HENRY FORD MACOMB HOSPITAL CORPORATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: HENRY FORD MACOMB HOSPITAL CORPORATION (EIN 38-2947657)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201703179349304515
Schema version: 2016v3.0
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 J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T13:31:41-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	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	ROBERT G RINEY	PersonNm
Person Title	COO	PersonTitleTxt
Phone	3138768704	PhoneNum
Signature	2017-11-13	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	150.198.17.9	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-13	IPDt
IP Tm	13:58:49	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	EC2F309BEAB6C8086E5B0764ED30F15AD3E8FABD	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E211DC56DBD7178BCD538CDAC8979EE0EC2F3682	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WRIGHT L LASSITER III	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	$477,338,134	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	19	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3922	TotalEmployeeCnt
Total Volunteers	715	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,404,008	PYContributionsGrantsAmt
CY Contributions Grants	$2,611,123	CYContributionsGrantsAmt
PY Program Service Revenue	$432,513,153	PYProgramServiceRevenueAmt
CY Program Service Revenue	$468,424,934	CYProgramServiceRevenueAmt
PY Investment Income	$3,716,442	PYInvestmentIncomeAmt
CY Investment Income	$1,903,588	CYInvestmentIncomeAmt
PY Other Revenue	$3,964,609	PYOtherRevenueAmt
CY Other Revenue	$3,394,670	CYOtherRevenueAmt
PY Total Revenue	$441,598,212	PYTotalRevenueAmt
CY Total Revenue	$476,334,315	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$206,320,466	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$210,492,258	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$193,269	CYTotalFundraisingExpenseAmt
PY Other Expenses	$234,149,050	PYOtherExpensesAmt
CY Other Expenses	$253,826,635	CYOtherExpensesAmt
PY Total Expenses	$440,469,516	PYTotalExpensesAmt
CY Total Expenses	$464,318,893	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,128,696	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,015,422	CYRevenuesLessExpensesAmt
Total Assets BOY	$317,103,614	TotalAssetsBOYAmt
Total Assets EOY	$331,011,685	TotalAssetsEOYAmt
Total Liabilities BOY	$224,288,108	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$226,765,761	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$92,815,506	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$104,245,924	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 ALL 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	$228,928,720	ExpenseAmt
Revenue	$233,746,782	RevenueAmt
Desc	HFMH IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF THE MACOMB COUNTY MICHIGAN AS WELL AS ALL OF THE OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 2016 HFMH HAD 21,423 DISCHARGES, AND 104,782 PATIENT DAYS.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 MORE THAN 600 MEDICAL SCHOOL STUDENTS, 500 RESIDENTS AND 150 FELLOWS ACROSS 46 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 OVER 100 MEDICAL RESIDENTS DURING 2016.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$109,461,646	ExpenseAmt
Revenue	$150,606,358	RevenueAmt
Desc	HFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED 478,654 OUTPATIENT VISITS DURING 2016.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$32,758,021	ExpenseAmt
Revenue	$33,068,740	RevenueAmt
Desc	HFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 68,850 PATIENT VISITS DURING 2016.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$21,951,086	ExpenseAmt
Revenue	$33,068,740	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	$21,951,086	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$33,068,740	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$393,099,473	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	282	IRPDocumentCnt
IRP Document W2 G	19	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3922	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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PAUL KOLPASKY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3138744867	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	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL D ALANDT
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MYRA BERGMAN RSM
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
EDWARD D CALLAGHAN PHD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
DAVID F GIRODAT
TRUSTEE - CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
STEVEN D HARRINGTON MD
PHYSICIAN/ TRUSTEE	60.00	1.00	Yes (X)	$800,909	$0	$40,954
CAROLANN K KINNER DO
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
BRIAN G LODER DPM
PHYSICIAN/ TRUSTEE	40.00	0.00	Yes (X)	$140,410	$40,359	$27,837
RAYMOND C LOPE'
TRUSTEE - VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ALI H SHAKIR MD
TRUSTEE	1.00	5.00	Yes (X)	$0	$6,700	$0
JAMES E THOMPSON DD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ANTHONY J VIVIANO
TRUSTEE	1.00	1.00	Yes (X)	$0	$0	$0
ANDREA L WULF
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
PETER D GATES
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ALBERT L LORENZO PHD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MARY ANN VICTOR
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
THOMAS B MELDRUM
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
RHONDA M POWELL
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ROBERT G RINEY
TRUSTEE	1.00	63.00	Yes (X)	$0	$2,135,164	$48,812
BARBARA W ROSSMANN
PRESIDENT / TRUSTEE	60.00	0.00	Yes (X)	$887,464	$0	$53,490	Yes (X)
DIANE L GEORGE DO
PHYSICIAN/ TRUSTEE	1.00	60.00	Yes (X)	$0	$419,647	$54,669
JEROME H FINKEL MD
PHYSICIAN/ TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
EDITH L EISENMANN
SECRETARY	1.00	62.00		$0	$345,732	$34,586	Yes (X)
TERRY A GOODBALIAN
ASSISTANT TREASURER/CFO	40.00	20.00		$0	$354,048	$48,467	Yes (X)
EDWARD G CHADWICK
TREASURER	1.00	65.00		$0	$1,127,742	$193,479	Yes (X)
GARY J BEAULAC
CHIEF OPERATING OFFICER	60.00	0.00		$493,300	$0	$55,600		Yes (X)
JOANNA R PEASE DO
CHIEF MEDICAL OFFICER	60.00	0.00		$585,560	$0	$41,033		Yes (X)
KENNETH A SCOTT DO
PHYSICIAN	60.00	0.00		$752,482	$0	$44,233			Yes (X)
FREMONT SCOTT DO
PHYSICIAN	60.00	0.00		$659,000	$0	$42,635			Yes (X)
ANDREW AGOSTA MD
PHYSICIAN	60.00	0.00		$648,652	$0	$50,969			Yes (X)
RONALD LEVIN MD
PHYSICIAN	60.00	0.00		$1,109,269	$0	$48,947			Yes (X)
MARK T RYAN DO
PHYSICIAN	60.00	0.00		$744,281	$0	$24,088			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,821,327	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,429,392	TotReportableCompRltdOrgAmt
Total Other Compensation	$809,799	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	202	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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	$13,600,896
ALLIANCE MANAGEMENT PARTNERS LLC
133 S MAIN ST SUITE D	MT CLEMENS	MI	48043	MANAGEMENT SERVICES	$12,399,929
RONCELLI INC
6471 METRO PARKWAY	STERLING HEIGHTS	MI	48312	CONSTRUCTION	$2,874,974
ALLIANCE HNI LLC
7647 COLLECTION CENTER DRIVE	CHICAGO	IL	606930076	PHYSICIAN SERVICES	$1,468,337
DIVISION 6 FABRICATION & INSTALLATION LL
27450 GLOEDE	WARREN	MI	48088	CONSTRUCTION	$1,399,458

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Fundraising	$502,822	FundraisingAmt
All Other Contributions	$2,108,301	AllOtherContributionsAmt
Noncash Contributions	$513,313	NoncashContributionsAmt
Total Contributions	$2,611,123	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL SERVICES	900099	$233,746,782	$233,746,782
OUTPATIENT SERVICES	621400	$150,606,358	$150,606,358
EMERGENCY SERVICES	900099	$44,560,661	$44,560,661
MEDICAL EDUCATION-GME	900099	$6,442,393	$6,442,393

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,068,740	TotalRevenueColumnAmt
Related Or Exempt Func Income	$33,068,740	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$468,424,934	TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,029,917	TotalRevenueColumnAmt
Exclusion	$1,029,917	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$908,578	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	$908,578	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$908,578	TotalRevenueColumnAmt
Exclusion	$908,578	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,570,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$696,329	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$873,671	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$873,671	TotalRevenueColumnAmt
Related Or Exempt Func Income	$873,671	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$152,935	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$502,822	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$266,489	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$113,554	TotalRevenueColumnAmt
Exclusion	-$113,554	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$73,495	GamingGrossIncomeAmt
Gaming Direct Expenses	$41,001	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,494	TotalRevenueColumnAmt
Exclusion	$32,494	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	900099	$1,049,558	$1,049,558
GIFT SHOP	453220	$626,855	$626,855
JOINT VENTURES	900099	$329,487	$329,487

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$561,252	TotalRevenueColumnAmt
Related Or Exempt Func Income	$561,252	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,567,152	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$476,334,315	TotalRevenueColumnAmt
Related Or Exempt Func Income	$471,865,757	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,857,435	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,161,526	TotalAmt
Program Services	$1,306,449	ProgramServicesAmt
Management And General	$1,736,743	ManagementAndGeneralAmt
Fundraising	$118,334	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$427,446	TotalAmt
Program Services	$427,446	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$170,689,498	TotalAmt
Program Services	$164,763,006	ProgramServicesAmt
Management And General	$5,926,492	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,098,798	TotalAmt
Program Services	$3,915,786	ProgramServicesAmt
Management And General	$180,229	ManagementAndGeneralAmt
Fundraising	$2,783	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,545,980	TotalAmt
Program Services	$19,628,597	ProgramServicesAmt
Management And General	$903,432	ManagementAndGeneralAmt
Fundraising	$13,951	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,569,010	TotalAmt
Program Services	$11,052,452	ProgramServicesAmt
Management And General	$508,703	ManagementAndGeneralAmt
Fundraising	$7,855	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$14,228	TotalAmt
Program Services	$13,079	ProgramServicesAmt
Management And General	$1,149	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$128,308	TotalAmt
Management And General	$128,308	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,987,545	TotalAmt
Program Services	$41,579,947	ProgramServicesAmt
Management And General	$407,379	ManagementAndGeneralAmt
Fundraising	$219	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$514,694	TotalAmt
Program Services	$33,686	ProgramServicesAmt
Management And General	$481,008	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,508,964	TotalAmt
Program Services	$8,873,927	ProgramServicesAmt
Management And General	$632,972	ManagementAndGeneralAmt
Fundraising	$2,065	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$306,268	TotalAmt
Program Services	$302,963	ProgramServicesAmt
Management And General	$3,305	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,857,321	TotalAmt
Program Services	$9,569,317	ProgramServicesAmt
Management And General	$1,241,773	ManagementAndGeneralAmt
Fundraising	$46,231	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$302,993	TotalAmt
Program Services	$264,659	ProgramServicesAmt
Management And General	$38,334	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$466,575	TotalAmt
Program Services	$458,352	ProgramServicesAmt
Management And General	$8,223	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,119,439	TotalAmt
Management And General	$6,119,439	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$45,375,415	TotalAmt
Management And General	$45,375,415	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,024,677	TotalAmt
Program Services	$13,801,995	ProgramServicesAmt
Management And General	$1,221,349	ManagementAndGeneralAmt
Fundraising	$1,333	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,992,709	TotalAmt
Program Services	-$549,266	ProgramServicesAmt
Management And General	$4,541,975	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$83,786,080	$83,644,449	$141,631
BAD DEBT EXPENSE	$11,399,240	$11,399,240
QAAP TAX	$10,135,815	$10,135,815	$0
REPAIRS & MAINTENANCE	$9,476,097	$8,830,088	$646,009

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,430,267	TotalAmt
Program Services	$3,647,486	ProgramServicesAmt
Management And General	$782,283	ManagementAndGeneralAmt
Fundraising	$498	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$464,318,893	TotalAmt
Program Services	$393,099,473	ProgramServicesAmt
Management And General	$71,026,151	ManagementAndGeneralAmt
Fundraising	$193,269	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,505	BOYAmt
EOY	$6,792	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$70,515,253	BOYAmt
EOY	$52,091,926	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$33,578	BOYAmt
EOY	$503,055	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,458,649	BOYAmt
EOY	$48,369,983	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,983,930	BOYAmt
EOY	$7,891,727	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,627,896	BOYAmt
EOY	$3,843,023	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$320,895,593	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$151,177,253	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$167,517,986	BOYAmt
EOY	$169,718,340	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$30,885,556	BOYAmt
EOY	$31,702,521	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$156,818	BOYAmt
EOY	$137,756	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,590	BOYAmt
EOY	$169,773	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,818,853	BOYAmt
EOY	$16,576,789	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$317,103,614	BOYAmt
EOY	$331,011,685	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,233,530	BOYAmt
EOY	$43,210,988	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$145,647,244	BOYAmt
EOY	$136,300,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,407,334	BOYAmt
EOY	$47,254,773	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$224,288,108	BOYAmt
EOY	$226,765,761	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$85,552,544	BOYAmt
EOY	$94,802,693	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,899,748	BOYAmt
EOY	$7,080,017	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,363,214	BOYAmt
EOY	$2,363,214	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$92,815,506	BOYAmt
EOY	$104,245,924	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$317,103,614	BOYAmt
EOY	$331,011,685	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,015,422	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$166,585	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$418,418	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,642,245	BeginningYearBalanceAmt
Contributions	$908,092	ContributionsAmt
Investment Earnings Or Losses	$16,735	InvestmentEarningsOrLossesAmt
Other Expenditures	$284,238	OtherExpendituresAmt
End Year Balance	$6,282,834	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,809,597	BeginningYearBalanceAmt
Contributions	$766,354	ContributionsAmt
Investment Earnings Or Losses	$80,354	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,014,060	OtherExpendituresAmt
End Year Balance	$5,642,245	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,503,430	BeginningYearBalanceAmt
Contributions	$1,301,075	ContributionsAmt
Investment Earnings Or Losses	$104,796	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,099,704	OtherExpendituresAmt
End Year Balance	$7,809,597	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.25030	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.74970	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	$12,068,199	OtherCostOrOtherBasisAmt
Book Value	$12,068,199	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$200,691,363	OtherCostOrOtherBasisAmt
Depreciation	$73,244,440	DepreciationAmt
Book Value	$127,446,923	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,598,825	OtherCostOrOtherBasisAmt
Depreciation	$796,151	DepreciationAmt
Book Value	$802,674	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$102,140,657	OtherCostOrOtherBasisAmt
Depreciation	$77,136,662	DepreciationAmt
Book Value	$25,003,995	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,396,549	OtherCostOrOtherBasisAmt
Book Value	$4,396,549	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$169,718,340	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT EQUITY	$10,085,687
DEFERRED COMPENSATION	$5,892,243
OTHER	$598,859

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,576,789	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
MALPRACTICE LIABILITY	$16,203,978
CORPORATE RESERVE	-$2,900,943
WORKERS COMP LIABILITY	$1,601,999
DEFERRED COMPENSATION	$5,892,243
POST RETIREMENT BENEFITS	$20,907,242
OTHER LONG TERM LIABILITIES	$137,084
OTHER NOTES PAYABLE	$5,413,170

Field	Value	IRS element (for citing)
Total Liability	$47,254,773	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, 2016 AND 2015.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	MEDALLION EVENT	Event1Nm
Gross Receipts Event1	$325,753	GrossReceiptsEvent1Amt
Charitable Contri Event1	$257,309	CharitableContriEvent1Amt
Gross Revenue Event1	$68,444	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$138,603	OtherDirectExpensesEvent1Amt
Event2	SHOWTIME	Event2Nm
Gross Receipts Event2	$151,742	GrossReceiptsEvent2Amt
Charitable Contri Event2	$118,990	CharitableContriEvent2Amt
Gross Revenue Event2	$32,752	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$51,309	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$178,262	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$126,523	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$51,739	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$76,577	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$655,757	GrossReceiptsTotalAmt
Charitable Contributions Tot	$502,822	CharitableContributionsTotAmt
Gross Revenue Total Events	$152,935	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$266,489	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$266,489	DirectExpenseSummaryEventsAmt
Net Income Summary	-$113,554	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$73,495	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$41,001	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$73,495	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$41,001	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$41,001	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$32,494	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	REBECCA BLANKEN 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	$3,674,245	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,674,245	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,212,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,052,304	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,160,527	NetCommunityBenefitExpnsAmt
Total Expense	0.05110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,887,076	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,052,304	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,834,772	NetCommunityBenefitExpnsAmt
Total Expense	0.05920	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,978,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,888	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,907,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,039,968	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,946,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,093,737	NetCommunityBenefitExpnsAmt
Total Expense	0.01570	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,072,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,524,788	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,547,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$299,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$299,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$263,743	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$263,743	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,653,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,541,907	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,111,855	NetCommunityBenefitExpnsAmt
Total Expense	0.02680	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,540,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,594,211	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,946,627	NetCommunityBenefitExpnsAmt
Total Expense	0.08600	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,987	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$82,987	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$173,285	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$173,285	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,439	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,439	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,721	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,721	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,640	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,640	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,134	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$552,206	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$552,206	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$11,399,241	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,849,810	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$163,073,751	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$156,356,012	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,717,739	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	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)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE LINE 10A BELOW	Yes (X)	Yes (1)	16	Yes (1)	HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH	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/PATIENT-FINANCIAL-RESPONSIBILITY	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	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)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE LINE 10A BELOW	Yes (X)	Yes (1)	16	Yes (1)	HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH	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/PATIENT-FINANCIAL-RESPONSIBILITY	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY	Yes (X)	HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HENRY FORD MACOMB HOSPITAL-CLINTON TWP	PART V, SECTION B, LINE 6A: HENRY FORD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD MAPLEGROVE CENTERHENRY FORD KINGSWOOD HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTER
HENRY FORD MACOMB HOSPITAL-CLINTON TWP	PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN 2016 IN PARTNERSHIP WITH THE MACOMB COUNTY HEALTH DEPARTMENT AND THEIR COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN TEAMS. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD MACOMB HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD 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: WEIGHT MANAGEMENT/ OBESITY/DIET AND NUTRITION, SUBSTANCE ABUSE & MENTAL HEALTH AND DIABETES HENRY FORD MACOMB WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES, AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. THE FOLLOWING IMPLEMENTATION STRATEGY SPECIFIES COMMUNITY HEALTH NEEDS THAT THE HOSPITAL/HEALTH SYSTEM HAS DETERMINED IT WILL ADDRESS, IN PARTNERSHIP WITH OTHER AGENCIES AND ORGANIZATIONS, CONSISTENT WITH OUR MISSION AND VISION, TO TRANSFORM LIVES AND COMMUNITIES. THE HOSPITAL RESERVES THE RIGHT TO AMEND THIS IMPLEMENTATION STRATEGY AS CIRCUMSTANCES WARRANT. 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:CHRONIC DISEASES - BECAUSE MANY CHRONIC DISEASES SUCH AS HIGH BLOOD PRESSURE, CARDIAC DISEASES AND CANCER ARE CLOSELY RELATED TO WEIGHT ISSUES, MANY OF THESE WILL BE ADDRESSED INDIRECTLY THROUGH STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY, AND PROMOTING WEIGHT MANAGEMENT, HEALTHY DIET AND NUTRITION. EFFORTS TO IMPROVE BEHAVIORAL HEALTH SHOULD ALSO INDIRECTLY IMPROVE CHRONIC DISEASE ISSUES INCLUDING A PERSON'S EMOTIONAL ABILITY TO MANAGE CHRONIC MEDICAL ISSUES. FOR THESE REASONS, HFM WILL NOT TAKE NEW ACTIONS TO ADDRESS CHRONIC DISEASES. HEALTH INSURANCE ENROLLMENT - HFM WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. INFANT MORTALITY - HFM WILL CONTINUE TO PARTNER WITH THE MACOMB COUNTY HEALTH DEPARTMENT TO ADDRESS INFANT MORTALITY, AS THIS AREA CONTINUES TO BE SLIGHTLY ABOVE STATE AVERAGES IN MACOMB COUNTY.
HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS	PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN 2016 IN PARTNERSHIP WITH THE MACOMB COUNTY HEALTH DEPARTMENT AND THEIR COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN TEAMS. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD MACOMB HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD 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: WEIGHT MANAGEMENT/ OBESITY/DIET AND NUTRITION, SUBSTANCE ABUSE & MENTAL HEALTH AND DIABETES HENRY FORD MACOMB WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES, AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. THE FOLLOWING IMPLEMENTATION STRATEGY SPECIFIES COMMUNITY HEALTH NEEDS THAT THE HOSPITAL/HEALTH SYSTEM HAS DETERMINED IT WILL ADDRESS, IN PARTNERSHIP WITH OTHER AGENCIES AND ORGANIZATIONS, CONSISTENT WITH OUR MISSION AND VISION, TO TRANSFORM LIVES AND COMMUNITIES. THE HOSPITAL RESERVES THE RIGHT TO AMEND THIS IMPLEMENTATION STRATEGY AS CIRCUMSTANCES WARRANT. 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:CHRONIC DISEASES - BECAUSE MANY CHRONIC DISEASES SUCH AS HIGH BLOOD PRESSURE, CARDIAC DISEASES AND CANCER ARE CLOSELY RELATED TO WEIGHT ISSUES, MANY OF THESE WILL BE ADDRESSED INDIRECTLY THROUGH STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY, AND PROMOTING WEIGHT MANAGEMENT, HEALTHY DIET AND NUTRITION. EFFORTS TO IMPROVE BEHAVIORAL HEALTH SHOULD ALSO INDIRECTLY IMPROVE CHRONIC DISEASE ISSUES INCLUDING A PERSON'S EMOTIONAL ABILITY TO MANAGE CHRONIC MEDICAL ISSUES. FOR THESE REASONS, HFM WILL NOT TAKE NEW ACTIONS TO ADDRESS CHRONIC DISEASES. HEALTH INSURANCE ENROLLMENT - HFM WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. INFANT MORTALITY - HFM WILL CONTINUE TO PARTNER WITH THE MACOMB COUNTY HEALTH DEPARTMENT TO ADDRESS INFANT MORTALITY, AS THIS AREA CONTINUES TO BE SLIGHTLY ABOVE STATE AVERAGES IN MACOMB COUNTY.
HENRY FORD MACOMB HOSPITAL-CLINTON TWP	PART V, SECTION B, LINE 13B: 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 THE ORGANIZATION IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. 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.PART V, SECTION B, LINE 22A: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. 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.
HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS	PART V, SECTION B, LINE 13B: 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 THE ORGANIZATION IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. 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.PART V, SECTION B, LINE 22A: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. 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.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 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
31505 32 MILE ROAD	RICHMOND	MI	48062	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
6 - HENRY FORD MACOMB-SLEEP MEDICINE
15945 19 MILE ROAD	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
43401 GARFIELD ROAD	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
15 - HENRY FORD MACOMB CENTER-CLINTON TWP
43411 GARFIELD ROAD	CLINTON TOWNSHIP	MI	48038	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
16 - HENRY FORD MACOMB REHAB-STERLING HEIGHTS
44800 DELCO BLVD	STERLING HEIGHTS	MI	48313	REHABILITATION SERVIES
17 - HENRY FORD MACOMB REHAB-CLINTON TWP
16301 NINETEEN NIME ROAD	CLINTON TOWNSHIP	MI	48308	REHABILITATION SERVIES
18 - HFMH-WARREN INTERNAL MEDICINE
25531 SCHOENHERR	WARREN	MI	48089	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
19 - HFMH-WARREN FAMILY MEDICINE
30205 SCHOENHERR	WARREN	MI	48093	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
20 - HFMH-WARREN SLEEP MEDICINE
13251 E TEN MILE ROAD	WARREN	MI	48089	CLINICAL/DIAGNOSTIC MEDICAL SERVICES
21 - HENRY FORD MACOMB-FAMILY MEDICINE
21250 HALL ROAD	CLINTON TOWNSHIP	MI	48039	CLINICAL/DIAGNOSTIC MEDICAL SERVICES

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 $11,399,241
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 IN THE PATIENT 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.THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN THREE PHASES. THE FIRST PHASE INCLUDES 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 POINTS. SOURCES FOR THIS FIRST PHASE INCLUDED THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH), MICHIGAN BEHAVIORAL RISK FACTOR SURVEY, CLARITAS INC. /TRUVEN HEALTH ANALYTICS, MICHIGAN STATE HOMELESS MANAGEMENT INFORMATION SYSTEM (MSHMIS), AND THE MICHIGAN INPATIENT DATABASE. THE SECOND PHASE INVOLVED DEVELOPING AND DISTRIBUTING A KEY STAKEHOLDER SURVEY TO CAPTURE THE INPUT OF OTHER COMMUNITY ORGANIZATIONS AND COALITIONS ABOUT WHAT THEY BELIEVE ARE THEMAJOR HEALTH NEEDS THAT SHOULD BE PRIORITIZED AND ADDRESSED IN THE TRI-COUNTY AREA. THE THIRD PHASE INCORPORATED THE QUANTITATIVE AND QUALITATIVE DATA THAT WAS COLLECTED IN THE FIRST TWO PHASES, AND BASED ON THIS INFORMATION IDENTIFIED PRIORITIES FOR HENRY FORD HEALTH SYSTEM TO ADDRESS WITH THE COMMUNITIES IT SERVES.THIS ASSESSMENT WAS PREPARED BY THE CORPORATE PLANNING DEPARTMENT WITHIN HENRY FORD HEALTH SYSTEM. RESULTS ARE USED AS A FOUNDATION FOR PLANNING, DEVELOPING, AND REFINING HFHS'S FUTURE COMMUNITY SERVICES IN THE TRI-COUNTY AREA.
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. 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 TRI-COUNTY AREA INCLUDES THE CONTIGUOUS COUNTIES OF WAYNE, OAKLAND AND MACOMB, WHICH ARE LOCATED IN SOUTHEASTERN MICHIGAN AND ACCOUNT FOR 39% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULATED COUNTIES IN MICHIGAN. OF THE NEARLY 4 MILLION RESIDENTS,APPROXIMATELY 52% OF THE POPULATION IS FEMALE. WITH REGARD TO RACE/ETHNICITY, THE TRI-COUNTY AREA IS 65% WHITE, COMPARED TO A NATIONAL AVERAGE OF 63%. OF NOTE, THE TRI-COUNTY AREA IS 25% BLACK,WHICH IS OVER TWICE THE NATIONAL PERCENTAGE OF 12%. CONVERSELY, THE HISPANIC POPULATION (4.0%) IS LESS THAN ONE QUARTER OF THE NATIONAL PERCENTAGE OF 17%.THE NUMBER OF TRI-COUNTY RESIDENTS IS EXPECTED TO DECREASE BY 1% OVER THE NEXT SEVERAL YEARS, WHICH CONTRASTS WITH THE 3% INCREASE EXPECTED NATIONWIDE. IN ADDITION, FEMALES OF CHILDBEARING AGE (15-44), WHO MAKE UP 19% OF THE TRI-COUNTY'S POPULATION, ARE EXPECTED TO DECLINE BY 4% OVER THE NEXT SEVERAL YEARS. WHEN EXAMINING AGE DISTRIBUTION, THE TRI-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 14% OF THE POPULATION ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE TRI-COUNTY AREA WITH THE 55-YEARS-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 9% FROM 2013 TO 2018.WITH REGARDS TO EDUCATION, THE TRI-COUNTY AREA HAS APPROXIMATELY 12% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 14%. FURTHER, 28% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE TRI-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 WELL4. THE AVERAGE HOUSEHOLD INCOME WITHIN THE TRI-COUNTY AREA ($71,262) IS LESS THAN THE NATIONAL AVERAGE ($73,487). WITHIN THE TRI-COUNTY AREA, THE AVERAGE HOUSEHOLD INCOME IN OAKLAND COUNTY ($89,683) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($57,369) AND ACOMB COUNTY ($66,735). 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 TRI-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT. STUDIES HAVE SHOWN A SIGNIFICANT RISE IN CHILD POVERTY IN SOUTHEAST MICHIGAN, GROWING FROM 18.9% IN 2006 TO 27% IN 2012. ON A MORE POSITIVE NOTE, UNEMPLOYMENT IN MICHIGAN HAS DROPPED TO 5%6 IN SEPTEMBER 2015, WHICH IS SIMILAR TO THE NATIONAL AVERAGE7 AND A DECLINE OF 1.7% OVER THE LAST YEAR IN MICHIGAN. CONVERSELY, WITHIN THE TRI-COUNTY AREA THE UNEMPLOYMENT RATE IS SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE OF 5% AT 5.6%, AND RANGES FROM 4.6% IN OAKLAND COUNTY TO 6.7% IN WAYNE COUNTY.THERE ARE KEY DEMOGRAPHIC DIFFERENCES BETWEEN THE RESIDENTS OF EACH COUNTY WITHIN THE TRI-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 (FIGURE 4). WHEN EXAMINING THE CITY OF DETROIT THE AVERAGE HOUSEHOLD INCOME IS $37,887, WHICH IS SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL TRI-COUNTY AREA ($71,262). REGARDING EDUCATION, 22% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 13% HAVE A BACHELOR'S DEGREE OR HIGHER. IN TERMS OF RACE/ETHNICITY, APPROXIMATELY 92% OF DETROIT IS COMPOSED OF A MINORITY POPULATION VERSUS 35% FOR THETRI-COUNTY AREA AS A WHOLE. THE DETROIT UNEMPLOYMENT RATE IS 11.5%9 (SEPT 2015), WHICH IS SIGNIFICANTLY GREATER THAN THE NATIONAL AVERAGE OF 5%, BUT 6% LESS THAN WHAT WAS REPORTED IN 2013.WHEN LOOKING OUTSIDE OF THE CITY OF DETROIT, VARIOUS ZIP CODES IN THE TRI-COUNTY AREA INDICATE SECTIONS OF THE REGION THAT HAVE LOWER INCOMES, LESS EDUCATION, AND ARE MORE RACIALLY AND ETHNICALLY DIVERSE. FIGURE 5A DISPLAYS THE ZIP CODES THAT RANK IN THE TOP TWENTY ZIP CODES FOR BOTH LOWEST AVERAGE HOUSEHOLD INCOME AND HIGHEST PROPORTION OF THE POPULATION WITHOUT A HIGH SCHOOL DIPLOMA IN THE TRI-COUNTY AREA. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES IS $37,620, WHICH IS SIGNIFICANTLY LESS THAN THE AVERAGE HOUSEHOLD INCOME OF $71,262 FOR THE OVERALL TRI-COUNTY AREA. OVERALL, 21% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 12% FOR THE TRI-COUNTY AREA. THESE TWENTY ZIP CODES HAVE A SIMILAR PERCENTAGE OF RACIAL/ETHNIC MINORITIES AS COMPARED TO THE REST OF THE TRI-COUNTY AREA. AS A WHOLE THESE ZIP CODES ARE COMPOSED OF 34.5% MINORITIES COMPARED TO 35.2% FOR THE TRI-COUNTY AREA.AS A RESULT, THE DETROIT AREA AND ABOVE TWENTY ZIP CODES, AS WELL AS OTHER ZIP CODES WITH SIMILAR CHARACTERISTICS, ARE OF PARTICULAR INTEREST IN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE TRI-COUNTY AREA.
PART VI, LINE 5:	HENRY FORD MACOMB HOSPITALS (HFMH) IS 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 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	0	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 (15 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
STEVEN D HARRINGTON MD
PHYSICIAN/ TRUSTEE	$397,914	$0	$0	$0	$402,995	$0	$23,155	$0	$17,799	$0	$841,863	$0	$0	$0
BRIAN G LODER DPM
PHYSICIAN/ TRUSTEE	$140,410	$0	$0	$0	$0	$40,359	$8,408	$0	$19,429	$0	$168,247	$40,359	$0	$0
ROBERT G RINEY
TRUSTEE	$0	$959,356	$0	$940,329	$0	$235,479	$0	$25,805	$0	$23,007	$0	$2,183,976	$0	$0
BARBARA W ROSSMANN
PRESIDENT / TRUSTEE	$501,348	$0	$283,347	$0	$102,769	$0	$25,805	$0	$27,685	$0	$940,954	$0	$0	$0
DIANE L GEORGE DO
PHYSICIAN/ TRUSTEE	$0	$347,422	$0	$64,271	$0	$7,954	$0	$25,805	$0	$28,864	$0	$474,316	$0	$0
EDITH L EISENMANN
SECRETARY	$0	$188,982	$0	$133,008	$0	$23,742	$0	$20,636	$0	$13,950	$0	$380,318	$0	$0
TERRY A GOODBALIAN
ASSISTANT TREASURER/CFO	$0	$262,539	$0	$83,142	$0	$8,367	$0	$24,480	$0	$23,987	$0	$402,515	$0	$0
EDWARD G CHADWICK
TREASURER	$0	$666,183	$0	$439,612	$0	$21,947	$0	$167,719	$0	$25,760	$0	$1,321,221	$0	$0
GARY J BEAULAC
CHIEF OPERATING OFFICER	$311,451	$0	$154,074	$0	$27,775	$0	$24,480	$0	$31,120	$0	$548,900	$0	$0	$0
JOANNA R PEASE DO
CHIEF MEDICAL OFFICER	$341,000	$0	$240,643	$0	$3,917	$0	$24,480	$0	$16,553	$0	$626,593	$0	$0	$0
KENNETH A SCOTT DO
PHYSICIAN	$646,178	$0	$77,013	$0	$29,291	$0	$23,155	$0	$21,078	$0	$796,715	$0	$0	$0
FREMONT SCOTT DO
PHYSICIAN	$603,354	$0	$20,563	$0	$35,083	$0	$24,480	$0	$18,155	$0	$701,635	$0	$0	$0
ANDREW AGOSTA MD
PHYSICIAN	$437,972	$0	$84,975	$0	$125,705	$0	$25,805	$0	$25,164	$0	$699,621	$0	$0	$0
RONALD LEVIN MD
PHYSICIAN	$724,679	$0	$210,207	$0	$174,383	$0	$24,480	$0	$24,467	$0	$1,158,216	$0	$0	$0
MARK T RYAN DO
PHYSICIAN	$606,893	$0	$118,104	$0	$19,284	$0	$22,493	$0	$1,595	$0	$768,369	$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 2016. 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, LINE 4B

SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE REPORTABLE VALUE OF 2016 ACCRUAL NON-VESTED 2016 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT ROBERT G. RINEY 212,144 - - 212,144 BARBARA W. ROSSMANN 75,283 - - 75,283 EDWARD G. CHADWICK - 144,564 - - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2016 CONTRIBUTIONS 2016 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA W. ROSSMANN 3,786 14,214 342 18,342 RONALD LEVIN, M.D. - 18,000 433 18,433 ANDREW AGOSTA, M.D. 9,464 8,536 205 18,205 GARY J. BEAULAC 14,175 3,825 92 18,092 JOANNA PEASE, M.D. - 3,825 92 3,917 ROBERT G. RINEY - 18,000 433 18,433 MARK RYAN, M.D. 7,274 10,726 258 18,258 EDITH L. EISENMANN 18,000 - - 18,000 STEVEN D. HARRINGTON 5,005 120 5,125 DIANE L. GEORGE 5,500 132 5,632 EDWARD CHADWICK 4,070 13,930 335 18,335 KENNETH A. SCOTT 9,555 230 9,785 FREMONT SCOTT 5,500 12,124 292 17,966

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Sharing Of RevenuesSharingOfRevenuesInd	Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc
(no name)
0
MARTIN E BEAULAC
0	SEE BELOW	$195,362	SEE BELOW
ROSEMARY MINJEUR
0	SEE BELOW	$68,637	SEE BELOW
RAYMOND J MINJEUR
0	SEE BELOW	$46,856	SEE BELOW
JONATHAN E BEAULAC
0	SEE BELOW	$118,487	SEE BELOW
ALLIANCE HEALTH PROF
0	SEE BELOW	$13,600,896	SEE BELOW
ALLIANCE MANAGEMENT
0	SEE BELOW	$12,399,929	SEE BELOW

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: ALLIANCE HEALTH PROFESSIONAL PLLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OWNER/TRUSTEE(C) AMOUNT OF TRANSACTION $ 13,600,896(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ALLIANCE MANAGEMENT PARTNERS LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OWNER/TRUSTEE(C) AMOUNT OF TRANSACTION $ 12,399,929(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MARTIN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/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/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/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/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION 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 $ 164,218.26(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: EASTPOINTE RADIOLOGISTS PC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: (C) AMOUNT OF TRANSACTION $ 103,164.05 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: KASCO INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,239,813.73 (D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MEDSTAR AMBULANCE SERVICE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 452,897.74(D) DESCRIPTION OF TRANSACTION: PROVIDED AMBULANCE 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 $ 2,874,974.50(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SYENERGY ENGINEERING SERVICES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 993,474.65(D) DESCRIPTION OF TRANSACTION: PROVIDED ENGINEERING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: WELLINGTON HOME BUILDING LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 893,114.50(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$10,491	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

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	103	$43,072	FAIR MARKET VALUE
Yes (X)	MISCELLANEOUS	1	$2,513	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 CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF EXECUTIVE OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF TRUSTEES - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES - PROVIDE A COPY OF THE RETURN TO THE ORGANIZATION'S BOARD OF TRUSTEES
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 TRUSTEES AND EMPLOYEES. ANNUALLY, TRUSTEES, 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 TRUSTEES.
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 TRUSTEES CONSISTING OF ALL EXTERNAL TRUSTEES. 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.
FORM 990, PART XI, LINE 9:	MINIMUM PENSION LIABILITY ADJUSTMENT -428,947. INTERCOMPANY TRANSFER 10,529.
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	$25,000	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt
Direct Controlling NA	N/A	DirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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)	3	N/A	0
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE	WYANDOTTE	MI	48192	382791823	HEALTHCARE SERVICE PROVIDER	MI	501(C)(3)	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)	11A-TYPE 1		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
HFHS SELF FUNDED LIABILITY
ONE FORD PLACE	DETROIT	MI	48202	386553031	MALPRACTICE INSURANCE	MI	501(C)(4)	N/A		Yes (1)	HENRY FORD HEALTH SYSTEM
HENRY FORD CONTINUING CARE
ONE FORD PLACE	DETROIT	MI	48202	382433285	NURSING HOMES	MI	501(C)(3)	9		Yes (1)	HENRY FORD HEALTH SYSTEM
HFII CORPORATION
ONE FORD PLACE	DETROIT	MI	48202	900840304	SCIENTIFIC RESEARCH	MI	501(C)(3)	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)	11A-TYPE II		Yes (1)	HENRY FORD HEALTH SYSTEM
ALLEGIANCE HEALTH FOUNDATION
205 N EAST AVENUE	JACKSON	MI	49201	383607833	SUPPORTING ORGANIZATION	MI	501(C)(3)	11A-TYPE II		Yes (1)	HENRY FORD ALLEGIANCE HEALTH GROUP

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	48201	383017711	LESSOR OF MEDICAL CONDOMINIUM	MI	HENRY FORD ALLEGIANCE HEALTH GROUP	RELATED	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	OwnershipOwnershipPct
(no name)
Yes (1)
FAIRLANE HEALTH SERVICES
Yes (1)	30100 TELEGRAPH	BINGHAM FARMS	MI	48025	382565235	HEALTHCARE MANAGEMENT	MI	HENRY FORD HEALTH SYSTEM	C
ALLIANCE HEALTH AND LIFE INSURANCE
Yes (1)	2850 W GRAND BLVD	DETROIT	MI	48202	383291563	HEALTH INSURANCE PROVIDER	MI	HEALTH ALLIANCE PLAN	C
HAP PREFERRED INC
Yes (1)	2850 W GRAND BLVD	DETROIT	MI	48202	382513504	PROVIDER NETWORK LEASING	MI	HEALTH ALLIANCE PLAN	C
SHA REALTY INC
Yes (1)	ONE FORD PLACE	DETROIT	MI	48202	381378121	REAL ESTATE HOLDING	MI	HENRY FORD HEALTH SYSTEM	C
ONIKA INSURANCE LTD
Yes (1)						CAPTIVE INSURANCE		HENRY FORD HEALTH SYSTEM	C	FIRST CARRIBEAN HOUSE	GRAND CAYMAN	CJ	CJ
HENRY FORD PHYSICIAN NETWORK
Yes (1)	ONE FORD PLACE	DETROIT	MI	48202	320306774	PHYSICIAN NETWORK	MI	HENRY FORD HEALTH SYSTEM	C
ADMINISTRATION SYSTEMS RESEARCH CORPORATION
Yes (1)	2850 W GRAND BLVD	DETROIT	MI	48202	382651185	THIRD PARTY INSURANCE ADMINISTRATOR	MI	HEALTH ALLIANCE PLAN	C
HAP MIDWEST HEALTH PLAN INC
Yes (1)	2850 W GRAND BLVD	DETROIT	MI	48202	383123777	HEALTH INSURANCE PROVIDER	MI	HEALTH ALLIANCE PLAN	C
HAP COMMUNITY ALLIANCE
Yes (1)	2850 W GRAND BLVD	DETROIT	MI	48202	320306774	MANAGEMENT COMPANY	MI	HEALTH ALLIANCE PLAN	C
VIKING HEALTH SYSTEM INC
Yes (1)	205 N EAST AVENUE	JACKSON	MI	49201	382756161	IDLE HEALTHCARE ADMINISTRATION CORPORATION	MI	HENRY FORD ALLEGIANCE HEALTH GROUP	C					1.00000
CASCADES INSURANCE COMPANY LTD
Yes (1)	205 N EAST AVENUE	JACKSON	MI	49201	981132982	HOSPITAL MALPRACTICE INSURANCE	MI	HENRY FORD ALLEGIANCE HEALTH GROUP	C					1.00000

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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE PLAN
L	$35,853,968	CASH VALUE
HEALTH ALLIANCE PLAN
M	$30,574	CASH VALUE
ALLIANCE HEALTH AND LIFE INSURANCE
M	$1,665,306	CASH VALUE
ONIKA INSURANCE LTD
P	$1,329,500	CASH VALUE
HEALTH ALLIANCE PLAN
M	$445,031	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