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

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD MACOMB HOSPITAL CORPORATION (EIN 38-2947657)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201333169349301723
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)
EIN382947657EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD MACOMB HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHENRNameControl
Phone3138768714Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACE - 5FAddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES CONNELLYName
TitleTREASURERTitle
Phone3138768714Phone
Date Signed2013-11-11DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts428844507GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HENRYFORD.COM/HOMEPAGE_MACOMBWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees3997TotalNbrEmployees
Total Nbr Volunteers784TotalNbrVolunteers
Total Gross UBI333890TotalGrossUBI
Net Unrelated Business Txbl Income-287761NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3302882ContributionsGrantsPriorYear
Contributions Grants Current Year1329527ContributionsGrantsCurrentYear
Program Service Revenue Prior Year493565368ProgramServiceRevenuePriorYear
Program Service Revenue CY421602532ProgramServiceRevenueCY
Investment Income Prior Year1184360InvestmentIncomePriorYear
Investment Income Current Year1146386InvestmentIncomeCurrentYear
Other Revenue Prior Year6384510OtherRevenuePriorYear
Other Revenue Current Year4246857OtherRevenueCurrentYear
Total Revenue Prior Year504437120TotalRevenuePriorYear
Total Revenue Current Year428325302TotalRevenueCurrentYear
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 Year250937922SalariesEtcPriorYear
Salaries Etc Current Year202374976SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year262227TotalFundrsngExpCurrentYear
Other Expense Prior Year281052695OtherExpensePriorYear
Other Expenses Current Year211297491OtherExpensesCurrentYear
Total Expenses Prior Year531990617TotalExpensesPriorYear
Total Expenses Current Year413672467TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-27553497RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14652835RevenuesLessExpensesCY
Total Assets BOY322185740TotalAssetsBOY
Total Assets EOY312555541TotalAssetsEOY
Total Liabilities BOY254719568TotalLiabilitiesBOY
Total Liabilities EOY246655797TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY67466172NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY65899744NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHENRY FORD MACOMB HOSPITAL (HFMH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM SERVING THE NORTHEASTERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFMH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFMH IS COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF ALL OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES FINANCING AND HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense264977696Expense
Revenue294616313Revenue
DescriptionHFMH IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF THE MACOMB COUNTY MICHIGAN AS WELL AS ALL OF THE OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 2012 HFMH HAD 24,046 DISCHARGES, AND 123,105 PATIENT DAYS.HENRY FORD MACOMB HOSPITAL-CLINTON TOWNSHIP PROVIDES COMPREHENSIVE ACUTE AND TERTIARY CARE. SPECIALTY SERVICES INCLUDE A HEART & VASCULAR INSTITUTE, JOSEPHINE FORD CANCER CENTER, A WOMEN'S HEALTH CENTER, ALONG WITH A BIRTHING CENTER THAT FEATURES 18 LABOR, DELIVERY, RECOVERY AND POST-PARTUM SUITES. THE HOSPITAL ALSO HAS A 42-BED INPATIENT REHABILITATION PROGRAM, AN AMBULATORY AND MINIMALLY INVASIVE SURGERY CENTER AND LEADING DIAGNOSTIC IMAGING, ALONG WITH ADVANCED TRAUMA CAPABILITIES AND EMERGENCY SERVICES.HENRY FORD HOSPITAL DOCTORS TRAIN MORE THAN 600 MEDICAL SCHOOL STUDENTS, 500 RESIDENTS AND 150 FELLOWS ACROSS 46 DIFFERENT AREAS OF MEDICINE EVERY YEAR. HENRY FORD HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS. HENRY FORD MACOMB HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS, AND TRAINED 112 MEDICAL RESIDENTS DURING 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense76956628Expense
Revenue88713865Revenue
DescriptionHFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED MORE THAN 185,000 OUTPATIENT VISITS, MORE THAN 16,000 OUTPATIENT SURGICAL AND ENDOSCOPY PROCEDURES, AND MORE THAN 50,000 URGENT CARE VISITS DURING 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense26184814Expense
Revenue29579421Revenue
DescriptionHFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 90,264 PATIENT VISITS DURING 2012.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense4199900Expense
Revenue10572661Revenue
DescriptionOTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4199900TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev10572661TotalOfOtherProgramServiceRev
Total Program Service Expense372319038TotalProgramServiceExpense
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 Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096270NumberFormsTransmittedWith1096
Number W2 G Included19NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3997NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
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 (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
PAUL D ALANDT
TRUSTEE1.000.00X000
MYRA BERGMAN RSM
TRUSTEE1.000.00X000
EDWARD D CALLAGHAN PHD
TRUSTEE1.004.00X000
DAVID F GIRODAT
TRUSTEE1.000.00X000
STEVEN D HARRINGTON MD
TRUSTEE1.001.00X000
CAROLANN K KINNER DO
TRUSTEE1.000.00X000
BRIAN G LODER DPM
TRUSTEE40.000.00X8783270023397
RAYMOND C LOPE'
TRUSTEE1.000.00X000
ALI H SHAKIR MD
TRUSTEE1.000.00X000
JAMES E THOMPSON DD
TRUSTEE1.000.00X000
ANTHONY J VIVIANO
TRUSTEE1.001.00X000
ANDREA L WULF
TRUSTEE / VICE CHAIR2.000.00X000X
ALBERT L LORENZO PHD
TRUSTEE-CHAIR2.000.00X000X
DIANE L SAYERS DO
TRUSTEE1.0060.00X033195352526
THOMAS B MELDRUM
TRUSTEE1.000.00X000
WILLIAM A MORELLI SR
TRUSTEE1.000.00X000
CARL M PESTA DO
TRUSTEE10.000.00X1200000
RHONDA M POWELL
TRUSTEE1.000.00X000
ROSS C RICHARDSON
TRUSTEE1.000.00X000
ROBERT G RINEY
TRUSTEE1.0063.00X0167844452189
BARBARA W ROSSMANN
PRESIDENT / TRUSTEE60.000.00X13063810118597X
JAMES M CONNELLY
TREASURER1.0065.000127535548083X
EDITH L EISENMANN
SECRETARY1.0067.00023736734742X
TERRY A GOODBALIAN
ASSISTANT TREASURER/CFO60.000.00270401051945X
GARY BEAULAC
CHIEF OPERATING OFFICER60.000.00367879049378X
MICHAEL CERVENAK
VP-ORG STRATEGY1.000.00292999050246X
JOANNA R PEASE DO
CHIEF MEDICAL OFFICER60.000.00375814040873X
ANDREW AGOSTA MD
PHYSICIAN60.000.00564396062640X
MICHAEL HENDERSON MD
PHYSICIAN60.000.00435983053603X
TIMOTHY KIM MD
PHYSICIAN60.000.00409907046177X
RONALD LEVIN MD
PHYSICIAN60.000.00923044044335X
MARK T RYAN MD
PHYSICIAN60.000.00647243025331X
STEVEN HATHAWAY
FORMER CFO/TREASURER0.0060.00034863566297X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5693879TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3872454TotalReportableCompFrmRltdOrgs
Total Other Compensation820359TotalOtherCompensation
Number Individuals GT100 K192NumberIndividualsGT100K
Formers Listed1FormersListed
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
TRINITY INFORMATION SERVICES
34605 WEST 12 MILE ROADFARMINGTON HILLSMI48331IT SERVICES12456871
DEMARIA BUILDING COMPANY INC
45500 GRAND RIVER AVE PO BOX 8018NOVIMI48376CONSTRUCTION1261691
WELLINGTON HOME BUILDING LLC
PO BOX 54TRENTONMI48183CONSTRUCTION1061014
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688PHILADELPHIAPA19182EHR SERVICES1024650
MICHIGAN COTENANCY LABORATORIES
DEPT CH 14271PALATINEIL60055LABORATORY SERVICES933447
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Fundraising Events613067FundraisingEvents
All Other Contributions716460AllOtherContributions
Noncash Contributions301789NoncashContributions
Total Contributions1329527TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL SERVICES900099286279658286279658
OUTPATIENT SERVICES6214008871386588713865
EMERGENCY SERVICES9000992957942129579421
MEDICAL EDUCATION-GME90009983366558336655

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8692933TotalRevenueColumn
Related Or Exempt Function Income8359043RelatedOrExemptFunctionIncome
Unrelated Business Revenue333890UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue421602532TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column966723TotalRevenueColumn
Exclusion$966,723ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real927115Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real927115Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column927115TotalRevenueColumn
Exclusion$927,115ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities162744Securities
Other16919Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities162744Securities
Other16919Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column179663TotalRevenueColumn
Related Or Exempt Function Income16919RelatedOrExemptFunctionIncome
Exclusion$162,744ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events364419GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events613067CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses444611FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-80192TotalRevenueColumn
Exclusion-$80,192ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming126334GrossIncomeGaming
Gaming Direct Expenses74594GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column51740TotalRevenueColumn
Exclusion$51,740ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA9000991151495$1,151,495
JOINT VENTURES900099903420903420
GIFT SHOP453220750133750133

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column543146TotalRevenueColumn
Related Or Exempt Function Income543146RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3348194TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column428325302TotalRevenueColumn
Related Or Exempt Function Income423482260RelatedOrExemptFunctionIncome
Unrelated Business Revenue333890UnrelatedBusinessRevenue
Exclusion$3,179,625ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3036742Total
Program Services736545ProgramServices
Management And General2174756ManagementAndGeneral
Fundraising125441Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total355961Total
Program Services355961ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total158535299Total
Program Services152483336ProgramServices
Management And General5958541ManagementAndGeneral
Fundraising93422Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10906843Total
Program Services10344273ProgramServices
Management And General556277ManagementAndGeneral
Fundraising6293Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18111931Total
Program Services17177727ProgramServices
Management And General923755ManagementAndGeneral
Fundraising10449Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11428200Total
Program Services10838739ProgramServices
Management And General582867ManagementAndGeneral
Fundraising6594Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total256250Total
Program Services8702ProgramServices
Management And General247548ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total102702Total
Management And General102702ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total33925502Total
Program Services30723144ProgramServices
Management And General3201990ManagementAndGeneral
Fundraising368Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1391059Total
Program Services7789ProgramServices
Management And General1383270ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8444753Total
Program Services7280299ProgramServices
Management And General1162121ManagementAndGeneral
Fundraising2333Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2129934Total
Program Services1892004ProgramServices
Management And General237930ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9303583Total
Program Services7793661ProgramServices
Management And General1509922ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total370696Total
Program Services300354ProgramServices
Management And General61804ManagementAndGeneral
Fundraising8538Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total173659Total
Program Services165648ProgramServices
Management And General8011ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6709302Total
Management And General6709302ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16400811Total
Program Services15089726ProgramServices
Management And General1304251ManagementAndGeneral
Fundraising6834Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4202992Total
Program Services3804087ProgramServices
Management And General398905ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6985809769858097
BAD DEBT EXPENSE2201033322010333
QUAAP TAX90603809060380
REPAIRS & MAINTENANCE58273885511363316025

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21130050Total
Program Services6876870ProgramServices
Management And General14251225ManagementAndGeneral
Fundraising1955Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total413672467Total
Program Services372319038ProgramServices
Management And General41091202ManagementAndGeneral
Fundraising262227Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11520BOY
EOY8953EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55608314BOY
EOY73114123EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY592691BOY
EOY476035EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY48446927BOY
EOY22254315EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9454860BOY
EOY7839163EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4472724BOY
EOY3824250EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis323538123LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec162065585LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY161451800BOY
EOY161472538EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY29097564BOY
EOY28137690EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY278345BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY675451BOY
EOY690784EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY73920BOY
EOY98590EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12021624BOY
EOY14639100EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY322185740BOY
EOY312555541EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31168062BOY
EOY29552774EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY160625461BOY
EOY158054214EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY62926045BOY
EOY59048809EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY254719568BOY
EOY246655797EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY57962742BOY
EOY58090147EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7348507BOY
EOY5565088EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2154923BOY
EOY2244509EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67466172BOY
EOY65899744EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY322185740BOY
EOY312555541EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14652835ReconcilationRevenueExpenses
Reconciliation Unrealized Invest982889ReconciliationUnrealizedInvest
Reconcilation Other Changes-17202152ReconcilationOtherChanges
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 Balance9503430BeginningOfYearBalance
Contributions1301075Contributions
Investment Earnings Or Losses104796InvestmentEarningsOrLosses
Other Expenditures3099704OtherExpenditures
End Of Year Balance7809597EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7906493BeginningOfYearBalance
Contributions3249213Contributions
Investment Earnings Or Losses-11640InvestmentEarningsOrLosses
Other Expenditures1640636OtherExpenditures
End Of Year Balance9503430EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7002141BeginningOfYearBalance
Contributions1150549Contributions
Investment Earnings Or Losses41284InvestmentEarningsOrLosses
Other Expenditures861779OtherExpenditures
Administrative Expenses-574298AdministrativeExpenses
End Of Year Balance7906493EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1284494BeginningOfYearBalance
Contributions6266095Contributions
Investment Earnings Or Losses-130441InvestmentEarningsOrLosses
Other Expenditures418007OtherExpenditures
End Of Year Balance7002141EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2089568BeginningOfYearBalance
Contributions-492533Contributions
Other Expenditures312541OtherExpenditures
End Of Year Balance1284494EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.28700PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.71300TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12582455OtherCostOrOtherBasis
Book Value12582455BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis175773907OtherCostOrOtherBasis
Depreciation60581978Depreciation
Book Value115191929BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1194589OtherCostOrOtherBasis
Depreciation355616Depreciation
Book Value838973BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis127884601OtherCostOrOtherBasis
Depreciation101127991Depreciation
Book Value26756610BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6102571OtherCostOrOtherBasis
Book Value6102571BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings161472538TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE LIABILITY$19,288,653
CORPORATE RESERVE$5,439,903
WORKERS COMP LIABILITY$2,500,521
DEFERRED COMPENSATION$3,482,837
RETIREMENT ANNUITY$13,251,353
POST RETIREMENT BENEFITS$14,536,830
OTHER LONG TERM LIABILITIES$548,712
FieldValueIRS element (for citing)
Total Of Amounts59048809TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:EARNINGS FROM THE ORGANIZATION'S ENDOWMENTS FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES.
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.
EARNINGS FROM THE ORGANIZATION'S ENDOWMENTS FUNDS ARE UTILIZED BASED ON THE NATURE OF THE SPECIFIC ASSOCIATED RESTRICTION. THESE PRIMARILY RELATE TO FUNDING INITIATIVES ASSOCIATED WITH SPECIFIC DISEASE CONDITIONS AND FURTHERING MEDICAL EDUCATION AND RESEARCH INITIATIVES.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MEDALLION EVENTNameOfEvent1
Gross Receipts Event1459874GrossReceiptsEvent1
Charitable Contributions Event1284770CharitableContributionsEvent1
Gross Revenue Event1175104GrossRevenueEvent1
Non Cash Prizes Event1107549NonCashPrizesEvent1
Other Direct Expenses Event197655OtherDirectExpensesEvent1
Name Of Event2GOLF CLASSICNameOfEvent2
Gross Receipts Event2228736GrossReceiptsEvent2
Charitable Contributions Event2121882CharitableContributionsEvent2
Gross Revenue Event2106854GrossRevenueEvent2
Non Cash Prizes Event246692NonCashPrizesEvent2
Other Direct Expenses Event257087OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events288876GrossReceiptsOtherEvents
Charitable Contrib Other Events206415CharitableContribOtherEvents
Gross Revenue Other Events82461GrossRevenueOtherEvents
Non Cash Prizes Other Events25629NonCashPrizesOtherEvents
Other Direct Expenses Other Events109999OtherDirectExpensesOtherEvents
Gross Receipts Total977486GrossReceiptsTotal
Charitable Contributions Total613067CharitableContributionsTotal
Gross Revenue Total Events364419GrossRevenueTotalEvents
Non Cash Prizes Total Events179870NonCashPrizesTotalEvents
Other Direct Expenses Total Events264741OtherDirectExpensesTotalEvents
Direct Expense Summary Events444611DirectExpenseSummaryEvents
Net Income Summary-80192NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming126334GrossRevenueOtherGaming
Non Cash Prizes Other Gaming74394NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming200OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming126334GrossRevenueTotalGaming
Non Cash Prizes Total Gaming74394NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming200OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming74594DirectExpenseSummaryGaming
Net Gaming Income Summary51740NetGamingIncomeSummary
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 GIERLINGER SPECIAL EVENTS DEPTBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACEAddressLine1
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 Expense9657176TotalCommunityBenefitExpense
Net Community Benefit Expense9657176NetCommunityBenefitExpense
Percent Of Total Expense0.02470PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense51400806TotalCommunityBenefitExpense
Direct Offsetting Revenue39553102DirectOffsettingRevenue
Net Community Benefit Expense11847704NetCommunityBenefitExpense
Percent Of Total Expense0.03020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense61057982TotalCommunityBenefitExpense
Direct Offsetting Revenue39553102DirectOffsettingRevenue
Net Community Benefit Expense21504880NetCommunityBenefitExpense
Percent Of Total Expense0.05490PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3950150TotalCommunityBenefitExpense
Direct Offsetting Revenue49014DirectOffsettingRevenue
Net Community Benefit Expense3901136NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense14051055TotalCommunityBenefitExpense
Direct Offsetting Revenue8336655DirectOffsettingRevenue
Net Community Benefit Expense5714400NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9170246TotalCommunityBenefitExpense
Direct Offsetting Revenue7409126DirectOffsettingRevenue
Net Community Benefit Expense1761120NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense572536TotalCommunityBenefitExpense
Net Community Benefit Expense572536NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27743987TotalCommunityBenefitExpense
Direct Offsetting Revenue15794795DirectOffsettingRevenue
Net Community Benefit Expense11949192NetCommunityBenefitExpense
Percent Of Total Expense0.03060PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense88801969TotalCommunityBenefitExpense
Direct Offsetting Revenue55347897DirectOffsettingRevenue
Net Community Benefit Expense33454072NetCommunityBenefitExpense
Percent Of Total Expense0.08550PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense63746TotalCommunityBuildingExpense
Net Community Building Expense63746NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense96798TotalCommunityBuildingExpense
Net Community Building Expense96798NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense15120TotalCommunityBuildingExpense
Net Community Building Expense15120NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense77551TotalCommunityBuildingExpense
Net Community Building Expense77551NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense21644TotalCommunityBuildingExpense
Net Community Building Expense21644NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense274859TotalCommunityBuildingExpense
Net Community Building Expense274859NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$22,010,333BadDebtExpenseAmount
Amount Attributable To5502583AmountAttributableTo
Amount Reimbursed By Medicare121080076AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare120109112CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall970964MedicareSurplusOrShortfall

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 Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
HENRY FORD MACOMB HOSPITAL - CLINTON
115855 19 MILE ROADCLINTON TOWNSHIPMI48038XXXX
HENRY FORD MACOMB HOSPITAL - WARREN
213355 E TEN MILE ROADWARRENMI48089XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
HENRY FORD MACOMB HOSPITAL-CLINTON TWP
1011200.0000000000001400.0000000000001XXXXXX11XXXX101X00
HENRY FORD MACOMB HOSPITAL-WARREN
2011200.0000000000001400.0000000000001XXXXXX11XXXX101X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities29NumberOfOtherFacilities

Other Facilities OtherFacilities (29 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HENRY FORD MACOMB-BRUCE TOWNSHIP MED CTR
80650 VAN DYKEBRUCE TOWNSHIPMI48065CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-CHESTERFIELD MED CNTR
30795 23 MILE ROADCHESTERFIELD TOWNSHIMI48047CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB CENTER-CLINTON TWP
16151 19 MILE ROADCLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-FRASER HEALTH CENTER
15717 15 MILE ROADFRASERMI48035CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-RICHMOND MEDICAL CNTR
31505 32 MILE ROADRICHMONDMI48062CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-SLEEP MEDICINE
15945 19 MILE ROADCLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-SHELBY OBGYN
49050 SCHOENHERRSHELBY TOWNSHIPMI48316CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-WASHINGTON TWP MED CTR
12150 30 MILE ROADWASHINGTON TOWNSHIPMI48095CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-HEMATOLOGYONCOLOGY
15520 19 MILE ROAD-SUITE 400CLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-CHESTERFIELD OBGYN
51086 FAIRCHILDCLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-EASTRIDGE FAMILY MEDIC
16570 19 MILE ROADCLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-PARK PLACE PEDIATRICS
20373 HALL ROADMACOMBMI48044CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-SHELBY OBGYN
51221 SCHOENHERRSHELBY TOWNSHIPMI48315CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-SHELBY FAMILY MED
49310 VAN DYKESHELBY TOWNSHIPMI48317CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-HARPER FAMILY MEDICINE
36539 HARPER AVENUECLINTON TOWNSHIPMI48035CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-MACOMB FAMILY MED
48924 HAYES ROADMACOMBMI48044CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-SHELBY RHEUMATOLOGY
50505 SCHOENHERR-SUITE 175SHELBY TOWNSHIPMI48315CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB-CNTR FOR HEALTH MGMT
42850 GARFIELD ROADCLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB CENTER-CLINTON TWP
43401 GARFIELD ROADCLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB CENTER-CLINTON TWP
43411 GARFIELD ROADCLINTON TOWNSHIPMI48038CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HENRY FORD MACOMB REHAB-STERLING HEIGHTS
44800 DELCO BLVDSTERLING HEIGHTSMI48313REHABILITATION SERVIES
HENRY FORD MACOMB REHAB-WARREN
3601 E ELEVEN MILE ROADWARRENMI48092REHABILITATION SERVIES
HENRY FORD MACOMB REHAB-CLINTON TWP
16301 NINETEEN NIME ROADCLINTON TOWNSHIPMI48308REHABILITATION SERVIES
HFMH-WARREN INTERNAL MEDICINE
25531 SCHOENHERRWARRENMI48089CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HFMH-WARREN MEDICAL CENTER
25625 SCHOENHERRWARRENMI48089CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HFMH-WARREN MARTIN MEDICAL CENTER
28001 SCHOENHERRWARRENMI48088CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HFMH-WARREN FAMILY MEDICINE
30205 SCHOENHERRWARRENMI48093CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HFMH-WARREN SLEEP MEDICINE
13251 E TEN MILE ROADWARRENMI48089CLINICAL/DIAGNOSTIC MEDICAL SERVICES
HFMH-WARREN VASCULAR SURGERY
27500 HOOVERWARRENMI48093CLINICAL/DIAGNOSTIC MEDICAL SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifier
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 $ 22010333.
PART II: HFMH BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HFMH INCLUDES IN ITS COMMITTMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ON THE BENEFITS OF HEALTHIER BEHAVIORS ARE HEARD. HFMH LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS IN ADDRESSING THE NEEDS OF OUR SERVICE AREA.
PART III, LINE 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 BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME"- "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED"- "LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION"- "THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL"- "THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT"- "THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES"SCHEDULE H, PART I, QUESTION 6:THE COMMUNITY BENEFIT ACTIVITIES OF HFMH 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 20D: FOR PATIENTS THAT QUALIFY UNDER THE ORGANIZATIONS 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 MACOMB HOSPITAL-CLINTON TWP
PART V, SECTION B, LINE 20D: FOR PATIENTS THAT QUALIFY UNDER THE ORGANIZATIONS 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 MACOMB HOSPITAL-WARREN
PART VI, LINE 2: HFMH 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:MICHIGAN SURGEON GENERAL'S HEALTH STATUS REPORT - HEALTH MICHIGAN 2010MACOMB COUNTY BEHAVIORAL RISK FACTOR SURVEY - 2009 (WWW.MACOMBCOUNTYMI.GOV) HEALTH RISK BEHAVIORS IN THE STATE OF MICHIGAN - 2006-2008 BEHAVIORAL RISK FACTOR SURVEYHEALTH INDICATORS AND RISK ESTIMATES BY COMMUNITY HEALTH ASSESSMENT REGIONS & LOCAL HEALTH DEPARTMENTS - MICHIGAN BEHAVIORAL RISK FACTOR SURVEY 2006-2008 COMBINEDMICHIGAN DEPARTMENT OF COMMUNITY HEALTH WEBSITE (WWW.MDCH.MI.US)BENCHMARK REPORT: THE STATE OF HOMELESSNESS IN MICHIGAN. 2007 ANNUAL REPORTMICHIGAN'S CAMPAIGN TO END HOMELESSNESS (WWW.THECAMPAIGNTOENDHOMELESSNESS.ORG)MICHIGAN CRITICAL HEALTH INDICATORS 2007 REPORT, MICHIGAN DEPARTMENT OF COMMUNITY HEALTHHEALTH DISPARITIES IMPACTING RACIAL AND ETHNIC MINORITIES IN MICHIGAN PRESENTATION, MICHIGAN DEPARTMENT OF COMMUNITY HEALTHTHOMSON MARKET EXPERT DATABASE - PROPRIETARY DATABASE OFFERING MARKET DEMOGRAPHIC AND HEALTHCARE UTILIZATION DATAMICHIGAN HEALTH AND HOSPITAL ASSOCIATIONOFFICIAL RESOLUTION OF THE BOARD OF COMMISSIONERS, MACOMB COUNTY, MICHIGAN
PART VI, LINE 3: HFMH HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HFMH FOLLOWS THE HFHS CHARITY CARE POLICY. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF IS TRAINED WITH REGARD TO HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HFMH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFMH HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS.
PART VI, LINE 4: HFMH DEFINES THE COMMUNITIES SERVED BASED ON GEOGRAPHIC AREAS GENERATING THE HIGHEST INPATIENT VOLUMES. THIS INCLUDES ALL REGIONS OF MACOMB COUNTY AS WELL AS FIVE ZIP CODES IN NORTHERN WAYNE COUNTY. THE NUMBER OF RESIDENTS IN THIS REGION IS EXPECTED TO INCREASE BY 1.5 % OVER THE NEXT FIVE 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 3.6%. THE REGION IS MADE UP OF 36 ZIP CODES IN MACOMB COUNTY AND FIVE IN NORTHERN WAYNE COUNTY, WITH A POPULATION OF JUST OVER 1 MILLION AND WITH 51% BEING FEMALE.THE AGE DISTRIBUTION IS SIMILAR TO THE NATIONAL NORMS WITH 24% OF THE POPULATION BEING UNDER THE AGE OF 18 AND APPROXIMATELY 13% BEING AGE 65 OR OVER. HOWEVER,IT IS EXPECTED THAT THIS POPULATION WILL AGE SIGNIFICANTLY OVER THE COMING 20 YEARS WITH THE EXPECTATION THAT THE OVER 65 GROUP WILL INCREASE TO 25% BY 2035. THE SERVICES AREA IS DIVERSE IN REGARDS TO POPULATION, RACIAL/ETHNIC COMPOSITION, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE SECTOR REMAINS THE LARGEST EMPLOYER IN THE SECTOR, WITH HEALTHCARE FOLLOWING. UNEMPLOYMENT IS ESTIMATED TO BE NEARLY TWICE THE NATIONAL AVERAGE AND ONLY 17% OF THE RESIDENTS HAVING A COLLEGE LEVEL DEGREE. THE RACIAL COMPOSITION IS 73% WHITE, 19% BLACK AND 3% ASIAN AND 2% HISPANIC. THE REGION ENCOMPASSES TREMENDOUS VARIABILITY OF RESOURCES. ON AVERAGE, HOUSEHOLD INCOME TRACKS NEAR THE NATIONAL AVERAGE. HOWEVER, FOUR OF THE COMMUNITIES IN NORTHERN WAYNE COUNTY AND SIX IN SOUTH CENTRAL MACOMB COUNTY WHEN CONSIDERED TOGETHER AVERAGE HOUSEHOLD INCOMES NEARLY 30% BELOW THE NATIONAL NORM, HAVE MUCH GREATER ETHNIC DIVERSITY AND A MUCH HIGHER PERCENTAGE OF RESIDENTS WITHOUT HIGH SCHOOL COMPLETION. 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. POCKETS OF THE REGION WITH LOWER EDUCATION LEVELS EXHIBIT BEHAVIORAL CORRELATIONS WITH HIGH RISK BEHAVIORS SUCH AS HIGH CONSUMPTION OF ALCOHOL, SMOKING, AND LACK OF PHYSICAL ACTIVITY, POOR NUTRITION, AND OBESITY. THESE ALL CONTRIBUTE TO EARLY ONSET OF MANY CHRONIC CONDITIONS.
PART VI, LINE 5: HENRY FORD MACOMB HOSPITALS (HFMH) IS PART OF HENRY FORD HEALTH SYSTEM, ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING ALL OF SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS ACTIVITIES OF THE CLINTON TOWNSHIP CAMPUS OF HFMH, WHICH INCLUDES APPROXIMATELY 400 INPATIENT BEDS WITH AN OPEN MEDICAL STAFF, A BEHAVIORAL HEALTH FACILITY, AS WELL AS SEVERAL OUTPATIENT LOCATIONS SERVING THE MACOMB COUNTY AREA OF MICHIGAN. HFMH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, OBSTETRICS, PEDIATRICS, CARDIAC CARE, PHYSICAL AND REHABILITATION MEDICINE, AMBULATORY SURGERY, INPATIENT AND OUTPATIENT BEHAVIORAL SERVICES, AND 24 HOUR EMERGENCY CARE.
PART VI, LINE 6: THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS

Schedule J IRS990ScheduleJ

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 Org0CompBasedOnRevenueOfFilingOrg
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
DIANE L SAYERS DO
TRUSTEE028764504034603962028795023731038447900
ROBERT G RINEY
TRUSTEE0893875058188602026830312950208940173063300
BARBARA W ROSSMANN
PRESIDENT / TRUSTEE466218025439105857720949950236020142497805106810
JAMES M CONNELLY
TREASURER0649285044114001849300287950192880132343800
EDITH L EISENMANN
SECRETARY0172474044910019983024584010158027210900
TERRY A GOODBALIAN
ASSISTANT TREASURER/CFO213979051791046310246280273170322346000
GARY BEAULAC
CHIEF OPERATING OFFICER2668990803420206380262950230830417257000
MICHAEL CERVENAK
VP-ORG STRATEGY236332054663020040287950214510343245000
JOANNA R PEASE DO
CHIEF MEDICAL OFFICER288413084925024760262950145780416687000
ANDREW AGOSTA MD
PHYSICIAN41490903874001107470424950201450627036000
MICHAEL HENDERSON MD
PHYSICIAN29733901034390352050262950273080489586000
TIMOTHY KIM MD
PHYSICIAN2986470649870462730285450176320456084000
RONALD LEVIN MD
PHYSICIAN419226019574903080690285460157890967379000
MARK T RYAN MD
PHYSICIAN366256023256204842502491104200672574000
STEVEN HATHAWAY
FORMER CFO/TREASURER026108708086706681041295025002041493200

Form990 Schedule J Part III Form990ScheduleJPartIII (2 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. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP ALSO HAVE THE OPTION TO PARTICIPATE IN NON-QUALIFIED 457 BENEFIT PROGRAMS WHICH RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS.
PART I, LINE 4BSCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE REPORTABLE VALUE OF 2012 ACCRUAL 2012 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT JAMES CONNELLY 163,489 - 163,489 ROBERT RINEY 182,470 - 182,470 BARBARA ROSSMANN 44,003 - 44,003 CONTRIBUTIONS TO SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2012 CONTRIBUTIONS 2012 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA ROSSMANN 5,594 11,406 168 17,168 RONALD LEVIN, M.D. - 1,796 26 1,822 ANDREW AGOSTA, M.D. 10,576 6,424 95 17,095 JAMES CONNELLY 109 17,000 250 17,359 STEVEN HATHAWAY - 1,753 26 1,779 GARY BEAULAC 15,225 1,775 26 17,026 TIMOTHY KIM, M.D. - 1,741 26 1,767 JOANNA PEASE, M.D. - 1,750 26 1,776 ROBERT RINEY - 17,000 250 17,250 MARK RYAN, M.D. 13,800 2,700 40 16,540 EDITH EISENMANN 17,000 - - 17,000 ACCRUALS TO SELECT SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN TAXABLE 2012 ACCRUALS 2012 DISTRIBUTIONS BARBARA ROSSMANN 46,000 510,681

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ADVANCED CARDIOTHORACIC SURGEONS PLLC
SEE BELOW390000SEE BELOW0
MARTIN BEAULAC
SEE BELOW174444SEE BELOW0
JONATHAN BEAULAC
SEE BELOW25641SEE BELOW0
ROSEMARY MINJEUR
SEE BELOW69489SEE BELOW0
RAYMOND MINJEUR
SEE BELOW67099SEE BELOW0
COLLEEN HARRINGTON
SEE BELOW19288SEE BELOW0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
Explanation(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OWNER/TRUSTEE(D) DESCRIPTION OF TRANSACTION: PAYMENT FOR MEDICAL SERVICES(A) NAME OF PERSON: MARTIN BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: JONATHAN BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: ROSEMARY MINJEUR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: RAYMOND MINJEUR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: COLLEEN HARRINGTON(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/TRUSTEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATIONExplanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9908438NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XEVENT CONTRIBUTIONS150270928FAIR MARKET VALUE
XMISCELLANEOUS1022423FAIR MARKET VALUE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:PART I, COLUMN (B):REFLECTS THE NUMBER OF CONTRIBUTIONS
THIRD PARTY USE:PART I, LINE 32B:BROKERAGE FIRM SELLS DONATIONS OF STOCK

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A TAX EXEMPT STOCK CORPORATION AND HENRY FORD HEALTH SYSTEM HOLDS ALL OF THE ISSUED AND OUTSTANDING SHARES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE STOCK HOLDER OF THE ORGANIZATION, HFHS HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS.
FORM 990, PART VI, SECTION A, LINE 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:MINIMUM PENSION LIABILITY ADJUSTMENT 1,512,314. DISCONTINUED OPERATIONS -18,714,466.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 - PART XII - LINE 2CHENRY FORD MACOMB 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 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 I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MERCY MOUNT CLEMENS REAL ESTATE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE FORD PLACEAddressLine1
CityDETROITCity
StateMIState
ZIP Code48202ZIPCode
FieldValueIRS element (for citing)
EIN382947657EIN
Primary ActivitiesREAL ESTATEPrimaryActivities
Legal Domicile StateMILegalDomicileState
Total Income25000TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD MACOMB HOSPITAL CORPORATIONBusinessNameLine1

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 WYANDOTTE HOSPITAL
2333 BIDDLE AVEWYANDOTTEMI48192382791823HEALTHCARE SERVICE PROVIDERMI501(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 MEDICAL 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 StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
HORIZON PROPERTIES INC
ONE FORD PLACEDETROITMI48202382679527REAL ESTATE - LESSOR BUILDINGSMIN/AC1134046765451.000001
FAIRLANE HEALTH SERVICES
30100 TELEGRAPHBINGHAM FARMSMI48025382565235HEALTHCARE MANAGEMENTMIC1HENRY FORD HEALTH SYSTEM
ALLIANCE HEALTH AND LIFE INSURANCE
2850 W GRAND BLVDDETROITMI48202383291563HEALTH INSURANCE PROVIDERMIC1HEALTH ALLIANCE PLAN
HAP PREFERRED INC
2850 W GRAND BLVDDETROITMI48202382513504PROVIDER NETWORK LEASINGMIC1HEALTH ALLIANCE PLAN
SHA REALTY INC
ONE FORD PLACEDETROITMI48202381378121REAL ESTATE HOLDINGMIC1HENRY FORD HEALTH SYSTEM
FIRST OPTOMETRY EYE CARE CENTERS INC
655 W 13 MILE RDMADISON HEIGHTSMI48071382299059FRANCHISING EYE CARE CENTERSMIC1HENRY FORD HEALTH SYSTEM
FIRST OPTOMETRY VISION PLANS INC
655 W 13 MILE RDMADISON HEIGHTSMI48071382594841VISION CARE PLANSMIC1HENRY FORD HEALTH SYSTEM
ONIKA INSURANCE LTD
CAPTIVE INSURANCEC1HENRY FORD HEALTH SYSTEMFIRST CARRIBEAN HOUSEGRAND CAYMANCJCJ
HENRY FORD PHYSICIAN NETWORK
ONE FORD PLACEDETROITMI48202320306774PHYSICIAN NETWORKMIC1HENRY FORD HEALTH SYSTEM
ADMINISTRATION SYSTEMS RESEARCH CORPORATION
2850 W GRAND BLVDDETROITMI48202382651185THIRD PARTY INSURANCE ADMINISTRATORMIC1HEALTH ALLIANCE PLAN
MIDWEST HEALTH PLAN
4700 SHAEFER ROAD SUITE 340DEARBORNMI48126383123777HEALTH INSURANCE PROVIDERMIC1HEALTH ALLIANCE PLAN
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 Organization1DividendsRelatedOrganization
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH ALLIANCE PLAN
L45657585CASH VALUE
HEALTH ALLIANCE PLAN
M22365305CASH VALUE
HFHS SELF FUNDED LIABILITY
P2450000CASH VALUE
ONIKA INSURANCE LTD
P1570000CASH VALUE
HORIZON PROPERTIES INC
F332500CASH VALUE

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.