2017-11-13T13:31:41-06:00 2016-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2016-01-01 381357020 HENRY FORD HEALTH SYSTEM HENR 3138768704 ONE FORD PLACE - 5F DETROIT MI 48202 ROBERT G RINEY COO 3138768704 2017-11-13 LORI BOYCE P00121981 3133963000 150.198.17.9 2017-11-13 14:01:26 ES P EC2F309BEAB6C8086E5B0764ED30F15AD3E8FABD E211DC56DBD7178BCD538CDAC8979EE0EC2F3682 2016 2021-01-29 14:40:06Z WRIGHT L LASSITER III ONE FORD PLACE DETROIT MI 48202 2967532327 0 X WWW.HENRYFORD.COM X 1915 MI 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. 22 18 21462 961 10292302 -8607305 80345662 66264090 2507919121 2622160425 4726907 18751908 93166969 123171825 2686158659 2830348248 3873605 2849473 0 0 1401491048 1514396905 100290 66019 4515398 1167627439 1201199577 2573092382 2718511974 113066277 111836274 2048146134 2189794979 1347588340 1423732832 700557794 766062147 X AS ONE OF THE NATION'S LEADING INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HENRY FORD HEALTH SYSTEM TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. SINCE ITS FOUNDING IN 1915, HFHS HAS BEEN 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 HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION.MERGER TRANSACTION: EFFECTIVE APRIL 1, 2016, HFHS BECAME THE SOLE MEMBER OF W.A. FOOTE MEMORIAL HOSPITAL D/B/A HENRY FORD ALLEGIANCE HEALTH, WHOSE PRINCIPAL CORPORATE OFFICE IS LOCATED IN JACKSON, MICHIGAN. 0 0 1121339553 2849473 1158631619 INPATIENT HOSPITALS: HENRY FORD HEALTH SYSTEM IS HONORED TO BE THE ONLY ORGANIZATION IN MICHIGAN AND ONE OF FOUR NATIONALLY TO RECEIVE THE 2011 MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR PERFORMANCE EXCELLENCE. A KEY FACET OF OUR AWARD-WINNNING OPERATIONS IS THE COMMUNITY PILLAR, SUPPORTING OUR VISION OF TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. THE ORGANIZATION OPERATES HENRY FORD HOSPITAL (HFH), AN 877 BED TERTIARY CARE HOSPITAL, EDUCATION AND RESEARCH COMPLEX IN THE NEW CENTER AREA OF DETROIT, MICHIGAN. THE HOSPITAL IS RECOGNIZED FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF CARDIOLOGY AND CARDIOVASCULAR SURGERY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS AND SPORTS MEDICINE, AND TREATMENT OF PROSTATE, BREAST AND LUNG CANCERS AMONG OTHERS. THE HOSPITAL IS A MULTI-ORGAN TRANSPLANT CENTER AND LEVEL 1 TRAUMA CENTER. THE HOSPITAL HAD REVENUES OF MORE THAN $969 MILLION AND MORE THAN 41,000 ADMISSIONS DURING 2016. 1,300 MEDICAL RESIDENTS & FELLOWS ALONG WITH 1,200 MEDICAL STUDENTS PARTICIPATED IN THE ORGANIZATION'S VARIOUS EDUCATIONAL PROGRAMS.WEST BLOOMFIELD HOSPITAL, AN OPERATING UNIT OF HFHS, OFFERS COMPREHENSIVE MEDICAL CARE, INCLUDING 24-HOUR EMERGENCY CARE, NEUROSCIENCES, WOMEN'S AND CHILDREN'S HEALTH, ORTHOPAEDICS, DIAGNOSTIC TESTING AND A WELLNESS CENTER WITH COMPLEMENTARY THERAPIES. A GREENHOUSE GROWS ORGANIC PRODUCE FOR PATIENTS, STAFF AND COMMUNITY. HENRY FORD WEST BLOOMFIELD EARNED THE BABY FRIENDLY HOSPITAL DESIGNATION IN 2015. BY HFWB IMPLEMENTING 10 IMPORTANT STEPS, HFWB JOINED ALMOST 300 HOSPITALS NATIONWIDE TO OFFER OPTIMAL CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. TO COMPLEMENT THE SERVICES AT ITS BREAST CENTER, HFWB WAS THE FIRST HOSPITAL IN THE SYSTEM TO ADD TOMOSYNTHESIS TECHNOLOGY FOR IMAGING OF DENSE BREASTS. THE HOSPITAL HAD REVENUES OF $274 MILLION, AND ADMITTED 13,929 PATIENTS DURING 2016. TEACHING, RESEARCH, AND ADVANCED PATIENT CARE MAKE HFHS A PREMIER ACADEMIC MEDICAL CENTER. AFFILIATED WITH WAYNE STATE UNIVERSITY'S SCHOOL OF MEDICINE, HENRY FORD PROVIDES INNOVATIVE PHYSICIAN TRAINING PROGRAMS AND COLLABORATES ON LEADING-EDGE MEDICAL RESEARCH.HENRY FORD MEDICAL EDUCATION OVERVIEW:HENRY FORD HEALTH SYSTEM HAS ONE OF THE LARGEST MEDICAL EDUCATION ENTERPRISES IN THE UNITED STATES. THE SYSTEM SPONSORS 92 GRADUATE TRAINING PROGRAMS IN MICHIGAN. THE SYSTEM'S FLAGSHIP HOSPITAL, HENRY FORD HOSPITAL IN DETROIT, IS ONE OF THE NATION'S LARGEST RESEARCH CENTERS. IN 2016, EXTERNAL GRANTS AND CONTRACTS FOR RESEARCH REACHED $82.5 MILLION. THE LARGEST AMOUNT OF EXTERNAL FUNDING AWARDED TO HENRY FORD IN ITS 101-YEAR HISTORY. AS ONE OF THE LARGEST MEDICAL EDUCATION TEACHING CENTERS IN THE NATION, HENRY FORD TRAINS MORE THAN 1,000 DOCTORS EVERY YEAR.HENRY FORD HOSPITAL DOCTORS TRAIN MORE THAN 700 MEDICAL SCHOOL STUDENTS, 900 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 AND HENRY FORD WYANDOTTE HOSPITAL TRAIN MORE THAN 200 MEDICAL STUDENTS AND 200 RESIDENTS EVERY YEAR. THESE HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS. AS TEACHING PHYSICIANS, HENRY FORD MEDICAL GROUP DOCTORS ARE ALSO FACULTY MEMBERS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE, AND MANY OTHER HENRY FORD TEACHING DOCTORS ARE FACULTY MEMBERS AT THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HENRY FORD HOSPITAL HEALTH SYSTEM'S CENTER FOR SIMULATION, EDUCATION AND RESEARCH ALLOWS DOCTORS TO PRACTICE NEW SKILLS ON LIFE-LIKE MANNEQUINS (ADULT AND CHILD) TO GAIN EXPERIENCE BEFORE CARING FOR THE HUMAN PATIENT.THIS 15,000 SQUARE FOOT TRAINING CENTER INCLUDES HIGH-TECH COMPUTERS WHICH CREATE HUNDREDS OF DIFFERENT MEDICAL CONDITIONS IN SURGERY, LABOR AND DELIVERY, INTENSIVE CARE, EMERGENCY AND ROUTINE HOSPITAL PROCEDURES. 876919743 779330455 OUTPATIENT CLINICS: THE ORGANIZATION INCLUDES THE HENRY FORD MEDICAL GROUP (HFMG),ONE OF THE NATION'S LARGEST GROUP PRACTICES, WITH 1,200 PHYSICIANS AND RESEARCHERS IN 40 SPECIALTIES FROM 60 COUNTRIES WHO STAFF HENRY FORD HOSPITAL AND HENRY FORD WEST BLOOMFIELD HOSPITAL, ALONG WITH 29 HENRY FORD MEDICAL CENTERS, ENCOMPASSING MORE THAN 2.4 MILLION VISITS. HENRY FORD'S MEDICAL CENTERS ARE LOCATED IN WAYNE, OAKLAND, MACOMB AND WASHTENAW COUNTIES. SOME MEDICAL GROUP PHYSICIANS ALSO ARE ON STAFF AT OTHER HENRY FORD HOSPITALS. THREE MEDICAL CENTERS PROVIDE 24-HOUR EMERGENCY CARE AND AMBULATORY SURGERY AND ARE PRIMARY CARE STROKE CENTERS.FOUNDED IN 1915 AFTER CONSULTATIONS WITH PHYSICIANS AT JOHNS HOPKINS HOSPITAL AND THE MAYO CLINIC, THE HENRY FORD MEDICAL GROUP HAS ESTABLISHED ITSELF AS ONE OF THE PREMIER GROUP PRACTICES IN THE NATION. OUR LARGE ACADEMIC ENTERPRISE PLACES US IN THE TOP THREE OF TRADITIONALLY INDEPENDENT GROUP PRACTICES THROUGH:CLINICAL CARE: THE BREADTH AND DEPTH OF THE HENRY FORD MEDICAL GROUP'S CLINICAL SERVICES IS UNPARALLELED BY ANY OTHER INDEPENDENT ACADEMIC MEDICAL CENTER. OUR SCALE AND SCOPE ARE IN THE 99TH PERCENTILE OF ALL GROUP PRACTICES, WITH VISIT VOLUMES LARGER THAN MOST GROUP PRACTICES. WE ARE NATIONAL LEADERS IN PRIMARY CARE WITH EXPERTISE IN PREVENTIVE CARE SERVICES AND THE HEALTH MANAGEMENT OF SENIOR CITIZENS. OUR SPECIALTY CENTERS OF EXCELLENCE ARE NATIONAL LEADERS AS WELL, PROVIDING ADVANCED TERTIARY AND QUATERNARY CARE WITH A FOCUS ON DISCOVERY AND INNOVATION.EDUCATION: ONE-THIRD OF ALL PHYSICIANS IN MICHIGAN RECEIVED TRAINING AT HENRY FORD, AND OUR POST-GRADUATE MEDICAL EDUCATION ENTERPRISE IS AMONG THE LARGEST IN THE COUNTRY.RESEARCH: HENRY FORD IS IN THE TOP 20% OF ALL INSTITUTIONS GRANTED FUNDING BY THE NIH AND U.S. PUBLIC HEALTH SERVICE, AND RANKS FIRST IN MICHIGAN FOR NIH-RESEARCH FUNDING FOR NON-UNIVERSITY BASED HEALTH CARE SYSTEMS.LEADERS IN ACADEMIC MEDICINE AND CLINICAL CARE: THE HENRY FORD MEDICAL GROUP IS AMONG THE BEST ORGANIZED IN THE COUNTRY. OUR SELF-GOVERNED, EMPLOYED PHYSICIAN PRACTICE PROGRAM HAS BEEN COPIED BY MANY OTHERS BECAUSE OF OUR CONTINUING SUCCESS EVEN THROUGH THE TOUGHEST ECONOMIC TIMES. THE BRIGHTEST MINDS IN MEDICINE ARE ATTRACTED TO BECOME PART OF THE HENRY FORD MEDICAL GROUP BECAUSE OUR ORGANIZATION PROVIDES PHYSICIANS THE INDEPENDENCE TO PURSUE ADVANCED CLINICAL CARE WHILE UNDERTAKING RESEARCH AS WELL AS ACADEMIC EDUCATIONAL INITIATIVES.FOR OVER 100 YEARS THE HENRY FORD MEDICAL GROUP HAS FOSTERED ADVANCEMENT IN PATIENT CARE, RESEARCH, AND EDUCATION WHILE ENCOURAGING INNOVATION IN TECHNOLOGY AND PATIENT CARE PROCESSES BOTH IN THE OUTPATIENT AND HOSPITAL SETTINGS. FOR THESE REASONS HENRY FORD MEDICAL GROUP PHYSICIANS ARE CONSISTENTLY SELECTED BY THEIR PHYSICIAN PEERS AS TOP DOCTORS IN VARIOUS LOCAL AND NATIONAL PUBLISHED SURVEYS AND TO LEAD NATIONAL AND STATE MEDICAL ASSOCIATIONS. HENRY FORD MEDICAL GROUP PHYSICIANS WORK TOGETHER IN LEADERSHIP AND AS EVERYDAY PARTNERS TO CONTINUE TO BRING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE. 147468702 154569793 EMERGENCY ROOM SERVICES: THE ORGANIZATION DIRECTLY OPERATES FIVE 24 HOUR EMERGENCY FACILITIES, ONE OF WHICH IS A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT. EMERGENCY SERVICES RECOGNIZED MORE THAN $140 MILLION IN REVENUE DURING 2016 REPRESENTING 229,370 PATIENT VISITS. 311926568 633860747 OTHER PROGRAM SERVICES INCLUDES HFHS RESEARCH SERVICES, ALONG WITH HFHS COMMUNITY CARE SERVICES, WHICH OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS INCLUDING NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, DIALYSIS AND A DEDICATED CANCER CENTER; APARTMENT RENTALS FOR MEDICAL RESIDENTS & PATIENT FAMILY MEMBERS; FITNESS CENTER & ATHLETIC TRAINING SERVICES, AND SCHOOL BASED HEALTH PROGRAMS.RESEARCH IS A VITAL COMPONENT OF THE MISSION OF HENRY FORD HEALTH SYSTEM-HENRY FORD HEALTH SYSTEM'S MISSION IS TO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THIS MISSION IS STRONGLY SUPPORTED AND ENHANCED BY THE DEDICATED STAFF PURSUING SCIENTIFIC ACTIVITIES. SINCE 1915, HENRY FORD HOSPITAL PHYSICIANS AND SCIENTISTS HAVE FOCUSED THEIR EFFORTS ON A WIDE VARIETY OF TOPICS CRITICAL TO UNDERSTANDING THE MECHANISMS OF DISEASE AND DEVELOPING NEW, VIABLE TREATMENT OPTIONS. OVER THE PAST FEW YEARS, HENRY FORD HEALTH SYSTEM (HFHS) HAS ENJOYED GREAT SUCCESS IN SECURING EXTERNAL RESEARCH GRANTS AND CONTRACTS. EXTERNAL GRANT FUNDING HAS BEEN RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH), OTHER FEDERAL AGENCIES, PHARMACEUTICAL COMPANIES AND INDUSTRY, STATE AND LOCAL AGENCIES, AND FOUNDATIONS, SUCH AS THE AMERICAN HEART ASSOCIATION. IN 2013, $27.4 MILLION WAS AWARDED BY NIH AND OTHER FEDERAL AGENCIES AND $29 MILLION BY INDUSTRY. "DESPITE THE FACT THAT THE NIH BUDGET HAS NOT KEPT UP WITH INFLATION SINCE 2002, AND THE FACT THAT THE RECENT RECESSION RESULTED IN SUBSTANTIVE FUNDING CUTS, OUR SCIENTISTS AND PHYSICIANS HAVE WORKED DILIGENTLY TO CONTINUE TO SUBMIT GRANTS FOR ALL AVAILABLE FUNDING OPPORTUNITIES," SAYS MARGOT LAPOINTE, PH.D., VICE PRESIDENT FOR RESEARCH, HENRY FORD HEALTH SYSTEM. "WE ARE HOPEFUL THAT OUR RESEARCH ENTERPRISE IS NOW ON A GROWTH TRAJECTORY AFTER SEVERAL YEARS OF STAGNATION." ALTHOUGH HFHS IS NOT PART OF A UNIVERSITY OR MEDICAL SCHOOL, THERE HAS BEEN SUPPORT FOR THE SYSTEM'S RESEARCH THROUGHOUT ITS HISTORY. THIS DRIVE TO UNDERSTAND DISEASE MECHANISM AND DISCOVER NEW THERAPIES IS MANIFESTED BY THE CONTINUUM OF BIOMEDICAL RESEARCH PERFORMED AT HENRY FORD. THE SYSTEM HAS 80 FULL-TIME RESEARCH BIO-SCIENTIFIC STAFF DOING BASIC SCIENCE STUDIES IN CARDIOVASCULAR AND RENAL DISEASES SUCH AS HYPERTENSION AND HEART FAILURE, STROKE/BRAIN INJURY/BRAIN TUMORS, POPULATION HEALTH AND HEALTHCARE RESEARCH, CANCER THERAPEUTICS, BONE AND JOINT DISEASES, IMMUNOLOGY AND IMAGING, AMONG OTHERS. IN ADDITION, DOZENS OF PHYSICIANS AND THEIR CLINICAL SUPPORT STAFF ARE ENGAGED IN PATIENT-ORIENTED STUDIES. AT THIS TIME, HFHS HAS MORE THAN 1,800 OPEN STUDIES APPROVED BY ITS INSTITUTIONAL REVIEW BOARD, WITH A SMALL NUMBER OF THESE STUDIES ALSO APPROVED IN CONJUNCTION WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY. THE BASIC SCIENCE BIOMEDICAL RESEARCH PROGRAMS RECEIVING THE MOST EXTERNAL FUNDING DURING THIS TIME PERIOD OF GROWTH WERE PUBLIC HEALTH SCIENCES, NEUROLOGY RESEARCH (STROKE, TRAUMATIC BRAIN INJURY, ETC.), HYPERTENSION RESEARCH AND CARDIOVASCULAR RESEARCH (IN PARTICULAR, HEART FAILURE). IN CLINICAL RESEARCH, THE MAJORITY OF FUNDING HAS GONE TO THE DEPARTMENT OF INTERNAL MEDICINE WHERE THE DIVISIONS OF INFECTIOUS DISEASES, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY AND CARDIOLOGY ARE LEADING THE WAY. THE INFRASTRUCTURE AT HFHS ALLOWS US TO HAVE A RESEARCH PROGRAM FAR LARGER THAN OTHER NON-UNIVERSITY-BASED HEALTH CARE SYSTEMS IN THE STATE OF MICHIGAN, WHERE OUR NIH FUNDING IS TEN TIMES HIGHER THAN HFHS'S CLOSEST COMPETITOR. IN 2013, HFHS WAS FOURTH IN MICHIGAN, TRAILING ITS THREE LARGEST UNIVERSITIES, AND RANKED 192ND OUT OF ALL 2,495 INSTITUTIONS RECEIVING NIH GRANTS. 311926568 633860747 2457654566 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1380 6 1 21462 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 X 22 18 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 FL X PAUL KOLPASKY 3138744867 ONE FORD PLACE DETROIT MI 48202 LYNN FORD ALANDT TRUSTEE 1.00 2.00 X 0 0 0 N CHARLES ANDERSON TRUSTEE - VICE CHAIR 1.00 1.00 X X 0 0 0 DAVID J BREEN TRUSTEE - VICE CHAIR 1.00 1.00 X X 0 0 0 THOMAS C BUHL TRUSTEE 1.00 1.00 X 0 0 0 STEPHANIE W BERGERON TRUSTEE - VICE CHAIR 2.00 2.00 X X 0 0 0 J WES PAISLEY TRUSTEE - VICE CHAIR 2.00 2.00 X X 0 0 0 WILLIAM A CONWAY MD PHYSICIAN TRUSTEE 60.00 2.00 X 1372809 0 187045 SHARI L BURGESS TRUSTEE 1.00 1.00 X 0 0 0 LINDA D FORTE TRUSTEE 1.00 1.00 X 0 0 0 JOHN F KILL TRUSTEE 1.00 1.00 X 0 0 0 DAVID M HEMPSTEAD TRUSTEE - VICE CHAIR 1.00 2.00 X X 0 0 0 ALAN M KIRILUK TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH J RICHARDSON JR TRUSTEE 1.00 1.00 X 0 0 0 CHARLES G MCCLURE JR TRUSTEE 1.00 1.00 X 0 0 0 SANDRA E PIERCE TRUSTEE - CHAIR 2.00 2.00 X X 0 0 0 LAWRENCE H SCHULTZ TRUSTEE 1.00 1.00 X 0 0 0 NANCY M SCHLICTING CHIEF EXEC OFFICER/TRUSTEE 60.00 4.00 X X 4684101 0 62044 ADRIAN R MUNKARAH MD PHYSICIAN TRUSTEE 60.00 2.00 X 814882 0 48562 MARK A DOUGLAS TRUSTEE 1.00 1.00 X 0 0 0 PAUL A VLASIC TRUSTEE 1.00 0.00 X 0 0 0 EDGAR L VANN II TRUSTEE 1.00 1.00 X 0 0 0 LEROY C RICHIE TRUSTEE - VICE CHAIR 1.00 1.00 X X 0 0 0 DAVID F GIRODAT TRUSTEE 1.00 1.00 X 0 0 0 EDWARD G CHADWICK TREASURER/C.F.O. 60.00 6.00 X 1127742 0 193479 EDITH L EISENMANN SECRETARY 55.00 8.00 X 345732 0 34586 TERESA KLINE CEO-HAP (STARTED NOV. 2016) 1.00 60.00 X 76923 0 0 WRIGHT L LASSITER III PRESIDENT 60.00 2.00 X 2219445 0 330708 LYNN M TOROSSIAN CEO-W BLMFLD HOSP 60.00 0.00 X 686457 0 117471 JOHN POPOVICH JR MD CEO-HF HOSPITAL/PHYSICIAN 60.00 2.00 X 1792854 0 49905 JOHN J POLANSKI CEO-COMMUNITY CARE SERVICE 60.00 4.00 X 842638 0 48487 ROBERT G RINEY SENIOR VP AND C.O.O. 60.00 4.00 X 2135164 0 48812 MUWAFFAK M ABDULHAK MD PHYSICIAN 60.00 0.00 X 1088149 0 51680 THEODORE W PARSONS MD PHYSICIAN 60.00 0.00 X 1136991 0 43718 MARY ALICE ANNECHARICO SENIOR VP - CHIEF INFO OFFICER 60.00 0.00 X 1067378 0 35988 WILLIAM W O'NEILL MD PHYSICIAN 60.00 0.00 X 1592124 0 55675 STEVEN N KALKANIS MD PHYSICIAN 60.00 0.00 X 1112953 0 44970 JAMES M CONNELLY (FORMER C.E.O. - HAP) 0.00 0.00 X 1177761 0 1161160 JOSEPH E SCHMITT SENIOR VP - (FORMER INT. CFO) 60.00 0.00 X 783647 0 51001 24057750 0 2565291 2231 1 1 0 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 INFORMATION SERVICES 11865394 ACT 1 PERSONNEL SERVICES PO BOX 2886 TORRANCE CA 905092886 STAFFING SERVICES 8540493 THE BOSTON CONSULTING GROUP INC PO BOX 75200 CHICAGO IL 606755200 CONSULTING SERVICES 6803200 CENTERLINE ELECTRIC INC 26554 LAWRENCE CENTER LINE MI 48015 ELECTRICAL SERVICES 6500973 DATA STRATEGY LLC 4020 EST BELTLINE AVE STE 201 GRAND RAPIDS MI 49525 INFORMATION SERVICES 5551129 234 753417 16000000 14944750 34565923 1372315 66264090 INPATIENT HOSPITALS 900099 1158631619 1158631619 OUTPATIENT CLINICS 621400 779330455 779330455 EMERGENCY ROOM SERVICES 900099 154569793 154569793 MEDICAL EDUCATION-GME 900099 51085276 51085276 PATIENT-RELATED RENTAL 531110 2682295 2682295 475860987 471607104 4253883 2622160425 17221311 17221311 1190314 1190314 998806 864612 0 1523135 998806 -658523 340283 998806 -658523 242205 753417 613224 -371019 -371019 98710 28479 70231 70231 180817827 135019241 45798586 39760167 6038419 OTHER PHARMACY 900099 59513766 59513766 CAFETERIA & GIFT SHOP 900099 8084900 8084900 JOINT VENTURE INCOME 621400 4748480 4748480 5326881 3464853 1862028 77674027 2830348248 2726392614 10292302 27399242 2233667 2233667 615806 615806 19558773 6206619 12436403 915751 1153239 1153239 1250116186 1237281355 11035350 1799481 54434720 53264195 1054277 116248 109704668 107345658 2124730 234280 79429319 77721329 1538365 169625 958671 958671 3884587 1293496 2591091 707091 707091 84124 84124 66019 66019 68600063 19170840 48949723 479500 11733713 2957625 8760416 15672 52653538 33589010 18758616 305912 47974712 8470664 39380931 123117 51211343 41923036 9287860 447 9688857 8475926 1161151 51780 6651686 6051762 421185 178739 26341622 17384320 8957302 107890936 71372513 36514736 3687 16634357 16298627 335730 MEDICAL SUPPLIES 611587872 610734164 803630 50078 QAAP TAX 55303252 55303252 0 0 REPAIRS & MAINTENANCE 40163732 39824560 336090 3082 UNCOMPENSATED CARE 26143902 26143902 0 0 62985519 13992240 48991299 1980 2718511974 2457654566 256342010 4515398 122374 121476 562451397 679771349 23438542 38100387 225178885 219019180 29628916 24558221 52990758 60858842 27573669 35597242 2017530644 1157381359 865506767 860149285 152586919 154727745 246255 246255 108421652 116644997 2048146134 2189794979 241029972 286763290 602399886 610835072 83834178 92585256 420324304 433549214 1347588340 1423732832 X 507698383 536881652 97054123 126678667 95805288 102501828 700557794 766062147 2048146134 2189794979 X 111836274 2020973 -48352894 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 7491 7491 76633 76633 84124 84124 2726308490 3516214540 2726392614 3516298664 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 106795 87398 89000 84124 367317 250000 250000 250000 250000 1000000 1500000 11042 8803 9000 7491 36336 192859411 65963302 9230559 38872778 229180494 199451653 79615483 -1886181 84321544 192859411 203032512 79684122 4717516 87982497 199451653 204419215 80875393 10518567 92780663 203032512 197339688 38461282 11992464 43374219 204419215 0.44730 0.55270 0 1 1 18896824 18896824 1046562054 566130007 480432047 26630427 6971724 19658703 879358681 584279628 295079053 46082658 46082658 860149285 INVESTMENTS IN PARTNERSHIP 1157375 INVESTMENTS IN JOINT VENTURES 9784339 OTHER 1283068 DEFERRED COMPENSATION 104420215 116644997 POST RETIREMENT EMPLOYEE BENEFITS 201989199 RESERVE FOR MALPRACTICE 80589179 DEFERRED COMPENSATION 104420215 OTHER LIABILITIES 46550621 433549214 X PART V, LINE 4: EARNINGS FROM THE ORGANIZATION'S ENDOWMENT FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2016 & 2015. CENTRAL AMERICA AND CARRIBEAN INVESTMENTS 70183781 MIDDLE EAST AND NORTH AFRICA PROVIDE CONSULTING SERVICES FOR DESIGN AND CONSTRUCTION OF A HEALTH CLINIC. 1426379 SOUTH ASIA (INDIA) CONSULTING ACTIVITIES 271573 0 0 0 0 0 0 71881733 0 71881733 1 0 1 0 1 1 PART I, LINE 3, COLUMN F TOTAL EXPENDITURES AND INVESTMENTS FOR THE REGION ARE REPORTED AT COST BASIS OR BOOK VALUE X X X X X X X 1 FULKERSON SALES INC 5760 SNOWSHOE CIRCLE BLOOMFIELD HILLS MI 48301 EVENT SOLICITATIONS 0 354100 44000 310100 J MILITO AND ASSOCIATES INC 1133 MAPLEGROVE DR NW GRAND RAPIDS MI 49504 TELEPHONE CAMPAIGN 0 30450 22019 8431 384550 66019 318531 MI FL EYES ON DESIGN 203600 146574 57026 198984 GRAND BALL 464436 348886 115550 269165 4 327586 257957 69629 145075 995622 753417 242205 613224 613224 -371019 98710 28479 1 1.00000 98710 28479 28479 70231 MI 1 0 1 0 1.00000 REBECCA BLANKEN HFHS EVENTS-ONE FORD PLACE DETROIT MI 48202 0 0 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 31018136 31018136 0.01150 619736423 487021459 132714964 0.04930 650754559 487021459 163733100 0.06080 15918457 6435526 9482931 0.00350 108130472 51164018 56966454 0.02120 20551434 17846339 2705095 0.00100 54406334 40448786 13957548 0.00520 1403860 1403860 0.00050 200410557 115894669 84515888 0.03140 851165116 602916128 248248988 0.09220 1578732 0 1578732 0.00060 50343 595 49748 0.00000 306041 0 306041 0.00010 52339 0 52339 0.00000 17849 0 17849 0.00000 79628 1495 78133 0.00000 145005 907 144098 0.00010 141021 0 141021 0.00010 2370958 2997 2367961 0.00090 0 26143902 6535976 632890358 726735866 -93845508 X 1 1 5 1 HENRY FORD HOSPITAL 2799 W GRAND BLVD DETROIT MI 48202 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000026 X X X X X 2 HENRY FORD WEST BLOOMFIELD HOSPITAL 6777 W MAPLE RD WEST BLOOMFIELD MI 48322 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000155 X X X X 3 HENRY FORD COTTAGE HOSPITAL 159 KERCHEVAL GROSSE POINTE FARMS MI 48236 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1060000064 X X X 4 HENRY FORD KINGSWOOD HOSPITAL 10300 W EIGHT MILE RD FERNDALE MI 48220 HTTPS://WWW.HENRYFORD.COM/LOCATIONS 1080000037 X X PSYCHIATRIC HOSPITAL 5 HENRY FORD MAPLEGROVE HOSPITAL 6773 W MAPLE RD WEST BLOOMFIELD MI 48322 HTTPS://WWW.HENRYFORD.COM/LOCATIONS SA0630142 X CHEMICAL DEPENDENCY FACILITY HENRY FORD HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE LINE 10A BELOW X 1 16 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD WEST BLOOMFIELD HOSPITAL 2 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE LINE 10A BELOW X 1 16 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD COTTAGE HOSPITAL 3 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE LINE 10A BELOW X 1 16 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD KINGSWOOD HOSPITAL 4 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE LINE 10A BELOW X 1 16 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILIT3 X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD MAPLEGROVE HOSPITAL 5 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE LINE 10A BELOW X 1 16 1 HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/PATIENT-FINANCIAL-RESPONSIBILITY X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD HOSPITAL PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN WAYNE COUNTY USING A WEB-BASED 17-QUESTION SURVEY. THE SURVEY WAS DISTRIBUTED TO HEALTH LEADERS AND OTHER RESPECTED INDIVIDUALS WITHIN THE COMMUNITY REPRESENTING PUBLIC AGENCIES AND PROGRAMS FROM FEBRUARY THROUGH APRIL OF 2016. IN ADDITION, TWO FOCUS GROUPS WERE CONDUCTED.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS THE COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) CENTER; DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION; THE INSTITUTE FOR POPULATION HEALTH; UNITED COMMUNITY HEALTH CARE PLAN; UNITED WAY OF SOUTHEASTERN MICHIGAN; MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND MANY OTHERS. FOCUS GROUP PARTICIPANTS CONSISTED OF REPRESENTATIVES FROM AUTHORITY HEALTH; MACOMB COUNTY HEALTH DEPARTMENT; MACOMB COUNTY DEPARTMENT OF HEALTH AND COMMUNITY SERVICES; WAYNE COUNTY HEALTH DEPARTMENT; VETERANS, AND COMMUNITY WELLNESS; BEAUMONT HEALTH; AND LEADERS FROM VARIOUS FAITH COMMUNITIES IN WAYNE COUNTY. PARTICIPANTS' EXPERTISE RANGED FROM EXECUTIVES AND DIRECTORS TO NURSING, EPIDEMIOLOGY, SUPERINTENDENTS, DATA ANALYSTS AND CONSULTANTS. FROM THEIR SURVEY RESPONSES AND FOCUS GROUP DISCUSSIONS, WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES OUR COMMUNITIES FACE AS WE APPROACH THE END OF THE DECADE.OUR METHODOLOGY ALSO INCLUDED USE AND SECONDARY SURVEY RESULTS FOR MACOMB AND OAKLAND COUNTIES. OUR RESULTS INCLUDED BOTH SURVEY AND FOCUS GROUP FEEDBACK. ADDITIONALLY, WE LOCATED STATE HEALTH NEEDS DATA FOR HFHS USING THE MICHIGAN BEHAVIORAL RISK FACTOR SURVEY AND MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES PROFILES. DATA FROM THESE SOURCES CAN BE FOUND IN THE APPENDIX. HENRY FORD HOSPITAL PART V, SECTION B, LINE 6A: HENRY FORD HOSPITALHENRY FORD KINGSWOOD HOSPITALHENRY FORD MACOMB HOSPITALSHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTER HENRY FORD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD HOSPITAL'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES: WEIGHT MANAGEMENT/ OBESITY/DIET AND NUTRITION, SUBSTANCE ABUSE & MENTAL HEALTH, INFANT MORTALITY. HENRY FORD HOSPITAL (HFH) WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS 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 MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY AND PROMOTING WEIGHT MANAGEMENT, ALONG WITH 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, HFH WILL NOT TAKE NEW ACTIONS TO ADDRESS CHRONIC DISEASES. HEALTH INSURANCE ENROLLMENT - HFH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD WEST BLOOMFIELD HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HFWBH'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES: ACCESS TO HEALTHY FOOD, SUBSTANCE ABUSE & MENTAL HEALTH AND DOMESTIC VIOLENCE. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HFWBH 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 HFWBH OR A PARTNER ORGANIZATION, HFWBH 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 MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY AND PROMOTING WEIGHT MANAGEMENT, ALONG WITH 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, HFH WILL NOT TAKE NEW ACTIONS TO ADDRESS CHRONIC DISEASES. HEALTH INSURANCE ENROLLMENT - HFWBH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH SYSTEM WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD HEALTH SYSTEM'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES: WEIGHT MANAGEMENT/ OBESITY/DIET AND NUTRITION, SUBSTANCE ABUSE & MENTAL HEALTH, INFANT MORTALITY. HENRY FORD HEALTH SYSTEM WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH SYSTEM ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS 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 HFHS OR A PARTNER ORGANIZATION, HFHS 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 MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY AND PROMOTING WEIGHT MANAGEMENT, ALONG WITH 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, HFHS WILL NOT TAKE NEW ACTIONS TO ADDRESS CHRONIC DISEASES. HEALTH INSURANCE ENROLLMENT - HFHS WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH SYSTEM WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD HEALTH SYSTEM'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES: WEIGHT MANAGEMENT/ OBESITY/DIET AND NUTRITION, SUBSTANCE ABUSE & MENTAL HEALTH, INFANT MORTALITY. HENRY FORD HEALTH SYSTEM WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH SYSTEM ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS 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 HFHS OR A PARTNER ORGANIZATION, HFHS 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 MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY AND PROMOTING WEIGHT MANAGEMENT, ALONG WITH 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, HFHS WILL NOT TAKE NEW ACTIONS TO ADDRESS CHRONIC DISEASES. HEALTH INSURANCE ENROLLMENT - HFHS WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH SYSTEM WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HFHS AND COMMUNITY LEADERS. HENRY FORD HEALTH SYSTEM'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH SYSTEM MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES: WEIGHT MANAGEMENT/ OBESITY/DIET AND NUTRITION, SUBSTANCE ABUSE & MENTAL HEALTH, INFANT MORTALITY. HENRY FORD HEALTH SYSTEM WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH SYSTEM ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS 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 HFHS OR A PARTNER ORGANIZATION, HFHS 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 MANY OF THE STRATEGIES AND ACTIVITIES AIMED AT REDUCING OBESITY AND PROMOTING WEIGHT MANAGEMENT, ALONG WITH 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, HFHS WILL NOT TAKE NEW ACTIONS TO ADDRESS CHRONIC DISEASES. HEALTH INSURANCE ENROLLMENT - HFHS WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED. HENRY FORD HOSPITAL PART V, SECTION B, LINE 13B: UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO HFHS IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. 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 WEST BLOOMFIELD HOSPITAL 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 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 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 COTTAGE HOSPITAL 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 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 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 KINGSWOOD HOSPITAL 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 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 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 MAPLEGROVE HOSPITAL 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 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 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. 78 1 - HENRY FORD MEDICAL CENTER - FAIRLANE 19401 HUBBARD DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM 2 - HENRY FORD MEDICAL CENTER - LAKESIDE 14500 HALL RD STERLING HEIGHTS MI 48313 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 3 - HENRY FORD MEDICAL CENTER - STERLING HGT 3500 FIFTEEN MILE RD STERLING HEIGHTS MI 48310 OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM 4 - HENRY FORD MEDICAL CENTER - LIVONIA 29200 SCHOOLCRAFT RD LIVONIA MI 48150 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 5 - HENRY FORD MEDICAL CENTER - COLUMBUS 39450 W TWELVE MILE ROAD NOVI MI 48377 CLINICAL DIAGNOSIS MEDICAL SERVICES 6 - HENRY FORD MEDICAL CENTER - TAYLOR 24555 HAIG RD TAYLOR MI 48180 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 7 - HENRY FORD MEDICAL CENTER -DET NW 7800 W OUTER DRIVE DETROIT MI 48235 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 8 - HENRY FORD MEDICAL CENTER - CANTON 6100 HAGGERTY CANTON MI 48187 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 9 - HENRY FORD MEDICAL CENTER -JEFFERSON 24725 E JEFFERSON SAINT CLAIR SHORES MI 48080 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 10 - HENRY FORD MEDICAL CENTER - PIERSON 131 KERCHEVAL AVENUE GROSSE POINTE FARMS MI 48236 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 11 - HENRY FORD MEDICAL CENTER - TROY 2825 LIVERNOIS RD TROY MI 48083 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 12 - HENRY FORD MEDICAL CENTER - PLYMOUTH 14300 BECK RD PLYMOUTH MI 48170 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 13 - HENRY FORD MEDICAL CENTER - WOODHAVEN 25505 ALLEN ROAD WOODHAVEN MI 48183 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 14 - HENRY FORD MEDICAL CENTER - WBH 2520 S TELEGRAPH ROAD BLOOMFIELD HILLS MI 48302 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 15 - HENRY FORD MEDICAL CENTER -FARMINGTON 6530 FARMINGTON ROAD WEST BLOOMFIELD MI 48322 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 16 - HENRY FORD MEDICAL CENTER - ANN ARBOR 2755 CARPENTER RD ANN ARBOR MI 48108 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 17 - HENRY FORD MEDICAL CENTER - SOUTHLAND 21901 EUREKA RD TAYLOR MI 48180 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 18 - HENRY FORD MEDICAL CENTER - HAMTRAMCK 9100 BROMBACK STREET HAMTRAMCK MI 48212 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 19 - HENRY FORD MEDICAL CENTER - ROYAL OAK 26300 WOODWARD AVENUE ROYAL OAK MI 48067 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 20 - HENRY FORD MEDICAL CENTER -SOUTHFIELD 22777 W ELEVEN MILE RD SOUTHFIELD MI 48034 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 21 - HENRY FORD MEDICAL CENTER - WARREN 8600 CHICAGO RD SOUTH WARREN MI 48093 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 22 - HENRY FORD MEDICAL CENTER - DEARBORN 5500 AUTO CLUB DRIVE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 23 - HENRY FORD MEDICAL CENTER-HARBORTOWN 3370 E JEFFERSON AVENUE DETROIT MI 48207 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 24 - HENRY FORD MEDICAL CENTER - NEW CNTR ONE 3031 W GRAND BLVD DETROIT MI 48202 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 25 - HENRY FORD MEDICAL CENTER - CHRYSLER 1000 CHRYSLER DRIVE AUBURN HILLS MI 48326 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 26 - HFHS - NORTHWEST DETROIT DIALYSIS 7800 W OUTER DRIVE DETROIT MI 48325 DIALYSIS CENTER 27 - HFHS - NORTHWEST LAHSER DIALYSIS 25664 LAHSER RD SOUTHFIELD MI 48034 DIALYSIS CENTER 28 - HFHS - EASTPOINTE DIALYSIS 21400 KELLY RD EASTPOINTE MI 48021 DIALYSIS CENTER 29 - HFHS - FAIRLANE DIALYSIS 19001 HUBBARD DR DEARBORN MI 48126 DIALYSIS CENTER 30 - HFHS - NORTHLAND PARK DIALYSIS 21000 NORTHWESTERN HWY SOUTHFIELD MI 48075 DIALYSIS CENTER 31 - HFHS - SE MI KIDNEY CENTER 1695 W 12 MILE ROAD BERKLEY MI 48072 DIALYSIS CENTER 32 - HFHS - ST JOSEPH DIALYSIS 44200 WOODWARD SUITE 109 PONTIAC MI 48341 DIALYSIS CENTER 33 - HFHS - TAYLOR DIALYSIS 24555 HAIG RD TAYLOR MI 48180 DIALYSIS CENTER 34 - HFHS - TROY DIALYSIS 2050 LIVERNOIS SUITE A TROY MI 48083 DIALYSIS CENTER 35 - HENRY FORD MEDICAL CENTER - RESEARCH 440 BURROUGHS DETROIT MI 48202 RESEARCH CENTER 36 - HFHS - ST MARY DIALYSIS 14555 LEVAN LIVONIA MI 48154 DIALYSIS CENTER 37 - HFHS - OPTIMEYES 4355 24TH AVENUE PORT HURON MI 48059 VISION SERVICES 38 - HFHS - OPTIMEYES 2025 25 MILE ROAD SHELBY TOWNSHIP MI 48316 VISION SERVICES 39 - HFHS - OPTIMEYES SUPER VISION CENTER 32600 GRATIOT ROSEVILLE MI 48066 VISION SERVICES 40 - HFHS - OPTIMEYES SUPER VISION CENTER 35184 CENTRAL CITY PARKWAY WESTLAND MI 48185 VISION SERVICES 41 - HFHS - OPTIMEYES SUPER VISION CENTER 6530 FARMINGTON ROAD WEST BLOOMFIELD MI 48322 VISION SERVICES 42 - HFHS - OPTIMEYES SUPER VISION CENTER 43910 SCHOENHERR STERLING HEIGHTS MI 48313 VISION SERVICES 43 - HFHS - OPTIMEYES SUPER VISION CENTER 18900 EUREKA RD SOUTHGATE MI 48195 VISION SERVICES 44 - HFHS - OPTIMEYES 2799 W GRAND BLVD DETROIT MI 48202 VISION SERVICES 45 - HFHS - OPTIMEYES 516 HIGHLAND AVE MILFORD MI 48381 VISION SERVICES 46 - HFHS - OPTIMEYES 504 N TELEGRAPH ROAD MONROE MI 48162 VISION SERVICES 47 - HFHS - OPTIMEYES 400 RENAISSANCE CENTER 2ND FLOOR DETROIT MI 48235 VISION SERVICES 48 - HFHS - OPTIMEYES 38487 W 10 MILE RD FARMINGTON HILLS MI 48335 VISION SERVICES 49 - HFHS - OPTIMEYES 7800 W OUTER DRIVE DETROIT MI 48235 VISION SERVICES 50 - HFHS - OPTIMEYES 30800 SOUTHFIELD RD SOUTHFIELD MI 48076 VISION SERVICES 51 - HFHS - OPTIMEYES SUPER VISION CENTER 5500 AUTO CLUB DRIVE DEARBORN MI 48126 VISION SERVICES 52 - HFHS - OPTIMEYES 684 S LAPEER RD LAKE ORION MI 48362 VISION SERVICES 53 - HFHS - OPTIMEYES 3500 FIFTEEN MILE RD STERLING HEIGHTS MI 48310 VISION SERVICES 54 - HFHS - OPTIMEYES 15401 E JEFFERSON GROSSE POINTE PARK MI 48230 VISION SERVICES 55 - HFHS - OPTIMEYES 27903 23 MILE ROAD CHESTERFIELD MI 48051 VISION SERVICES 56 - HENRY FORD MEDICAL CLINIC - COMMERCE 8391 COMMERCE ROAD COMMERCE TOWNSHIP MI 48382 PHYSICIAN PRACTICE 57 - HFHS - ALLEN PARK REHABILITATION 7445 ALLEN RD SUITE 102 ALLEN PARK MI 48101 REHABILITATION SERVICES 58 - HENRY FORD MEDICAL CENTER - TROY IVF 1500 W BIG BEAVER RD SUITE 105 TROY MI 48084 PHYSICIAN PRACTICE 59 - HFHS - HOSPICE RESIDENT CARE 11700 E TEN MILE ROAD WARREN MI 48089 HOSPICE CARE 60 - HFHS - HOSPICE RESIDENT CARE 26900 FRANKLIN ROAD SOUTHFIELD MI 48033 HOSPICE CARE 61 - HFHS - BEHAVIORAL SERVICES 5110 AUTO CLUB DRIVE SUITE 112 DEARBORN MI 48126 CLINICAL DIAGNOSIS MEDICAL SERVICES 62 - HFHS - CENTER FOR ATHLETIC MEDICINE 6525 SECOND AVENUE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES 63 - HFHS - BEHAVIORAL SERVICES 42633 GARFIELD ROAD CLINTON TOWNSHIP MI 48038 CLINICAL DIAGNOSIS MEDICAL SERVICES 64 - HFHS - ONE FORD PLACE ONE FORD PLACE DETROIT MI 48202 CLINICAL DIAGNOSIS MEDICAL SERVICES 65 - HENRY FORD MEDICAL CENTER - ACCESS 6450 MAPLE DEARBORN MI 48126 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 66 - HENRY FORD MEDICAL CENTER - CHASS 7436 WOODWARD AVENUE DETROIT MI 48202 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 67 - HENRY FORD HEALTH - CARDIOVASCULAR SV 16001 W NINE MILE ROAD SOUTHFIELD MI 48075 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 68 - HENRY FORD MEDICAL CENTER - NOVI 40000 8 MILE RD NORTHVILLE MI 48167 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 69 - HFHS - FAIRLANE REHABILITATION 5225 AUTO CLUB DRIVE SUITE 100 DEARBORN MI 48126 REHABILITATION SERVICES 70 - HFHS - OPTIMEYES SUPER VISION CENTER 735 JOHN R ROAD TROY MI 48083 VISION SERVICES 71 - HENRY FORD MEDICAL CENTER - WATERFORD 6620 HIGHLAND ROAD SUITE 101 WATERFORD MI 48237 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 72 - HENRY FORD MEDICAL CENTER - CHRYSLER 800 CHRYSLER DRIVE AUBURN HILLS MI 48326 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 73 - HENRY FORD MEDICAL CENTER - MILFORD 1265 N MILFORD ROAD MILFORD MI 48381 OUTPATIENT CLINIC/DIAGNOSTIC CENTER 74 - HFHS - OPTIMEYES SUPER VISION CENTER 44987 SCHOENHERR STERLING HEIGHTS MI 48313 VISION SERVICES 75 - HFHS - OPTIMEYES SUPER VISION CENTER 7230 ORCHARD LAKE ROAD WEST BLOOMFIELD MI 48322 VISION SERVICES 76 - HFHS - OPTIMEYES SUPER VISION CENTER 3271 UNION LAKE ROAD COMMERCE TOWNSHIP MI 48382 VISION SERVICES 77 - HFHS - OPTIMEYES SUPER VISION CENTER 22395 EUREKA ROAD TAYLOR MI 48180 VISION SERVICES 78 - HFHS - NOVI DIALYSIS 39525 W 14 MILE SUITE 200 NOVI MI 48377 DIALYSIS CENTER PART I, LINE 7G: SUBSIDIZED SERVICES CONSIST OF INPATIENT WOMENS' SERVICES AND BEHAVIORAL HEALTH SERVICES. THIS INCLUDES BOTH PHYSICIAN AND FACILITY COSTS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $26,143,902 PART II, COMMUNITY BUILDING ACTIVITIES: HFHS BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS A DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFHS INCLUDES IN ITS COMMITMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ON THE BENEFITS OF HEALTHIER BEHAVIORS ARE HEARD. HFHS LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS TO ADDRESS THE NEEDS OF OUR SERVICE AREA. PART III, LINE 2: THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED IN PATIENT GROSS CHARGES. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 115% OF MEDICARE RATES.THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES. PART III, LINE 9B: SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED.IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY (PFAP) PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES"PATIENTS NOT DEEMED TO QUALIFY UNDER OUR PATIENT FINANCIAL ASSISTANCE PROGRAM (PFAP) RECEIVE 2 CYCLES OF INTERNAL BILLING STATEMENTS INCLUDING INSTRUCTIONS ON APPLYING FOR OUR PFAP. BASED ON THE VOLUME OF OUTSTANDING SERVICES, DETERMINATION ON FURTHER COLLECTION EFFORTS WILL BE MADE WHICH INCLUDES INTERNAL COLLECTION EFFORTS OR ASSIGNMENT TO AN EXTERNAL COLLECTION AGENCY. PART VI, LINE 2: THE ASSESSMENT OF COMMUNITY HEALTH NEEDS IS AN ESSENTIAL FUNCTION OF A HEALTH CARE ORGANIZATION FOR SEVERAL REASONS. FIRST, IT PROVIDES AN UNDERSTANDING OF THE DEMOGRAPHICS AND MAJOR HEALTH NEEDS OF THE COMMUNITIES IT SERVES AND INSIGHT INTO WHAT SERVICES SHOULD BE OFFERED TO MEET THOSE NEEDS. SECOND, BY UNDERSTANDING THE MAJOR HEALTH NEEDS OF THE COMMUNITY, STRATEGIES CAN BE PRIORITIZED AND A MORE TAILORED APPROACH DEVELOPED, RESULTING IN GREATER USE OF THE LIMITED RESOURCES OF MANY HEALTHCARE ORGANIZATIONS. THIRD, VULNERABLE POPULATIONS WITH SIGNIFICANT HEALTH NEEDS CAN BE IDENTIFIED AND TARGETED FOR INTERVENTION SUCH AS THE POOR, UNINSURED, UNDERINSURED, OR VARIOUS RACIAL/ETHNIC OR OTHER VULNERABLE POPULATIONS THAT MAY HAVE OTHERWISE BEEN OVERLOOKED. THROUGH IDENTIFICATION, PROGRAMS CAN THEN BE DEVELOPED SO THAT ALL POPULATIONS WE SERVE WILL RECEIVE APPROPRIATE AND TIMELY ACCESS TO HEALTHCARE SERVICES. IN ADDITION, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ENCOURAGES AN ORGANIZATION TO IDENTIFY AND PARTNER WITH OTHER ORGANIZATIONS AND COMMUNITY AGENCIES. THROUGH PARTNERSHIP, KNOWLEDGE CAN BE SHARED AND RESOURCES CAN BE ALIGNED AND MORE OPTIMALLY UTILIZED TO BENEFIT THE COMMUNITIES SERVED.INTERNALLY, THE COMMUNITY PILLAR TEAM PROVIDES EXECUTIVE OVERSIGHT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HENRY FORD HEALTH SYSTEM. TEAM MEMBERS APPROVE HENRY FORD HEALTH SYSTEM'S ONGOING WORK AS A NATIONAL AND STATE LEADER IN COMMUNITY HEALTH ADVOCACY THAT SEEKS TO IMPROVE HEALTH STATUS IN DETROIT AND THE SURROUNDING SUBURBS. THIS IS ACHIEVED THROUGH TARGETED HEALTH IMPROVEMENT PROGRAMS SUCH AS OUR WOMEN-INSPIRED NEIGHBORHOOD (WIN) NETWORK: DETROIT, GENERATION WITH PROMISE, FAITH COMMUNITY NURSING INITIATIVES, SCHOOL-BASED HEALTH CLINICS, HEALTH LITERACY IMPROVEMENT PROJECTS AND OTHER ACTIVITIES. THROUGH TARGETED VOLUNTEERISM AND PARTNERSHIPS, THE SYSTEM'S GOAL IS TO CULTIVATE NEW COMMUNITY RELATIONSHIPS. THIS ASSESSMENT WAS PREPARED JOINTLY BY THE HFHS BUSINESS INTEGRITY SERVICES AND CORPORATE STRATEGIC PLANNING DEPARTMENTS, ALONG WITH THE OFFICE OF COMMUNITY HEALTH, EQUITY AND WELLNESS. RESULTS ARE BEING USED AS A FOUNDATION FOR PLANNING, DEVELOPING, AND REFINING HFHS'S FUTURE COMMUNITY SERVICES IN THE TRI-COUNTY AREA. RESULTS OF THIS ASSESSMENT HAVE BEEN REVIEWED WITH SEVERAL HENRY FORD HEALTH SYSTEM LEADERS, LEADING TO STRATEGIC AND IMPLEMENTATION PLAN MODIFICATIONS TO ALIGN STRATEGY WITH IDENTIFIED NEEDS. PART VI, LINE 3: HFHS HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HFHS HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN ONE OF OUR EMERGENCY ROOMS FOR SERVICES.ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED 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 HFHS AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFHS HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS. PART VI, LINE 4: THE 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: HFHS IS ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEASTERN MICHIGAN. HFHS IS GOVERNED BY DEDICATED COMMUNITY BOARDS, AND IN TOTAL PROVIDES APPROXIMATELY 55,000 INPATIENTS STAYS AND 4.2 MILLION PHYSICIAN VISITS ANNUALLY. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD HOSPITAL AN 877 BED TERTIARY CARE HOSPITAL WITH A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT, SERVING AS A COMMUNITY HOSPITAL FOR ITS IMMEDIATE NEIGHBORHOODS AS WELL AS A REFERRAL CENTER FOR THE SURROUNDING REGION. IT IS SUPPORTED BY THE HENRY FORD MEDICAL GROUP (HFMG) WHO ALSO PROVIDES CARE IN THE MORE THAN 30 OUTPATIENT MEDICAL CENTERS LOCATED THROUGHOUT SOUTHEAST MICHIGAN. HFHS ALSO INCLUDES HENRY FORD WEST BLOOMFIELD HOSPITAL, A 191 BED COMMUNITY HOSPITAL, BEHAVIORAL HEALTH SERVICES PROVIDED THROUGHOUT THE ABOVE FACILITIES AS WELL AS AT HENRY FORD KINGSWOOD HOSPITAL, A 100 BED PSYCHIATRIC HOSPITAL, AND THE MAPLEGROVE CENTER, A 67 BED FACILITY. HFHS COMMUNITY CARE SERVICES OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS INCLUDING NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, DIALYSIS AND A DEDICATED CANCER CENTER.THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS.COMMUNITY PARTNERSHIPS:HENRY FORD DEVELOPS INNOVATIVE WAYS TO ADDRESS THE SOCIAL, ECONOMIC AND EDUCATIONAL ISSUES THAT AFFECT THE HEALTH OF THE METRO DETROIT COMMUNITY. THESE INCLUDE:CENTER FOR HEALTH SERVICES RESEARCH-CONDUCTS RESEARCH FOCUSING ON OUTCOMES, EFFECTIVENESS AND COST-EFFECTIVENESS OF THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF SUCH DISEASES AS CANCER, DIABETES, ASTHMA AND CONGESTIVE HEART FAILURE AS WELL AS COMMON ACUTE CONDITIONS.COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) CLINIC-PROVIDES PRIMARY CARE SERVICES TO MORE THAN 3,500 UNINSURED DETROIT RESIDENTS EVERY MONTH. HFHS PHYSICIANS STAFF THE TWO CLINICS, WHICH ARE LOCATED IN SOUTHWEST DETROIT AND IN THE NEW CENTER AREA.INNOVATION INSTITUTE AT HENRY FORD HOSPITAL - IN COLLABORATION WITH WAYNE STATE UNIVERSITY SCHOOL OF ENGINEERING AND CENTER FOR CREATIVE STUDIES, THE INNOVATION INSTITUTE AIMS TO RESEARCH AND DESIGN MEDICAL PRODUCTS TO ENHANCE MEDICAL USE AND TO CREATE NEW INDUSTRY IN THE REGIONINSTITUTE ON MULTICULTURAL HEALTH-STUDIES THE DISPARITIES IN HEALTH CARE AMONG PEOPLE OF COLOR AND FINDS SOLUTIONS FOR GETTING EARLY DIAGNOSIS AND TREATMENT OF DISEASES.SCHOOL-BASED AND COMMUNITY HEALTH PROGRAM - PROVIDES STUDENTS ACCESS TO A HEALTH CARE CLINIC IN EIGHT DETROIT SCHOOLS, ONE DETROIT YOUTH CENTER AND ONE WARREN SCHOOL, INCLUDING PRIMARY CARE, DENTAL SERVICES, MENTAL HEALTH AND HEALTH EDUCATION. IT HAS DEMONSTRATED BETTER ATTENDANCE AND TEST SCORES BY STUDENTS. THE PROGRAM ALSO OFFERS A MOBILE PEDIATRIC MEDICAL CLINIC CALLED HANK, WHICH TRAVELS TO SEVEN DETROIT SCHOOLS EVERY WEEK AND IS FUNDED BY THE CHILDREN'S HEALTH FUND. PART VI, LINE 6: THE INTEGRATED HEALTH SYSTEM ALSO INCLUDES 5 COMMUNITY HOSPITALS ENCOMPASSING MORE THAN 1,000 BEDS WITH EMERGENCY SERVICES AND OPEN MEDICAL STAFFS LOCATED IN SUBURBAN REGIONS OF SOUTHEAST MICHIGAN. THESE ENTITIES ARE SEPARATE CORPORATIONS AND THE RESULTS OF THEIR COMMUNITY BENEFIT ACTIVITIES ARE REFLECTED IN THEIR RESPECTIVE TAX RETURNS. 1 AMERICAN KIDNEY FUND 6110 EXECUTIVE BLVD-STE 1010 ROCKVILLE MD 20852 237124261 501(C)(3) 110000 ORGANIZATIONAL SUPPORT SISTERS NETWORK INC 2922 ROSEDALE STREET HOUSTON TX 77004 760480069 501(C)(3) 75000 ORGANIZATIONAL SUPPORT CITY YEAR DETROIT (CITY YEAR INC) 1 FORD PLACE-SUITE 1F DETROIT MI 48202 222882549 501(C)(3) 5000 105103 FAIR MARKET VALUE PROVISION OF OFFICE SPACE & POSTAGE AT NO COST ORGANIZATIONAL SUPPORT AMERICAN HEART ASSOCIATION 24445 NORTHWESTERN HWY SOUTHFIELD MI 48075 135613797 501(C)(3) 30000 ORGANIZATIONAL SUPPORT NATIONAL KIDNEY FOUNDATION OF MICHIGAN 1169 OAK VALLEY DRIVE ANN ARBOR MI 48108 381559941 501(C)(3) 39900 ORGANIZATIONAL SUPPORT BING YOUTH INSTITUTE 151 WEST JEFFERSON NO 512 DETROIT MI 48226 472393025 501(C)(3) 10000 ORGANIZATIONAL SUPPORT M-1 RAIL 600 RENAISSANCE CENTER-SUITE 1740 DETROIT MI 48243 262310566 501(C)(3) 600000 ORGANIZATIONAL SUPPORT FRIENDSHIP CIRCLE 6892 WEST MAPLE ROAD W BLOOMFIELD MI 48322 383613944 501(C)(3) 10000 ORGANIZATIONAL SUPPORT CARING ATHLETES TEAM FOR CHILDREN'S AND HENRY FORD HOSPITAL 3011 W GRAND BLVD-SUITE 223 DETROIT MI 48202 382746810 501(C)(3) 12000 ORGANIZATIONAL SUPPORT MI COUNCIL FOR MATERNAL & CHILD HEALTH 221 N WALNUT LANSING MI 48933 382445458 501(C)(3) 25000 ORGANIZATIONAL SUPPORT COMMUNITY HEALTH & SOCIAL SERVICES CENTER INC (CHASS) 5635 W FORT STREET DETROIT MI 48209 383094394 501(C)(3) 305164 COST PROVISION OF MEDICAL OFFICE & STAFF FOR COMMUNITY HEALTH CENTER ORGANIZATIONAL SUPPORT MICHIGAN THANKSGIVING PARADE FOUNDATION 9500 MT ELLIOTT NO A DETROIT MI 48211 382460378 501(C)(3) 8500 ORGANIZATIONAL SUPPORT MICHIGAN MINORITY PURCHASING COUNCIL 100 RIVER PLACE NO 300 DETROIT MI 48207 382292187 501(C)(3) 9000 ORGANIZATIONAL SUPPORT WEST BLOOMFIELD PARKS AND RECREATION 4640 WALNUT LAKE ROAD WEST BLOOMFIELD MI 48323 800310221 115 GOVERNMENT 7000 ORGANIZATIONAL SUPPORT MIDTOWN DETROIT INC 3939 WOODWARD SUITE 100 DETROIT MI 48201 454582324 501(C)(3) 750000 ORGANIZATIONAL SUPPORT WAYNE STATE UNIVERSITY 5700 CASS AVENUE SUITE 1200 DETROIT MI 48202 386028429 115 GOVERNMENT 30000 ORGANIZATIONAL SUPPORT COMMUNITY FOUNDATION OF GREATER FLINT 500 S SAGINAW SUITE 200 FLINT MI 48502 382190667 501(C)(3) 25000 ORGANIZATIONAL SUPPORT PLANNED PARENTHOOD MID & SOUTH MICHIGAN 950 VICTORS WAY NO 100 ANN ARBOR MI 48108 381707521 501(C)(3) 10000 ORGANIZATIONAL SUPPORT MICHIGAN SCIENCE CENTER 5020 JOHN R STREET DETROIT MI 48202 455190355 501(C)(3) 10000 ORGANIZATIONAL SUPPORT MICHIGAN PHYSICAL FITNESS HEALTH AND SPORTS FOUNDATION PO BOX 27187 LANSING MI 48909 383172025 501(C)(3) 10000 ORGANIZATIONAL SUPPORT JEWISH COMMUNITY CENTER OF METROPOLITAN DETROIT 6600 WEST MAPLE ROAD WEST BLOOMFIELD MI 48322 381358397 501(C)(3) 10000 ORGANIZATIONAL SUPPORT DETROIT ECONOMIC CLUB 211 WEST FORT STREET DETROIT MI 48226 380508823 501(C)(3) 8000 ORGANIZATIONAL SUPPORT NEW DETROIT INC 535 GRISWOLD ROOM 2500 DETROIT MI 48226 386159215 501(C)(3) 10000 ORGANIZATIONAL SUPPORT BIG BROTHERS BIG SISTERS OF METROPOLITAN DETROIT 7700 SECOND AVENUE NO 602 DETROIT MI 48202 386112533 501(C)(3) 7500 ORGANIZATIONAL SUPPORT METROPOLITAN AFFAIRS COALITION 1001 WOODWARD AVENUE NO 1400 DETROIT MI 48226 381602801 501(C)(3) 6250 ORGANIZATIONAL SUPPORT WEST BLOOMFIELD SCHOOL DISTRICT 5810 COMMERCE ROAD WEST BLOOMFIELD MI 48324 386007700 115 GOVERNMENT 5250 ORGANIZATIONAL SUPPORT 23 3 HELPING HANDS PROGRAM 91 163495 0 PATIENT MEDICAL SUPPLIES & PHARMACEUTICALS 1000 0 452311 COST PATIENTS MEETING FINANCIAL ASSISTANCE PROGRAM GUIDELINES MAY BE PROVIDED WITH SUPPLIES AT NO CHARGE UPON DISCHARGE PART I, LINE 2: THE HENRY FORD HEALTH SYSTEM HELPING HANDS PROGRAM IS A CHARITABLE INITIATIVE SPONSORED AND FUNDED ENTIRELY BY EMPLOYEES TO HELP CO-WORKERS, VOLUNTEERS AND RETIREES IN TIMES OF NEED. SINCE ITS INCEPTION IN 1992, THE PROGRAM HAS PROVIDED FINANCIAL ASSISTANCE TO HUNDREDS OF PEOPLE. HELPING HANDS PROVIDES FINANCIAL ASSISTANCE OF UP TO $1,800 TO ELIGIBLE EMPLOYEES AND UP TO $500 TO ELIGIBLE VOLUNTEERS AND RETIREES WHO, DUE TO A CATASTROPHE-SUCH AS A HOME FIRE, ILLNESS OR INJURY-CAN'T AFFORD BASIC NECESSITIES INCLUDING FOOD, CLOTHING AND MEDICAL CARE. A HELPING HANDS EXECUTIVE COMMITTEE ("THE COMMITTEE") COMPRISED OF A REPRESENTATIVE FROM EACH BUSINESS UNIT OF THE HEALTH SYSTEM OVERSEES THE HELPING HANDS PROGRAM. THE COMMITTEE PROVIDES PERIODIC OVERSIGHT OF THE POLICIES AND CRITERIA THAT GOVERN THE DISTRIBUTION OF FUNDS AND PRODUCES AND MAINTAINS THE PROGRAM'S FINANCIAL REPORTS. APPLICATIONS FOR FUNDS, ELIGIBILITY DETERMINATIONS AND DISTRIBUTION OF FUNDS ARE ADMINISTERED AT THE BUSINESS UNIT LEVEL EITHER BY A BUSINESS UNIT HELPING HANDS COMMITTEE OR A HELPING HANDS REPRESENTATIVE. SCHEDULE I, PART I, LINE 2 THE COMMUNITY OUTREACH DEPARTMENT MONITORS GRANTS PAID TO CHARITABLE AND GOVERNMENTAL ENTITIES. X X 1 1 X X X X X 0 1 0 1 0 0 0 1 0 WILLIAM A CONWAY MD PHYSICIAN TRUSTEE 669341 0 685035 0 18433 0 168376 0 18669 0 1559854 0 0 0 NANCY M SCHLICTING CHIEF EXEC OFFICER/TRUSTEE 1481602 0 2366503 0 835996 0 25805 0 36239 0 4746145 0 0 0 ADRIAN R MUNKARAH MD PHYSICIAN TRUSTEE 672193 0 121708 0 20981 0 23155 0 25407 0 863444 0 0 0 EDWARD G CHADWICK TREASURER/C.F.O. 666183 0 439612 0 21947 0 167719 0 25760 0 1321221 0 0 0 EDITH L EISENMANN SECRETARY 188982 0 133008 0 23742 0 20636 0 13950 0 380318 0 0 0 WRIGHT L LASSITER III PRESIDENT 1232452 0 965938 0 21055 0 306156 0 24552 0 2550153 0 0 0 LYNN M TOROSSIAN CEO-W BLMFLD HOSP 425367 0 242935 0 18155 0 93599 0 23872 0 803928 0 0 0 JOHN POPOVICH JR MD CEO-HF HOSPITAL/PHYSICIAN 823351 0 809036 0 160467 0 25805 0 24100 0 1842759 0 0 0 JOHN J POLANSKI CEO-COMMUNITY CARE SERVICE 451022 0 296685 0 94931 0 25805 0 22682 0 891125 0 0 0 ROBERT G RINEY SENIOR VP AND C.O.O. 959356 0 940329 0 235479 0 25805 0 23007 0 2183976 0 0 0 MUWAFFAK M ABDULHAK MD PHYSICIAN 729481 0 303366 0 55302 0 24480 0 27200 0 1139829 0 0 0 THEODORE W PARSONS MD PHYSICIAN 946279 0 167377 0 23335 0 23155 0 20563 0 1180709 0 0 0 MARY ALICE ANNECHARICO SENIOR VP - CHIEF INFO OFFICER 469703 0 266438 0 331237 0 23155 0 12833 0 1103366 0 306509 0 WILLIAM W O'NEILL MD PHYSICIAN 962702 0 600000 0 29422 0 23155 0 32520 0 1647799 0 0 0 STEVEN N KALKANIS MD PHYSICIAN 920240 0 154570 0 38143 0 23155 0 21815 0 1157923 0 0 0 JAMES M CONNELLY (FORMER C.E.O. - HAP) 14898 0 750122 0 412741 0 1160432 0 728 0 2338921 0 1571942 0 JOSEPH E SCHMITT SENIOR VP - (FORMER INT. CFO) 376662 0 262547 0 144438 0 25805 0 25196 0 834648 0 0 0 PART I, LINE 1A IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY NO TAXABLE INCOME IS REPORTED. THERE WERE NO PAYMENTS OR REIMBURSEMENTS OF FIRST CLASS DURING 2016. ADDITIONALLY, IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS THE ORGANIZATION AGREES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. PART I, LINE 4B 4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: SCH J, LINE 4B, PERSON PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 NANCY M. SCHLICHTING 810,039 - - 810,039 JAMES M. CONNELLY 0 1,571,942 - 412,633 ROBERT G. RINEY 212,144 - - 212,144 JOHN J. POLANSKI 73,727 - - 73,727 JOHN POPOVICH,JR. MD 142,034 - - 142,034 EDWARD G. CHADWICK - - 144,564 - WILLIAM A. CONWAY, MD - - 142,571 - WRIGHT L. LASSITER III - - 283,001 - LYNN TOROSSIAN - - 70,444 - MARY ALICE ANNECHARICO - 306,509 - 306,509 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2016 CONTR. 2016 CONTR. TAX GROSS-UP W-2 AMOUNTS NANCY M. SCHLICHTING - 18,000 433 18,433 MANI MENON, MD - 18,000 433 18,433 THEODORE W. PARSONS, MD- 18,000 433 18,433 ROBERT G. RINEY - 18,000 433 18,433 JOHN POPOVICH, JR. MD - 18,000 433 18,433 JOHN J. POLANSKI 6,647 11,353 273 18,273 EDITH L. EISENMANN 18,000 - - 18,000 WILLIAM W. O'NEILL, MD - 18,000 433 18,433 WILLIAM A. CONWAY, MD 18,000 433 18,433 LYNN M. TOROSSIAN 11,567 6,433 155 18,155 EDWARD G. CHADWICK 4,070 13,930 335 18,335 WRIGHT L. LASSITER III 18,000 433 18,433 MUWAFFAK M.ABDULHAK,MD 2,775 18,000 433 18,433 JOSEPH E. SCHMITT 10,344 7,656 184 18,184 MARY ALICE ANNECHARICO 10,048 7,652 191 18,191 PART I, LINE 5 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A CONTRACTUAL FORMULA THAT PROVIDES FOR A MINIMUM BASE SALARY AND INCREMENTAL COMPENSATION WHEN DEPARTMENTAL NET REVENUE EXCEEDS A PREDETERMINED LEVEL. SUCH ARRANGEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. PART I, LINE 7 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A BASE SALARY AND AN INCENTIVE PAYMENT WHEN SERVICE VOLUMES EXCEED A PREDETERMINED LEVEL. SUCH AGREEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. A MICHIGAN FINANCE AUTHORITY 800596186 000000000 2013-12-20 75000000 SEE PART VI 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59447TMQ3 2016-09-28 965679157 SEE PART VI 0 0 0 A 30816033 75000000 75000000 2014 0 0 1 1 B 965679157 271644904 6583154 158579421 529917998 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 0 0 0.00740 0.00000 0.00740 0 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART I, COLUMN (F), DESCRIPTION OF PURPOSE (A) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (A) DESCRIPTION OF PURPOSE: FUND ACQUISITION OF ASSETS OF EQUIPMENT (B) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (B) DESCRIPTION OF PURPOSE: REFUND ALL OUTSTANDING HFHS 2014 BONDS ISSUED 11/13/2014, A PORTION OF HFHS 2009 BONDS ISSUED 11/3/2009 (REMAINING WAS DEFEASED WITH HFHS 2016 TAXABLE LOAN) AND ALL OUTSTANDING 2006 BONDS ISSUED 6/27/2006. ADDITIONALLY, IN CONJUNCTION WITH AFFILIATION WITH ALLEGIANCE HEALTH ON 03/04/2016, REFINANCE ALLEGIANCE 2011A BONDS, 2011B BONDS AND ALLEGIANCE 2010A/2006B-2/2006C BONDS PURSUANT TO THE RULES FOR ACQUISITION FINANCING IN TREAS. REG. SECTION 1.150-1(D)(2)(II)(C). PART II, LINE (13), YEAR OF SUBSTANTIAL COMPLETION 2016 HFHS 2006A - 2009 HFHS 2009 - 2009 HFHS 2014 - 2007 ALLEGIANCE 2011AB - 2011 ALLEGIANCE 2010/2006B-2/2006C - 2010 PART IV, LINE 6, COLUMN B - THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. KIRCO SEE BELOW 549067 SEE BELOW 0 NANCY J SAMMONS SEE BELOW 146454 SEE BELOW 0 PEGGY J ORR SEE BELOW 99694 SEE BELOW 0 SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KIRCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: CONSTRUCTION SERVICES(A) NAME OF PERSON: NANCY J. SAMMONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: PEGGY J. ORR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: THOMAS J. EISENMANN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $72,443(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: PAMELA THEISEN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $64,950(D) DESCRIPTION OF TRANSACTION: CONSULTING SERVICES(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: ADVOMAS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,694,927 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL BILLING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ALCON LABORATORIES INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 3,051,135 (D) DESCRIPTION OF TRANSACTION: PROVIDED OPHTHALMIC PHARMACEUTICAL AND SURGICAL EQUIPMENT PRODUCTS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ALLERGAN USA INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 518,467 (D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL PRODUCTS AND MEDICINE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ARAMARK UNIFORMS AND REFRESHMENT SERVICES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 287,267 (D) DESCRIPTION OF TRANSACTION: PROVIDED WORK FOOD FACILITIES AND UNIFORM SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: AT & T(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 8,818,559 (D) DESCRIPTION OF TRANSACTION: PROVIDED COMMUNICATION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: BOSTON SCIENTIFIC CORP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 13,079,627 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL DEVICE PRODUCTS(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: D&B LANDSCAPING INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,348,243 (D) DESCRIPTION OF TRANSACTION O PROVIDED LANDSCAPING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DELOITTE & TOUCHE LLP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,836,431 (D) DESCRIPTION OF TRANSACTION: PROVIDED AUDIT & CONSULTING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DEMARIA BUILDING COMPANY INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 4,804,596 (D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DETROIT SPECTRUM PAINTERS INC.(B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 736,789 (D) DESCRIPTION OF TRANSACTION: PROVIDED PAINTING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DIASORIN MOLECULAR LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 143,806 (D) DESCRIPTION OF TRANSACTION: PROVIDED VITRO DIAGNOSTIC KITS USED IN IMMUNO & MOLECULAR DIAG.(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: DTE ENERGY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 13,332,342 (D) DESCRIPTION OF TRANSACTION: PROVIDED UTILITY SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: FORD MOTOR LAND(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 317,869(D) DESCRIPTION OF TRANSACTION: (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: EPIC SYSTEMS CORPORATION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 11,865,394 (D) DESCRIPTION OF TRANSACTION: PROVIDED HEALTHCARE SOFTWARE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: GEORGE W AUCH COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,727,499 (D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: GORDON FOOD SERVICE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 8,338,174 (D) DESCRIPTION OF TRANSACTION: PROVIDED FOOD SUPPLY SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: GRUNWELL CASHERO COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,146,442 (D) DESCRIPTION OF TRANSACTION: PROVIDED ARCHITECTURAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: JOHN E. GREEN COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,780,224 (D) DESCRIPTION OF TRANSACTION: PROVIDED MECHANICAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: KAISER FOUNDATION RESEARCH INSTITUTE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 503,471(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT(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 $ 3,091,167 (D) DESCRIPTION OF TRANSACTION: PROVIDED GENERAL CONTRACTING AND COSTRUCTION MANAGEMENT SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: LAWRENCE GREEN FIRE PROTECTION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 369,138 (D) DESCRIPTION OF TRANSACTION: PROVIDED MAINTENANCE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MASTERCRAFT CARPET(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,300,442 (D) DESCRIPTION OF TRANSACTION: PROVIDED CARPET SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MEDTRONIC USA INC(B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 15,714,161 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: OLYMPUS AMERICA INC-SURGICAL PRODUCTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 4,233,479 (D) DESCRIPTION OF TRANSACTION: PROVIDED FURNITURE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: PFIZER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 979,294 (D) DESCRIPTION OF TRANSACTION: PROVIDED PHARMACEUTICAL SUPPLIES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: ST. JUDE MEDICAL(B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,901,287 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL SUPPLIES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUPERIOR AIR GROUND AMBULANCE SERVICE(B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 372,090 (D) DESCRIPTION OF TRANSACTION: PROVIDED AMBULANCE/HELICOPTER SERVICE(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: TURNER CONSTRUCTION(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 518,932 (D) DESCRIPTION OF TRANSACTION: PROVIDED CONTRACTOR SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: VARNUM LLP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,558,013 (D) DESCRIPTION OF TRANSACTION: PROVIDED BUSINESS AND PERSONAL LEGAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO X 27 1502262 MARKET VALUE X EVENT ITEMS 119 64049 FAIR MARKET VALUE X MISCELLANEOUS 31 36670 FAIR MARKET VALUE 0 1 1 PART I, LINE 32B: BROKERAGE FIRM SELLS DONATIONS OF STOCK FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS CONTRACTED WITH H2O, LLC TO PROVIDE SENIOR LEADERSHIP TO ITS HUMAN RESOURCES FUNCTION. FORM 990, PART VI, SECTION B, LINE 11B THE TAX DEPARTMENT OF THE ORGANIZATION PREPARES THE FORM 990 AND HAS IT REVIEWED BY ITS INDEPENDENT TAX SERVICE PROVIDER. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HFHS 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 HFHS BOARD OF TRUSTEES FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL 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 BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION 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. SCHEDULE R, PART V, LINE 1D AND 1E THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE BOND MASTER INDENTURE. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISIONS THAT ARE NOT SEPARATE LEGAL ENTITIES BUT HAVE THEIR OWN UNIQUE ASSIGNED EIN'S. FINANCIAL INFORMATION RELATING TO THESE DIVISIONS ARE INCLUDED IN THIS RETURN. -HENRY FORD WEST BLOOMFIELD HOSPITAL (26-3896897) -HENRY FORD WEST BLOOMFIELD PHYSICIANS (47-2146687) -CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE (30-0092342) -HENRY FORD HEALTH SYSTEM - SCHOOL BASED HEALTH INITIATIVE (87-0729167) -COTTAGE HOSPITAL PHYSICIAN PRACTICE (26-4245539) -HENRY FORD PATHOLOGY (41-2223561) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -11,275,104. INTERCOMPANY TRANSFERS -37,077,790. 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. 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