HENRY FORD MACOMB HOSPITAL CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD MACOMB HOSPITAL CORPORATION (EIN 38-2947657)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201233189349302743
Schema version
2011v1.2
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)
Timestamp2012-11-13T13:11:28-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts507103127GrossReceipts
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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees5166TotalNbrEmployees
Total Nbr Volunteers871TotalNbrVolunteers
Total Gross UBI572190TotalGrossUBI
Net Unrelated Business Txbl Income-614678NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1201571ContributionsGrantsPriorYear
Contributions Grants Current Year3302882ContributionsGrantsCurrentYear
Program Service Revenue Prior Year446886250ProgramServiceRevenuePriorYear
Program Service Revenue CY493565368ProgramServiceRevenueCY
Investment Income Prior Year958026InvestmentIncomePriorYear
Investment Income Current Year1184360InvestmentIncomeCurrentYear
Other Revenue Prior Year6143495OtherRevenuePriorYear
Other Revenue Current Year6384510OtherRevenueCurrentYear
Total Revenue Prior Year455189342TotalRevenuePriorYear
Total Revenue Current Year504437120TotalRevenueCurrentYear
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 Year225038016SalariesEtcPriorYear
Salaries Etc Current Year250937922SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year374606TotalFundrsngExpCurrentYear
Other Expense Prior Year234798069OtherExpensePriorYear
Other Expenses Current Year281052695OtherExpensesCurrentYear
Total Expenses Prior Year459836085TotalExpensesPriorYear
Total Expenses Current Year531990617TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4646743RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-27553497RevenuesLessExpensesCY
Total Assets BOY350606680TotalAssetsBOY
Total Assets EOY322185740TotalAssetsEOY
Total Liabilities BOY247991656TotalLiabilitiesBOY
Total Liabilities EOY254719568TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY102615024NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY67466172NetAssetsOrFundBalancesEOY
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
Expense370247033Expense
Revenue351459408Revenue
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 2011 HFMH HAD 31,033 DISCHARGES, AND 156,323 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 MACOMB HOSPITAL - WARREN OFFERS SUPERIOR EMERGENCY, INPATIENT REHABILITATION, MEDICAL AND SURGICAL CARE. THE CAMPUS FEATURES A BARIATRIC SURGERY CENTER OF EXCELLENCE, A CENTER FOR JOINT REPLACEMENT, A SPECIALIZED STROKE PROGRAM, TRAUMA SERVICES, PLUS A UNIQUE ACUTE CARE OF THE ELDERLY UNIT TO SERVE THE SPECIAL NEEDS OF PATIENTS 65 AND OLDER. THE HOSPITAL ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES, INCLUDING LEADING IMAGING TECHNOLOGY PLUS PHYSICAL THERAPY, CARDIAC REHAB, PULMONARY REHAB AND PRIMARY AND SPECIALTY CARE PHYSICIAN OFFICES ON CAMPUS.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 116 MEDICAL RESIDENTS DURING 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense77049659Expense
Revenue89896993Revenue
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 2011.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense37638156Expense
Revenue42873674Revenue
DescriptionHFMH OPERATES TWO 24-HOUR EMERGENCY FACILITIES. EMERGENCY SERVICES REPRESENTED 90,264 PATIENT VISITS DURING 2011.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense4392048Expense
Revenue12399456Revenue
DescriptionOTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4392048TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev12399456TotalOfOtherProgramServiceRev
Total Program Service Expense489326896TotalProgramServiceExpense
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
Gaming0Gaming
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 With1096263NumberFormsTransmittedWith1096
Number W2 G Included19NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees5166NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ALANDT PAUL D
TRUSTEE1.00X000
BERGMAN RSM MYRA
TRUSTEE1.00X000
CALLAGHAN PHD EDWARD D
TRUSTEE1.00X000
HUSAIN MD S NASIR
PHYSICIAN TRUSTEE1.00X000
DIMITRIJEVIC MD RODOLJUB
PHYSICIAN TRUSTEE1.00X3960000
HARRINGTON MD STEVEN D
TRUSTEE1.00X000
KINNER DO CAROLANN K
PHYSICIAN TRUSTEE1.00X000
LOPE RAYMOND C
TRUSTEE1.00X000
LORENZO PHD ALBERT L
TRUSTEE-CHAIR2.00X000X
MELDRUM THOMAS B
TRUSTEE1.00X000
MORELLI SR WILLIAM A
TRUSTEE1.00X000
PESTA DO CARL M
PHYSICIAN TRUSTEE1.00X9200000
SHEHADEH DO LAILA
PHYSICIAN TRUSTEE1.00X241040040145
RICHARDSON ROSS C
TRUSTEE1.00X000
RINEY ROBERT G
TRUSTEE1.00X0156928141971
ROSSMANN BARBARA W
PRESIDENT / TRUSTEE60.00X7230190155808XX
SAYERS DO DIANE
PHYSICIAN TRUSTEE1.00X031772547082
CERVENAK MICHAEL
TRUSTEE1.00X299565044715
VIVIANO ANTHONY J
TRUSTEE1.00X000
WULF ANDREA L
TRUSTEE / VICE CHAIR2.00X000X
THOMPSON DD JAMES E
TRUSTEE1.00X000
GIRODAT DAVID F
TRUSTEE1.00X000
EISENMANN EDITH L
SECRETARY5.00021193129942X
CONNELLY JAMES M
TREASURER5.000127351239986X
GOODBALIAN TERRY A
CHIEF FINANCIAL OFFICER60.00284141045589XX
BEAULAC GARY
CHIEF OPERATING OFFICER60.00391504042140X
PEASE DO JOANNA R
PHYSICIAN60.00324996036740X
AGOSTA MD ANDREW M
PHYSICIAN60.00558538052197X
LEVIN MD RONALD
PHYSICIAN60.00691139038680X
RYANDO MARK T
PHYSICIAN60.0064724408151X
SCOTT DO FREMONT
PHYSICIAN60.00614443038888X
HILL DO DEREK
PHYSICIAN60.00465628033748X
HATHAWAY STEPHEN J
FORMER CFO/TREASURER0.00035913156953X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5372857TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3731580TotalReportableCompFrmRltdOrgs
Total Other Compensation752735TotalOtherCompensation
Number Individuals GT100 K204NumberIndividualsGT100K
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 CONSULTING14601259
MICHIGAN COTENANCY LABORATORIES
DEPT CH 14271PALATINEIL60055LABORATORY SERVICES1386918
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688PHILADELPHIAPA19182EHR SERVICES1141593
INTEGRATED SUPPLY CHAIN SOLUTIONS LLC
1600 EAST GRAND BLVDDETROITMI48211SUPPLY CHAIN939370
ADVOMAS
335 E BIG BEAVER RD SUITE 100TROYMI48083PATIENT FINANCE SVCS890618
FieldValueIRS element (for citing)
Number Of Contractors GT100 K48NumberOfContractorsGT100K
Fundraising Events589165FundraisingEvents
All Other Contributions2713717AllOtherContributions
Noncash Contributions210609NoncashContributions
Total Contributions3302882TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL SERVICES900099343986820343986820
OUTPATIENT SERVICES6214008989699389896993
EMERGENCY SERVICES9000994287367442873674
MEDICAL EDUCATION-GME90009974725887472588

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column9335293TotalRevenueColumn
Related Or Exempt Function Income8763103RelatedOrExemptFunctionIncome
Unrelated Business Revenue572190UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue493565368TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column981997TotalRevenueColumn
Exclusion$981,997ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1276861Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1276861Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1276861TotalRevenueColumn
Exclusion$1,276,861ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities156378Securities
Other2308899Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2262914Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities156378Securities
Other45985Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column202363TotalRevenueColumn
Related Or Exempt Function Income45985RelatedOrExemptFunctionIncome
Exclusion$156,378ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events349424GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events589165CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses403093FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-53669TotalRevenueColumn
Exclusion-$53,669ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA9000991570950$1,570,950
JOINT VENTURES90009911302781130278
GIFT SHOP453220740788740788

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1719302TotalRevenueColumn
Related Or Exempt Function Income1719302RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5161318TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column504437120TotalRevenueColumn
Related Or Exempt Function Income496629531RelatedOrExemptFunctionIncome
Unrelated Business Revenue572190UnrelatedBusinessRevenue
Exclusion$3,932,517ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2808085Total
Program Services1038425ProgramServices
Management And General1670336ManagementAndGeneral
Fundraising99324Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total562462Total
Program Services562462ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total200568974Total
Program Services194430841ProgramServices
Management And General5997870ManagementAndGeneral
Fundraising140263Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10025701Total
Program Services9636953ProgramServices
Management And General381853ManagementAndGeneral
Fundraising6895Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23174032Total
Program Services22275455ProgramServices
Management And General882639ManagementAndGeneral
Fundraising15938Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13798668Total
Program Services13263622ProgramServices
Management And General525556ManagementAndGeneral
Fundraising9490Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total108200Total
Management And General108200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35653348Total
Program Services31917655ProgramServices
Management And General3734739ManagementAndGeneral
Fundraising954Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2131035Total
Program Services487188ProgramServices
Management And General1639752ManagementAndGeneral
Fundraising4095Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10954080Total
Program Services9850501ProgramServices
Management And General1099713ManagementAndGeneral
Fundraising3866Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9307313Total
Program Services9159352ProgramServices
Management And General147961ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10536911Total
Program Services9204001ProgramServices
Management And General1287406ManagementAndGeneral
Fundraising45504Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total489319Total
Program Services406715ProgramServices
Management And General63922ManagementAndGeneral
Fundraising18682Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total285586Total
Program Services285586ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total6989273Total
Program Services139241ProgramServices
Management And General6850032ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21250090Total
Program Services19819047ProgramServices
Management And General1420360ManagementAndGeneral
Fundraising10683Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4810394Total
Program Services1584224ProgramServices
Management And General3226170ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES8323853083082494156036
BAD DEBT EXPENSE2857400128574001
REPAIRS & MAINTENANCE95175809320990196590
QUAAP TAX92016619201661

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total48005374Total
Program Services35086482ProgramServices
Management And General12899980ManagementAndGeneral
Fundraising18912Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total531990617Total
Program Services489326896ProgramServices
Management And General42289115ManagementAndGeneral
Fundraising374606Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11856BOY
EOY11520EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55358044BOY
EOY55608314EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY928114BOY
EOY592691EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51056398BOY
EOY48446927EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9055865BOY
EOY9454860EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5256493BOY
EOY4472724EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis310426082LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec148974282LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY190301046BOY
EOY161451800EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26710143BOY
EOY29097564EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY278345EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY689092BOY
EOY675451EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY73920BOY
EOY73920EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11165709BOY
EOY12021624EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY350606680BOY
EOY322185740EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35435167BOY
EOY31168062EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY163421590BOY
EOY160625461EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY49134899BOY
EOY62926045EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY247991656BOY
EOY254719568EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY94708530BOY
EOY57962742EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5687481BOY
EOY7348507EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2219013BOY
EOY2154923EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY102615024BOY
EOY67466172EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY350606680BOY
EOY322185740EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-27553497ReconcilationRevenueExpenses
Reconcilation Other Changes-7595355ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Balance7906493BeginningOfYearBalance
Contributions3249213Contributions
Investment Earnings Or Losses-11640InvestmentEarningsOrLosses
Other Expenditures1640636OtherExpenditures
End Of Year Balance9503430EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2089568BeginningOfYearBalance
Contributions-492533Contributions
Other Expenditures312541OtherExpenditures
End Of Year Balance1284494EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.22680PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.77320TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12482134OtherCostOrOtherBasis
Book Value12482134BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis172154064OtherCostOrOtherBasis
Depreciation55847062Depreciation
Book Value116307002BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis840948OtherCostOrOtherBasis
Depreciation308130Depreciation
Book Value532818BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis122183667OtherCostOrOtherBasis
Depreciation92819090Depreciation
Book Value29364577BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2765269OtherCostOrOtherBasis
Book Value2765269BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings161451800TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE LIABILITY$20,656,322
CORPORATE RESERVE$4,446,848
WORKERS COMP LIABILITY$3,099,024
DEFERRED COMPENSATION$2,666,145
RETIREMENT ANNUITY$16,120,349
POST RETIREMENT BENEFITS$15,380,273
OTHER LONG TERM LIABILITIES$557,084
FieldValueIRS element (for citing)
Total Of Amounts62926045TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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:THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2011 AND 2010.
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 Event1384566GrossReceiptsEvent1
Charitable Contributions Event1239917CharitableContributionsEvent1
Gross Revenue Event1144649GrossRevenueEvent1
Non Cash Prizes Event159433NonCashPrizesEvent1
Other Direct Expenses Event1100167OtherDirectExpensesEvent1
Name Of Event2SHOWTIME EVENTNameOfEvent2
Gross Receipts Event2244221GrossReceiptsEvent2
Charitable Contributions Event2197949CharitableContributionsEvent2
Gross Revenue Event246272GrossRevenueEvent2
Non Cash Prizes Event21090NonCashPrizesEvent2
Other Direct Expenses Event287831OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events309802GrossReceiptsOtherEvents
Charitable Contrib Other Events151299CharitableContribOtherEvents
Gross Revenue Other Events158503GrossRevenueOtherEvents
Non Cash Prizes Other Events54919NonCashPrizesOtherEvents
Other Direct Expenses Other Events99653OtherDirectExpensesOtherEvents
Gross Receipts Total938589GrossReceiptsTotal
Charitable Contributions Total589165CharitableContributionsTotal
Gross Revenue Total Events349424GrossRevenueTotalEvents
Non Cash Prizes Total Events115442NonCashPrizesTotalEvents
Other Direct Expenses Total Events287651OtherDirectExpensesTotalEvents
Direct Expense Summary Events403093DirectExpenseSummaryEvents
Net Income Summary-53669NetIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1CHRISTINE ANDREWS PHILANTHROPHY 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 Expense5906167TotalCommunityBenefitExpense
Net Community Benefit Expense5906167NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense65599370TotalCommunityBenefitExpense
Direct Offsetting Revenue46813040DirectOffsettingRevenue
Net Community Benefit Expense18786330NetCommunityBenefitExpense
Percent Of Total Expense0.03730PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense71505537TotalCommunityBenefitExpense
Direct Offsetting Revenue46813040DirectOffsettingRevenue
Net Community Benefit Expense24692497NetCommunityBenefitExpense
Percent Of Total Expense0.04900PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3847033TotalCommunityBenefitExpense
Direct Offsetting Revenue63204DirectOffsettingRevenue
Net Community Benefit Expense3783829NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense17273262TotalCommunityBenefitExpense
Direct Offsetting Revenue7472588DirectOffsettingRevenue
Net Community Benefit Expense9800674NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense11303303TotalCommunityBenefitExpense
Direct Offsetting Revenue8100607DirectOffsettingRevenue
Net Community Benefit Expense3202696NetCommunityBenefitExpense
Percent Of Total Expense0.00640PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense431798TotalCommunityBenefitExpense
Direct Offsetting Revenue21600DirectOffsettingRevenue
Net Community Benefit Expense410198NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense32855396TotalCommunityBenefitExpense
Direct Offsetting Revenue15657999DirectOffsettingRevenue
Net Community Benefit Expense17197397NetCommunityBenefitExpense
Percent Of Total Expense0.03420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense104360933TotalCommunityBenefitExpense
Direct Offsetting Revenue62471039DirectOffsettingRevenue
Net Community Benefit Expense41889894NetCommunityBenefitExpense
Percent Of Total Expense0.08320PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense194771TotalCommunityBuildingExpense
Net Community Building Expense194771NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense24832TotalCommunityBuildingExpense
Net Community Building Expense24832NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense124672TotalCommunityBuildingExpense
Net Community Building Expense124672NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense59485TotalCommunityBuildingExpense
Net Community Building Expense59485NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense7500TotalCommunityBuildingExpense
Net Community Building Expense7500NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense411260TotalCommunityBuildingExpense
Net Community Building Expense411260NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$28,574,001BadDebtExpenseAmount
Amount Attributable To14287000AmountAttributableTo
Amount Reimbursed By Medicare145569166AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare145742768CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-173602MedicareSurplusOrShortfall

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 $ 28574001.
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 19D: 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 19D: 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 (16 entries)

Base 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
SHEHADEH DO LAILA
2377460270805860250470150980281185000
RINEY ROBERT G
0788460057933302014880220970198740161125200
ROSSMANN BARBARA W
414747022506608320601328500229580878827000
SAYERS DO DIANE
027507703980802840024372022710036480700
CERVENAK MICHAEL
234985062636019440249790197360344280000
EISENMANN EDITH L
0138674054560018697017607012335024187300
CONNELLY JAMES M
0607114046011902062790196470203390131349800
GOODBALIAN TERRY A
212711066881045490215040240850329730000
BEAULAC GARY
26206401093070201330217780203620433644000
PEASE DO JOANNA R
240599080145042520227580139820361736000
AGOSTA MD ANDREW M
4481200169340934840330730191240610735000
LEVIN MD RONALD
4142930272049047970209160177640729819000
RYANDO MARK T
36625702325620484250773104200655395000
SCOTT DO FREMONT
4870700902400371330171970216910653331000
HILL DO DEREK
32028501201920251510190000147480499376000
HATHAWAY STEPHEN J
026244009011506576036734020219041608400

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 2011. 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 2011 ACCRUAL 2011 DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT JAMES CONNELLY 175,059 - 175,059 ROBERT RINEY 181,833 - 181,833 BARBARA ROSSMANN 59,044 - 59,044 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2011 CONTRIBUTIONS 2011 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA ROSSMANN 6,455 10,035 148 16,638 RONALD LEVIN, M.D. - 1,971 29 2,000 ANDREW AGOSTA, M.D. 13,047 3,453 51 16,551 STEVEN HATHAWAY - 1,650 24 1,674 GARY BEAULAC 15,051 1,449 21 16,521 ROBERT RINEY - 16,500 243 16,743 EDITH EISENMANN 16,500 - - 16,500 ACCRUALS TO SELECT SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN 2011 ACCRUALS BARBARA ROSSMANN 92,000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ADVANCED CARDIOTHORACIC SURGEONS PLLC
SEE BELOW534387SEE BELOW0
WILMA DIMITRIJEVIC MD
SEE BELOW270651SEE BELOW0
MARTIN BEAULAC
SEE BELOW174736SEE BELOW0
ROSEMARY MINJEUR
SEE BELOW68598SEE BELOW0
RAYMOND MINJEUR
SEE BELOW48477SEE BELOW0
COLLEEN HARRINGTON
SEE BELOW15216SEE 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: WILMA DIMITRIJEVIC, M.D.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/TRUSTEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(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: 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

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XEVENT COSTS3196094FAIR MARKET VALUE
XEVENT PRIZES12070726FAIR MARKET VALUE
XMISCELLANEOUS1843789FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

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 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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -296,027. MINIMUM PENSION LIABILITY ADJUSTMENT -7,299,328. AFFILIATE EQUITY TRANSFER TOTAL TO FORM 990, PART XI, LINE 5: -7,595,355.CHANGES IN NET ASSETS OR FUND BALANCES:
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 NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (7 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

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
NORTHWEST DETROIT DIALYSIS
30100 TELEGRAPHBINGHAM FARMSMI48025383232668OPERATE DIALYSIS CLINICMIN/AN/A00
DIALYSIS PARTNERS OF NW OHIO
30100 TELEGRAPHBINGHAM FARMSMI48025341877956OPERATE DIALYSIS CLINICOHN/AN/A00
MACOMB REGIONAL DIALYSIS CENTERS
16151 NINETEEN MILE RDCLINTON TOWNSHIPMI48038260423581OPERATE DIALYSIS CLINICSMIN/AN/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 OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HORIZON PROPERTIES INC
ONE FORD PLACEDETROITMI48202382679527REAL ESTATE - LESSOR BUILDINGSMIN/AC776745976441.00000
FAIRLANE HEALTH SERVICES
30100 TELEGRAPHBINGHAM FARMSMI48025382565235HEALTHCARE MANAGEMENTMIN/AC
ALLIANCE HEALTH AND LIFE INSURANCE
2850 W GRAND BLVDDETROITMI48202383291563HEALTH INSURANCE PROVIDERMIN/AC
HAP PREFERRED INC
2850 W GRAND BLVDDETROITMI48202382513504PROVIDER NETWORK LEASINGMIN/AC
SHA REALTY INC
ONE FORD PLACEDETROITMI48202381378121REAL ESTATE HOLDINGMIN/AC
FIRST OPTOMETRY EYE CARE CENTERS INC
655 W 13 MILE RDMADISON HEIGHTSMI48071382299059FRANCHISING EYE CARE CENTERSMIN/AC
FIRST OPTOMETRY VISION PLANS INC
655 W 13 MILE RDMADISON HEIGHTSMI48071382594841VISION CARE PLANSMIN/AC
ONIKA INSURANCE LTD
CAPTIVE INSURANCEN/ACFIRST CARRIBEAN HOUSEGRAND CAYMANCJCJ
HENRY FORD PHYSICIAN NETWORK
ONE FORD PLACEDETROITMI48202320306774PHYSICIAN NETWORKMIN/AC
ADMINISTRATION SYSTEMS RESEARCH CORPORATION
2850 W GRAND BLVDDETROITMI48202382651185THIRD PARTY INSURANCE ADMINISTRATORMICHEALTH ALLIANCE PLAN
MIDWEST HEALTH PLAN
4700 SHAEFER ROAD SUITE 340DEARBORNMI48126383123777HEALTH INSURANCE PROVIDERMICHEALTH 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
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
K43514939CASH VALUE
HEALTH ALLIANCE PLAN
L24728135CASH VALUE
HFHS SELF FUNDED LIABILITY
O1970000CASH VALUE
ONIKA INSURANCE LTD
O1260000CASH VALUE

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