HENRY FORD WYANDOTTE HOSPITAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD WYANDOTTE HOSPITAL CORPORATION (EIN 38-2791823)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201323169349301722
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T15:15:42-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382791823EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD WYANDOTTE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHENRNameControl
Phone3138768714Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12333 BIDDLE AVENUEAddressLine1
CityWYANDOTTECity
StateMIState
ZIP Code48192ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES CONNELLYName
TitleTREASURERTitle
Phone3138768714Phone
Date Signed2013-11-11DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES CONNELLYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACE - 5FAddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts294254598GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HENRYFORD.COM/HOMEPAGE_WYANDOTTEWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2805TotalNbrEmployees
Total Nbr Volunteers475TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1334046ContributionsGrantsPriorYear
Contributions Grants Current Year933331ContributionsGrantsCurrentYear
Program Service Revenue Prior Year284679769ProgramServiceRevenuePriorYear
Program Service Revenue CY290259451ProgramServiceRevenueCY
Investment Income Prior Year696780InvestmentIncomePriorYear
Investment Income Current Year644376InvestmentIncomeCurrentYear
Other Revenue Prior Year1877565OtherRevenuePriorYear
Other Revenue Current Year2066926OtherRevenueCurrentYear
Total Revenue Prior Year288588160TotalRevenuePriorYear
Total Revenue Current Year293904084TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year136232419SalariesEtcPriorYear
Salaries Etc Current Year136513849SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year225422TotalFundrsngExpCurrentYear
Other Expense Prior Year154994712OtherExpensePriorYear
Other Expenses Current Year153503655OtherExpensesCurrentYear
Total Expenses Prior Year291227131TotalExpensesPriorYear
Total Expenses Current Year290017504TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2638971RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3886580RevenuesLessExpensesCY
Total Assets BOY189772958TotalAssetsBOY
Total Assets EOY196933586TotalAssetsEOY
Total Liabilities BOY102299803TotalLiabilitiesBOY
Total Liabilities EOY99704314TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY87473155NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY97229272NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHENRY 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense207532507Expense
Revenue227881387Revenue
DescriptionFOR 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 2012 HFWH HAD 18,466 ADMISSIONS AND 87,532 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 ASSOCIATIONDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense36887358Expense
Revenue30118803Revenue
DescriptionHFWH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE SOUTHERN METROPOLITAN COMMUNITIES. IN TOTAL THIS REPRESENTED 229,409 OUTPATIENT VISITS AND 9,013 OUTPATIENT SURGERIES DURING 2012.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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense27292888Expense
Revenue32532797Revenue
DescriptionHFWH OPERATES TWO 24 HOUR EMERGENCY FACILITIES, EMERGENCY SERVICES REPRESENTED 93,821 PATIENT VISITS DURING 2012.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionOTHER REVENUE CONSISTS OF RECORD FEES, PARKING FEES, TUITION, MEDICAL RESIDENT TRAINING & OTHER MISCELLANEIOUS INCOMEDescription
FieldValueIRS element (for citing)
Total Program Service Expense271712753TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096172NumberFormsTransmittedWith1096
Number W2 G Included9NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2805NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JAMES CONNELLYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3138768714TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACEAddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DELORIS ANN BERRIEN-JONES MD
TRUSTEE1.0060.00X028348243108
SAROJ V BHAT MD
TRUSTEE2.0060.00X870724488353808
JOHN M BUSSA
TRUSTEE1.000.00X000
VONDA R CINI
TRUSTEE1.000.00X000
THOMAS G COSTANTINO DO
TRUSTEE1.000.00X000
JAMES P DALY
TRUSTEE1.000.00X000
JAMES H DAVIS JR
TRUSTEE1.000.00X000
DEBORAH Y EDWARDS
TRUSTEE1.000.00X000
HEIDIE M GORNO
TRUSTEE1.000.00X000
JERRY D GRIFFITH
TRUSTEE1.000.00X000
SYED M JAFRI MD
TRUSTEE10.000.00X8008100
LAWRENCE J KEARNEY JR
TRUSTEE1.000.00X000
JOHN F KILL
TRUSTEE1.000.00X000
J WES PAISLEY
TRUSTEE - CHAIR2.000.00X000X
ROBERT G RINEY
TRUSTEE1.0064.00X0167844452189
MOHINDER P SINGH-SANDHU MD
TRUSTEE60.001.00X1842474800162
RICH A POSTON DO
TRUSTEE1.000.00X000
JAMES J SEXTON
PRESIDENT60.000.00X593082045343X
MELANIE L MCCOY
TRUSTEE1.000.00X000
KIMBERLY A KOVAC
TRUSTEE1.000.00X000
BARBARA R LOTT
TRUSTEE1.000.00X000
JAMES M CONNELLY
TREASURER1.0066.000127535648083X
EDITH L EISENMANN
SECRETARY1.0068.00023736734743X
JAMES J MILLER
CFO/ASSISTANT TREASURER60.000.00234635045015X
DENNIS R LEMANSKI DO
CHIEF MEDICAL OFFICER60.000.00383433052995X
RAND O'LEARY
CHIEF OPERATING OFFICER60.000.00302353053193X
MICHAEL D CALLAN MD
PHYSICIAN60.000.00373622040182X
LANCE CHALDECOTT MD
PHYSICIAN60.000.00671674052237X
GLENN J MINSTER MD
PHYSICIAN60.000.0066607108750X
LEO D OTTONI MD
PHYSICIAN60.000.00559360044887X
HENRI M PEIRRE-JACQUES MD
PHYSICIAN60.000.00342559049757X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4399824TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3724332TotalReportableCompFrmRltdOrgs
Total Other Compensation624452TotalOtherCompensation
Number Individuals GT100 K89NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MUNTHER ALAIWAT MD PC
15675 NORTHLINE RDSOUTHGATEMI48195CONTRACTED MEDICAL SVCS2570005
GEORGE W AUCH COMPANY
PO BOX 430719 48343-0719PONTIACMI48341CONSTRUCTION SERVICES2399098
HOSPITALISTS PHYSICIANS MEDICAL GROUP
2000 GREEN RD SUITE 300ANN ARBORMI481051571CONTRACTED MEDICAL SVCS1120410
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688PHILADELPHIAPA19182UTILIZATION REVIEW478441
HARRISON MEDIA
24416 CROCKER BLVDCLINTON TOWNSHIPMI48036MARKETING/ADVERTISING388591
FieldValueIRS element (for citing)
Number Of Contractors GT100 K31NumberOfContractorsGT100K
Fundraising Events198566FundraisingEvents
All Other Contributions734765AllOtherContributions
Noncash Contributions142548NoncashContributions
Total Contributions933331TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL OPERATIONS900099224136134224136134
EMERGENCY SERVICES9000993253279732532797
AMBULATORY SERVICES6214003011880330118803
MEDICAL EDUCATION-GME90009934717173471717
FieldValueIRS element (for citing)
Total Program Service Revenue290259451TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column672412TotalRevenueColumn
Exclusion$672,412ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real618129Real
Personal133028Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real618129Real
Personal133028Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column751157TotalRevenueColumn
Exclusion$751,157ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities17920Securities
Other113235Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other159191Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities17920Securities
Other-45956Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-28036TotalRevenueColumn
Related Or Exempt Function Income-45956RelatedOrExemptFunctionIncome
Exclusion$17,920ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events87740GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events198566CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses176825FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-89085TotalRevenueColumn
Exclusion-$89,085ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming51916GrossIncomeGaming
Gaming Direct Expenses14498GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column37418TotalRevenueColumn
Exclusion$37,418ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA SALES900099570870$570,870
GIFT SHOP SALES453220477074$477,074

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column319492TotalRevenueColumn
Related Or Exempt Function Income319492RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1367436TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column293904084TotalRevenueColumn
Related Or Exempt Function Income290532987RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,437,766ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1627700Total
Program Services491411ProgramServices
Management And General1068564ManagementAndGeneral
Fundraising67725Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total144504Total
Program Services144504ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total109283653Total
Program Services102837831ProgramServices
Management And General6326411ManagementAndGeneral
Fundraising119411Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5312521Total
Program Services4949820ProgramServices
Management And General356989ManagementAndGeneral
Fundraising5712Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12402898Total
Program Services11556115ProgramServices
Management And General833447ManagementAndGeneral
Fundraising13336Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7742573Total
Program Services7213964ProgramServices
Management And General520283ManagementAndGeneral
Fundraising8326Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total735Total
Program Services735ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total70798Total
Management And General70798ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27180732Total
Program Services24771293ProgramServices
Management And General2406311ManagementAndGeneral
Fundraising3128Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total718036Total
Program Services166538ProgramServices
Management And General551498ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5388745Total
Program Services5071022ProgramServices
Management And General311672ManagementAndGeneral
Fundraising6051Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1490891Total
Program Services1421183ProgramServices
Management And General69555ManagementAndGeneral
Fundraising153Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5984191Total
Program Services5968126ProgramServices
Management And General15670ManagementAndGeneral
Fundraising395Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total161691Total
Program Services142357ProgramServices
Management And General18299ManagementAndGeneral
Fundraising1035Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total220933Total
Program Services216844ProgramServices
Management And General4059ManagementAndGeneral
Fundraising30Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2332196Total
Program Services2332196ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9055257Total
Program Services7751376ProgramServices
Management And General1303881ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2840427Total
Program Services2840427ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES37961237379551126125
BAD DEBT EXPENSE2726420127264201
QAAP TAX55754075575407
REPAIRS & MAINTENANCE3650672358518765485

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23607506Total
Program Services19457104ProgramServices
Management And General4150282ManagementAndGeneral
Fundraising120Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total290017504Total
Program Services271712753ProgramServices
Management And General18079329ManagementAndGeneral
Fundraising225422Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8558BOY
EOY13688EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY53745490BOY
EOY55170833EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18181306BOY
EOY24253564EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31500BOY
EOY209485EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5040239BOY
EOY4688537EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2430623BOY
EOY2418149EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis215043840LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec130169215LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY86674291BOY
EOY84874625EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22775323BOY
EOY23625398EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY667687EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY885628BOY
EOY1011620EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY189772958BOY
EOY196933586EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15659839BOY
EOY17901163EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY57423775BOY
EOY56459996EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29216189BOY
EOY25343155EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY102299803BOY
EOY99704314EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY85738618BOY
EOY95365657EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1627986BOY
EOY1446903EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY106551BOY
EOY416712EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY87473155BOY
EOY97229272EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY189772958BOY
EOY196933586EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3886580ReconcilationRevenueExpenses
Reconciliation Unrealized Invest664215ReconciliationUnrealizedInvest
Reconcilation Other Changes5205322ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1734537BeginningOfYearBalance
Contributions881664Contributions
Investment Earnings Or Losses22253InvestmentEarningsOrLosses
Other Expenditures774839OtherExpenditures
End Of Year Balance1863615EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1687424BeginningOfYearBalance
Contributions819057Contributions
Investment Earnings Or Losses13196InvestmentEarningsOrLosses
Other Expenditures785140OtherExpenditures
End Of Year Balance1734537EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1358529BeginningOfYearBalance
Contributions733694Contributions
Investment Earnings Or Losses6435InvestmentEarningsOrLosses
Other Expenditures411234OtherExpenditures
End Of Year Balance1687424EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1366799BeginningOfYearBalance
Contributions560198Contributions
Investment Earnings Or Losses1371InvestmentEarningsOrLosses
Other Expenditures569839OtherExpenditures
End Of Year Balance1358529EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1545226BeginningOfYearBalance
Contributions324766Contributions
Investment Earnings Or Losses32948InvestmentEarningsOrLosses
Other Expenditures536141OtherExpenditures
End Of Year Balance1366799EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.22360PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.77640TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10104173OtherCostOrOtherBasis
Book Value10104173BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis116114911OtherCostOrOtherBasis
Depreciation58484772Depreciation
Book Value57630139BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis689388OtherCostOrOtherBasis
Depreciation71211Depreciation
Book Value618177BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis85514089OtherCostOrOtherBasis
Depreciation71613232Depreciation
Book Value13900857BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2621279OtherCostOrOtherBasis
Book Value2621279BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings84874625TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE$19,338,238
OTHER LONG TERM LIABILITIES$6,004,917
FieldValueIRS element (for citing)
Total Of Amounts25343155TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012 AND 2011.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF EVENTNameOfEvent1
Gross Receipts Event1163014GrossReceiptsEvent1
Charitable Contributions Event1111741CharitableContributionsEvent1
Gross Revenue Event151273GrossRevenueEvent1
Non Cash Prizes Event113302NonCashPrizesEvent1
Other Direct Expenses Event1102454OtherDirectExpensesEvent1
Name Of Event2HARVEST MOON BALLNameOfEvent2
Gross Receipts Event2123292GrossReceiptsEvent2
Charitable Contributions Event286825CharitableContributionsEvent2
Gross Revenue Event236467GrossRevenueEvent2
Non Cash Prizes Event215900NonCashPrizesEvent2
Other Direct Expenses Event245169OtherDirectExpensesEvent2
Gross Receipts Total286306GrossReceiptsTotal
Charitable Contributions Total198566CharitableContributionsTotal
Gross Revenue Total Events87740GrossRevenueTotalEvents
Non Cash Prizes Total Events29202NonCashPrizesTotalEvents
Other Direct Expenses Total Events147623OtherDirectExpensesTotalEvents
Direct Expense Summary Events176825DirectExpenseSummaryEvents
Net Income Summary-89085NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming51916GrossRevenueOtherGaming
Non Cash Prizes Other Gaming14398NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming100OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming51916GrossRevenueTotalGaming
Non Cash Prizes Total Gaming14398NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming100OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming14498DirectExpenseSummaryGaming
Net Gaming Income Summary37418NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1SVEN GIERLINGERBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACE-SPECIAL EVENTSAddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Charitable Distrib Required0CharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2468337TotalCommunityBenefitExpense
Net Community Benefit Expense2468337NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense34919591TotalCommunityBenefitExpense
Direct Offsetting Revenue30018846DirectOffsettingRevenue
Net Community Benefit Expense4900745NetCommunityBenefitExpense
Percent Of Total Expense0.01870PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense37387928TotalCommunityBenefitExpense
Direct Offsetting Revenue30018846DirectOffsettingRevenue
Net Community Benefit Expense7369082NetCommunityBenefitExpense
Percent Of Total Expense0.02810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense523431TotalCommunityBenefitExpense
Direct Offsetting Revenue28025DirectOffsettingRevenue
Net Community Benefit Expense495406NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7624838TotalCommunityBenefitExpense
Direct Offsetting Revenue3471717DirectOffsettingRevenue
Net Community Benefit Expense4153121NetCommunityBenefitExpense
Percent Of Total Expense0.01580PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9469432TotalCommunityBenefitExpense
Direct Offsetting Revenue7579150DirectOffsettingRevenue
Net Community Benefit Expense1890282NetCommunityBenefitExpense
Percent Of Total Expense0.00720PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1301202TotalCommunityBenefitExpense
Net Community Benefit Expense1301202NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18918903TotalCommunityBenefitExpense
Direct Offsetting Revenue11078892DirectOffsettingRevenue
Net Community Benefit Expense7840011NetCommunityBenefitExpense
Percent Of Total Expense0.02990PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense56306831TotalCommunityBenefitExpense
Direct Offsetting Revenue41097738DirectOffsettingRevenue
Net Community Benefit Expense15209093NetCommunityBenefitExpense
Percent Of Total Expense0.05800PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense40965TotalCommunityBuildingExpense
Net Community Building Expense40965NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense140605TotalCommunityBuildingExpense
Net Community Building Expense140605NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense181570TotalCommunityBuildingExpense
Net Community Building Expense181570NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$27,264,201BadDebtExpenseAmount
Amount Attributable To6816050AmountAttributableTo
Amount Reimbursed By Medicare81387179AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare76849288CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4537891MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD WYANDOTTE HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12333 BIDDLE AVEAddressLine1
CityWYANDOTTECity
StateMIState
ZIP Code48192ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD WYANDOTTE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HENRY FORD WYANDOTTE CNTR FOR HEALTH SVC
23050 WEST ROADBROWNSTOWN TOWNSHIPMI48183OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HENRY FORD WYANDOTTE PRIMARY CARE CLINIC
21969 HURON RIVER DRIVEROCKWOODMI48173OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HF WYANDOTTE CLINIC - REHAB & ORTHO
3200 BIDDLE AVEWYANDOTTEMI48192OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HF WYANDOTTE CLINIC -RVRSD FMLY PHYSNS
1640 FORT ST SUITES B D FTRENTONMI48183OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HF WYANDOTTE HOSP-GENERAL SRGRY ASSOC
3333 BIDDLE AVE SUITES A CWYANDOTTEMI48192OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HF WYANDOTTE CLINIC - BARIATRIC SURGRY
3333 BIDDLE AVE SUITES CWYANDOTTEMI48192OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HF WYANDOTTE CLINIC - INTERNAL MED
15450 NORTHLINE RDSOUTHGATEMI48195OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HF WYANDOTTE CLINIC - FAMILY MEDICINE
7226 ALLEN RDALLEN PARKMI48101OUTPATIENT CLINIC/DIAGNOSTIC CENTER
HF WYANDOTTE CLINIC - WOMEN'S HEALTH
15675 NORTHLINE RDSOUTHGATEMI48195OUTPATIENT CLINIC/DIAGNOSTIC CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
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 $ 27264201.
PART II: 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 4: THE ORGANIZATION'S FOOTNOTE ON UNCOMPENSATED CARE AND COMMUNITY BENEFIT READS IN PART, "THE SYSTEM PROVIDED HEALTH CARE SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IN ADDITION TO CHARITY CARE, THE SYSTEM PROVIDED SERVICES TO MEDICAID AND OTHER PUBLIC PROGRAMS FOR FINANCIALLY NEEDY PATIENTS, FOR WHICH THE PAYMENTS RECEIVED, WERE LESS THAN THE COST OF PROVIDING SERVICES. THE UNPAID COSTS ATTRIBUTED TO PROVIDING SERVICES UNDER THIS PROGRAM ARE CONSIDERED A COMMUNITY BENEFIT."THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES.IT IS THE GOAL OF THE ORGANIZATION TO DETERMINE IF THE PATIENT QUALIFIES UNDER ITS CHARITY CARE POLICY PRIOR TO BILLING FOR SERVICES. HOWEVER, MANY FACTORS CONTRIBUTE TO THE INABILITY TO ACCOMPLISH THIS IN MANY SITUATIONS. IF THE ORGANIZATION IS UNABLE TO OBTAIN INFORMATION FROM THE PATIENT REGARDING THEIR AVAILABLE MEANS TO PAY OR FINANCIAL STATUS, THE PATIENT WILL BE BILLED FOR THE SERVICES PROVIDED. IF THE PATIENT IS ULTIMATELY DETERMINED TO QUALIFY UNDER THE CHARITY CARE POLICY ANY BILLINGS WILL BE APPROPRIATELY ADJUSTED.
PART III, LINE 9B: IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S CHARITY CARE POLICY PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO 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"SCHEDULE H, PART I, QUESTION 6:THE COMMUNITY BENEFIT ACTIVITIES OF HFWH ARE INCORPORATED IN THE CONSOLIDATED ANNUAL REPORT OF HENRY FORD HEALTH SYSTEM WHICH IS AVAILABLE ON ITS WEB SITE AT:HTTP://WWW.HENRYFORD.COM/BODY/CFM?ID=57195
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 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 VI, LINE 2: HFWH CONSIDERS THE ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AS AN ESSENTIAL FUNCTION, PROVIDING KEY INFORMATION REGARDING THE DEMOGRAPHICS AND MAJOR NEEDS OF THE COMMUNITIES SERVED. IT SUPPORTS THE PRIORITIZATION OF THE SERVICES, 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.DATA SOURCES EVALUATED TO DETERMINE COMMUNITY NEED INCLUDED THE FOLLOWING:1. MICHIGAN INPATIENT DATABASE (MIDB) - PROPRIETARY DATABASE OFFERING INPATIENT AND OUTPATIENT DATA FOR HOSPITAL AND HEALTH SYSTEMS WITHIN THE STATE OF MICHIGAN.2. THOMSON MARKET EXPERT DATABASE - PROPRIETARY DATABASE OFFERING MARKET DEMOGRAPHIC AND HEALTHCARE UTILIZATION DATA.3. MICHIGAN'S GREATEST TREASURE - IT'S PEOPLE, SEPTEMBER 1999 (WWW.DETNEWS.COM)4. MICHIGAN SURGEON GENERAL'S HEALTH STATUS REPORT - HEALTHY MICHIGAN 20105. HEALTH CARE AND HOMELESS: NCH FACT SHEET #8, JUNE 2006 (WWW.NATIONALHOMELESS.ORG)6. BASELINE DATE REPORT: THE STATE OF MICHIGAN'S HOMELESS, JANUARY 2006-JUNE 20067. HEALTH INDICATORS AND RISK ESTIMATES BY COMMUNITY HEALTH ASSESSMENT REGIONS & LOCAL HEALTH DEPARTMENTS - MICHIGAN BEHAVIORAL RISK FACTOR SURVEY 2002-2006 COMBINED8. HEALTH RISK BEHAVIORS IN THE STATE OF MICHIGAN - 2006 BEHAVIORAL RISK FACTOR SURVEY9. MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (WWW.MDCH.MI.US)10. WAYNE COUNTY WEBSITE (WWW.WAYNECOUNTY.COM)11. HEALTH DISPARITIES IMPACTING RACIAL AND ETHNIC MINORITIES IN MICHIGAN PRESENTATION, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH12. MICHIGAN CRITICAL HEALTH INDICATORS 2007 REPORT, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
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 CHARITY CARE 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: HFWH DEFINES THE COMMUNITIES SERVED BASED ON GEOGRAPHIC AREAS GENERATING THE HIGHEST INPATIENT VOLUMES AND THE AREAS FROM WHICH ITS AMBULATORY SURGICAL CENTER DRAWS PATIENT VISITS. A CIRCLE WITH A TEN MILE RADIUS ORIGINATING FROM HFWH ENCOMPASSES THE HOME RESIDENCES OF 85% OF THE HFWH INPATIENT ADMISSIONS, AND WITH THE ADDITION OF TWO OTHER ZIP CODES, CAPTURES THE MAJORITY OF THE ACTIVITY FOR THE AMBULATORY SURGERY CENTER AS WELL.THE NUMBER OF RESIDENTS IN WESTERN/DOWNRIVER WAYNE COUNTY IS EXPECTED TO DECLINE BY .5% OVER THE NEXT SEVERAL YEARS, IN CONTRAST TO A NATIONAL GROWTH TREND OF 4.6%; IN ADDITION FEMALES OF CHILD BEARING YEARS, CURRENTLY REPRESENTING 20% OF THE POPULATION IS EXPECTED TO DECLINE BY 4%. THE REGION IS MADE UP OF 33 CITIES, 10 TOWNSHIPS, AND ONE VILLAGE; EXCLUDING THE DETROIT ZIP CODES THIS REPRESENTS A POPULATION OF NEARLY 1.1 MILLION WITH 51% BEING FEMALE.THIS AREA HAS A SLIGHTLY OLDER POPULATION THAN THE NATIONAL NORM, WITH 13% BEING AGE 65 OR OVER. THE RACIAL COMPOSITION IS 82% WHITE, 8.5% BLACK AND 3.5% HISPANIC. OF PARTICULAR NOTE THIS AREA CONTAINS THE HIGHEST CONCENTRATION OF MIDDLE EASTERN RESIDENTS OUTSIDE OF THE MIDDLE EAST ITSELF.THE REGION ENCOMPASSES TREMENDOUS VARIABILITY OF RESOURCES. ON AVERAGE HOUSEHOLD INCOME TRACKS 10% ABOVE THE NATIONAL AVERAGE. HOWEVER, FIVE OF THE COMMUNITIES INCLUDED IN THIS AREA REPRESENT AREAS WITH SIGNIFICANTLY LOWER INCOME LEVELS (30% BELOW THE NATIONAL NORM), MUCH GREATER ETHNIC DIVERSITY AND A MUCH HIGHER PERCENTAGE OF RESIDENTS WITHOUT HIGH SCHOOL LEVEL EDUCATION. ALTHOUGH THERE HAS BEEN SIGNIFICANT JOB LOSS IN RECENT YEARS, AUTOMOTIVE COMPANIES CONTINUE TO REPRESENT 2 OF THE LARGEST 3 EMPLOYERS IN THE REGION. STUDIES OF THE INDICATED POPULATIONS REVEAL THAT MANY OF THE SIGNIFICANT HEALTH ISSUES FACED ARE ALSO OBSERVED AT THE STATE AND NATIONAL LEVEL. THESE INCLUDE PREVALENCE OF CARDIOVASCULAR DISEASE, CANCER AND DIABETES, AS WELL AS HIGH RISK FACTORS THAT CONTRIBUTE TO DEVELOPING CHRONIC CONDITIONS SUCH AS OBESITY, LOW PHYSICAL ACTIVITY AND POOR NUTRITION.THE ORGANIZATION CONSIDERS THE FOLLOWING FACTORS TO BE THE LEADING INDICATORS OF AT-RISK POPULATIONS:UNINSURED AND UNDERINSURED ARE AT PARTICULAR RISK FOR NOT SEEKING PREVENTATIVE CARE SUCH AS CANCER SCREENINGS. THE HOMELESS ARE AT PARTICULAR RISK OF DEVELOPING MANY CHRONIC CONDITIONS. APPROXIMATELY 40% OF THE STATE OF MICHIGAN'S HOMELESS POPULATION IS ESTIMATED TO BE WITHIN THE HFWH AREA. BEHAVIORS SUCH AS HIGH CONSUMPTION OF ALCOHOL, SMOKING, LACK OF PHYSICAL ACTIVITY, POOR NUTRITION, UNSAFE SEXUAL PRACTICES AND OBESITY IMPACT EARLY ONSET OF MANY CHRONIC CONDITIONS. INFANT MORTALITY IS AN AREA IN NEED OF PARTICULAR FOCUS IN SOUTHEAST MICHIGAN. THE MORTALITY RATE FOR AFRICAN AMERICANS IS MORE THAN TWICE THE OVERALL POPULATION.
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

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DELORIS ANN BERRIEN-JONES MD
TRUSTEE021945606402600027611015497032659000
SAROJ V BHAT MD
TRUSTEE870719712401425903350017829749023881888529851300
ROBERT G RINEY
TRUSTEE0893875058188602026830312950208940173063300
MOHINDER P SINGH-SANDHU MD
TRUSTEE35280001807194800162000184409480000
JAMES J SEXTON
PRESIDENT36089001714650607270287950165480638425000
JAMES M CONNELLY
TREASURER0649286044114001849300287950192880132343900
EDITH L EISENMANN
SECRETARY0172474044910019983024585010158027211000
JAMES J MILLER
CFO/ASSISTANT TREASURER190381037956062980247700202450279650000
DENNIS R LEMANSKI DO
CHIEF MEDICAL OFFICER2924560708970200800312950217000436428000
RAND O'LEARY
CHIEF OPERATING OFFICER24264805678602919046196069970355546000
MICHAEL D CALLAN MD
PHYSICIAN24460701098230191920250450151370413804000
LANCE CHALDECOTT MD
PHYSICIAN21127004372510231530262950259420723911000
GLENN J MINSTER MD
PHYSICIAN27451503839710758508750000674821000
LEO D OTTONI MD
PHYSICIAN10817504284250227600171170277700604247000
HENRI M PEIRRE-JACQUES MD
PHYSICIAN2318070872470235050287950209620392316000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AIT 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 2012. 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.
PART I, LINE 4BSCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) 2012 TAXABLE REPORTABLE ACCRUAL 2012 DIST. W-2 AMOUNTS PARTICIPANT JAMES CONNELLY 163,180 - 163,180 ROBERT RINEY 182,470 - 182,740 JAMES SEXTON 43,438 - 43,438 CONTRIBUTIONS TO SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2012 CONTRIBUTIONS 2012 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS L. R. CHALDECOTT, MD 16,440 560 8 17,008 LEO OTTONI, MD 17,000 - - 17,000 JAMES SEXTON 10,903 6,097 90 17,090 PIERRE-JACQUES, MD 15,605 1,395 21 17,021 GLENN MINSTER, MD - 1,085 16 1,101 DENNIS LEMANSKI, DO 7,800 3,800 56 11,656 JAMES CONNELLY 17,000 250 17,250 ROBERT RINEY - 17,000 250 17,250 EDITH EISENMANN 17,000 - - 17,000
PART I, LINE 5CERTAIN 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

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
WYANDOTTE MUNICIPAL SERVICES
SEE BELOW3361935SEE BELOW0
D-M INVESTMENTS
SEE BELOW264237SEE BELOW0
CAROL BRIDGES
SEE BELOW105624SEE BELOW0
TRISHA LEMANSKI
SEE BELOW38880SEE BELOW0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
Explanation(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 ORGANIZATIONExplanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99012000NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XVEHICLE123490FAIR MARKET VALUE
XEVENTS PRIZES2326368FAIR MARKET VALUE
XCONSULTING FEES144000FAIR MARKET VALUE
XMISCELLANEOUS1036690FAIR MARKET VALUE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AAS THE SOLE MEMBER OF THE ORGANIZATION, HFHS HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS.
FORM 990, PART VI, SECTION A, LINE 7BBASED 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 11THE 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 12CTHE 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 15THE 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 19IT 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 5,205,322.CHANGES IN NET ASSETS OR FUND BALANCES:
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

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HENRY FORD HEALTH SYSTEM
ONE FORD PLACEDETROITMI48202381357020HEALTHCARE SERVICE PROVIDERMI501(C)(3)3N/A0
HENRY FORD MACOMB HOSPITAL CORPORATION
ONE FORD PLACEDETROITMI48202382947657HEALTHCARE SERVICE PROVIDERDE501(C)(3)31HENRY FORD HEALTH SYSTEM
HENRY FORD HEALTH SYSTEM FOUNDATION
ONE FORD PLACEDETROITMI48202237383042SUPPORTING ORGANIZATIONMI501(C)(3)11A-TYPE 11HENRY FORD HEALTH SYSTEM
HEALTH ALLIANCE PLAN
2850 W GRAND BLVDDETROITMI48202382242827HEALTH MAINTENANCE ORGANIZATIONMI501(C)(4)N/A1HENRY FORD HEALTH SYSTEM
HFHS SELF FUNDED LIABILITY
ONE FORD PLACEDETROITMI48202386553031MALPRACTICE INSURANCEMI501(C)(4)N/A1HENRY FORD HEALTH SYSTEM
DOWNRIVER CENTER FOR ONCOLOGY
ONE FORD PLACEDETROITMI48202383193008HEALTHCARE SERVICE PROVIDERMI501(C)(3)31HENRY FORD HEALTH SYSTEM
HENRY FORD CONTINUING CARE
ONE FORD PLACEDETROITMI48202382433285NURSING HOMESMI501(C)(3)91HENRY FORD HEALTH SYSTEM
HFII CORPORATION
ONE FORD PLACEDETROITMI48202900840304SCIENTIFIC RESEARCHMI501(C)(3)71HENRY FORD HEALTH SYSTEM

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
NORTHWEST DETROIT DIALYSIS
30100 TELEGRAPHBINGHAM FARMSMI48025383232668OPERATE DIALYSIS CLINICMIHENRY FORD HEALTH SYSTEMN/A00
DIALYSIS PARTNERS OF NW OHIO
30100 TELEGRAPHBINGHAM FARMSMI48025341877956OPERATE DIALYSIS CLINICOHHENRY FORD HEALTH SYSTEMN/A00
MACOMB REGIONAL DIALYSIS CENTERS
16151 NINETEEN MILE RDCLINTON TOWNSHIPMI48038260423581OPERATE DIALYSIS CLINICSMIHENRY FORD HEALTH SYSTEMN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
SHA REALTY INC
ONE FORD PLACEDETROITMI48202381378121REAL ESTATE HOLDINGMIHENRY FORD HEALTH SYSTEMC1
FAIRLANE HEALTH SERVICES
30100 TELEGRAPHBINGHAM FARMSMI48025382565235HEALTHCARE MANAGEMENTMIHENRY FORD HEALTH SYSTEMC1
ALLIANCE HEALTH AND LIFE INSURANCE
2850 W GRAND BLVDDETROITMI48202383291563HEALTH INSURANCE PROVIDERMIHEALTH ALLIANCE PLANC1
HAP PREFERRED INC
2850 W GRAND BLVDDETROITMI48202382513504PROVIDER NETWORK LEASINGMIHEALTH ALLIANCE PLANC1
HORIZON PROPERTIES INC
ONE FORD PLACEDETROITMI48202382679527REAL ESTATE - LESSOR BUILDINGSMIHENRY FORD MACOMB HOSPITAL CORPORATIONC1
FIRST OPTOMETRY EYE CARE CENTERS INC
655 W 13 MILE RDMADISON HEIGHTSMI48071382299059FRANCHISING EYE CARE CENTERSMIHENRY FORD HEALTH SYSTEMC1
FIRST OPTOMETRY VISION PLANS INC
655 W 13 MILE RDMADISON HEIGHTSMI48071382594841VISION CARE PLANSMIHENRY FORD HEALTH SYSTEMC1
ONIKA INSURANCE LTD
CAPTIVE INSURANCEHENRY FORD HEALTH SYSTEMC1FIRST CARRIBEAN HOUSEGRAND CAYMANCJCJ
HENRY FORD PHYSICIAN NETWORK
ONE FORD PLACEDETROITMI48202320306774PHYSICIAN NETWORKMIHEALTH ALLIANCE PLANC1
ADMINISTRATION SYSTEMS RESEARCH CORPORATION
2850 W GRAND BLVDDETROITMI48202382651185THIRD PARTY INSURANCEMIHEALTH ALLIANCE PLANC1
MIDWEST HEALTH PLAN
4700 SHAEFER ROAD SUITE 340DEARBORNMI48126383123777HEALTH INSURANCE PROVIDERMIHEALTH ALLIANCE PLANC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH ALLIANCE PLAN
L31064485CASH VALUE
HEALTH ALLIANCE PLAN
M14987882CASH VALUE
ONIKA INSURANCE LTD
P695000CASH VALUE
HFHS SELF FUNDED LIABILITY
P550000CASH VALUE

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