HENRY FORD HEALTH SYSTEM FOUNDATION: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HENRY FORD HEALTH SYSTEM FOUNDATION (EIN 23-7383042)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-11
- IRS object ID
- 202023169349304547
- 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 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 | 237383042 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD HEALTH SYSTEM FOUNDATION | 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 | 3138768714 | 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 | 15:36:08 | 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 | $115,725,747 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE LIFE BY SUPPORTING EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 32 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 26 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,554,945 | PYInvestmentIncomeAmt |
| CY Investment Income | $24,456,527 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,603 | PYOtherRevenueAmt |
| CY Other Revenue | $16,375 | CYOtherRevenueAmt |
| PY Total Revenue | $26,563,548 | PYTotalRevenueAmt |
| CY Total Revenue | $24,472,902 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,606,883 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,213,100 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,300,089 | PYOtherExpensesAmt |
| CY Other Expenses | $1,147,862 | CYOtherExpensesAmt |
| PY Total Expenses | $16,906,972 | PYTotalExpensesAmt |
| CY Total Expenses | $17,360,962 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,656,576 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,111,940 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $307,805,673 | TotalAssetsBOYAmt |
| Total Assets EOY | $341,894,595 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,600,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,200,000 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $292,205,673 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $325,694,595 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE HENRY FORD HEALTH SYSTEM FOUNDATION (THE FOUNDATION) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) SERVING THE METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, THE FOUNDATION EXISTS TO ADVANCE THE GOALS AND MISSION OF HFHS AND TO IMPROVE THE QUALITY OF HUMAN LIFE THROUGH ITS SUPPORT OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THE ORGANIZATION PROVIDES FINANCING TO VARIOUS RESEARCH AND OTHER INITIATIVES OF HFHS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,213,403 | ExpenseAmt |
| Grant | $16,213,100 | GrantAmt |
| Revenue | $20,080,209 | RevenueAmt |
| Desc | THE FOUNDATION'S PURPOSE IS TO MANAGE AN ENDOWMENT FUND AND BASED ON THE RESULTS OF HFHS NEEDS ANALYSIS, PROVIDE FUNDING TO VARIOUS RESEARCH AND OTHER INITIATIVES OF HFHS AND ITS AFFILIATES. | Desc |
| Total Program Service Expenses | $16,213,403 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | 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 | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | 32 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 26 | 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 | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 (36 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 |
|---|---|---|---|---|---|---|---|---|
| WRIGHT L LASSITER III | ||||||||
| TRUSTEE- PRESIDENT | 2.00 | 63.00 | Yes (X) | Yes (X) | $0 | $5,262,561 | $54,982 | |
| WILLIAM A CONWAY MD | ||||||||
| PHYSICIAN TRUSTEE | 1.00 | 64.00 | Yes (X) | $0 | $1,289,133 | $48,776 | ||
| ROBIN S DAMSCHRODER | ||||||||
| TREASURER | 2.00 | 63.00 | Yes (X) | $0 | $966,630 | $199,409 | ||
| MICHELLE JOHNSON TIDJANI ESQ | ||||||||
| SECRETARY | 2.00 | 63.00 | Yes (X) | $0 | $910,490 | $157,996 | ||
| HENRY W LIM MD | ||||||||
| PHYSICIAN TRUSTEE | 1.00 | 60.00 | Yes (X) | $0 | $754,242 | $49,444 | ||
| TAMER A GHANEM MD | ||||||||
| PHYSICIAN TRUSTEE | 1.00 | 60.00 | Yes (X) | $0 | $427,719 | $51,936 | ||
| CELESTE WILLIAMS MD | ||||||||
| PHYSICIAN TRUSTEE | 1.00 | 60.00 | Yes (X) | $0 | $444,241 | $32,373 | ||
| MARY JANE VOGT | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $371,257 | $37,320 | ||
| EDWARD G CHADWICK | ||||||||
| FORMER TREASURER | 0.00 | 0.00 | $0 | $336,702 | $0 | Yes (X) | ||
| MARJORIE A STATEN JD | ||||||||
| ASSISTANT SECRETARY | 1.00 | 60.00 | Yes (X) | $0 | $166,055 | $13,156 | ||
| WALTER E DOUGLAS | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL E BERGER | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS C BUHL | ||||||||
| TRUSTEE - CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT C BOBB | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| IAN BURNSTEIN | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GRETCHEN GONZALES DAVIDSON | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALLEN H DEMCHIK | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIFFANY SLEMMONS DOUGLAS | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARI E FINSILVER | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID M HEMPSTEAD | ||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| NIKOLAOS MOSCHOURIS | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHLEEN J WHELAN | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BENSON FORD JR | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER D CUMMINGS | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CALVIN R FORD | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA HAYMAN | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY TAMAROFF | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FREDERICK LAVERY | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KYLE ANNE SASENA | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY WILLIAMS POWERS | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| VONDA GRANT | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW S SOSIN | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY J VIVIANO | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RAVINDER T SHAHANI | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TODD A WYETT | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNN FORD ALANDT | ||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,929,030 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $645,392 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,376,318 | TotalRevenueColumnAmt |
| Exclusion | $4,376,318 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $111,333,054 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $91,252,845 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,080,209 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,080,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,080,209 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROYALTY INCOME | Desc |
| Business | 523000 | BusinessCd |
| Total Revenue Column | $16,375 | TotalRevenueColumnAmt |
| Exclusion | $16,375 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,375 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,472,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,080,209 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,392,693 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,213,100 | TotalAmt |
| Program Services | $16,213,100 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| INVESTMENT FEES | $1,134,347 | $1,134,347 | |
| ACCOUNTING FEES | $13,212 | $13,212 | |
| TRUSTEE FEES | $303 | $303 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,360,962 | TotalAmt |
| Program Services | $16,213,403 | ProgramServicesAmt |
| Management And General | $1,147,559 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,612,604 | BOYAmt |
| EOY | $1,634,529 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,406,608 | BOYAmt |
| EOY | $247,286,130 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,787,956 | BOYAmt |
| EOY | $92,973,964 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,495 | BOYAmt |
| EOY | -$28 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,805,673 | BOYAmt |
| EOY | $341,894,595 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,600,000 | BOYAmt |
| EOY | $16,200,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,600,000 | BOYAmt |
| EOY | $16,200,000 | 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 | $292,205,673 | BOYAmt |
| EOY | $325,694,595 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,205,673 | BOYAmt |
| EOY | $325,694,595 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,805,673 | BOYAmt |
| EOY | $341,894,595 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,111,940 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $26,376,982 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357020 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $16,213,100 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $16,213,100 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| OTHER SECURITIES | $48,940,790 | F |
| HFHS MALPRACTICE | $449,461 | F |
| VENTURE CAPITAL, PARTNER | $43,583,713 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $92,973,964 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2019 AND 2018. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| HENRY FORD HEALTH SYSTEM | |||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381357020 | 501(C)(3) | $16,213,100 | RESEARCH FUNDING TO HENRY FORD HEALTH SYSTEM |
| (no name) | |||||||
| RESEARCH FUNDING TO HFII CORPORATION (HENRY FORD INNOVATION INSTITUTE) | |||||||
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (10 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 | ||||||||||||||
| TRUSTEE- 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 | ||||||||||||||
| PHYSICIAN TRUSTEE | $0 | $725,055 | $0 | $404,174 | $0 | $159,904 | $0 | $26,919 | $0 | $21,857 | $0 | $1,337,909 | $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 |
| 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 |
| HENRY W LIM MD | ||||||||||||||
| PHYSICIAN TRUSTEE | $0 | $634,422 | $0 | $93,673 | $0 | $26,147 | $0 | $26,920 | $0 | $22,524 | $0 | $803,686 | $0 | $0 |
| TAMER A GHANEM MD | ||||||||||||||
| PHYSICIAN TRUSTEE | $0 | $333,605 | $0 | $29,210 | $0 | $64,904 | $0 | $24,119 | $0 | $27,817 | $0 | $479,655 | $0 | $0 |
| CELESTE WILLIAMS MD | ||||||||||||||
| PHYSICIAN TRUSTEE | $0 | $375,407 | $0 | $42,588 | $0 | $26,246 | $0 | $25,520 | $0 | $6,853 | $0 | $476,614 | $0 | $0 |
| MARY JANE VOGT | ||||||||||||||
| TRUSTEE | $0 | $321,873 | $0 | $40,103 | $0 | $9,281 | $0 | $26,919 | $0 | $10,401 | $0 | $408,577 | $0 | $0 |
| EDWARD G CHADWICK | ||||||||||||||
| FORMER TREASURER | $0 | $0 | $0 | $0 | $0 | $336,702 | $0 | $0 | $0 | $0 | $0 | $336,702 | $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 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | PART 1 LINE 4A: SEVERANCE PAYMENTS MADE BY HENRY FORD HEALTH SYSTEM EDWARD G. CHADWICK (FORMER CFO) $336,702 SCH J, LINE 4B, PERSON PARTICIPATING IN HFHS NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) VALUE OF TAXABLE REPORTABLE 2019 ACCRUAL NON VESTED 2019 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT WILLIAM A. CONWAY,MD 159,904 - - 159,904 WRIGHT L. LASSITER III 2,193,386 - - 2,193,386 MICHELLE JOHNSON TIDJANI - - 109,412 - 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 HENRY W. LIM, M.D. - 19,000 457 19,457 WRIGHT LASSITER III 19,000 - - 19,000 TAMER A. GHANEM, M.D. - 2,330 56 2,386 ROBIN DAMSCHRODER 19,000 - - 19,000 CELESTE THOMAS WILLIAMS 6,624 5,175 125 11,924 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A TAX EXEMPT MEMBERSHIP CORPORATION AND THE SOLE MEMBER OF THE ORGANIZATION IS HENRY FORD HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER OF THE ORGANIZATION, HFHS HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS. |
| FORM 990, PART VI, SECTION A, LINE 7B | BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) AND THE TAX DEPARTMENT OF HFHS PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HFHS SENIOR VICE PRESIDENT, FINANCIAL OPERATIONS AND CHIEF FINANCIAL OFFICER, - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE HFHS COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AND CEO AND COO - PROVIDE A COPY OF THE RETURN TO THE HFHS BOARD OF DIRECTORS |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HFHS HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HFHS CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. FORM 990, PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH SYSTEM. |
| FORM 990, PART XII - LINE 2C | HENRY FORD FOUNDATION (FUND) IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH SYSTEM. THE GOVERNING BODY OF HFHS HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH SYSTEM (PARENT OF OUR CONTROLLED GROUP OF WHICH THE ORGANIZATION IS A MEMBER). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. |
Schedule R IRS990ScheduleR
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 | |
| 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 MACOMB HOSPITAL CORPORATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48192 | 382947657 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | LINE 3 | 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 | SUPPORT ORGANIZATION | MI | 501(C)(3) | LINE 12B, II | Yes (1) | HENRY FORD ALLEGIANCE HEALTH GROUP | |
| HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE | |||||||||||
| 205 N EAST AVENUE | JACKSON | MI | 49201 | 382336367 | HOSPICE | 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 HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | HENRY FORD ALLEGIANCE HEALTH GROUP | |
| WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD ALLEGIANCE HEALTH | |||||||||||
| 205 N EAST AVENUE | JACKSON | MI | 48201 | 382027689 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | LINE 3 | 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 | SUPPORT 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 CLINIC | MI | HENRY FORD HEALTH SYSTEM | N/A | 0 | 0 |
| FOOTE HEALTH CENTER ASSOCIATES | ||||||||||
| 1100 E MICHIGAN AVENUE | JACKSON | MI | 49201 | 383017711 | LESSOR OF MEDICAL CONDOMINIUM | MI | HENRY FORD ALLEGIANCE HEALTH GROUP | RELATED | 0 | 0 |
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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHA REALTY INC | ||||||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381378121 | REAL ESTATE HOLDING | MI | HENRY FORD HEALTH SYSTEM FOUNDATION | C | $490,007 | $6,820,509 | 1.00000 | 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) | |||||||
| ONIKA INSURANCE LTD | ||||||||||||||||
| CAPTIVE INSURANCE | HENRY FORD HEALTH SYSTEM | C | Yes (1) | FIRST CARRIBEAN HOUSE | GRAND CAYMAN CAYMAN ISLANDS | 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) | |||||||
| HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION | ||||||||||||||||
| 1150 ELIJAH MCCOY DR | DETROIT | MI | 48202 | 852144748 | CONDOMINIUM ASSOCIATION | MI | HENRY FORD HEALTH SYSTEM | S | Yes (1) | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $16,213,100 | InvolvedAmt |
| Method Of Amount Determination | CASH VALUE | MethodOfAmountDeterminationTxt |
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, AS A DESIGNATED AFFILIATE, IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM CREDIT GROUP. MEMBERS OF THE CREDIT GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016 HFHS BOND MASTER INDENTURE. | ExplanationTxt |
Comments