MI HENRY FORD HEALTH SYSTEM S 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HENRY FORD HEALTH SYSTEM B 16318616 CASH VALUE SCHEDULE R, PART V, LINE 1D & 1E: THE ORGANIZATION, AS A DESIGNATED AFFILIATE, IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM CREDIT GROUP. MEMBERS OF THE CREDIT GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016 HFHS BOND MASTER INDENTURE.