HENRY FORD MACOMB HOSPITAL CORPORATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HENRY FORD MACOMB HOSPITAL CORPORATION (EIN 38-2947657)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201503179349303175
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T11:36:00-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382947657 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD MACOMB HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HENR | BusinessNameControlTxt |
| Phone | 3138768714 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE - 5F | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EDWARD G CHADWICK | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3138768714 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EDWARD G CHADWICK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE - 5F | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $428,157,782 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HENRYFORD.COM/HOMEPAGE_MACOMB | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 4068 | TotalEmployeeCnt |
| Total Volunteers | 800 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $805,484 | PYContributionsGrantsAmt |
| CY Contributions Grants | $976,756 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $424,214,179 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $419,973,018 | CYProgramServiceRevenueAmt |
| PY Investment Income | $692,896 | PYInvestmentIncomeAmt |
| CY Investment Income | $891,715 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,374,017 | PYOtherRevenueAmt |
| CY Other Revenue | $4,252,845 | CYOtherRevenueAmt |
| PY Total Revenue | $431,086,576 | PYTotalRevenueAmt |
| CY Total Revenue | $426,094,334 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $207,702,973 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $195,127,421 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $159,792 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $222,065,449 | PYOtherExpensesAmt |
| CY Other Expenses | $211,680,819 | CYOtherExpensesAmt |
| PY Total Expenses | $429,768,422 | PYTotalExpensesAmt |
| CY Total Expenses | $406,808,240 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,318,154 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,286,094 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $318,636,179 | TotalAssetsBOYAmt |
| Total Assets EOY | $329,892,691 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $228,509,694 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $234,765,989 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $90,126,485 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $95,126,702 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HENRY FORD MACOMB HOSPITAL (HFMH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM SERVING THE NORTHEASTERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFMH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFMH IS COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF ALL OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES FINANCING AND HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $246,164,680 | ExpenseAmt |
| Revenue | $309,465,106 | RevenueAmt |
| Desc | HFMH IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF THE MACOMB COUNTY MICHIGAN AS WELL AS ALL OF THE OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 2014 HFMH HAD 21,321 DISCHARGES, AND 106,195 PATIENT DAYS.HENRY FORD MACOMB HOSPITAL-CLINTON TOWNSHIP PROVIDES COMPREHENSIVE ACUTE AND TERTIARY CARE. SPECIALTY SERVICES INCLUDE A HEART & VASCULAR INSTITUTE, JOSEPHINE FORD CANCER CENTER, A WOMEN'S HEALTH CENTER, ALONG WITH A BIRTHING CENTER THAT FEATURES 18 LABOR, DELIVERY, RECOVERY AND POST-PARTUM SUITES. THE HOSPITAL ALSO HAS A 42-BED INPATIENT REHABILITATION PROGRAM, AN AMBULATORY AND MINIMALLY INVASIVE SURGERY CENTER AND LEADING DIAGNOSTIC IMAGING, ALONG WITH ADVANCED TRAUMA CAPABILITIES AND EMERGENCY SERVICES.HENRY FORD HOSPITAL DOCTORS TRAIN MORE THAN 600 MEDICAL SCHOOL STUDENTS, 500 RESIDENTS AND 150 FELLOWS ACROSS 46 DIFFERENT AREAS OF MEDICINE EVERY YEAR. HENRY FORD HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS. HENRY FORD MACOMB HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS, AND TRAINED 103 MEDICAL RESIDENTS DURING 2014. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $67,809,316 | ExpenseAmt |
| Revenue | $67,330,394 | RevenueAmt |
| Desc | HFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED 429,898 OUTPATIENT VISITS DURING 2014. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $28,339,586 | ExpenseAmt |
| Revenue | $34,686,436 | RevenueAmt |
| Desc | HFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 66,509 PATIENT VISITS DURING 2014. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,335,626 | ExpenseAmt |
| Revenue | $10,967,532 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,335,626 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $10,967,532 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $346,649,208 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 256 | IRPDocumentCnt |
| IRP Document W2 G | 22 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4068 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD G CHADWICK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3138768714 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| PAUL D ALANDT | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MYRA BERGMAN RSM | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD D CALLAGHAN PHD | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID F GIRODAT | |||||||||
| TRUSTEE - CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| STEVEN D HARRINGTON MD | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROLANN K KINNER DO | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN G LODER DPM | |||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $157,227 | $0 | $24,972 | |||
| RAYMOND C LOPE' | |||||||||
| TRUSTEE - VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ALI H SHAKIR MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES E THOMPSON DD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY J VIVIANO | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREA L WULF | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALBERT L LORENZO PHD | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS B MELDRUM | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM A MORELLI SR | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RHONDA M POWELL | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSS C RICHARDSON | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT G RINEY | |||||||||
| TRUSTEE | 1.00 | 63.00 | Yes (X) | $0 | $1,623,807 | $48,083 | |||
| BARBARA W ROSSMANN | |||||||||
| PRESIDENT / TRUSTEE | 60.00 | 0.00 | Yes (X) | $755,022 | $0 | $110,645 | Yes (X) | ||
| DIANE L GEORGE DO | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $339,940 | $46,966 | |||
| JAMES M CONNELLY | |||||||||
| TREASURER - PART YEAR | 1.00 | 62.00 | $0 | $1,328,462 | $46,784 | Yes (X) | |||
| EDITH L EISENMANN | |||||||||
| SECRETARY | 1.00 | 62.00 | $0 | $237,876 | $33,113 | Yes (X) | |||
| TERRY A GOODBALIAN | |||||||||
| ASSISTANT TREASURER/CFO | 40.00 | 20.00 | $269,084 | $0 | $50,156 | Yes (X) | |||
| EDWARD G CHADWICK | |||||||||
| TREASURER - PART YEAR | 1.00 | 65.00 | $0 | $197,253 | $7,336 | Yes (X) | |||
| GARY J BEAULAC | |||||||||
| CHIEF OPERATING OFFICER | 60.00 | 0.00 | $366,678 | $0 | $45,733 | Yes (X) | |||
| MICHAEL M CERVENAK | |||||||||
| VP-ORG STRATEGY - PART YEAR | 1.00 | 0.00 | $150,453 | $0 | $18,174 | Yes (X) | |||
| JOANNA R PEASE DO | |||||||||
| CHIEF MEDICAL OFFICER | 60.00 | 0.00 | $379,555 | $0 | $37,775 | Yes (X) | |||
| ANDREW AGOSTA MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $463,794 | $0 | $107,199 | Yes (X) | |||
| FREMONT L SCOTT DO | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $524,289 | $0 | $48,343 | Yes (X) | |||
| RONALD LEVIN MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,011,227 | $0 | $54,039 | Yes (X) | |||
| MARK T RYAN MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $686,007 | $0 | $23,630 | Yes (X) | |||
| EDDIE EL-YUSSIF | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $544,210 | $0 | $39,594 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,307,546 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,727,338 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $742,542 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 183 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RONCELLI INC | |||||
| 6471 METRO PARKWAY | STERLING HEIGHTS | MI | 48312 | CONSTRUCTION | $5,063,783 |
| WELLINGTON HOME BUILDING LLC | |||||
| PO BOX 54 | TRENTON | MI | 48183 | CONSTRUCTION | $1,457,035 |
| DEMARIA BUILDING COMPANY INC | |||||
| 45500 GRAND RIVER AVE PO BOX 8018 | NOVI | MI | 48376 | CONSTRUCTION | $1,226,873 |
| JOHN E GREEN COMPANY | |||||
| 220 VICTOR AVENUE | HIGHLAND PARK | MI | 48203 | CONSTRUCTION | $851,475 |
| TRINITY INFORMATION SERVICES | |||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | IT SERVICES | $791,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 54 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $549,107 | FundraisingAmt |
| All Other Contributions | $427,649 | AllOtherContributionsAmt |
| Noncash Contributions | $121,282 | NoncashContributionsAmt |
| Total Contributions | $976,756 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL SERVICES | 900099 | $301,030,706 | $301,030,706 |
| OUTPATIENT SERVICES | 621400 | $67,330,394 | $67,330,394 |
| EMERGENCY SERVICES | 900099 | $34,686,436 | $34,686,436 |
| MEDICAL EDUCATION-GME | 900099 | $8,434,400 | $8,434,400 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,491,082 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,491,082 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $419,973,018 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $843,988 | TotalRevenueColumnAmt |
| Exclusion | $843,988 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $885,120 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $885,120 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $885,120 | TotalRevenueColumnAmt |
| Exclusion | $885,120 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,761,796 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,714,069 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,727 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,727 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,727 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $204,557 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $549,107 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $284,276 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$79,719 | TotalRevenueColumnAmt |
| Exclusion | -$79,719 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $76,158 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $65,103 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,055 | TotalRevenueColumnAmt |
| Exclusion | $11,055 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 900099 | $1,007,666 | $1,007,666 | |
| JOINT VENTURES | 900099 | $1,001,573 | $1,001,573 | |
| GIFT SHOP | 453220 | $748,988 | $748,988 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $678,162 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $678,162 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,436,389 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $426,094,334 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $422,449,468 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,668,110 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,315,025 | TotalAmt |
| Program Services | $755,286 | ProgramServicesAmt |
| Management And General | $1,471,442 | ManagementAndGeneralAmt |
| Fundraising | $88,297 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,130 | TotalAmt |
| Program Services | $394,130 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,373,557 | TotalAmt |
| Program Services | $152,336,608 | ProgramServicesAmt |
| Management And General | $6,036,949 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,378,956 | TotalAmt |
| Program Services | $7,030,963 | ProgramServicesAmt |
| Management And General | $343,948 | ManagementAndGeneralAmt |
| Fundraising | $4,045 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,779,085 | TotalAmt |
| Program Services | $15,034,941 | ProgramServicesAmt |
| Management And General | $735,495 | ManagementAndGeneralAmt |
| Fundraising | $8,649 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,886,668 | TotalAmt |
| Program Services | $10,373,251 | ProgramServicesAmt |
| Management And General | $507,450 | ManagementAndGeneralAmt |
| Fundraising | $5,967 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,814 | TotalAmt |
| Program Services | $11,555 | ProgramServicesAmt |
| Management And General | $59,259 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,625 | TotalAmt |
| Management And General | $111,625 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,493,771 | TotalAmt |
| Program Services | $15,398,136 | ProgramServicesAmt |
| Management And General | $1,095,420 | ManagementAndGeneralAmt |
| Fundraising | $215 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,181,177 | TotalAmt |
| Program Services | $8,560 | ProgramServicesAmt |
| Management And General | $2,172,617 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,081,067 | TotalAmt |
| Program Services | $8,067,380 | ProgramServicesAmt |
| Management And General | $1,009,697 | ManagementAndGeneralAmt |
| Fundraising | $3,990 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $813,717 | TotalAmt |
| Program Services | $779,398 | ProgramServicesAmt |
| Management And General | $34,319 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,195,562 | TotalAmt |
| Program Services | $10,193,450 | ProgramServicesAmt |
| Management And General | $962,698 | ManagementAndGeneralAmt |
| Fundraising | $39,414 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,714 | TotalAmt |
| Program Services | $300,617 | ProgramServicesAmt |
| Management And General | $106,704 | ManagementAndGeneralAmt |
| Fundraising | $5,393 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,225 | TotalAmt |
| Program Services | $408,295 | ProgramServicesAmt |
| Management And General | $40,930 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,738,823 | TotalAmt |
| Management And General | $7,738,823 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,981,142 | TotalAmt |
| Management And General | $33,981,142 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,403,316 | TotalAmt |
| Program Services | $14,161,189 | ProgramServicesAmt |
| Management And General | $1,240,522 | ManagementAndGeneralAmt |
| Fundraising | $1,605 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,282,023 | TotalAmt |
| Program Services | $3,829,246 | ProgramServicesAmt |
| Management And General | $452,777 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $70,063,257 | $69,682,752 | $380,505 |
| BAD DEBT EXPENSE | $11,424,273 | $11,424,273 | |
| QUAAP TAX | $9,485,811 | $9,485,811 | |
| REPAIRS & MAINTENANCE | $8,848,157 | $8,444,953 | $403,204 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,644,345 | TotalAmt |
| Program Services | $8,528,414 | ProgramServicesAmt |
| Management And General | $1,113,714 | ManagementAndGeneralAmt |
| Fundraising | $2,217 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,808,240 | TotalAmt |
| Program Services | $346,649,208 | ProgramServicesAmt |
| Management And General | $59,999,240 | ManagementAndGeneralAmt |
| Fundraising | $159,792 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,117 | BOYAmt |
| EOY | $6,020 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,078,382 | BOYAmt |
| EOY | $76,780,711 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,268 | BOYAmt |
| EOY | $38,519 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,185,973 | BOYAmt |
| EOY | $34,572,963 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,069,416 | BOYAmt |
| EOY | $6,160,736 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,945,500 | BOYAmt |
| EOY | $1,873,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $330,791,138 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $167,929,049 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,706,820 | BOYAmt |
| EOY | $162,862,089 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,559,204 | BOYAmt |
| EOY | $30,798,333 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $963,296 | BOYAmt |
| EOY | $1,036,122 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,590 | BOYAmt |
| EOY | $98,590 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,596,613 | BOYAmt |
| EOY | $15,665,265 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,636,179 | BOYAmt |
| EOY | $329,892,691 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,376,445 | BOYAmt |
| EOY | $31,716,412 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,162,999 | BOYAmt |
| EOY | $148,905,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,970,250 | BOYAmt |
| EOY | $54,144,577 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,509,694 | BOYAmt |
| EOY | $234,765,989 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,484,240 | BOYAmt |
| EOY | $88,843,868 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,279,705 | BOYAmt |
| EOY | $3,919,620 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,362,540 | BOYAmt |
| EOY | $2,363,214 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,126,485 | BOYAmt |
| EOY | $95,126,702 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,636,179 | BOYAmt |
| EOY | $329,892,691 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,286,094 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$74,937 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$14,210,940 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,642,245 | BeginningYearBalanceAmt |
| Contributions | $908,092 | ContributionsAmt |
| Investment Earnings Or Losses | $16,735 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $284,238 | OtherExpendituresAmt |
| End Year Balance | $6,282,834 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,809,597 | BeginningYearBalanceAmt |
| Contributions | $766,354 | ContributionsAmt |
| Investment Earnings Or Losses | $80,354 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,014,060 | OtherExpendituresAmt |
| End Year Balance | $5,642,245 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,503,430 | BeginningYearBalanceAmt |
| Contributions | $1,301,075 | ContributionsAmt |
| Investment Earnings Or Losses | $104,796 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,099,704 | OtherExpendituresAmt |
| End Year Balance | $7,809,597 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,906,493 | BeginningYearBalanceAmt |
| Contributions | $3,249,213 | ContributionsAmt |
| Investment Earnings Or Losses | -$11,640 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,640,636 | OtherExpendituresAmt |
| End Year Balance | $9,503,430 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,002,141 | BeginningYearBalanceAmt |
| Contributions | $1,150,549 | ContributionsAmt |
| Investment Earnings Or Losses | $41,284 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $861,779 | OtherExpendituresAmt |
| Administrative Expenses | -$574,298 | AdministrativeExpensesAmt |
| End Year Balance | $7,906,493 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.37610 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.62390 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $839,257 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $11,743,198 | OtherCostOrOtherBasisAmt |
| Book Value | $12,582,455 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $254,284 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $185,537,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,502,674 | DepreciationAmt |
| Book Value | $115,289,205 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,610,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $575,471 | DepreciationAmt |
| Book Value | $1,035,118 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,002,112 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,850,904 | DepreciationAmt |
| Book Value | $22,151,208 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,804,103 | OtherCostOrOtherBasisAmt |
| Book Value | $11,804,103 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $162,862,089 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| MALPRACTICE LIABILITY | $21,674,134 |
| CORPORATE RESERVE | $3,560,543 |
| WORKERS COMP LIABILITY | $1,473,726 |
| DEFERRED COMPENSATION | $5,444,806 |
| POST RETIREMENT BENEFITS | $21,443,770 |
| OTHER LONG TERM LIABILITIES | $547,598 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,144,577 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | EARNINGS FROM THE ORGANIZATION'S ENDOWMENTS FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES. |
| PART X, LINE 2: | THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2014 AND 2013. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | MEDALLION EVENT | Event1Nm |
| Gross Receipts Event1 | $357,227 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $267,026 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $90,201 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $120,378 | OtherDirectExpensesEvent1Amt |
| Event2 | AMBASSADOR CLUB | Event2Nm |
| Gross Receipts Event2 | $172,670 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $135,677 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $36,993 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $77,460 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $223,767 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $146,404 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $77,363 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $86,438 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $753,664 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $549,107 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $204,557 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $284,276 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $284,276 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$79,719 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $76,158 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $65,103 | NonCashPrizesOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 1.00000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $76,158 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $65,103 | NonCashPrizesTotalGamingAmt |
| Direct Expense Summary Gaming | $65,103 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $11,055 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBECCA BLANKEN SPECIAL EVENTS DEPT | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,216,116 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,216,116 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,221,462 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,440,225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,781,237 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03230 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,437,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,440,225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,997,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04550 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,477,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,077 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,433,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,660,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,434,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,226,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,023,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,173,990 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,849,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $485,182 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $485,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $344,485 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $344,485 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,990,855 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,651,467 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,339,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02870 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $121,428,433 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,091,692 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,336,741 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07420 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,778 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,647 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $133,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,598 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,756 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $204,478 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $204,478 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $421,257 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $421,257 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,270,265 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,567,566 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $108,217,605 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $106,854,330 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,363,275 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD MACOMB HOSPITAL - CLINTON | |||||||||
| 1 | 15855 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| HENRY FORD MACOMB HOSPITAL- MOUNT CLEMENS | |||||||||
| 2 | 215 NORTH AVENUE | MOUNT CLEMENS | MI | 48043 | Yes (X) | PSYCHIATRIC INPATIENT | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Existing ResourcesExistingResourcesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD MACOMB HOSPITAL-CLINTON TWP | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.HENRYFORD.COM | Yes (X) | Yes (1) | 13 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 250.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
| HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.HENRYFORD.COM | Yes (X) | Yes (1) | 13 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 250.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HENRY FORD MACOMB HOSPITAL-CLINTON TWP | PART V, SECTION B, LINE 5: AS PART OF THE CHNA PROCESS, A COMMUNITY STAKEHOLDER SURVEY WAS DEVELOPED AND CONDUCTED BY HENRY FORD HEALTH SYSTEM, INCLUSIVE OF HENRY FORD WYANDOTTE AND HENRY FORD MACOMB HOSPITALS. THE SURVEY WAS DESIGNED TO GATHER INPUT FROM MAJOR COMMUNITY STAKEHOLDERS IN THE TRI-COUNTY AREA AND BE USED TO COMPLEMENT AND VALIDATE THE TRENDS IN DEMOGRAPHIC AND COMMUNITY HEALTH DATA IDENTIFIED WITHIN THE CHNA. THE SURVEY ALSO ASSISTED IN ACHIEVING COMPLIANCE WITH THE IRS REQUIREMENTS OF GATHERING COMMUNITY INPUT. AREAS OF SPECIFIC FOCUS IN THE SURVEY INCLUDED: PROMOTING HEALTHY BEHAVIORS, MANAGING CHRONIC DISEASE, PUBLIC HEALTH INFRASTRUCTURE/ENVIRONMENTAL HAZARDS AND ADDITIONAL OPEN ENDED QUESTIONS. KEY COMMUNITY STAKEHOLDERS THROUGHOUT THE WAYNE, MACOMB AND OAKLAND TRI-COUNTY AREA WERE INVITED TO PARTICIPATE IN THE SURVEY VIA A LINK TO THE ELECTRONIC SURVEY FROM NOVEMBER, 2011 TO DECEMBER, 2012. SEE APPENDIX 2 OF THE CHNA TO VIEW THE STAKEHOLDER SURVEY TEMPLATE. APPENDIX 3 DETAILS THE COMMUNITY STAKEHOLDERS INVITED TO PARTICIPATE AS WELL AS THE STAKEHOLDERS THAT COMPLETED THE SURVEY. |
| HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS | PART V, SECTION B, LINE 5: AS PART OF THE CHNA PROCESS, A COMMUNITY STAKEHOLDER SURVEY WAS DEVELOPED AND CONDUCTED BY HENRY FORD HEALTH SYSTEM, INCLUSIVE OF HENRY FORD WYANDOTTE AND HENRY FORD MACOMB HOSPITALS. THE SURVEY WAS DESIGNED TO GATHER INPUT FROM MAJOR COMMUNITY STAKEHOLDERS IN THE TRI-COUNTY AREA AND BE USED TO COMPLEMENT AND VALIDATE THE TRENDS IN DEMOGRAPHIC AND COMMUNITY HEALTH DATA IDENTIFIED WITHIN THE CHNA. THE SURVEY ALSO ASSISTED IN ACHIEVING COMPLIANCE WITH THE IRS REQUIREMENTS OF GATHERING COMMUNITY INPUT. AREAS OF SPECIFIC FOCUS IN THE SURVEY INCLUDED: PROMOTING HEALTHY BEHAVIORS, MANAGING CHRONIC DISEASE, PUBLIC HEALTH INFRASTRUCTURE/ENVIRONMENTAL HAZARDS AND ADDITIONAL OPEN ENDED QUESTIONS. KEY COMMUNITY STAKEHOLDERS THROUGHOUT THE WAYNE, MACOMB AND OAKLAND TRI-COUNTY AREA WERE INVITED TO PARTICIPATE IN THE SURVEY VIA A LINK TO THE ELECTRONIC SURVEY FROM NOVEMBER, 2011 TO DECEMBER, 2012. SEE APPENDIX 2 OF THE CHNA TO VIEW THE STAKEHOLDER SURVEY TEMPLATE. APPENDIX 3 DETAILS THE COMMUNITY STAKEHOLDERS INVITED TO PARTICIPATE AS WELL AS THE STAKEHOLDERS THAT COMPLETED THE SURVEY. |
| HENRY FORD MACOMB HOSPITAL-CLINTON TWP | PART V, SECTION B, LINE 6A: HENRY FORD HOSPITALHENRY FORD MACOMB HOSPITALSHENRY FORD WYANDOTTE HOSPITALHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD MAPLEGROVE CENTERHENRY FORD KINGSWOOD HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTER |
| HENRY FORD MACOMB HOSPITAL-CLINTON TWP | PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN (SEE ATTACHED) 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. THE CHNA HAS THREE BROAD AREAS OF FOCUS WITH TARGETED FOCUSES WITHIN EACH. THIS INCLUDES AT RISK POPULATIONS; WITH A FOCUS ON ACCESS FOR UN AND UNDER INSURED POPULATIONS, MINORITY HEALTH DISPARITIES IN THE CITY OF DETROIT, IMPROVING HEALTH STATUS WITH FOCUSES ON PHYSICAL ACTIVITY AND NUTRITION AND CHRONIC DISEASE MANAGEMENT WITH A FOCUS ON CHRONIC HEART DISEASE AND DIABETES. |
| HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS | PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN (SEE ATTACHED) 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. THE CHNA HAS THREE BROAD AREAS OF FOCUS WITH TARGETED FOCUSES WITHIN EACH. THIS INCLUDES AT RISK POPULATIONS; WITH A FOCUS ON ACCESS FOR UN AND UNDER INSURED POPULATIONS, MINORITY HEALTH DISPARITIES IN THE CITY OF DETROIT, IMPROVING HEALTH STATUS WITH FOCUSES ON PHYSICAL ACTIVITY AND NUTRITION AND CHRONIC DISEASE MANAGEMENT WITH A FOCUS ON CHRONIC HEART DISEASE AND DIABETES. |
| HENRY FORD MACOMB HOSPITAL-CLINTON TWP | PART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO THE ORGANIZATION IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES.CHARGES RELATED TO MEDICALLY NECESSARY SERVICES TO PRIVATE PAY PATIENTS ARE BASED ON 115% OF PREVAILING MEDICARE RATES. |
| HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS | PART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY FOR INSURANCE WITH HOUSEHOLD INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR MEDICALLY NECESSARY SERVICES TO BE PROVIDED AT NO COST. PATIENTS REGARDLESS OF INSURANCE STATUS WITH ANNUAL MEDICAL LIABILITIES TO THE ORGANIZATION IN EXCESS OF 30% OF THEIR HOUSEHOLD INCOME MAY QUALIFY FOR DISCOUNTS ON THEIR PERSONAL OBLIGATIONS. PATIENT'S PERSONAL RESPONSIBILITIES FOR MEDICALLY NECESSARY SERVICES NOT COVERED BY INSURANCE ARE GENERALLY BASED ON THE AMOUNT GENERALLY BILLED FOR THE SERVICE, WHICH APPROXIMATES 115% OF PREVAILING MEDICARE RATES. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| HENRY FORD MACOMB HOSPITAL-CLINTON TWP PART V, SECTION B, LINE 16B WEBSITE: | HTTP://WWW.HENRYFORD.COM |
| HENRY FORD MACOMB HOSPITAL-MOUNT CLEMENS PART V, SECTION B, LINE 16B WEBSITE: | HTTP://WWW.HENRYFORD.COM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 30 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| HENRY FORD MACOMB-BRUCE TOWNSHIP MED CTR | ||||
| 80650 VAN DYKE | BRUCE TOWNSHIP | MI | 48065 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-CHESTERFIELD MED CNTR | ||||
| 30795 23 MILE ROAD | CHESTERFIELD TOWNSHI | MI | 48047 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB CENTER-CLINTON TWP | ||||
| 16151 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-FRASER HEALTH CENTER | ||||
| 15717 15 MILE ROAD | FRASER | MI | 48035 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-RICHMOND MEDICAL CNTR | ||||
| 31505 32 MILE ROAD | RICHMOND | MI | 48062 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SLEEP MEDICINE | ||||
| 15945 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY OBGYN | ||||
| 49050 SCHOENHERR | SHELBY TOWNSHIP | MI | 48316 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-WASHINGTON TWP MED CTR | ||||
| 12150 30 MILE ROAD | WASHINGTON TOWNSHIP | MI | 48095 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB MEDICAL CENTER | ||||
| 15520 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-CHESTERFIELD OBGYN | ||||
| 51086 FAIRCHILD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-MEDICAL CENTER | ||||
| 15400 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-PARK PLACE PEDIATRICS | ||||
| 20373 HALL ROAD | MACOMB | MI | 48044 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY OBGYN | ||||
| 51221 SCHOENHERR | SHELBY TOWNSHIP | MI | 48315 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY FAMILY MED | ||||
| 49310 VAN DYKE | SHELBY TOWNSHIP | MI | 48317 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-HARPER FAMILY MEDICINE | ||||
| 36539 HARPER AVENUE | CLINTON TOWNSHIP | MI | 48035 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-MACOMB FAMILY MED | ||||
| 48924 HAYES ROAD | MACOMB | MI | 48044 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY RHEUMATOLOGY | ||||
| 50505 SCHOENHERR-SUITE 175 | SHELBY TOWNSHIP | MI | 48315 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-CNTR FOR HEALTH MGMT | ||||
| 42850 GARFIELD ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB CENTER-CLINTON TWP | ||||
| 43401 GARFIELD ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB CENTER-CLINTON TWP | ||||
| 43411 GARFIELD ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB REHAB-STERLING HEIGHTS | ||||
| 44800 DELCO BLVD | STERLING HEIGHTS | MI | 48313 | REHABILITATION SERVIES |
| HENRY FORD MACOMB REHAB-WARREN | ||||
| 3601 E ELEVEN MILE ROAD | WARREN | MI | 48092 | REHABILITATION SERVIES |
| HENRY FORD MACOMB REHAB-CLINTON TWP | ||||
| 16301 NINETEEN NIME ROAD | CLINTON TOWNSHIP | MI | 48308 | REHABILITATION SERVIES |
| HFMH-WARREN INTERNAL MEDICINE | ||||
| 25531 SCHOENHERR | WARREN | MI | 48089 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN MEDICAL CENTER | ||||
| 25625 SCHOENHERR | WARREN | MI | 48089 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN MARTIN MEDICAL CENTER | ||||
| 28001 SCHOENHERR | WARREN | MI | 48088 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN FAMILY MEDICINE | ||||
| 30205 SCHOENHERR | WARREN | MI | 48093 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN SLEEP MEDICINE | ||||
| 13251 E TEN MILE ROAD | WARREN | MI | 48089 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN VASCULAR SURGERY | ||||
| 27500 HOOVER | WARREN | MI | 48093 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-FAMILY MEDICINE | ||||
| 21250 HALL ROAD | CLINTON TOWNSHIP | MI | 48039 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 11,424,273. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | HFMH BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFMH INCLUDES IN ITS COMMITTMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ON THE BENEFITS OF HEALTHIER BEHAVIORS ARE HEARD. HFMH LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS IN ADDRESSING THE NEEDS OF OUR SERVICE AREA. |
| PART III, LINE 2: | THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED IN PATIENT GROSS CHARGES |
| PART III, LINE 4: | IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 115% OF MEDICARE RATES. |
| PART III, LINE 9B: | SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED. IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S CHARITY CARE POLICY PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES" |
| PART VI, LINE 2: | HENRY FORD HEALTH SYSTEM (HFHS) CONSIDERS THE ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AS AN ESSENTIAL FUNCTION. HENRY FORD MACOMB HOSPITAL WAS ENCOMPASSED IN THE HFHS COMMUNITY HEALTH NEEDS ASSESSMENT. IT PROVIDES KEY INFORMATION REGARDING THE DEMOGRAPHICS AND MAJOR NEEDS OF THE COMMUNITIES SERVED, IT SUPPORTS THE PRIORITIZATION OF THE SERVICES MADE AVAILABLE, AND IT HELPS TARGET POPULATIONS WITH THE MOST VULNERABILITY TO HEALTH NEEDS SUCH AS THE POOR, UNINSURED, AS WELL AS VARIOUS OTHER POPULATIONS THAT MAY HAVE BEEN OVERLOOKED. THE COMMUNITY HEALTH NEEDS ASSESSMENT ALSO PROVIDES VALUABLE INFORMATION REGARDING OTHER ORGANIZATIONS SUPPORTING THE NEEDS WITHIN THE COMMUNITY SO PROGRAMS CAN BE COORDINATED AND LEVERAGED TO ENSURE THAT EVERY DOLLAR IS INVESTED WISELY.THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN THREE PHASES. THE FIRST PHASE INCLUDES DATA COLLECTION FROM A VARIETY OF PUBLIC AND PROPRIETARY SOURCES THAT PROVIDED INFORMATION AROUND POPULATION DEMOGRAPHICS, SOCIOECONOMIC DATA, HEALTH STATUS INDICATORS, AS WELL AS SEVERAL OTHER DATA POINTS. SOURCES FOR THIS FIRST PHASE INCLUDED THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH), MICHIGAN BEHAVIORAL RISK FACTOR SURVEY, CLARITAS INC. /TRUVEN HEALTH ANALYTICS, MICHIGAN STATE HOMELESS MANAGEMENT INFORMATION SYSTEM (MSHMIS), AND THE MICHIGAN INPATIENT DATABASE. THE SECOND PHASE INVOLVED DEVELOPING AND DISTRIBUTING A KEY STAKEHOLDER SURVEY TO CAPTURE THE INPUT OF OTHER COMMUNITY ORGANIZATIONS AND COALITIONS ABOUT WHAT THEY BELIEVE ARE THEMAJOR HEALTH NEEDS THAT SHOULD BE PRIORITIZED AND ADDRESSED IN THE TRI-COUNTY AREA. THE THIRD PHASE INCORPORATED THE QUANTITATIVE AND QUALITATIVE DATA THAT WAS COLLECTED IN THE FIRST TWO PHASES, AND BASED ON THIS INFORMATION IDENTIFIED PRIORITIES FOR HENRY FORD HEALTH SYSTEM TO ADDRESS WITH THE COMMUNITIES IT SERVES.THIS ASSESSMENT WAS PREPARED BY THE CORPORATE PLANNING DEPARTMENT WITHIN HENRY FORD HEALTH SYSTEM. RESULTS ARE USED AS A FOUNDATION FOR PLANNING, DEVELOPING, AND REFINING HFHS'S FUTURE COMMUNITY SERVICES IN THE TRI-COUNTY AREA. |
| PART VI, LINE 3: | HFMH HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HFMH FOLLOWS THE HFHS PATIENT FINANCIAL ASSISTANCE POLICY. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF IS TRAINED WITH REGARD TO HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFMH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFMH HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS. |
| PART VI, LINE 4: | ALTHOUGH HFHS AND ITS AFFILIATES PROVIDE SERVICES TO INDIVIDUALS RESIDING THROUGHOUT THE STATE OF MICHIGAN AND IN SOME CASES FROM AROUND THE WORLD, IT DEFINES ITS COMMUNITIES SERVED BASED ON THE AREAS GENERATING THE HIGHEST INPATIENT VOLUMES. MORE THAN 94% OF THIS VOLUME FOR HFHS ORIGINATES IN THE TRI-COUNTY AREA, INCLUDING THE CITY OF DETROIT. 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 62%. 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 CHILD BEARING 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 HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY AND 14% OF THE POPULATION IS 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 HAS APPROXIMATELY 12% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 15%. 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 REGARDS TO POPULATION, RACIAL/ETHNIC COMPOSITION, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTH CARE SECTOR IS ALSO REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL (CRAIN'S DETROIT 2012 LISTINGS OF MAJOR EMPLOYERS). THE AVERAGE HOUSEHOLD INCOME WITHIN THE TRI-COUNTY AREA ($63,344) IS LESS THAN THE NATIONAL AVERAGE ($69,637). WITHIN THE TRI-COUNTY AREA, THE AVERAGE HOUSEHOLD INCOME IN OAKLAND COUNTY ($80,157) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($53,355) AND MACOMB COUNTY ($58,589). AT THE ZIP CODE LEVEL, AVERAGE HOUSEHOLD INCOMES VARY SIGNIFICANTLY,RANGING FROM $25,145 TO $163,374. 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 (UNITED WAY RESEARCH INCOME DOWN ACROSS STATE: POVERTY INCREASING AND SPREADING THROUGHOUT THE TRICOUNTY 2006, HTTP://WWW.UWSEM.ORG). IN ADDITION, WITHIN THE TRI-COUNTY AREA THE UNEMPLOYMENT RATE IS SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE OF 7.6% AND RANGES FROM 8.3% IN OAKLAND COUNTY TO 11% IN WAYNE COUNTY (LOCAL AREA UNEMPLOYMENT STATISTIC UPDATE MARCH 2013, OAKLAND COUNTY MICHIGAN).AS STATED PREVIOUSLY, THE TRI-COUNTY AREA IS RATHER DIVERSE THROUGHOUT ITS THREE COUNTIES. FOR EXAMPLE, AGE, SEX, EDUCATION, AND INCOME DISTRIBUTION DIFFER FROM COUNTY TO COUNTY. IN ORDER TO INCREASE THE UTILITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS IMPORTANT TO ANALYZE THE PROFILE(S) OF EACH OF THESE COUNTIES AT A MORE DETAILED LEVEL, SUCH AS ZIP CODES, SO THAT CERTAIN DIFFERENCES WITHIN THE AREA BECOME EVIDENT.ONE COMMUNITY IN PARTICULAR NEED OF ATTENTION IS THE CITY OF DETROIT.WHEN EXAMINING THE CITY OF DETROIT THE AVERAGE HOUSEHOLD INCOME IS $36,186, WHICH IS SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL TRI-COUNTY AREA ($63,344). REGARDING EDUCATION, 22% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 12% OF HAVE A BACHELOR'S DEGREE OR HIGHER. IN TERMS OF RACIAL/ETHNIC DIVERSITY, APPROXIMATELY 93% OF DETROIT IS COMPOSED OF A MINORITY POPULATION VERSUS 36% FOR THE TRI-COUNTY AREA AS A WHOLE. THE DETROIT UNEMPLOYMENT RATE IS 17.5%, WHICH IS SIGNIFICANTLY GREATER THAN THE NATIONAL AVERAGE OF 7.6% (LOCAL AREA UNEMPLOYMENT STATISTIC UPDATE MARCH 2013, OAKLAND COUNTY MICHIGAN).WHEN LOOKING OUTSIDE OF THE CITY OF DETROIT, VARIOUS ZIP CODES IN THE TRI-COUNTY AREA REPRESENT SECTIONS OF THE REGION THAT HAVE LOWER INCOMES, LESS EDUCATION, AND ARE MORE RACIALLY AND ETHNICALLY DIVERSE. OF THE ZIP CODES THAT RANK IN THE TOP 20 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 IS $41,724, WHICH IS SIGNIFICANTLY LESS THAN THE AVERAGE HOUSEHOLD INCOME OF $63,344 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 20 ZIP CODES HAVE A SLIGHTLY HIGHER PERCENTAGE OF RACIAL/ETHNIC MINORITIES AS COMPARED TO THE REST OF THE TRI-COUNTY AREA. AS A WHOLE THESE ZIP CODES ARE COMPRISED OF 42% MINORITIES COMPARED TO 36% FOR THE TRI-COUNTY AREA.AS A RESULT, THE DETROIT AREA AND ABOVE 20 ZIP CODES, AS WELL AS OTHER ZIP CODES WITH SIMILAR CHARACTERISTICS, SHOULD BE OF PARTICULAR INTEREST WHEN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE TRI-COUNTY AREA.PLEASE SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR FURTHER DETAILS. |
| PART VI, LINE 5: | HENRY FORD MACOMB HOSPITALS (HFMH) IS PART OF HENRY FORD HEALTH SYSTEM, ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS ACTIVITIES OF THE CLINTON TOWNSHIP CAMPUS OF HFMH, WHICH INCLUDES APPROXIMATELY 400 INPATIENT BEDS WITH AN OPEN MEDICAL STAFF, A BEHAVIORAL HEALTH FACILITY, AS WELL AS SEVERAL OUTPATIENT LOCATIONS SERVING THE MACOMB COUNTY AREA OF MICHIGAN. HFMH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, OBSTETRICS, PEDIATRICS, CARDIAC CARE, PHYSICAL AND REHABILITATION MEDICINE, AMBULATORY SURGERY, INPATIENT AND OUTPATIENT BEHAVIORAL SERVICES, AND 24 HOUR EMERGENCY CARE. |
| PART VI, LINE 6: | THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN G LODER DPM | ||||||||||||||
| TRUSTEE | $106,137 | $0 | $0 | $0 | $51,090 | $0 | $7,298 | $0 | $17,674 | $0 | $182,199 | $0 | $0 | $0 |
| ROBERT G RINEY | ||||||||||||||
| TRUSTEE | $0 | $929,492 | $0 | $493,802 | $0 | $200,513 | $0 | $25,285 | $0 | $22,798 | $0 | $1,671,890 | $0 | $0 |
| BARBARA W ROSSMANN | ||||||||||||||
| PRESIDENT / TRUSTEE | $477,836 | $0 | $200,745 | $0 | $76,441 | $0 | $84,468 | $0 | $26,177 | $0 | $865,667 | $0 | $0 | $0 |
| DIANE L GEORGE DO | ||||||||||||||
| TRUSTEE | $0 | $296,834 | $0 | $38,420 | $0 | $4,686 | $0 | $25,285 | $0 | $21,681 | $0 | $386,906 | $0 | $0 |
| JAMES M CONNELLY | ||||||||||||||
| TREASURER - PART YEAR | $0 | $750,607 | $0 | $357,346 | $0 | $220,509 | $0 | $29,308 | $0 | $17,476 | $0 | $1,375,246 | $0 | $0 |
| EDITH L EISENMANN | ||||||||||||||
| SECRETARY | $0 | $183,017 | $0 | $34,357 | $0 | $20,502 | $0 | $19,904 | $0 | $13,209 | $0 | $270,989 | $0 | $0 |
| TERRY A GOODBALIAN | ||||||||||||||
| ASSISTANT TREASURER/CFO | $222,566 | $0 | $35,110 | $0 | $11,408 | $0 | $23,141 | $0 | $27,015 | $0 | $319,240 | $0 | $0 | $0 |
| EDWARD G CHADWICK | ||||||||||||||
| TREASURER - PART YEAR | $0 | $147,253 | $0 | $50,000 | $0 | $0 | $0 | $3,375 | $0 | $3,961 | $0 | $204,589 | $0 | $0 |
| GARY J BEAULAC | ||||||||||||||
| CHIEF OPERATING OFFICER | $284,152 | $0 | $55,092 | $0 | $27,434 | $0 | $22,635 | $0 | $23,098 | $0 | $412,411 | $0 | $0 | $0 |
| MICHAEL M CERVENAK | ||||||||||||||
| VP-ORG STRATEGY - PART YEAR | $97,947 | $0 | $36,782 | $0 | $15,724 | $0 | $8,470 | $0 | $9,704 | $0 | $168,627 | $0 | $0 | $0 |
| JOANNA R PEASE DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $313,966 | $0 | $58,202 | $0 | $7,387 | $0 | $22,685 | $0 | $15,090 | $0 | $417,330 | $0 | $0 | $0 |
| ANDREW AGOSTA MD | ||||||||||||||
| PHYSICIAN | $366,783 | $0 | $79,325 | $0 | $17,686 | $0 | $82,589 | $0 | $24,610 | $0 | $570,993 | $0 | $0 | $0 |
| FREMONT L SCOTT DO | ||||||||||||||
| PHYSICIAN | $498,862 | $0 | $447 | $0 | $24,980 | $0 | $23,985 | $0 | $24,358 | $0 | $572,632 | $0 | $0 | $0 |
| RONALD LEVIN MD | ||||||||||||||
| PHYSICIAN | $675,921 | $0 | $129,309 | $0 | $205,997 | $0 | $36,589 | $0 | $17,450 | $0 | $1,065,266 | $0 | $0 | $0 |
| MARK T RYAN MD | ||||||||||||||
| PHYSICIAN | $593,347 | $0 | $74,802 | $0 | $17,858 | $0 | $22,035 | $0 | $1,595 | $0 | $709,637 | $0 | $0 | $0 |
| EDDIE EL-YUSSIF | ||||||||||||||
| PHYSICIAN | $391,194 | $0 | $113,244 | $0 | $39,772 | $0 | $22,035 | $0 | $17,559 | $0 | $583,804 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY NO TAXABLE INCOME IS REPORTED. NO QUALIFYING INDIVIDUALS RECEIVED PAID OR REIMBURSED FIRST CLASS TRAVEL DURING 2014. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP ALSO HAVE THE OPTION TO PARTICIPATE IN NON-QUALIFIED 457 BENEFIT PROGRAMS WHICH RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. |
| PART I, LINE 4B | SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE REPORTABLE VALUE OF 2014 ACCRUAL 2014 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT JAMES M. CONNELLY 177,104 - 177,104 ROBERT G. RINEY 177,690 - 177,690 BARBARA W. ROSSMANN 49,462 - 49,462 CONTRIBUTIONS TO SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2014 CONTRIBUTIONS 2014 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA W. ROSSMANN 3,575 13,925 335 17,835 RONALD LEVIN, M.D. - 17,500 421 17,921 ANDREW AGOSTA, M.D. 9,810 7,689 186 17,686 JAMES M. CONNELLY - 17,500 421 17,921 STEVEN J. HATHAWAY - 1,514 36 1,550 FREMONT L. SCOTT, D.O. - 12,350 297 12,647 GARY J. BEAULAC 15,274 2,225 54 17,553 JOANNA PEASE, M.D. - 2,145 52 2,197 ROBERT G. RINEY - 17,500 421 17,921 MARK RYAN, M.D. 6,624 10,875 262 17,761 EDITH L. EISENMANN 17,500 - - 17,500 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd | Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt |
|---|---|---|---|
| (no name) | |||
| SEE BELOW | 0 | ||
| ADVANCED CARDIO PLLC | |||
| SEE BELOW | 0 | SEE BELOW | $332,583 |
| (no name) | |||
| 0 | |||
| MARTIN E BEAULAC | |||
| SEE BELOW | 0 | SEE BELOW | $166,762 |
| ROSEMARY MINJEUR | |||
| SEE BELOW | 0 | SEE BELOW | $79,098 |
| RAYMOND J MINJEUR | |||
| SEE BELOW | 0 | SEE BELOW | $56,805 |
| JONATHAN E BEAULAC | |||
| SEE BELOW | 0 | SEE BELOW | $73,076 |
| COLLEEN M HARRINGTON | |||
| SEE BELOW | 0 | SEE BELOW | $18,388 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: ADVANCED CARDIOTHORACIC SURGEONS, PLLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OWNER/TRUSTEE(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR MEDICAL SERVICES(A) NAME OF PERSON: MARTIN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: ROSEMARY MINJEUR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: RAYMOND J. MINJEUR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: JONATHAN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: COLLEEN M. HARRINGTON: (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/TRUSTEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: DIVISION 6 FABRICATION & INSTALLATION LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B C) AMOUNT OF TRANSACTION $ 705,950.43 (D) DESCRIPTION OF TRANSACTION: PROVIDED TRANSPORTATION SERVICES (E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: EASTPOINTE RADIOLOGISTS PC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 103,723.39 (D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: KASCO INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,285,021.98 (D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: MEDSTAR AMBULANCE SERVICE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 689,074(D) DESCRIPTION OF TRANSACTION: PROVIDED AMBULANCE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: RED PINE PROPERTY VENTURE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 187,441.91(D) DESCRIPTION OF TRANSACTION: PROVIDED REAL ESTATE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: RONCELLI INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 5,063,782.70(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: T G PRIEHS PAVING CO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 499,120.00(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: TOMS LAWN AND SNOW INC(B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 763,176.39(D) DESCRIPTION OF TRANSACTION: PROVIDED LANDSCAPING SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: WELLINGTON HOME BUILDING LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,457,034.57(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: WRIGHT & FILIPPIS INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 162,415.89(D) DESCRIPTION OF TRANSACTION: PROVIDED MEDICAL EQUIPMENT SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $10,115 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | EVENT CONTRIBUTIONS | 100 | $89,794 | FAIR MARKET VALUE |
| Yes (X) | MISCELLANEOUS | 5 | $21,373 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A TAX EXEMPT STOCK CORPORATION AND HENRY FORD HEALTH SYSTEM HOLDS ALL OF THE ISSUED AND OUTSTANDING SHARES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE STOCK HOLDER OF THE ORGANIZATION, HFHS HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS. |
| FORM 990, PART VI, SECTION A, LINE 7B | BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) AND THE TAX DEPARTMENT OF HFHS PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HFHS AND ORGANIZATION'S CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF EXECUTIVE OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF TRUSTEES - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES - PROVIDE A COPY OF THE RETURN TO THE ORGANIZATION'S BOARD OF TRUSTEES |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HFHS HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HFHS CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES AND EMPLOYEES. ANNUALLY, TRUSTEES, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE HFHS BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HFHS HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL EXTERNAL TRUSTEES. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. |
| FORM 990, PART VI, SECTION C, LINE 19 | IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH SYSTEM. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH SYSTEM. |
| FORM 990, PART XI, LINE 9: | MINIMUM PENSION LIABILITY ADJUSTMENT -27,520,101. INTERCOMPANY TRANSFER 13,309,161. |
| 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 |
| FORM 990 - PART XII - LINE 2C: | HENRY FORD MACOMB HOSPITAL CORPORATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH SYSTEM. THE GOVERNING BODY OF HFHS HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH SYSTEM (PARENT OF OUR CONTROLLED GROUP). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MOUNT CLEMENS REAL ESTATE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382947657 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Total Income | $25,000 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD HEALTH SYSTEM | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381357020 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | 3 | N/A | 0 | |
| HENRY FORD WYANDOTTE HOSPITAL | |||||||||||
| 2333 BIDDLE AVE | WYANDOTTE | MI | 48192 | 382791823 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | 3 | Yes (1) | HENRY FORD HEALTH SYSTEM | |
| HENRY FORD HEALTH SYSTEM FOUNDATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 237383042 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | 11A-TYPE 1 | Yes (1) | HENRY FORD HEALTH SYSTEM | |
| HEALTH ALLIANCE PLAN | |||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382242827 | HEALTH MAINTENANCE ORGANIZATION | MI | 501(C)(4) | N/A | Yes (1) | HENRY FORD HEALTH SYSTEM | |
| HFHS SELF FUNDED LIABILITY | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 386553031 | MALPRACTICE INSURANCE | MI | 501(C)(4) | N/A | Yes (1) | HENRY FORD HEALTH SYSTEM | |
| DOWNRIVER CENTER FOR ONCOLOGY | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 383193008 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | 3 | Yes (1) | HENRY FORD HEALTH SYSTEM | |
| HENRY FORD CONTINUING CARE | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 382433285 | NURSING HOMES | MI | 501(C)(3) | 9 | Yes (1) | HENRY FORD HEALTH SYSTEM | |
| HFII CORPORATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 900840304 | SCIENTIFIC RESEARCH | MI | 501(C)(3) | 7 | Yes (1) | HENRY FORD HEALTH SYSTEM | |
| HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 464064067 | SUPPORTING ORGANIZATION | MI | 501(C)(4) | N/A | Yes (1) | HENRY FORD HEALTH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST DETROIT DIALYSIS | ||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 383232668 | OPERATE DIALYSIS CLINIC | MI | HENRY FORD HEALTH SYSTEM | N/A | 0 | 0 |
| DIALYSIS PARTNERS OF NW OHIO | ||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 341877956 | OPERATE DIALYSIS CLINIC | OH | HENRY FORD HEALTH SYSTEM | N/A | 0 | 0 |
| MACOMB REGIONAL DIALYSIS CENTERS | ||||||||||
| 16151 NINETEEN MILE RD | CLINTON TOWNSHIP | MI | 48038 | 260423581 | OPERATE DIALYSIS CLINICS | MI | HENRY FORD HEALTH SYSTEM | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HORIZON PROPERTIES INC | |||||||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 382679527 | REAL ESTATE - LESSOR BUILDINGS | MI | N/A | C | $313,665 | $945,910 | 1.00000 | Yes (1) | |||||
| FAIRLANE HEALTH SERVICES | |||||||||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 382565235 | HEALTHCARE MANAGEMENT | MI | C | Yes (1) | HENRY FORD HEALTH SYSTEM | ||||||||
| ALLIANCE HEALTH AND LIFE INSURANCE | |||||||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 383291563 | HEALTH INSURANCE PROVIDER | MI | C | Yes (1) | HEALTH ALLIANCE PLAN | ||||||||
| HAP PREFERRED INC | |||||||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382513504 | PROVIDER NETWORK LEASING | MI | C | Yes (1) | HEALTH ALLIANCE PLAN | ||||||||
| SHA REALTY INC | |||||||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381378121 | REAL ESTATE HOLDING | MI | C | Yes (1) | HENRY FORD HEALTH SYSTEM | ||||||||
| ONIKA INSURANCE LTD | |||||||||||||||||
| CAPTIVE INSURANCE | C | Yes (1) | HENRY FORD HEALTH SYSTEM | FIRST CARRIBEAN HOUSE | GRAND CAYMAN | CJ | CJ | ||||||||||
| HENRY FORD PHYSICIAN NETWORK | |||||||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 320306774 | PHYSICIAN NETWORK | MI | C | Yes (1) | HENRY FORD HEALTH SYSTEM | ||||||||
| ADMINISTRATION SYSTEMS RESEARCH CORPORATION | |||||||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382651185 | THIRD PARTY INSURANCE ADMINISTRATOR | MI | C | Yes (1) | HEALTH ALLIANCE PLAN | ||||||||
| MIDWEST HEALTH PLAN | |||||||||||||||||
| 4700 SHAEFER ROAD SUITE 340 | DEARBORN | MI | 48126 | 383123777 | HEALTH INSURANCE PROVIDER | MI | C | Yes (1) | HEALTH ALLIANCE PLAN | ||||||||
| HAP COMMUNITY ALLIANCE | |||||||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 270449055 | HEALTH MAINTENANCE ORGANIZATION | MI | C | Yes (1) | HEALTH ALLIANCE PLAN | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH ALLIANCE PLAN | ||
| L | $36,539,404 | CASH VALUE |
| HEALTH ALLIANCE PLAN | ||
| M | $9,740,170 | CASH VALUE |
| HFHS SELF FUNDED LIABILITY | ||
| M | $806,480 | CASH VALUE |
Comments