HENRY FORD MACOMB HOSPITAL CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: HENRY FORD MACOMB HOSPITAL CORPORATION (EIN 38-2947657)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-11
IRS object ID: 202003169349305085
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-11T15:49:37-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382947657	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HENRY FORD MACOMB HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HENR	BusinessNameControlTxt
Phone	3138768704	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FORD PLACE - 5F	AddressLine1Txt
City	DETROIT	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48202	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBIN DAMSCHRODER	PersonNm
Person Title	EVP FINANCE/CFO	PersonTitleTxt
Phone	3138745446	PhoneNum
Signature	2020-11-11	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	150.198.64.203	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-11	IPDt
IP Tm	15:29:37	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4D7818B4378CD12CB7018F8280EB59C545A2623B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBIN DAMSCHRODER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FORD PLACE - 5F	AddressLine1Txt
City	DETROIT	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48202	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$589,224,953	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HENRYFORD.COM/HOMEPAGE_MACOMB	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1990	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	4074	TotalEmployeeCnt
Total Volunteers	620	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,491,916	PYContributionsGrantsAmt
CY Contributions Grants	$2,194,753	CYContributionsGrantsAmt
PY Program Service Revenue	$518,023,277	PYProgramServiceRevenueAmt
CY Program Service Revenue	$570,711,195	CYProgramServiceRevenueAmt
PY Investment Income	-$1,834,862	PYInvestmentIncomeAmt
CY Investment Income	$11,462,756	CYInvestmentIncomeAmt
PY Other Revenue	$4,119,363	PYOtherRevenueAmt
CY Other Revenue	$4,130,696	CYOtherRevenueAmt
PY Total Revenue	$521,799,694	PYTotalRevenueAmt
CY Total Revenue	$588,499,400	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$187,455	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$221,796,242	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$235,113,564	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$173,930	CYTotalFundraisingExpenseAmt
PY Other Expenses	$282,683,556	PYOtherExpensesAmt
CY Other Expenses	$320,648,560	CYOtherExpensesAmt
PY Total Expenses	$504,479,798	PYTotalExpensesAmt
CY Total Expenses	$555,949,579	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,319,896	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,549,821	CYRevenuesLessExpensesAmt
Total Assets BOY	$365,459,816	TotalAssetsBOYAmt
Total Assets EOY	$410,349,956	TotalAssetsEOYAmt
Total Liabilities BOY	$238,192,002	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$259,838,841	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$127,267,814	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$150,511,115	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HENRY FORD MACOMB HOSPITAL (HFMH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM SERVING THE NORTHEASTERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFMH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFMH IS COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES FINANCING AND HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$289,001,267	ExpenseAmt
Grant	$187,455	GrantAmt
Revenue	$367,166,639	RevenueAmt
Desc	HFMH IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF THE MACOMB COUNTY MICHIGAN AS WELL AS OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 2019 HFMH HAD 21,576 DISCHARGES.HENRY FORD MACOMB HOSPITAL-CLINTON TOWNSHIP PROVIDES COMPREHENSIVE ACUTE AND TERTIARY CARE. SPECIALTY SERVICES INCLUDE A HEART & VASCULAR INSTITUTE, JOSEPHINE FORD CANCER CENTER, A WOMEN'S HEALTH CENTER, ALONG WITH A BIRTHING CENTER THAT FEATURES 18 LABOR, DELIVERY, RECOVERY AND POST-PARTUM SUITES. THE HOSPITAL ALSO HAS A 42-BED INPATIENT REHABILITATION PROGRAM, AN AMBULATORY AND MINIMALLY INVASIVE SURGERY CENTER AND LEADING DIAGNOSTIC IMAGING, ALONG WITH ADVANCED TRAUMA CAPABILITIES AND EMERGENCY SERVICES.HENRY FORD HOSPITAL DOCTORS TRAIN APPROXIMATELY 900 MEDICAL SCHOOL STUDENTS, 675 RESIDENTS AND FELLOWS ACROSS 50 DIFFERENT AREAS OF MEDICINE EVERY YEAR. HENRY FORD HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS.HENRY FORD MACOMB HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS, AND TRAINED APPROXIMATELY 100 MEDICAL RESIDENTS DURING 2019.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$187,171,320	ExpenseAmt
Revenue	$158,967,989	RevenueAmt
Desc	HFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED 1,042,505 OUTPATIENT VISITS DURING 2019.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$22,175,676	ExpenseAmt
Revenue	$14,898,631	RevenueAmt
Desc	HFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 64,470 PATIENT VISITS DURING 2019.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$41,421,790	ExpenseAmt
Revenue	$33,507,437	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$41,421,790	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$33,507,437	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$539,770,053	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	417	IRPDocumentCnt
IRP Document W2 G	6	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4074	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROBIN DAMSCHRODER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3138768714	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FORD PLACE	AddressLine1Txt
City	DETROIT	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48202	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
WRIGHT L LASSITER III
DIRECTOR-PRESIDENT	2.00	63.00	Yes (X)	Yes (X)	$0	$5,262,561	$54,982
WILLIAM A CONWAY MD
FORMER DIRECTOR/PHYSICIAN	1.00	64.00			$0	$1,289,133	$48,776	Yes (X)
KENNETH A SCOTT DO
PHYSICIAN	60.00	0.00			$1,205,709	$0	$50,633		Yes (X)
MARK T RYAN DO
PHYSICIAN	60.00	0.00			$1,154,736	$0	$27,995		Yes (X)
ROBIN S DAMSCHRODER
TREASURER	2.00	63.00		Yes (X)	$0	$966,630	$199,409
BARBARA W ROSSMANN
CEO MACOMB HOSPITAL	60.00	1.00			$1,023,337	$0	$49,837			Yes (X)
MICHELLE JOHNSON TIDJANI ESQ
SECRETARY	2.00	63.00		Yes (X)	$0	$910,490	$157,996
RONALD LEVIN MD
PHYSICIAN	60.00	0.00			$988,002	$0	$56,624		Yes (X)
EDDIE EL-YUSSIF DO
PHYSICIAN	60.00	0.00			$987,753	$0	$55,304		Yes (X)
DENISE BROOKS-WILLIAMS
CEO NORTH MARKET	30.00	30.00			$0	$969,945	$41,379			Yes (X)
VINAY PAMPATI DO
PHYSICIAN	60.00	0.00			$856,500	$0	$49,912		Yes (X)
ALEXANDER D SHEPARD MD
DIRECTOR/PHYSICIAN	1.00	62.00	Yes (X)		$0	$562,321	$54,080
TERRY A GOODBALIAN
CFO	40.00	20.00			$0	$445,202	$55,467			Yes (X)
EDWARD G CHADWICK
FORMER TREASURER	0.00	0.00			$0	$336,702	$0	Yes (X)
JOANNA R PEASE DO
CHIEF MEDICAL OFFICER	60.00	0.00			$308,825	$0	$25,933			Yes (X)
CHRISTOPHER MILBACK MD
CMO	1.00	0.00			$188,979	$0	$14,279			Yes (X)
MARJORIE A STATEN JD
ASSISTANT SECRETARY	0.00	60.00		Yes (X)	$0	$166,055	$13,156
GARY BEAULAC
FORMER COO	40.00	0.00			$112,010	$0	$0	Yes (X)
LYNN FORD ALANDT
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
N CHARLES ANDERSON
DIRECTOR	1.00	5.00	Yes (X)		$0	$0	$0
STEPHANIE W BERGERON
DIRECTOR	1.00	5.00	Yes (X)		$0	$0	$0
DAVID J BREEN
DIRECTOR	1.00	5.00	Yes (X)		$0	$0	$0
SHARI L BURGESS
DIRECTOR	1.00	5.00	Yes (X)		$0	$0	$0
DAVID M HEMPSTEAD
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
ALAN M KIRILUK
DIRECTOR	1.00	3.00	Yes (X)		$0	$0	$0
CHARLES G MCCLURE JR
DIRECTOR	1.00	3.00	Yes (X)		$0	$0	$0
LAWRENCE H SCHULTZ
DIRECTOR	1.00	3.00	Yes (X)		$0	$0	$0
SANDRA E PIERCE
DIRECTOR-CHAIR	2.00	6.00	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH J RICHARDSON JR
DIRECTOR	1.00	3.00	Yes (X)		$0	$0	$0
LEROY C RICHIE
DIRECTOR	1.00	5.00	Yes (X)		$0	$0	$0
EDGAR L VANN II
DIRECTOR	1.00	3.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,825,851	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,909,039	TotReportableCompRltdOrgAmt
Total Other Compensation	$955,762	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	231	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLIANCE HEALTH PROFESSIONALS PLLC
133 S MAIN ST SUITE D	MT CLEMENS	MI	48043	PHYSICIAN SERVICES	$18,112,479
ALLIANCE MANAGEMENT PARTNERS LLC
133 S MAIN ST SUITE D	MT CLEMENS	MI	48043	MANAGEMENT SERVICES	$15,119,844
RONCELLI INC
6471 METRO PARKWAY	STERLING HEIGHTS	MI	48312	CONSTRUCTION	$7,566,986
ALLIANCE HNI LLC
7647 COLLECTION CENTER DRIVE	CHICAGO	IL	606930076	PHYSICIAN SERVICES	$2,316,439
SELECT SPECIALTY HOSPITAL- MACOMB COUNTY
4714 OLD GETTYSBURG RD	MECHANICSBURG	PA	17055	DIETARY & HOUSEKEEPING SERVICES	$1,663,027

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Fundraising	$519,518	FundraisingAmt
All Other Contributions	$1,675,235	AllOtherContributionsAmt
Noncash Contributions	$67,051	NoncashContributionsAmt
Total Contributions	$2,194,753	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL SERVICES	900099	$367,166,639	$367,166,639
OUTPATIENT SERVICES	621400	$158,967,989	$158,967,989
EMERGENCY SERVICES	900099	$14,898,631	$14,898,631
MEDICAL EDUCATION-GME	900099	$8,783,380	$8,783,380

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,894,556	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,894,556	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$570,711,195	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,868,445	TotalRevenueColumnAmt
Exclusion	$10,868,445	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$930,159	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$930,159	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$930,159	TotalRevenueColumnAmt
Exclusion	$930,159	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,036,779	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$442,468	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$594,311	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$594,311	TotalRevenueColumnAmt
Related Or Exempt Func Income	$594,311	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$158,189	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$519,518	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$220,382	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$62,193	TotalRevenueColumnAmt
Exclusion	-$62,193	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$90,243	GamingGrossIncomeAmt
Gaming Direct Expenses	$62,703	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,540	TotalRevenueColumnAmt
Exclusion	$27,540	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	900099	$1,090,857	$1,090,857
JOINT VENTURES	900099	$873,949	$873,949
GIFT SHOP	453220	$675,173	$675,173

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$595,211	TotalRevenueColumnAmt
Related Or Exempt Func Income	$595,211	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,235,190	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$588,499,400	TotalRevenueColumnAmt
Related Or Exempt Func Income	$574,540,696	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,763,951	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$187,455	TotalAmt
Program Services	$187,455	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,223,869	TotalAmt
Program Services	$1,120,445	ProgramServicesAmt
Management And General	$1,008,968	ManagementAndGeneralAmt
Fundraising	$94,456	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$628,532	TotalAmt
Program Services	$628,532	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$192,667,861	TotalAmt
Program Services	$186,046,248	ProgramServicesAmt
Management And General	$6,621,613	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,202,201	TotalAmt
Program Services	$4,036,171	ProgramServicesAmt
Management And General	$164,000	ManagementAndGeneralAmt
Fundraising	$2,030	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,397,374	TotalAmt
Program Services	$21,512,450	ProgramServicesAmt
Management And General	$874,104	ManagementAndGeneralAmt
Fundraising	$10,820	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,993,727	TotalAmt
Program Services	$12,480,343	ProgramServicesAmt
Management And General	$507,107	ManagementAndGeneralAmt
Fundraising	$6,277	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$54,590	TotalAmt
Program Services	$51,818	ProgramServicesAmt
Management And General	$2,772	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,265,519	TotalAmt
Program Services	$47,709,639	ProgramServicesAmt
Management And General	$1,555,754	ManagementAndGeneralAmt
Fundraising	$126	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$284,177	TotalAmt
Program Services	$38,232	ProgramServicesAmt
Management And General	$245,945	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,331,200	TotalAmt
Program Services	$8,711,463	ProgramServicesAmt
Management And General	$619,736	ManagementAndGeneralAmt
Fundraising	$1	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$379,912	TotalAmt
Program Services	$374,489	ProgramServicesAmt
Management And General	$4,970	ManagementAndGeneralAmt
Fundraising	$453	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,593,858	TotalAmt
Program Services	$6,926,710	ProgramServicesAmt
Management And General	$648,009	ManagementAndGeneralAmt
Fundraising	$19,139	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$220,919	TotalAmt
Program Services	$198,429	ProgramServicesAmt
Management And General	$22,490	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$559,519	TotalAmt
Program Services	$540,149	ProgramServicesAmt
Management And General	$19,370	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,391,284	TotalAmt
Program Services	$5,305,743	ProgramServicesAmt
Management And General	$84,986	ManagementAndGeneralAmt
Fundraising	$555	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,939,958	TotalAmt
Program Services	$17,831,120	ProgramServicesAmt
Management And General	$1,108,317	ManagementAndGeneralAmt
Fundraising	$521	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,895,058	TotalAmt
Program Services	$6,895,058	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$111,458,179	$111,458,179
CORPORATE ALLOCATION	$59,279,309	$58,287,931	$984,939	$6,439
BAD DEBT EXPENSE	$12,962,635	$12,962,635
QAAP TAX	$12,725,504	$12,725,504

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,306,939	TotalAmt
Program Services	$23,741,310	ProgramServicesAmt
Management And General	$1,532,516	ManagementAndGeneralAmt
Fundraising	$33,113	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$555,949,579	TotalAmt
Program Services	$539,770,053	ProgramServicesAmt
Management And General	$16,005,596	ManagementAndGeneralAmt
Fundraising	$173,930	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,503	BOYAmt
EOY	$7,214	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,029,977	BOYAmt
EOY	$52,042,307	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$194,159	BOYAmt
EOY	$210,220	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$58,138,316	BOYAmt
EOY	$63,181,499	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$65,000	BOYAmt
EOY	$32,500	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,762,209	BOYAmt
EOY	$11,047,073	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,553,797	BOYAmt
EOY	$2,727,322	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$386,261,709	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$195,431,533	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$195,761,081	BOYAmt
EOY	$190,830,176	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$56,609,777	BOYAmt
EOY	$67,133,687	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	-$9,997	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3	BOYAmt
EOY	$3	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,348,991	BOYAmt
EOY	$23,137,955	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$365,459,816	BOYAmt
EOY	$410,349,956	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,520,332	BOYAmt
EOY	$50,488,778	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$138,883,851	BOYAmt
EOY	$137,371,956	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$57,787,819	BOYAmt
EOY	$71,978,107	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$238,192,002	BOYAmt
EOY	$259,838,841	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,651,286	BOYAmt
EOY	$143,251,749	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,616,528	BOYAmt
EOY	$7,259,366	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$127,267,814	BOYAmt
EOY	$150,511,115	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$365,459,816	BOYAmt
EOY	$410,349,956	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$32,549,821	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$9,306,520	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,616,528	BeginningYearBalanceAmt
Contributions	$2,160,100	ContributionsAmt
Investment Earnings Or Losses	$49,690	InvestmentEarningsOrLossesAmt
Other Expenditures	$566,952	OtherExpendituresAmt
End Year Balance	$7,259,366	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,403,458	BeginningYearBalanceAmt
Contributions	$1,427,858	ContributionsAmt
Investment Earnings Or Losses	$41,385	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,256,173	OtherExpendituresAmt
End Year Balance	$5,616,528	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,443,231	BeginningYearBalanceAmt
Contributions	$1,250,290	ContributionsAmt
Investment Earnings Or Losses	$47,392	InvestmentEarningsOrLossesAmt
Other Expenditures	$337,455	OtherExpendituresAmt
End Year Balance	$10,403,458	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,262,962	BeginningYearBalanceAmt
Contributions	$2,530,063	ContributionsAmt
Investment Earnings Or Losses	$85,125	InvestmentEarningsOrLossesAmt
Other Expenditures	$434,919	OtherExpendituresAmt
End Year Balance	$9,443,231	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,282,834	BeginningYearBalanceAmt
Contributions	$1,349,603	ContributionsAmt
Investment Earnings Or Losses	-$14,179	InvestmentEarningsOrLossesAmt
Other Expenditures	$355,296	OtherExpendituresAmt
End Year Balance	$7,262,962	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.32550	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.67450	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,743,199	OtherCostOrOtherBasisAmt
Book Value	$11,743,199	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$245,167,826	OtherCostOrOtherBasisAmt
Depreciation	$101,225,428	DepreciationAmt
Book Value	$143,942,398	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,817,749	OtherCostOrOtherBasisAmt
Depreciation	$1,195,509	DepreciationAmt
Book Value	$622,240	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$125,188,227	OtherCostOrOtherBasisAmt
Depreciation	$93,010,596	DepreciationAmt
Book Value	$32,177,631	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,344,708	OtherCostOrOtherBasisAmt
Book Value	$2,344,708	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$190,830,176	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION	$8,186,098
OTHER	$1,250,206
RIGHT OF USE ASSET OPERATING	$8,800,304
RIGHT OF USE ASSET FINANCE	$6,698,186
ACCUM AMORT R OF U ASSET FINANCE	-$919,834
ACCUM AMORT- INTANGIBLES	-$877,005

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$23,137,955	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
MALPRACTICE LIABILITY	$15,928,818
CORPORATE RESERVE	$7,014,847
WORKERS COMP LIABILITY	$1,660,490
DEFERRED COMPENSATION	$8,323,182
POST RETIREMENT BENEFITS	$23,919,315
CURR OPERATING LEASE LIABILITY	$2,862,953
OTHER NOTES PAYABLE	$124,531
CURR FINANCE LEASE LIABILITY	$343,484
LT FINANCE LEASE LIABILITY	$5,763,201
LT OPERATING LEASE LIABILITY	$6,037,286

Field	Value	IRS element (for citing)
Total Liability	$71,978,107	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	EARNINGS FROM THE ORGANIZATION'S ENDOWMENTS 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, 2019 AND 2018.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	MEDALLION EVENT	Event1Nm
Gross Receipts Event1	$354,673	GrossReceiptsEvent1Amt
Charitable Contri Event1	$278,551	CharitableContriEvent1Amt
Gross Revenue Event1	$76,122	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$113,609	OtherDirectExpensesEvent1Amt
Event2	SHOWTIME	Event2Nm
Gross Receipts Event2	$145,045	GrossReceiptsEvent2Amt
Charitable Contri Event2	$114,967	CharitableContriEvent2Amt
Gross Revenue Event2	$30,078	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$48,912	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$177,989	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$126,000	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$51,989	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$57,861	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$677,707	GrossReceiptsTotalAmt
Charitable Contributions Tot	$519,518	CharitableContributionsTotAmt
Gross Revenue Total Events	$158,189	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$220,382	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$220,382	DirectExpenseSummaryEventsAmt
Net Income Summary	-$62,193	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$90,243	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$62,703	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$90,243	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$62,703	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$62,703	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$27,540	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MI	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	BARBARA BROWN SPECIAL EVENTS DEPT	BusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FORD PLACE	AddressLine1Txt
City	DETROIT	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48202	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,770,238	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,770,238	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,266,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,117,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,149,264	NetCommunityBenefitExpnsAmt
Total Expense	0.03530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,036,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,117,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,919,502	NetCommunityBenefitExpnsAmt
Total Expense	0.04040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,556,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,485,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,857,255	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,493,715	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,363,540	NetCommunityBenefitExpnsAmt
Total Expense	0.01910	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,701,998	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,098,179	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$603,819	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$183,063	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$575,590	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$575,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,874,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,663,776	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,211,122	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$136,911,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,780,815	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,130,624	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,155	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$121,155	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$168,769	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$168,769	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,357	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,357	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,102	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,102	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$176,124	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$515,507	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$515,507	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$12,962,635	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,240,659	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$239,325,105	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$248,891,687	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,566,582	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
HENRY FORD MACOMB HOSPITAL - CLINTON
1	15855 19 MILE ROAD	CLINTON TOWNSHIP	MI	48038	Yes (X)	Yes (X)	Yes (X)	Yes (X)
HENRY FORD MACOMB HOSPITAL- MOUNT CLEMENS
2	215 NORTH AVENUE	MOUNT CLEMENS	MI	48043	Yes (X)				PSYCHIATRIC INPATIENT

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back MedicareLookBackMedicareInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
HENRY FORD MACOMB HOSPITAL-CLINTON TWP
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE LINE 10A BELOW	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT	0	Yes (1)	Yes (X)	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE LINE 10A BELOW	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT	0	Yes (1)	Yes (X)	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HENRY FORD MACOMB HOSPITAL-CLINTON TWP	PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN MACOMB COUNTY USING FOCUS GROUPS WHICH WERE CONDUCTED MARCH AND APRIL 2019. FOCUS GROUP PARTICIPANTS INCLUDED LEADERS FROM AGENCIES SUCH AS CARE OF SOUTHEAST MICHIGAN, MACOMB COUNTY OFFICE OF SUBSTANCE ABUSE, MACOMB COUNTY HEALTH DEPARTMENT, EASTERSEALS MICHIGAN 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 SURVEY PARTICIPANTS IN WAYNE, OAKLAND, 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 MACOMB HOSPITAL-MOUNT CLEMENS	PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN MACOMB COUNTY USING FOCUS GROUPS WHICH WERE CONDUCTED MARCH AND APRIL 2019. FOCUS GROUP PARTICIPANTS INCLUDED LEADERS FROM AGENCIES SUCH AS CARE OF SOUTHEAST MICHIGAN, MACOMB COUNTY OFFICE OF SUBSTANCE ABUSE, MACOMB COUNTY HEALTH DEPARTMENT, EASTERSEALS MICHIGAN 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 SURVEY PARTICIPANTS IN WAYNE, OAKLAND, 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 MACOMB HOSPITAL-CLINTON TWP	PART V, SECTION B, LINE 6A: HENRY FORD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD KINGSWOOD HOSPITALHENRY FORD ALLEGIANCE HEALTHHENRY FORD ALLEGIANCE SPECIALTY HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTER
HENRY FORD MACOMB HOSPITAL-CLINTON TWP	PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN 2019 IN PARTNERSHIP WITH THE MACOMB COUNTY HEALTH DEPARTMENT AND THEIR COMMUNITY HEALTH IMPROVEMENT PLAN WORKGROUPS. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD MACOMB HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING IMPORTANCE GIVEN TO HEALTH ISSUES BY FOCUS GROUP AND SURVEY PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD MACOMB'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 HEART DISEASE. HENRY FORD MACOMB 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 MACOMB ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY FOCUS ON THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE CURRENTLY BEING ADDRESSED BY EXISTING PROGRAMS AND INITIATIVES OF HFM OR A PARTNER ORGANIZATION, HFM WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE.
HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS	PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN 2019 IN PARTNERSHIP WITH THE MACOMB COUNTY HEALTH DEPARTMENT AND THEIR COMMUNITY HEALTH IMPROVEMENT PLAN WORKGROUPS. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD MACOMB HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING IMPORTANCE GIVEN TO HEALTH ISSUES BY FOCUS GROUP AND SURVEY PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD MACOMB'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 HEART DISEASE. HENRY FORD MACOMB 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 MACOMB ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY FOCUS ON THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE CURRENTLY BEING ADDRESSED BY EXISTING PROGRAMS AND INITIATIVES OF HFM OR A PARTNER ORGANIZATION, HFM WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE.
HENRY FORD MACOMB HOSPITAL-CLINTON TWP	PART V, SECTION B, LINE 13B: PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PART V, SECTION B, LINE 22A:PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE OR FAP ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY UNDER THE PATIENT FINANCIAL ASSISTANCE POLICY (FAP) FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. IN ADDITION, PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS.
HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS	PART V, SECTION B, LINE 13B: PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PART V, SECTION B, LINE 22A:PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE OR FAP ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY UNDER THE PATIENT FINANCIAL ASSISTANCE POLICY (FAP) FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. IN ADDITION, PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS.

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HENRY FORD MACOMB-BRUCE TOWNSHIP MED CTR
80650 VAN DYKE	BRUCE TOWNSHIP	MI	48065	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
2 - HENRY FORD MACOMB-CHESTERFIELD MED CNTR
30795 23 MILE ROAD	CHESTERFIELD TOWNSHI	MI	48047	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
3 - HENRY FORD MACOMB CENTER-CLINTON TWP
16151 19 MILE ROAD	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
4 - HENRY FORD MACOMB-FRASER HEALTH CENTER
15717 15 MILE ROAD	FRASER	MI	48035	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
5 - HENRY FORD MACOMB-RICHMOND MEDICAL CNTR
67267 MAIN STREET	RICHMOND	MI	48062	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
6 - HENRY FORD MACOMB-SLEEP MEDICINE
43650 GARFIELD ROAD UNIT 103	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
7 - HENRY FORD MACOMB-WASHINGTON TWP MED CTR
12150 30 MILE ROAD	WASHINGTON TOWNSHIP	MI	48095	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
8 - HENRY FORD MACOMB MEDICAL CENTER
15520 19 MILE ROAD	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
9 - HENRY FORD MACOMB-CHESTERFIELD OBGYN
30795 23 MILE ROAD	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
10 - HENRY FORD MACOMB-MEDICAL CENTER
15400 19 MILE ROAD	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
11 - HENRY FORD MACOMB-SHELBY OBGYN
51221 SCHOENHERR	SHELBY TOWNSHIP	MI	48315	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
12 - HENRY FORD MACOMB-SHELBY FAMILY MED
49310 VAN DYKE	SHELBY TOWNSHIP	MI	48317	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
13 - HENRY FORD MACOMB-SHELBY RHEUMATOLOGY
50505 SCHOENHERR-SUITE 175	SHELBY TOWNSHIP	MI	48315	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
14 - HENRY FORD MACOMB CENTER-CLINTON TWP
43411 GARFIELD ROAD	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
15 - HENRY FORD MACOMB - FAMILY MEDICINE
21250 HALL ROAD	CLINTON TOWNSHIP	MI	48039	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
16 - HFMH-PC CENTER FOR WOMENS HEALTH
17941 HALL ROAD	MACOMB	MI	48044	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
17 - HENRY FORD MACOMB REHAB-CLINTON TWP
16301 NINETEEN MILE ROAD	CLINTON TOWNSHIP	MI	48308	REHABILITATION SERVIES
18 - HFMH-WARREN PHYSICAL THERAPY CLINIC
13251 E TEN MILE ROAD STE 400	WARREN	MI	48089	REHABILITATION SERVIES

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $12,962,635
PART II, COMMUNITY BUILDING ACTIVITIES:	HFMH BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFMH INCLUDES IN ITS COMMITTMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ON THE BENEFITS OF HEALTHIER BEHAVIORS ARE HEARD. HFMH LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS IN ADDRESSING THE NEEDS OF OUR SERVICE AREA.
PART III, LINE 2:	THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED BASE UPON GROSS CHARGES.
PART III, LINE 4:	IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION 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 ORGANIZATION 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 ORGANIZATION 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 ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 115% OF MEDICARE RATES.
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 CHARITY CARE POLICY PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES"
PART VI, LINE 2:	HENRY FORD HEALTH SYSTEM (HFHS) CONSIDERS THE ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AS AN ESSENTIAL FUNCTION. HENRY FORD MACOMB HOSPITAL WAS ENCOMPASSED IN THE HFHS COMMUNITY HEALTH NEEDS ASSESSMENT. IT PROVIDES KEY INFORMATION REGARDING THE DEMOGRAPHICS AND MAJOR NEEDS OF THE COMMUNITIES SERVED, IT SUPPORTS THE PRIORITIZATION OF THE SERVICES MADE AVAILABLE, AND IT HELPS TARGET POPULATIONS WITH THE MOST VULNERABILITY TO HEALTH NEEDS SUCH AS THE POOR, UNINSURED, AS WELL AS VARIOUS OTHER POPULATIONS THAT MAY HAVE BEEN OVERLOOKED. THE COMMUNITY HEALTH NEEDS ASSESSMENT ALSO PROVIDES VALUABLE INFORMATION REGARDING OTHER ORGANIZATIONS SUPPORTING THE NEEDS WITHIN THE COMMUNITY SO PROGRAMS CAN BE COORDINATED AND LEVERAGED TO ENSURE THAT EVERY DOLLAR IS INVESTED WISELY.INTERNALLY THE COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE (CHANCE) PROVIDES EXECUTIVE OVERSIGHT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HENRY FORD HEALTH SYSTEM. THE CHNA WAS COMPLETED IN SEVERAL PHASES. THE FIRST PHASE INCLUDED DATA COLLECTION FROM A VARIETY OF PUBLIC AND PROPRIETARY SOURCES THAT PROVIDED INFORMATION AROUND POPULATION DEMOGRAPHICS, SOCIOECONOMIC DATA, HEALTH STATUS INDICATORS AS WELL AS SEVERAL OTHER DATA ELEMENTS. THE SECOND PHASE INVOLVED DEVELOPING AND DISTRIBUTING A KEY STAKEHOLDER SURVEY TO CAPTURE COMMUNITY ORGANIZATION AND COALITION INPUT AS TO MAJOR HEALTH NEEDS THEY BELIEVE THAT SHOULD PRIORITIZED AND ADDRESSED IN THE FOUR-COUNTY AREA. THE THIRD PHASE INCORPORATED QUANTITATIVE AND QUALITATIVE DATA COLLECTED IN THE FIRST TWO PHASES AND BASED ON THIS INFORMATION IDENTIFIED PRIORITIES FOR HENRY FORD HEALTH SYSTEM TO ADDRESS WITHIN THE COMMUNITIES IT SERVES. 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:	HFMH 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. HFMH FOLLOWS THE HFHS PATIENT FINANCIAL ASSISTANCE POLICY. HFHS HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN OUR EMERGENCY ROOM FOR SERVICES, ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF IS TRAINED WITH REGARD TO HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFMH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFMH 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:	HENRY FORD MACOMB HOSPITALS (HFMH) ARE PART OF HENRY FORD HEALTH SYSTEM, ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS ACTIVITIES OF THE CLINTON TOWNSHIP CAMPUS OF HFMH, WHICH INCLUDES APPROXIMATELY 400 INPATIENT BEDS WITH AN OPEN MEDICAL STAFF, A BEHAVIORAL HEALTH FACILITY, AS WELL AS SEVERAL OUTPATIENT LOCATIONS SERVING THE MACOMB COUNTY AREA OF MICHIGAN. HFMH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, OBSTETRICS, PEDIATRICS, CARDIAC CARE, PHYSICAL AND REHABILITATION MEDICINE, AMBULATORY SURGERY, INPATIENT AND OUTPATIENT BEHAVIORAL SERVICES, AND 24 HOUR EMERGENCY CARE.
PART VI, LINE 6:	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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CARE OF SOUTHEASTERN MICHIGAN
31900 UTICA ROAD	FRASER	MI	48026	382175274	501(C)(3)	$6,000	ORGANIZATIONAL SUPPORT
CITY OF STERLING HEIGHTS
40555 UTICA ROAD PO BOX 8009	STERLING HEIGHTS	MI	483118009		115 GOVERMENT	$8,500	ORGANIZATIONAL SUPPORT
FAMILIES AGAINST NARCOTICS
18900 FIFTEEN MILE ROAD	CLINTON TWP	MI	48035	262302028	501(C)(3)	$10,000	ORGANIZATIONAL SUPPORT
LEADERSHIP MACOMB INC
14460 LAKESIDE CIRCLE STE 220	STERLING HEIGHTS	MI	48313	383551700	501(C)(3)	$17,200	ORGANIZATIONAL SUPPORT
MACOMB COUNTY CHAMBER OF COMMERCE
28 FIRST STREET SUITE B	MOUNT CLEMENS	MI	48043	380855880	501(C)(6)	$19,080	ORGANIZATIONAL SUPPORT
STERLING HEIGHTS REGIONAL CHAMBER OF COMMERCE & INDUSTRY
12900 HALL ROAD SUITE 100	STERLING HEIGHTS	MI	48313	381987626	501(C)(6)	$7,212	ORGANIZATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WRIGHT L LASSITER III
DIRECTOR-PRESIDENT	$0	$1,621,355	$0	$1,423,918	$0	$2,217,288	$0	$24,119	$0	$30,863	$0	$5,317,543	$0	$1,627,135
WILLIAM A CONWAY MD
FORMER DIRECTOR/PHYSICIAN	$0	$725,055	$0	$404,174	$0	$159,904	$0	$26,919	$0	$21,857	$0	$1,337,909	$0	$0
KENNETH A SCOTT DO
PHYSICIAN	$824,069	$0	$281,742	$0	$99,898	$0	$24,119	$0	$26,514	$0	$1,256,342	$0	$0	$0
MARK T RYAN DO
PHYSICIAN	$617,186	$0	$260,988	$0	$276,562	$0	$24,120	$0	$3,875	$0	$1,182,731	$0	$0	$0
ROBIN S DAMSCHRODER
TREASURER	$0	$763,585	$0	$182,803	$0	$20,242	$0	$173,712	$0	$25,697	$0	$1,166,039	$0	$0
BARBARA W ROSSMANN
CEO MACOMB HOSPITAL	$553,955	$0	$358,128	$0	$111,254	$0	$26,920	$0	$22,917	$0	$1,073,174	$0	$0	$0
MICHELLE JOHNSON TIDJANI ESQ
SECRETARY	$0	$634,552	$0	$274,228	$0	$1,710	$0	$132,831	$0	$25,165	$0	$1,068,486	$0	$0
RONALD LEVIN MD
PHYSICIAN	$724,501	$0	$125,244	$0	$138,257	$0	$26,919	$0	$29,705	$0	$1,044,626	$0	$0	$0
EDDIE EL-YUSSIF DO
PHYSICIAN	$776,896	$0	$117,920	$0	$92,937	$0	$24,120	$0	$31,184	$0	$1,043,057	$0	$0	$0
DENISE BROOKS-WILLIAMS
CEO NORTH MARKET	$0	$579,203	$0	$271,710	$0	$119,032	$0	$24,120	$0	$17,259	$0	$1,011,324	$0	$0
VINAY PAMPATI DO
PHYSICIAN	$589,622	$0	$188,726	$0	$78,152	$0	$24,120	$0	$25,792	$0	$906,412	$0	$0	$0
ALEXANDER D SHEPARD MD
DIRECTOR/PHYSICIAN	$0	$417,302	$0	$71,834	$0	$73,185	$0	$26,920	$0	$27,160	$0	$616,401	$0	$0
TERRY A GOODBALIAN
CFO	$0	$285,294	$0	$149,574	$0	$10,334	$0	$25,519	$0	$29,948	$0	$500,669	$0	$0
EDWARD G CHADWICK
FORMER TREASURER	$0	$0	$0	$0	$0	$336,702	$0	$0	$0	$0	$0	$336,702	$0	$0
JOANNA R PEASE DO
CHIEF MEDICAL OFFICER	$158,816	$0	$120,048	$0	$29,961	$0	$16,195	$0	$9,738	$0	$334,758	$0	$0	$0
CHRISTOPHER MILBACK MD
CMO	$188,124	$0	$0	$0	$855	$0	$0	$0	$14,279	$0	$203,258	$0	$0	$0
MARJORIE A STATEN JD
ASSISTANT SECRETARY	$0	$165,265	$0	$0	$0	$790	$0	$2,941	$0	$10,215	$0	$179,211	$0	$0
GARY BEAULAC
FORMER COO	$112,010	$0	$0	$0	$0	$0	$0	$0	$0	$0	$112,010	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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. NO QUALIFYING INDIVIDUALS RECEIVED PAID OR REIMBURSED FIRST CLASS TRAVEL DURING 2019. 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. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP ALSO HAVE THE OPTION TO PARTICIPATE IN NON-QUALIFIED 457 BENEFIT PROGRAMS WHICH 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 MADE BY HENRY FORD HEALTH SYSTEM EDWARD G. CHADWICK (FORMER CFO) $336,702 SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE REPORTABLE VALUE OF 2019 ACCRUAL NON-VESTED 2019 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT BARBARA W. ROSSMANN 108,097 - - 108,097 MICHELLE JOHNSON TIDJANI - 109,412 - - WILLIAM A. CONWAY,M.D. 159,904 - - 159,904 WRIGHT L. LASSITER III 2,193,386 - - 2,193,386 DENISE BROOKS-WILLIAMS 102,436 - - 102,436 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2019 CONTRIBUTIONS 2019 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA W. ROSSMANN 3,157 - - 3,157 RONALD LEVIN, M.D. - 19,000 457 19,457 MARK RYAN, M.D. 7,012 11,988 289 19,289 KENNETH A. SCOTT - 19,000 457 19,457 TERRY A. GOODBALIAN - 1,162 28 1,190 EDDIE EL-YUSSIF 18,081 919 435 19,435 WRIGHT L. LASSITER III 19,000 - - 19,000 VINAY PAMPATI, D.O. 7,204 173 7,377 ALEXANDER D. SHEPARD, M.D. 10,305 8,695 209 19,209 ROBIN S. DAMSCHRODER 19,000 - - 19,000 DENISE BROOKS-WILLIAMS 13,973 - - 13,973

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARTIN E BEAULAC
SEE BELOW	$212,521	SEE BELOW	0
ROSEMARY MINJEUR
SEE BELOW	$75,219	SEE BELOW	0
RAYMOND J MINJEUR
SEE BELOW	$46,511	SEE BELOW	0
JONATHAN E BEAULAC
SEE BELOW	$294,281	SEE BELOW	0
KIRCO
SEE BELOW	$2,967,927	SEE BELOW	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: MARTIN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: ROSEMARY MINJEUR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: RAYMOND J. MINJEUR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: JONATHAN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: KIRCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $ 2,967,927(D) DESCRIPTION OF TRANSACTION: CONSTRUCTION SERVICES PAID BY THE ORGANIZATION(A) NAME OF PERSON: ACADEMIC INTERNAL MEDICINE SPECIALISTS PLLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 480,899(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: ALLIANCE HEALTH PROFESSIONALS, PLLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 18,112,479(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: CARDIOVASCULAR CONSULTANTS P.C.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 102,317(D) DESCRIPTION OF TRANSACTION: PROVIDED CARDIOVASCULAR SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: MACOMB ANESTHESIA, P.C.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 196,000(D) DESCRIPTION OF TRANSACTION: PROVIDED PAIN RELIEF SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: PINNACLE CONTRACTING INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,661,356(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: RONCELLI INC,(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 7,566,986(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EVENT CONTRIBUTIONS	121	$64,131	FAIR MARKET VALUE
Yes (X)	MISCELLANEOUS	5	$2,920	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION IS A TAX EXEMPT STOCK CORPORATION AND HENRY FORD HEALTH SYSTEM HOLDS ALL OF THE ISSUED AND OUTSTANDING SHARES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE STOCK HOLDER 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 AND ORGANIZATION'S SENIOR VICE PRESIDENT FINANCIAL OPERATIONS AND CHIEF FINANCIAL OFFICER, - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF DIRECTORS - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS, INCLUDING THE CEO AND COO - PROVIDE A COPY OF THE RETURN TO THE ORGANIZATION'S 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 AUDIT AND COMPLIANCE COMMITTEE OF THE HFHS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HFHS HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING.
FORM 990, PART VI, SECTION C, LINE 19	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. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH SYSTEM. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISION THAT IS NOT A SEPARATE LEGAL ENTITY BUT HAS THEIR OWN UNIQUE ASSIGNED EIN. FINANCIAL INFORMATION RELATING TO THIS DIVISION IS INCLUDED IN THIS RETURN. -HENRY FORD MACOMB ANCILLARY SERVICES (47-3293378) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE
FORM 990, PART XI, LINE 9:	MINIMUM PENSION LIABILITY ADJUSTMENT -2,508,100. INTERCOMPANY TRANSFER -6,798,420.
FORM 990 - PART XII - LINE 2C:	HENRY FORD MACOMB HOSPITAL CORPORATION 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). 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MOUNT CLEMENS REAL ESTATE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE FORD PLACE	AddressLine1Txt
City	DETROIT	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48202	ZIPCd

Field	Value	IRS element (for citing)
EIN	382947657	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt
Direct Controlling NA	N/A	DirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD HEALTH SYSTEM FOUNDATION
ONE FORD PLACE	DETROIT	MI	48202	237383042	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12A, I		Yes (1)	HENRY FORD HEALTH SYSTEM
HEALTH ALLIANCE PLAN
2850 W GRAND BLVD	DETROIT	MI	48202	382242827	HEALTH MAINTENANCE ORGANIZATION	MI	501(C)(4)	N/A		Yes (1)	HENRY FORD HEALTH SYSTEM
HFII CORPORATION
ONE FORD PLACE	DETROIT	MI	48202	900840304	SCIENTIFIC RESEARCH	MI	501(C)(3)	LINE 7		Yes (1)	HENRY FORD HEALTH SYSTEM
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		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD ALLEGIANCE HEALTH GROUP
205 N EAST AVENUE	JACKSON	MI	49201	382756428	HEALTHCARE SERVICE PROVIDER	MI	501(C)(3)	LINE 12B, II		Yes (1)	HENRY FORD HEALTH SYSTEM
ALLEGIANCE HEALTH FOUNDATION
205 N EAST AVENUE	JACKSON	MI	49201	383607833	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12A, I		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE
205 N EAST AVENUE	JACKSON	MI	49201	382336367	HOSPICE CARE	MI	501(C)(3)	LINE 7		Yes (1)	HEALTHLINK
HEALTHLINK
205 N EAST AVENUE	JACKSON	MI	49201	382756425	HOME HEALTH CARE	MI	501(C)(3)	LINE 12A, I		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
CARELINK OF JACKSON
110 NORTH ELM AVENUE	JACKSON	MI	49202	381218485	LONG TERM ACUTE CARE HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
WA FOOTE MEMORIAL HOSPITAL
205 N EAST AVENUE	JACKSON	MI	49201	382027689	HEALTHCARE SERVICE PROVIDER	MI	501(C)(3)	LINE 3		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP
THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND
3031 WEST GRAND BOULEVARD NO 800	DETROIT	MI	48202	382682321	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12B, II		Yes (1)	HENRY FORD HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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 CLINICS	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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION
1150 ELIJAH MCCOY DR	DETROIT	MI	48202	852144748	CONDOMINIUM ASSOCIATION	MI	HENRY FORD HEALTH SYSTEM	C	Yes (1)
FAIRLANE HEALTH SERVICES
30100 TELEGRAPH	BINGHAM FARMS	MI	48025	382565235	HEALTHCARE MANAGEMENT	MI	HENRY FORD HEALTH SYSTEM	C	Yes (1)
ALLIANCE HEALTH AND LIFE INSURANCE
2850 W GRAND BLVD	DETROIT	MI	48202	383291563	HEALTH INSURANCE PROVIDER	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
HAP PREFERRED INC
2850 W GRAND BLVD	DETROIT	MI	48202	382513504	PROVIDER NETWORK LEASING	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
SHA REALTY INC
ONE FORD PLACE	DETROIT	MI	48202	381378121	REAL ESTATE HOLDING	MI	HENRY FORD HEALTH SYSTEM FOUNDATION	C	Yes (1)
ONIKA INSURANCE LTD
					CAPTIVE INSURANCE		HENRY FORD HEALTH SYSTEM	C	Yes (1)	FIRST CARRIBEAN HOUSE	GRAND CAYMAN	CJ	CJ
HENRY FORD PHYSICIAN NETWORK
ONE FORD PLACE	DETROIT	MI	48202	320306774	PHYSICIAN NETWORK	MI	HENRY FORD HEALTH SYSTEM	C	Yes (1)
ADMINISTRATION SYSTEMS RESEARCH CORPORATION
2850 W GRAND BLVD	DETROIT	MI	48202	382651185	THIRD PARTY INSURANCE ADMINISTRATOR	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
HAP EMPOWERED HEALTH PLAN INC
2850 W GRAND BLVD	DETROIT	MI	48202	383123777	HEALTH INSURANCE PROVIDER	MI	HEALTH ALLIANCE PLAN	C	Yes (1)
HENRY FORD ALLEGIANCE PHARMACY
205 N EAST AVENUE	JACKSON	MI	49201	383370242	PHARMACY	MI	HENRY FORD ALLEGIANCE HEALTH GROUP	C	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE PLAN
L	$35,635,506	CASH VALUE
HEALTH ALLIANCE PLAN
M	$30,958	CASH VALUE
ALLIANCE HEALTH AND LIFE INSURANCE
M	$1,739,005	CASH VALUE
ONIKA INSURANCE LTD
P	$914,923	CASH VALUE
ONIKA INSURANCE LTD
Q	$5,577,519	CASH VALUE
ALLIANCE HEALTH AND LIFE INSURANCE
P	$1,739,005	CASH VALUE

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 1D & 1E:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016 HFHS BOND MASTER INDENTURE.	ExplanationTxt