HENRY FORD WYANDOTTE HOSPITAL CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HENRY FORD WYANDOTTE HOSPITAL CORPORATION (EIN 38-2791823)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-12
- IRS object ID
- 201443169349304374
- Schema version
- 2013v3.0
- 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 | 2014-11-12T15:41:34-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382791823 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD WYANDOTTE HOSPITAL | BusinessNameLine1 |
| 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 | 2333 BIDDLE AVENUE | AddressLine1 |
| City | WYANDOTTE | City |
| State | MI | State |
| ZIP Code | 48192 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EDWARD G CHADWICK | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 3138768714 | PhoneNum |
| Signature | 2014-11-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $293,556,219 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HENRYFORD.COM/HOMEPAGE_WYANDOTTE | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2840 | TotalEmployeeCnt |
| Total Volunteers | 373 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $933,331 | PYContributionsGrantsAmt |
| CY Contributions Grants | $995,157 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $290,259,451 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $289,081,462 | CYProgramServiceRevenueAmt |
| PY Investment Income | $644,376 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,059,275 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,066,926 | PYOtherRevenueAmt |
| CY Other Revenue | $2,086,275 | CYOtherRevenueAmt |
| PY Total Revenue | $293,904,084 | PYTotalRevenueAmt |
| CY Total Revenue | $293,222,169 | 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 | $136,513,849 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $143,520,032 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $87,615 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $153,503,655 | PYOtherExpensesAmt |
| CY Other Expenses | $148,866,366 | CYOtherExpensesAmt |
| PY Total Expenses | $290,017,504 | PYTotalExpensesAmt |
| CY Total Expenses | $292,386,398 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,886,580 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $835,771 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $196,933,586 | TotalAssetsBOYAmt |
| Total Assets EOY | $200,198,673 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $99,704,314 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $90,396,260 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $97,229,272 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $109,802,413 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HENRY FORD WYANDOTTE HOSPITAL (HFWH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM SERVING THE SOUTHERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. ESTABLISHED IN 1926, OUR MISSION IS TO IMPROVE HUMAN HEALTH THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE HEALING.AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFWH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFWH 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 | $202,464,312 | ExpenseAmt |
| Revenue | $223,157,717 | RevenueAmt |
| Desc | FOR MORE THAN 90 YEARS HENRY FORD WYANDOTTE HOSPITAL HAS SERVED THE DOWNRIVER COMMUNITY AND SURROUNDING AREA WITH A COMMITMENT TO CHARITABLE GIVING, OUTREACH AND BUILDING STRONGER, HEALTHIER INDIVIDUALS AND FAMILIES. THE 379-BED ACUTE CARE HOSPITAL OFFERS A FULL RANGE OF CLINICAL SERVICES, INCLUDING GENERAL MEDICINE, SURGERY, BIRTHING CENTER AND 24-HOUR EMERGENCY CARE. HENRY FORD WYANDOTTE HOSPITAL ALSO PROVIDES PHYSICAL MEDICINE AND REHAB, ADULT MENTAL HEALTH AND NEUROSURGICAL SERVICES. DURING 2013 HFWH HAD 18,974 ADMISSIONS AND 88,078 PATIENT DAYS.WITH A SENSE OF HUMAN COMPASSION, WE GIVE, ORGANIZE, LEAD, PARTNER AND EMBRACE THE WIDE-RANGING COMMUNITY PROGRAMS AND SERVICES. IN GIVING BACK TO THE CULTURE AND PEOPLE THAT SURROUND US, WE GAIN A PRICELESS FULFILLMENT IN KNOWING WE HAVE INVESTED IN THE HEALTH AND WELL-BEING OF OUR NEIGHBORS. ESTABLISHED IN 1926, OUR MISSION IS TO IMPROVE HUMAN HEALTH THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE HEALING. SERVING THE DOWNRIVER REGION AND SURROUNDING COMMUNITIES OF SOUTHEAST MICHIGAN, HENRY FORD WYANDOTTE HOSPITAL IS ONE OF THE MAJOR EMPLOYERS OF THE CITY OF WYANDOTTE. THE HOSPITAL ALSO HAS AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOURTH-YEAR MEDICAL STUDENTS.HENRY FORD WYANDOTTE HOSPITAL IS ACCREDITED BY MANY PRESTIGIOUS AGENCIES AND ORGANIZATIONS. THESE SEALS OF APPROVAL GIVE OUR PATIENTS THE CONFIDENCE IN KNOWING THEY ARE RECEIVING THE HIGHEST QUALITY HEALTH CARE POSSIBLE. OUR ACCREDITATIONS INCLUDE:AMERICAN OSTEOPATHIC ASSOCIATION THE REHABILITATION ACCREDITATION COMMISSION FOR INPATIENT MEDICAL REHABILITATIONCOLLEGE OF AMERICAN PATHOLOGISTS AMERICAN ASSOCIATION OF BLOOD BANKS AMERICAN COLLEGE OF RADIOLOGISTS AMERICAN PSYCHOLOGICAL ASSOCIATION | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $44,010,244 | ExpenseAmt |
| Revenue | $33,754,217 | RevenueAmt |
| Desc | HFWH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE SOUTHERN METROPOLITAN COMMUNITIES. IN TOTAL THIS REPRESENTED 246,820 OUTPATIENT VISITS AND 9,097 OUTPATIENT SURGERIES DURING 2013.HENRY FORD HEALTH CENTER - BROWNSTOWN IS A STATE-OF-THE-ART FACILITY THAT OFFERS THE CONVENIENCE OF WALK-IN APPOINTMENTS FOR A VARIETY OF CLINICAL NEEDS, INCLUDING LABORATORY AND RADIOLOGY SERVICES. IT ALSO OFFERS SAME-DAY SURGERIES, EMERGENCY ROOM SERVICES, A SLEEP STUDIES CENTER, AND PHYSICIAN OFFICES FOR ALLERGY, DERMATOLOGY, PEDIATRICS AND OTHER SPECIALTIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $28,797,573 | ExpenseAmt |
| Revenue | $32,169,528 | RevenueAmt |
| Desc | HFWH OPERATES TWO 24 HOUR EMERGENCY FACILITIES, EMERGENCY SERVICES REPRESENTED 90,103 PATIENT VISITS DURING 2013. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $711,503 | RevenueAmt |
| Desc | OTHER REVENUE CONSISTS OF RECORD FEES, PARKING FEES, TUITION, MEDICAL RESIDENT TRAINING & OTHER MISCELLANEOUS INCOME | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $711,503 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $275,272,129 | 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 | 0 | 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 | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 186 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2840 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD G CHADWICK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3138768714 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
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 |
|---|---|---|---|---|---|---|---|---|---|
| DELORIS ANN BERRIEN-JONES MD | |||||||||
| TRUSTEE | 1.00 | 60.00 | Yes (X) | $0 | $265,430 | $44,076 | |||
| SAROJ V BHAT MD | |||||||||
| TRUSTEE | 2.00 | 60.00 | Yes (X) | $8,707 | $244,605 | $53,556 | |||
| JOHN M BUSSA | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| VONDA R CINI | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS G COSTANTINO DO | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES P DALY | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES H DAVIS JR | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH Y EDWARDS | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HEIDIE M GORNO | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JERRY D GRIFFITH | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SYED M JAFRI MD | |||||||||
| TRUSTEE | 60.00 | 0.00 | Yes (X) | $136,386 | $0 | $0 | |||
| LAWRENCE J KEARNEY JR | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN F KILL | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| J WES PAISLEY | |||||||||
| TRUSTEE - CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROBERT G RINEY | |||||||||
| TRUSTEE | 1.00 | 63.00 | Yes (X) | $0 | $1,458,742 | $53,368 | |||
| MOHINDER P SINGH-SANDHU MD | |||||||||
| TRUSTEE | 5.00 | 1.00 | Yes (X) | $8,894 | $0 | $408 | |||
| SYED DANISH MD | |||||||||
| TRUSTEE | 60.00 | 0.00 | Yes (X) | $83,337 | $0 | $0 | |||
| JAMES J SEXTON | |||||||||
| PRESIDENT - THRU 1-1-13 | 1.00 | 0.00 | Yes (X) | $516,220 | $0 | $116,587 | Yes (X) | ||
| MELANIE L MCCOY | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KIMBERLY A KOVAC | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA R LOTT | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DENISE BROOKS-WILLIAMS | |||||||||
| PRESIDENT - START 2-4-13 | 60.00 | 1.00 | Yes (X) | $392,590 | $0 | $54,652 | Yes (X) | ||
| JAMES M CONNELLY | |||||||||
| TREASURER | 1.00 | 65.00 | $0 | $1,108,016 | $45,562 | Yes (X) | |||
| EDITH L EISENMANN | |||||||||
| SECRETARY | 1.00 | 67.00 | $0 | $220,523 | $38,669 | Yes (X) | |||
| JAMES J MILLER | |||||||||
| CFO/ASSISTANT TREASURER | 60.00 | 0.00 | $212,299 | $0 | $44,458 | Yes (X) | |||
| DENNIS R LEMANSKI DO | |||||||||
| CHIEF MEDICAL OFFICER | 60.00 | 0.00 | $340,585 | $0 | $55,575 | Yes (X) | |||
| RAND O'LEARY | |||||||||
| CHIEF OPERATING OFFICER | 60.00 | 0.00 | $269,829 | $0 | $54,144 | Yes (X) | |||
| MICHAEL D CALLAN MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $621,528 | $0 | $41,488 | Yes (X) | |||
| LANCE CHALDECOTT MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $562,712 | $0 | $52,811 | Yes (X) | |||
| GLENN J MINSTER MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $661,763 | $0 | $11,523 | Yes (X) | |||
| LEO D OTTONI MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $626,541 | $0 | $44,610 | Yes (X) | |||
| KEVIN J BERLIN MD | |||||||||
| PHYSICIAN | 60.00 | 0.00 | $442,961 | $0 | $42,463 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,884,352 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,297,316 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $753,950 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 88 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GEORGE W AUCH COMPANY | |||||
| PO BOX 430719 48343-0719 | PONTIAC | MI | 48341 | CONSTRUCTION SERVICES | $3,360,883 |
| MUNTHER ALAIWAT MD PC | |||||
| 15675 NORTHLINE RD | SOUTHGATE | MI | 48195 | CONTRACTED MEDICAL SVCS | $2,624,947 |
| HOSPITALISTS PHYSICIANS MEDICAL GROUP | |||||
| 2000 GREEN RD SUITE 300 | ANN ARBOR | MI | 481051571 | CONTRACTED MEDICAL SVCS | $1,120,410 |
| EXECUTIVE HEALTH RESOURCES INC | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | UTILIZATION REVIEW | $1,079,217 |
| D&B LANDSCAPING INC | |||||
| 13222 MERRIMAN RD | LIVONIA | MI | 481501816 | LANDSCAPING | $482,880 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $186,036 | FundraisingAmt |
| All Other Contributions | $809,121 | AllOtherContributionsAmt |
| Noncash Contributions | $31,265 | NoncashContributionsAmt |
| Total Contributions | $995,157 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL OPERATIONS | 900099 | $219,565,229 | $219,565,229 |
| AMBULATORY SERVICES | 621400 | $33,754,217 | $33,754,217 |
| EMERGENCY SERVICES | 900099 | $32,169,528 | $32,169,528 |
| MEDICAL EDUCATION-GME | 900099 | $3,592,488 | $3,592,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $289,081,462 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $651,460 | TotalRevenueColumnAmt |
| Exclusion | $651,460 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $631,534 | RealAmt |
| Personal | $135,766 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $631,534 | RealAmt |
| Personal | $135,766 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $767,300 | TotalRevenueColumnAmt |
| Exclusion | $767,300 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $567,742 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $159,927 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $407,815 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $407,815 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $109,011 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $186,036 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $167,893 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$58,882 | TotalRevenueColumnAmt |
| Exclusion | -$58,882 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $7,580 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $6,230 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,350 | TotalRevenueColumnAmt |
| Exclusion | $1,350 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 900099 | $595,518 | $595,518 |
| GIFT SHOP SALES | 453220 | $477,301 | $477,301 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $303,688 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $303,688 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,376,507 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $293,222,169 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $289,792,965 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,434,047 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,493,675 | TotalAmt |
| Program Services | $406,031 | ProgramServicesAmt |
| Management And General | $1,023,358 | ManagementAndGeneralAmt |
| Fundraising | $64,286 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,870 | TotalAmt |
| Program Services | $157,870 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,457,686 | TotalAmt |
| Program Services | $107,393,134 | ProgramServicesAmt |
| Management And General | $6,064,552 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,254,118 | TotalAmt |
| Program Services | $7,741,257 | ProgramServicesAmt |
| Management And General | $508,251 | ManagementAndGeneralAmt |
| Fundraising | $4,610 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,280,403 | TotalAmt |
| Program Services | $11,517,373 | ProgramServicesAmt |
| Management And General | $756,172 | ManagementAndGeneralAmt |
| Fundraising | $6,858 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,876,280 | TotalAmt |
| Program Services | $7,386,895 | ProgramServicesAmt |
| Management And General | $484,986 | ManagementAndGeneralAmt |
| Fundraising | $4,399 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,683 | TotalAmt |
| Program Services | $1,037 | ProgramServicesAmt |
| Management And General | $9,646 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,776 | TotalAmt |
| Management And General | $90,776 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,399,136 | TotalAmt |
| Program Services | $25,345,085 | ProgramServicesAmt |
| Management And General | $2,051,933 | ManagementAndGeneralAmt |
| Fundraising | $2,118 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,176 | TotalAmt |
| Program Services | $29,029 | ProgramServicesAmt |
| Management And General | $560,147 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,012,279 | TotalAmt |
| Program Services | $4,755,923 | ProgramServicesAmt |
| Management And General | $255,205 | ManagementAndGeneralAmt |
| Fundraising | $1,151 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400,108 | TotalAmt |
| Program Services | $1,314,595 | ProgramServicesAmt |
| Management And General | $85,513 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,564,043 | TotalAmt |
| Program Services | $5,552,652 | ProgramServicesAmt |
| Management And General | $11,391 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,052 | TotalAmt |
| Program Services | $165,982 | ProgramServicesAmt |
| Management And General | $16,070 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,977 | TotalAmt |
| Program Services | $312,601 | ProgramServicesAmt |
| Management And General | $10,376 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,305,936 | TotalAmt |
| Program Services | $2,305,936 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,777,799 | TotalAmt |
| Program Services | $7,941,122 | ProgramServicesAmt |
| Management And General | $832,743 | ManagementAndGeneralAmt |
| Fundraising | $3,934 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,964,776 | TotalAmt |
| Program Services | $2,964,776 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $38,524,529 | $38,422,925 | $101,604 |
| BAD DEBT EXPENSE | $20,477,347 | $20,477,347 | |
| QAAP TAX | $5,746,582 | $5,746,582 | |
| REPAIRS & MAINTENANCE | $4,246,859 | $4,172,809 | $74,050 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,251,308 | TotalAmt |
| Program Services | $21,161,168 | ProgramServicesAmt |
| Management And General | $4,089,881 | ManagementAndGeneralAmt |
| Fundraising | $259 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,386,398 | TotalAmt |
| Program Services | $275,272,129 | ProgramServicesAmt |
| Management And General | $17,026,654 | ManagementAndGeneralAmt |
| Fundraising | $87,615 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,688 | BOYAmt |
| EOY | $15,105 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,170,833 | BOYAmt |
| EOY | $53,008,569 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $219,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,253,564 | BOYAmt |
| EOY | $26,689,726 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,485 | BOYAmt |
| EOY | $270,840 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,688,537 | BOYAmt |
| EOY | $4,934,215 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,418,149 | BOYAmt |
| EOY | $2,408,459 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $223,763,763 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $137,869,868 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,874,625 | BOYAmt |
| EOY | $85,893,895 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,625,398 | BOYAmt |
| EOY | $24,819,176 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $667,687 | BOYAmt |
| EOY | $667,687 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,011,620 | BOYAmt |
| EOY | $1,272,001 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,933,586 | BOYAmt |
| EOY | $200,198,673 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,901,163 | BOYAmt |
| EOY | $18,589,907 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,459,996 | BOYAmt |
| EOY | $55,496,918 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,343,155 | BOYAmt |
| EOY | $16,309,435 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,704,314 | BOYAmt |
| EOY | $90,396,260 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,365,657 | BOYAmt |
| EOY | $107,451,768 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,446,903 | BOYAmt |
| EOY | $1,928,628 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,712 | BOYAmt |
| EOY | $422,017 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,229,272 | BOYAmt |
| EOY | $109,802,413 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,933,586 | BOYAmt |
| EOY | $200,198,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $835,771 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$526,079 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $12,263,449 | 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 | $1,863,615 | BeginningYearBalanceAmt |
| Contributions | $937,625 | ContributionsAmt |
| Investment Earnings Or Losses | $16,554 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $467,149 | OtherExpendituresAmt |
| End Year Balance | $2,350,645 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,734,537 | BeginningYearBalanceAmt |
| Contributions | $881,664 | ContributionsAmt |
| Investment Earnings Or Losses | $22,253 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $774,839 | OtherExpendituresAmt |
| End Year Balance | $1,863,615 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,687,424 | BeginningYearBalanceAmt |
| Contributions | $819,057 | ContributionsAmt |
| Investment Earnings Or Losses | $13,196 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $785,140 | OtherExpendituresAmt |
| End Year Balance | $1,734,537 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,358,529 | BeginningYearBalanceAmt |
| Contributions | $733,694 | ContributionsAmt |
| Investment Earnings Or Losses | $6,435 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $411,234 | OtherExpendituresAmt |
| End Year Balance | $1,687,424 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,366,799 | BeginningYearBalanceAmt |
| Contributions | $560,198 | ContributionsAmt |
| Investment Earnings Or Losses | $1,371 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $569,839 | OtherExpendituresAmt |
| End Year Balance | $1,358,529 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.17950 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.82050 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,104,173 | OtherCostOrOtherBasisAmt |
| Book Value | $10,104,173 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,483,592 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,178,080 | DepreciationAmt |
| Book Value | $59,305,512 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $828,088 | OtherCostOrOtherBasisAmt |
| Depreciation | $194,947 | DepreciationAmt |
| Book Value | $633,141 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,448,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,496,841 | DepreciationAmt |
| Book Value | $13,951,880 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,899,189 | OtherCostOrOtherBasisAmt |
| Book Value | $1,899,189 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $85,893,895 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LONG TERM LIABILITIES | Desc |
| Amt | $16,309,435 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,309,435 | 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 ENDOWMENT FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES. |
| PART X, LINE 2: | THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2013 AND 2012. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF EVENT | NameOfEvent1Amt |
| Gross Receipts Event1 | $113,370 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $81,808 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $31,562 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,148 | NonCashPrizesEvent1Amt |
| Other Direct Expenses Event1 | $46,430 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | HARVEST MOON BALL | NameOfEvent2Amt |
| Gross Receipts Event2 | $181,677 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $104,228 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $77,449 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,645 | NonCashPrizesEvent2Amt |
| Other Direct Expenses Event2 | $118,670 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $295,047 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $186,036 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $109,011 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,793 | NonCashPrizesTotalEventsAmt |
| Oth Direct Expnss Total Events | $165,100 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $167,893 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$58,882 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $7,580 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $6,130 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $100 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $7,580 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $6,130 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $100 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $6,230 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $1,350 | 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 | BusinessNameLine1 |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE-SPECIAL EVENTS | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
| 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 |
| Percent200 | Yes (X) | Percent200Ind |
| 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 | $4,253,416 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,253,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,130,494 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,131,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,998,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,383,910 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,131,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,252,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $580,137 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83,322 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $496,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,551,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,592,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,959,470 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01460 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,956,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,696,203 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,259,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,159,324 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,159,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,247,509 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,372,013 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,875,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,631,419 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,503,861 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,127,558 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06300 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $105,430 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $105,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,002 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $159,432 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $159,432 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $20,477,347 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,119,337 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $114,799,236 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $110,761,503 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,037,733 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD WYANDOTTE HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2333 BIDDLE AVE | AddressLine1 |
| City | WYANDOTTE | City |
| State | MI | State |
| ZIP Code | 48192 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD WYANDOTTE HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.HENRYFORD.COM/DOCUMENTS/COMMUNITYHEAL | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | 0 | FPGUsedDetermEligDscntCareInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HENRY FORD WYANDOTTE HOSPITAL | PART V, SECTION B, LINE 3: 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 WYANDOTTE HOSPITAL | PART V, SECTION B, LINE 4: 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 WYANDOTTE HOSPITAL | PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. |
| HENRY FORD WYANDOTTE HOSPITAL | PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM. |
| HENRY FORD WYANDOTTE HOSPITAL | PART V, SECTION B, LINE 19C: FOR PATIENTS THAT QUALIFY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM WHOSE HOUSEHOLD INCOME IS AT 200%, OR LESS THAN THE FEDERAL POVERTY LEVEL, QUALIFYING SERVICES ARE PROVIDED AT NO COST. IN SITUATIONS WHERE THE QUALIFYING PATIENTS HOUSEHOLD INCOME IS GREATER THAN 200%, BUT LESS THAN 400% OF THE FEDERAL POVERTY LEVEL, SERVICES ARE PROVIDED BASED UPON A STEPPED DISCOUNT RATE. MEDICARE RATES ARE USED IN DETERMINING THIS DISCOUNT. |
| HENRY FORD WYANDOTTE HOSPITAL | PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| HENRY FORD WYANDOTTE CNTR FOR HEALTH SVC | ||||
| 23050 WEST ROAD | BROWNSTOWN TOWNSHIP | MI | 48183 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HENRY FORD WYANDOTTE PRIMARY CARE CLINIC | ||||
| 21969 HURON RIVER DRIVE | ROCKWOOD | MI | 48173 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HF WYANDOTTE CLINIC - REHAB & ORTHO | ||||
| 3200 BIDDLE AVE | WYANDOTTE | MI | 48192 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HF WYANDOTTE CLINIC -RVRSD FMLY PHYSNS | ||||
| 1640 FORT ST SUITES B D F | TRENTON | MI | 48183 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HF WYANDOTTE HOSP-GENERAL SRGRY ASSOC | ||||
| 3333 BIDDLE AVE SUITES A C | WYANDOTTE | MI | 48192 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HF WYANDOTTE CLINIC - BARIATRIC SURGRY | ||||
| 3333 BIDDLE AVE SUITES C | WYANDOTTE | MI | 48192 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HF WYANDOTTE CLINIC - INTERNAL MED | ||||
| 15450 NORTHLINE RD | SOUTHGATE | MI | 48195 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HF WYANDOTTE CLINIC - FAMILY MEDICINE | ||||
| 7226 ALLEN RD | ALLEN PARK | MI | 48101 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
| HF WYANDOTTE CLINIC - WOMEN'S HEALTH | ||||
| 15675 NORTHLINE RD | SOUTHGATE | MI | 48195 | OUTPATIENT CLINIC/DIAGNOSTIC CENTER |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G: | SUBSIDIZED SERVICES CONSIST OF FACILITY COSTS OF WOMENS' AND BEHAVIORAL HEALTH SERVICES. |
| 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 $ 20,477,347. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | HFWH BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS A DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFWH INCLUDES IN ITS COMMITMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ON THE BENEFITS OF HEALTHIER BEHAVIORS ARE HEARD. HFWH 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: | FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNT OF UP TO 40% OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE SYSTEMS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE SYSTEM'S FINANCIAL ASSISTANCE POLICIES REMAINED CONSISTENT DURING 2012 AND 2013. FOR UNINSURED PATIENTS WHO FAIL TO QUALIFY FOR ANY PROGRAM TO SUPPORT THE COST OF THEIR MEDICAL CARE, MEDICALLY NECESSARY SERVICES WILL BE PROVIDED AT A COST NOT TO EXCEED 115% OF THE STANDARD MEDICARE RATE. IN ACCORDANCE WITH THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM, THE COST OF CARE MAY BE FURTHER REDUCED AND IN SOME INSTANCES WILL BE PROVIDED AT NO COST. |
| PART III, LINE 9B: | IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE 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 THE 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 ASISTANCE 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 OF 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 WYANDOTTE 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: | HFWH 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. HFWH FOLLOWS THE HFHS PATIENT FINANCIAL ASSISTANCE POLICY. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED WITH REGARD TO HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFWH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFWH 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 STAFF 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 WYANDOTTE HOSPITAL (HFWH) IS PART OF HENRY FORD HEALTH SYSTEM (HFHS), ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD WYANDOTTE HOSPITAL, WHICH INCLUDES A 379 BED HOSPITAL WITH AN OPEN MEDICAL STAFF, AN OUTPATIENT SURGICAL CENTER, TWO 24-HOUR EMERGENCY DEPARTMENTS, AND SEVERAL OTHER OUTPATIENT LOCATIONS SERVING WESTERN WAYNE COUNTY AND THE DOWNRIVER COMMUNITIES IN SOUTHEASTERN MICHIGAN. HFWH 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, HOSPICE CARE 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 | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELORIS ANN BERRIEN-JONES MD | ||||||||||||||
| TRUSTEE | $0 | $218,396 | $0 | $47,034 | $0 | $0 | $0 | $28,349 | $0 | $15,727 | $0 | $309,506 | $0 | $0 |
| SAROJ V BHAT MD | ||||||||||||||
| TRUSTEE | $8,707 | $197,194 | $0 | $13,411 | $0 | $34,000 | $178 | $29,447 | $0 | $23,931 | $8,885 | $297,983 | $0 | $0 |
| ROBERT G RINEY | ||||||||||||||
| TRUSTEE | $0 | $917,323 | $0 | $370,356 | $0 | $171,063 | $0 | $31,859 | $0 | $21,509 | $0 | $1,512,110 | $0 | $0 |
| JAMES J SEXTON | ||||||||||||||
| PRESIDENT - THRU 1-1-13 | $13,796 | $0 | $111,886 | $0 | $390,538 | $0 | $116,051 | $0 | $536 | $0 | $632,807 | $0 | $134,152 | $0 |
| DENISE BROOKS-WILLIAMS | ||||||||||||||
| PRESIDENT - START 2-4-13 | $329,003 | $0 | $60,000 | $0 | $3,587 | $0 | $48,832 | $0 | $5,820 | $0 | $447,242 | $0 | $0 | $0 |
| JAMES M CONNELLY | ||||||||||||||
| TREASURER | $0 | $662,923 | $0 | $268,013 | $0 | $177,080 | $0 | $29,308 | $0 | $16,254 | $0 | $1,153,578 | $0 | $0 |
| EDITH L EISENMANN | ||||||||||||||
| SECRETARY | $0 | $180,375 | $0 | $19,688 | $0 | $20,460 | $0 | $25,545 | $0 | $13,124 | $0 | $259,192 | $0 | $0 |
| JAMES J MILLER | ||||||||||||||
| CFO/ASSISTANT TREASURER | $192,413 | $0 | $15,375 | $0 | $4,511 | $0 | $24,814 | $0 | $19,644 | $0 | $256,757 | $0 | $0 | $0 |
| DENNIS R LEMANSKI DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $292,232 | $0 | $28,719 | $0 | $19,634 | $0 | $31,858 | $0 | $23,717 | $0 | $396,160 | $0 | $0 | $0 |
| RAND O'LEARY | ||||||||||||||
| CHIEF OPERATING OFFICER | $244,198 | $0 | $22,987 | $0 | $2,644 | $0 | $47,057 | $0 | $7,087 | $0 | $323,973 | $0 | $0 | $0 |
| MICHAEL D CALLAN MD | ||||||||||||||
| PHYSICIAN | $262,801 | $0 | $322,886 | $0 | $35,841 | $0 | $25,484 | $0 | $16,004 | $0 | $663,016 | $0 | $0 | $0 |
| LANCE CHALDECOTT MD | ||||||||||||||
| PHYSICIAN | $210,009 | $0 | $328,656 | $0 | $24,047 | $0 | $26,758 | $0 | $26,053 | $0 | $615,523 | $0 | $0 | $0 |
| GLENN J MINSTER MD | ||||||||||||||
| PHYSICIAN | $274,527 | $0 | $379,553 | $0 | $7,683 | $0 | $11,475 | $0 | $48 | $0 | $673,286 | $0 | $0 | $0 |
| LEO D OTTONI MD | ||||||||||||||
| PHYSICIAN | $107,662 | $0 | $481,818 | $0 | $37,061 | $0 | $16,755 | $0 | $27,855 | $0 | $671,151 | $0 | $0 | $0 |
| KEVIN J BERLIN MD | ||||||||||||||
| PHYSICIAN | $301,996 | $0 | $130,707 | $0 | $10,258 | $0 | $26,758 | $0 | $15,705 | $0 | $485,424 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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 2013. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN A 457 BENEFIT PROGRAM 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 REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS. 4A. DURING 2013, JAMES SEXTON, AN EMPLOYEE OF THE ORGANIZATION WHO SERVED AS THE CHIEF EXECUTIVE OFFICER TERMINATED EMPLOYMENT WITH THE ORGANIZATION AND RECEIVED A SEVERANCE PAYMENT. THIS HAS BEEN REPORTED AS AN ELEMENT OF HIS COMPENSATION AND THE REQUIRED INFORMATION FOLLOWS: SCH J, LINE 4A, PERSON RECEIVING SEVERANCE PAYMENT 2013 SEVERANCE REPORTABLE W-2 PAYMENT AMOUNT JAMES SEXTON 370,656 370,656 |
| PART I, LINES 4A-B | SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) 2013 REPORTABLE ACCRUAL NON-VESTED 2013 DIST. W-2 AMOUNTS PARTICIPANT JAMES CONNELLY 136,600 - 136,600 DENISE BROOKS-WILLIAMS - 30,998 - - ROBERT RINEY 149,090 - 149,090 JAMES SEXTON 19,435 134,152 19,435 CONTRIBUTIONS TO SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2013 CONTRIBUTIONS 2013 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS L. R. CHALDECOTT, MD 17,500 399 - 17,899 LEO OTTONI, MD 17,500 - - 17,500 MICHAEL D. CALLAN, MD 16,900 600 14 17,514 JAMES SEXTON 447 - - 447 GLENN MINSTER, MD - 1,170 28 1,198 KEVIN J. BERLIN, MD - 2,450 59 2,509 DENNIS LEMANSKI, DO 7,800 3,525 85 11,410 JAMES CONNELLY 17,500 421 17,921 ROBERT RINEY - 17,500 421 17,921 EDITH EISENMANN 17,500 - - 17,500 |
| PART I, LINE 5 | CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A CONTRACTUAL FORMULA THAT PROVIDES FOR A MINIMUM BASE SALARY AND INCREMENTAL COMPENSATION WHEN DEPARTMENTAL CASH COLLECTIONS EXCEEDS A PREDETERMINED LEVEL. SUCH ARRANGEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| WYANDOTTE MUNICIPAL SERV | |||
| SEE BELOW | $3,300,171 | SEE BELOW | 0 |
| D-M INVESTMENTS | |||
| SEE BELOW | $249,860 | SEE BELOW | 0 |
| CAROL BRIDGES | |||
| SEE BELOW | $105,465 | SEE BELOW | 0 |
| TRISHA LEMANSKI | |||
| SEE BELOW | $52,405 | SEE BELOW | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: WYANDOTTE MUNICIPAL SERVICES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OFFICER/TRUSTEE (D) DESCRIPTON OF TRANSACTION: UTILITY SERVICES(A) NAME OF PERSON: D-M INVESTMENTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/TRUSTEE(D) DESCRIPTON OF TRANSACTION: RENTAL PAYMENTS (A) NAME OF PERSON: CAROL BRIDGES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/TRUSTEE(D) DESCRIPTON OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: TRISHA LEMANSKI(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTON OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $11,735 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | VEHICLE SHELL | 1 | $8,342 | FAIR MARKET VALUE |
| Yes (X) | EVENT PRIZES | 20 | $6,643 | FAIR MARKET VALUE |
| Yes (X) | EVENT COSTS | 2 | $2,277 | FAIR MARKET VALUE |
| Yes (X) | MISCELLANEOUS | 9 | $2,268 | 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A TAX EXEMPT MEMBERSHIP CORPORATION AND THE SOLE MEMBER OF THE ORGANIZATION IS HENRY FORD HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER OF THE ORGANIZATION, HFHS HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS. |
| FORM 990, PART VI, SECTION A, LINE 7B | BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 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: | ADJUSTMENT TO MINIMUM PENSION LIABILITY 12,263,449. |
| FORM 990 - PART XII - LINE 2C: | HENRY FORD WYANDOTTE HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH SYSTEM. THE GOVERNING BODY OF HFHS HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH SYSTEM (PARENT OF OUR CONTROLLED GROUP). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HFHS PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH SYSTEM USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD HEALTH SYSTEM | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381357020 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | 3 | N/A | 0 | |
| HENRY FORD MACOMB HOSPITAL CORPORATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 382947657 | HEALTHCARE SERVICE PROVIDER | DE | 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 | ADVOCACY FOR HFHS AND AFFILIATE | MI | 501(C)(4) | N/A | Yes (1) | HENRY FORD HEALTH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 (12 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHA REALTY INC | |||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381378121 | REAL ESTATE HOLDING | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| FAIRLANE HEALTH SERVICES | |||||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 382565235 | HEALTHCARE MANAGEMENT | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| ALLIANCE HEALTH AND LIFE INSURANCE | |||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 383291563 | HEALTH INSURANCE PROVIDER | MI | HEALTH ALLIANCE PLAN | C | Yes (1) | ||||
| HAP PREFERRED INC | |||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382513504 | PROVIDER NETWORK LEASING | MI | HEALTH ALLIANCE PLAN | C | Yes (1) | ||||
| HORIZON PROPERTIES INC | |||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 382679527 | REAL ESTATE - LESSOR BUILDINGS | MI | HENRY FORD MACOMB HOSPITAL | C | Yes (1) | ||||
| FIRST OPTOMETRY EYE CARE CENTERS INC | |||||||||||||
| 655 W 13 MILE RD | MADISON HEIGHTS | MI | 48071 | 382299059 | FRANCHISING EYE CARE CENTERS | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| FIRST OPTOMETRY VISION PLANS INC | |||||||||||||
| 655 W 13 MILE RD | MADISON HEIGHTS | MI | 48071 | 382594841 | VISION CARE PLANS | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| ONIKA INSURANCE LTD | |||||||||||||
| CAPTIVE INSURANCE | HENRY FORD HEALTH SYSTEM | C | Yes (1) | FIRST CARRIBEAN HOUSE | GRAND CAYMAN | CJ | CJ | ||||||
| HENRY FORD PHYSICIAN NETWORK | |||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 320306774 | PHYSICIAN NETWORK | MI | HENRY FORD HEALTH SYSTEM | C | Yes (1) | ||||
| ADMINISTRATION SYSTEMS RESEARCH CORPORATION | |||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382651185 | THIRD PARTY INSURANCE | MI | HEALTH ALLIANCE PLAN | C | Yes (1) | ||||
| MIDWEST HEALTH PLAN | |||||||||||||
| 4700 SHAEFER ROAD SUITE 340 | DEARBORN | MI | 48126 | 383123777 | HEALTH INSURANCE PROVIDER | MI | HEALTH ALLIANCE PLAN | C | Yes (1) | ||||
| HAP COMMUNITY ALLIANCE | |||||||||||||
| 30100 TELEGRAPH | DETROIT | MI | 48202 | 270449055 | HEALTH MAINTENANCE ORGANIZATION | MI | HEALTH ALLIANCE PLAN | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 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 (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH ALLIANCE PLAN | ||
| L | $31,787,778 | CASH VALUE |
| HEALTH ALLIANCE PLAN | ||
| M | $14,791,360 | CASH VALUE |
| ONIKA INSURANCE LTD | ||
| M | $315,000 | CASH VALUE |
| HFHS SELF FUNDED LIABILITY | ||
| M | $300,000 | CASH VALUE |
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