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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T13:11:28-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382947657 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY FORD MACOMB HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HENR | NameControl |
| Phone | 3138768714 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE - 5F | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES CONNELLY | Name |
| Title | TREASURER | Title |
| Phone | 3138768714 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES CONNELLY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE - 5F | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 507103127 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HENRYFORD.COM/HOMEPAGE_MACOMB | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | DE | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5166 | TotalNbrEmployees |
| Total Nbr Volunteers | 871 | TotalNbrVolunteers |
| Total Gross UBI | 572190 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -614678 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1201571 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3302882 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 446886250 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 493565368 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 958026 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1184360 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6143495 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6384510 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 455189342 | TotalRevenuePriorYear |
| Total Revenue Current Year | 504437120 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 225038016 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 250937922 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 374606 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 234798069 | OtherExpensePriorYear |
| Other Expenses Current Year | 281052695 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 459836085 | TotalExpensesPriorYear |
| Total Expenses Current Year | 531990617 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4646743 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -27553497 | RevenuesLessExpensesCY |
| Total Assets BOY | 350606680 | TotalAssetsBOY |
| Total Assets EOY | 322185740 | TotalAssetsEOY |
| Total Liabilities BOY | 247991656 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 254719568 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 102615024 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 67466172 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HENRY FORD MACOMB HOSPITAL (HFMH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM SERVING THE NORTHEASTERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFMH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFMH IS COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF ALL OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES FINANCING AND HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 370247033 | Expense |
| Revenue | 351459408 | Revenue |
| Description | HFMH IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF THE MACOMB COUNTY MICHIGAN AS WELL AS ALL OF THE OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 77049659 | Expense |
| Revenue | 89896993 | Revenue |
| Description | HFMH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 37638156 | Expense |
| Revenue | 42873674 | Revenue |
| Description | HFMH OPERATES TWO 24-HOUR EMERGENCY FACILITIES. EMERGENCY SERVICES REPRESENTED 90,264 PATIENT VISITS DURING 2011. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4392048 | Expense |
| Revenue | 12399456 | Revenue |
| Description | OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 4392048 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 12399456 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 489326896 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 263 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 19 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 5166 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES CONNELLY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3138768714 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| ALANDT PAUL D | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| BERGMAN RSM MYRA | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| CALLAGHAN PHD EDWARD D | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| HUSAIN MD S NASIR | |||||||||
| PHYSICIAN TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DIMITRIJEVIC MD RODOLJUB | |||||||||
| PHYSICIAN TRUSTEE | 1.00 | X | 39600 | 0 | 0 | ||||
| HARRINGTON MD STEVEN D | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| KINNER DO CAROLANN K | |||||||||
| PHYSICIAN TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| LOPE RAYMOND C | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| LORENZO PHD ALBERT L | |||||||||
| TRUSTEE-CHAIR | 2.00 | X | 0 | 0 | 0 | X | |||
| MELDRUM THOMAS B | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| MORELLI SR WILLIAM A | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| PESTA DO CARL M | |||||||||
| PHYSICIAN TRUSTEE | 1.00 | X | 92000 | 0 | 0 | ||||
| SHEHADEH DO LAILA | |||||||||
| PHYSICIAN TRUSTEE | 1.00 | X | 241040 | 0 | 40145 | ||||
| RICHARDSON ROSS C | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| RINEY ROBERT G | |||||||||
| TRUSTEE | 1.00 | X | 0 | 1569281 | 41971 | ||||
| ROSSMANN BARBARA W | |||||||||
| PRESIDENT / TRUSTEE | 60.00 | X | 723019 | 0 | 155808 | X | X | ||
| SAYERS DO DIANE | |||||||||
| PHYSICIAN TRUSTEE | 1.00 | X | 0 | 317725 | 47082 | ||||
| CERVENAK MICHAEL | |||||||||
| TRUSTEE | 1.00 | X | 299565 | 0 | 44715 | ||||
| VIVIANO ANTHONY J | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| WULF ANDREA L | |||||||||
| TRUSTEE / VICE CHAIR | 2.00 | X | 0 | 0 | 0 | X | |||
| THOMPSON DD JAMES E | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| GIRODAT DAVID F | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| EISENMANN EDITH L | |||||||||
| SECRETARY | 5.00 | 0 | 211931 | 29942 | X | ||||
| CONNELLY JAMES M | |||||||||
| TREASURER | 5.00 | 0 | 1273512 | 39986 | X | ||||
| GOODBALIAN TERRY A | |||||||||
| CHIEF FINANCIAL OFFICER | 60.00 | 284141 | 0 | 45589 | X | X | |||
| BEAULAC GARY | |||||||||
| CHIEF OPERATING OFFICER | 60.00 | 391504 | 0 | 42140 | X | ||||
| PEASE DO JOANNA R | |||||||||
| PHYSICIAN | 60.00 | 324996 | 0 | 36740 | X | ||||
| AGOSTA MD ANDREW M | |||||||||
| PHYSICIAN | 60.00 | 558538 | 0 | 52197 | X | ||||
| LEVIN MD RONALD | |||||||||
| PHYSICIAN | 60.00 | 691139 | 0 | 38680 | X | ||||
| RYANDO MARK T | |||||||||
| PHYSICIAN | 60.00 | 647244 | 0 | 8151 | X | ||||
| SCOTT DO FREMONT | |||||||||
| PHYSICIAN | 60.00 | 614443 | 0 | 38888 | X | ||||
| HILL DO DEREK | |||||||||
| PHYSICIAN | 60.00 | 465628 | 0 | 33748 | X | ||||
| HATHAWAY STEPHEN J | |||||||||
| FORMER CFO/TREASURER | 0.00 | 0 | 359131 | 56953 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5372857 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3731580 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 752735 | TotalOtherCompensation |
| Number Individuals GT100 K | 204 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TRINITY INFORMATION SERVICES | |||||
| 34605 WEST 12 MILE ROAD | FARMINGTON HILLS | MI | 48331 | IT CONSULTING | 14601259 |
| MICHIGAN COTENANCY LABORATORIES | |||||
| DEPT CH 14271 | PALATINE | IL | 60055 | LABORATORY SERVICES | 1386918 |
| EXECUTIVE HEALTH RESOURCES INC | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | EHR SERVICES | 1141593 |
| INTEGRATED SUPPLY CHAIN SOLUTIONS LLC | |||||
| 1600 EAST GRAND BLVD | DETROIT | MI | 48211 | SUPPLY CHAIN | 939370 |
| ADVOMAS | |||||
| 335 E BIG BEAVER RD SUITE 100 | TROY | MI | 48083 | PATIENT FINANCE SVCS | 890618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 48 | NumberOfContractorsGT100K |
| Fundraising Events | 589165 | FundraisingEvents |
| All Other Contributions | 2713717 | AllOtherContributions |
| Noncash Contributions | 210609 | NoncashContributions |
| Total Contributions | 3302882 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HOSPITAL SERVICES | 900099 | 343986820 | 343986820 |
| OUTPATIENT SERVICES | 621400 | 89896993 | 89896993 |
| EMERGENCY SERVICES | 900099 | 42873674 | 42873674 |
| MEDICAL EDUCATION-GME | 900099 | 7472588 | 7472588 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9335293 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8763103 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 572190 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 493565368 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 981997 | TotalRevenueColumn |
| Exclusion | $981,997 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1276861 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1276861 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1276861 | TotalRevenueColumn |
| Exclusion | $1,276,861 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 156378 | Securities |
| Other | 2308899 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2262914 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 156378 | Securities |
| Other | 45985 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 202363 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45985 | RelatedOrExemptFunctionIncome |
| Exclusion | $156,378 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 349424 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 589165 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 403093 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -53669 | TotalRevenueColumn |
| Exclusion | -$53,669 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA | 900099 | 1570950 | $1,570,950 | |
| JOINT VENTURES | 900099 | 1130278 | 1130278 | |
| GIFT SHOP | 453220 | 740788 | 740788 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1719302 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1719302 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5161318 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 504437120 | TotalRevenueColumn |
| Related Or Exempt Function Income | 496629531 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 572190 | UnrelatedBusinessRevenue |
| Exclusion | $3,932,517 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2808085 | Total |
| Program Services | 1038425 | ProgramServices |
| Management And General | 1670336 | ManagementAndGeneral |
| Fundraising | 99324 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 562462 | Total |
| Program Services | 562462 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200568974 | Total |
| Program Services | 194430841 | ProgramServices |
| Management And General | 5997870 | ManagementAndGeneral |
| Fundraising | 140263 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10025701 | Total |
| Program Services | 9636953 | ProgramServices |
| Management And General | 381853 | ManagementAndGeneral |
| Fundraising | 6895 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23174032 | Total |
| Program Services | 22275455 | ProgramServices |
| Management And General | 882639 | ManagementAndGeneral |
| Fundraising | 15938 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13798668 | Total |
| Program Services | 13263622 | ProgramServices |
| Management And General | 525556 | ManagementAndGeneral |
| Fundraising | 9490 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108200 | Total |
| Management And General | 108200 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35653348 | Total |
| Program Services | 31917655 | ProgramServices |
| Management And General | 3734739 | ManagementAndGeneral |
| Fundraising | 954 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2131035 | Total |
| Program Services | 487188 | ProgramServices |
| Management And General | 1639752 | ManagementAndGeneral |
| Fundraising | 4095 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10954080 | Total |
| Program Services | 9850501 | ProgramServices |
| Management And General | 1099713 | ManagementAndGeneral |
| Fundraising | 3866 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9307313 | Total |
| Program Services | 9159352 | ProgramServices |
| Management And General | 147961 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10536911 | Total |
| Program Services | 9204001 | ProgramServices |
| Management And General | 1287406 | ManagementAndGeneral |
| Fundraising | 45504 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489319 | Total |
| Program Services | 406715 | ProgramServices |
| Management And General | 63922 | ManagementAndGeneral |
| Fundraising | 18682 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285586 | Total |
| Program Services | 285586 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6989273 | Total |
| Program Services | 139241 | ProgramServices |
| Management And General | 6850032 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21250090 | Total |
| Program Services | 19819047 | ProgramServices |
| Management And General | 1420360 | ManagementAndGeneral |
| Fundraising | 10683 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4810394 | Total |
| Program Services | 1584224 | ProgramServices |
| Management And General | 3226170 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 83238530 | 83082494 | 156036 |
| BAD DEBT EXPENSE | 28574001 | 28574001 | |
| REPAIRS & MAINTENANCE | 9517580 | 9320990 | 196590 |
| QUAAP TAX | 9201661 | 9201661 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48005374 | Total |
| Program Services | 35086482 | ProgramServices |
| Management And General | 12899980 | ManagementAndGeneral |
| Fundraising | 18912 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 531990617 | Total |
| Program Services | 489326896 | ProgramServices |
| Management And General | 42289115 | ManagementAndGeneral |
| Fundraising | 374606 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11856 | BOY |
| EOY | 11520 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55358044 | BOY |
| EOY | 55608314 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 928114 | BOY |
| EOY | 592691 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51056398 | BOY |
| EOY | 48446927 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9055865 | BOY |
| EOY | 9454860 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5256493 | BOY |
| EOY | 4472724 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 310426082 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 148974282 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190301046 | BOY |
| EOY | 161451800 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26710143 | BOY |
| EOY | 29097564 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 278345 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 689092 | BOY |
| EOY | 675451 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73920 | BOY |
| EOY | 73920 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11165709 | BOY |
| EOY | 12021624 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350606680 | BOY |
| EOY | 322185740 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35435167 | BOY |
| EOY | 31168062 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163421590 | BOY |
| EOY | 160625461 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49134899 | BOY |
| EOY | 62926045 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 247991656 | BOY |
| EOY | 254719568 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94708530 | BOY |
| EOY | 57962742 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5687481 | BOY |
| EOY | 7348507 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2219013 | BOY |
| EOY | 2154923 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102615024 | BOY |
| EOY | 67466172 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350606680 | BOY |
| EOY | 322185740 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -27553497 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -7595355 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7906493 | BeginningOfYearBalance |
| Contributions | 3249213 | Contributions |
| Investment Earnings Or Losses | -11640 | InvestmentEarningsOrLosses |
| Other Expenditures | 1640636 | OtherExpenditures |
| End Of Year Balance | 9503430 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7002141 | BeginningOfYearBalance |
| Contributions | 1150549 | Contributions |
| Investment Earnings Or Losses | 41284 | InvestmentEarningsOrLosses |
| Other Expenditures | 861779 | OtherExpenditures |
| Administrative Expenses | -574298 | AdministrativeExpenses |
| End Of Year Balance | 7906493 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1284494 | BeginningOfYearBalance |
| Contributions | 6266095 | Contributions |
| Investment Earnings Or Losses | -130441 | InvestmentEarningsOrLosses |
| Other Expenditures | 418007 | OtherExpenditures |
| End Of Year Balance | 7002141 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2089568 | BeginningOfYearBalance |
| Contributions | -492533 | Contributions |
| Other Expenditures | 312541 | OtherExpenditures |
| End Of Year Balance | 1284494 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.22680 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.77320 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12482134 | OtherCostOrOtherBasis |
| Book Value | 12482134 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 172154064 | OtherCostOrOtherBasis |
| Depreciation | 55847062 | Depreciation |
| Book Value | 116307002 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 840948 | OtherCostOrOtherBasis |
| Depreciation | 308130 | Depreciation |
| Book Value | 532818 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 122183667 | OtherCostOrOtherBasis |
| Depreciation | 92819090 | Depreciation |
| Book Value | 29364577 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2765269 | OtherCostOrOtherBasis |
| Book Value | 2765269 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 161451800 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 62926045 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | MEDALLION EVENT | NameOfEvent1 |
| Gross Receipts Event1 | 384566 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 239917 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 144649 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 59433 | NonCashPrizesEvent1 |
| Other Direct Expenses Event1 | 100167 | OtherDirectExpensesEvent1 |
| Name Of Event2 | SHOWTIME EVENT | NameOfEvent2 |
| Gross Receipts Event2 | 244221 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 197949 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 46272 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 1090 | NonCashPrizesEvent2 |
| Other Direct Expenses Event2 | 87831 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 309802 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 151299 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 158503 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 54919 | NonCashPrizesOtherEvents |
| Other Direct Expenses Other Events | 99653 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 938589 | GrossReceiptsTotal |
| Charitable Contributions Total | 589165 | CharitableContributionsTotal |
| Gross Revenue Total Events | 349424 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 115442 | NonCashPrizesTotalEvents |
| Other Direct Expenses Total Events | 287651 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 403093 | DirectExpenseSummaryEvents |
| Net Income Summary | -53669 | NetIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTINE ANDREWS PHILANTHROPHY DEPT | BusinessNameLine1 |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5906167 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5906167 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01170 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 65599370 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 46813040 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18786330 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03730 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 71505537 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 46813040 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24692497 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04900 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3847033 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 63204 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3783829 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17273262 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7472588 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9800674 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01950 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11303303 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8100607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3202696 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 431798 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 410198 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32855396 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15657999 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17197397 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03420 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 104360933 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62471039 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 41889894 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08320 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 194771 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 194771 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 24832 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 24832 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 124672 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 124672 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 59485 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 59485 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 411260 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 411260 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $28,574,001 | BadDebtExpenseAmount |
| Amount Attributable To | 14287000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 145569166 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 145742768 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -173602 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|
| HENRY FORD MACOMB HOSPITAL - CLINTON | ||||||||
| 1 | 15855 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | X | X | X | X |
| HENRY FORD MACOMB HOSPITAL - WARREN | ||||||||
| 2 | 13355 E TEN MILE ROAD | WARREN | MI | 48089 | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD MACOMB HOSPITAL-CLINTON TWP | |||||||||||||||||||||||||
| 1 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
| HENRY FORD MACOMB HOSPITAL-WARREN | |||||||||||||||||||||||||
| 2 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 29 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (29 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| HENRY FORD MACOMB-BRUCE TOWNSHIP MED CTR | ||||
| 80650 VAN DYKE | BRUCE TOWNSHIP | MI | 48065 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-CHESTERFIELD MED CNTR | ||||
| 30795 23 MILE ROAD | CHESTERFIELD TOWNSHI | MI | 48047 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB CENTER-CLINTON TWP | ||||
| 16151 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-FRASER HEALTH CENTER | ||||
| 15717 15 MILE ROAD | FRASER | MI | 48035 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-RICHMOND MEDICAL CNTR | ||||
| 31505 32 MILE ROAD | RICHMOND | MI | 48062 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SLEEP MEDICINE | ||||
| 15945 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY OBGYN | ||||
| 49050 SCHOENHERR | SHELBY TOWNSHIP | MI | 48316 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-WASHINGTON TWP MED CTR | ||||
| 12150 30 MILE ROAD | WASHINGTON TOWNSHIP | MI | 48095 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-HEMATOLOGYONCOLOGY | ||||
| 15520 19 MILE ROAD-SUITE 400 | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-CHESTERFIELD OBGYN | ||||
| 51086 FAIRCHILD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-EASTRIDGE FAMILY MEDIC | ||||
| 16570 19 MILE ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-PARK PLACE PEDIATRICS | ||||
| 20373 HALL ROAD | MACOMB | MI | 48044 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY OBGYN | ||||
| 51221 SCHOENHERR | SHELBY TOWNSHIP | MI | 48315 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY FAMILY MED | ||||
| 49310 VAN DYKE | SHELBY TOWNSHIP | MI | 48317 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-HARPER FAMILY MEDICINE | ||||
| 36539 HARPER AVENUE | CLINTON TOWNSHIP | MI | 48035 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-MACOMB FAMILY MED | ||||
| 48924 HAYES ROAD | MACOMB | MI | 48044 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-SHELBY RHEUMATOLOGY | ||||
| 50505 SCHOENHERR-SUITE 175 | SHELBY TOWNSHIP | MI | 48315 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB-CNTR FOR HEALTH MGMT | ||||
| 42850 GARFIELD ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB CENTER-CLINTON TWP | ||||
| 43401 GARFIELD ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB CENTER-CLINTON TWP | ||||
| 43411 GARFIELD ROAD | CLINTON TOWNSHIP | MI | 48038 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HENRY FORD MACOMB REHAB-STERLING HEIGHTS | ||||
| 44800 DELCO BLVD | STERLING HEIGHTS | MI | 48313 | REHABILITATION SERVIES |
| HENRY FORD MACOMB REHAB-WARREN | ||||
| 3601 E ELEVEN MILE ROAD | WARREN | MI | 48092 | REHABILITATION SERVIES |
| HENRY FORD MACOMB REHAB-CLINTON TWP | ||||
| 16301 NINETEEN NIME ROAD | CLINTON TOWNSHIP | MI | 48308 | REHABILITATION SERVIES |
| HFMH-WARREN INTERNAL MEDICINE | ||||
| 25531 SCHOENHERR | WARREN | MI | 48089 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN MEDICAL CENTER | ||||
| 25625 SCHOENHERR | WARREN | MI | 48089 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN MARTIN MEDICAL CENTER | ||||
| 28001 SCHOENHERR | WARREN | MI | 48088 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN FAMILY MEDICINE | ||||
| 30205 SCHOENHERR | WARREN | MI | 48093 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN SLEEP MEDICINE | ||||
| 13251 E TEN MILE ROAD | WARREN | MI | 48089 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
| HFMH-WARREN VASCULAR SURGERY | ||||
| 27500 HOOVER | WARREN | MI | 48093 | CLINICAL/DIAGNOSTIC MEDICAL SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHEHADEH DO LAILA | |||||||||||||
| 237746 | 0 | 2708 | 0 | 586 | 0 | 25047 | 0 | 15098 | 0 | 281185 | 0 | 0 | 0 |
| RINEY ROBERT G | |||||||||||||
| 0 | 788460 | 0 | 579333 | 0 | 201488 | 0 | 22097 | 0 | 19874 | 0 | 1611252 | 0 | 0 |
| ROSSMANN BARBARA W | |||||||||||||
| 414747 | 0 | 225066 | 0 | 83206 | 0 | 132850 | 0 | 22958 | 0 | 878827 | 0 | 0 | 0 |
| SAYERS DO DIANE | |||||||||||||
| 0 | 275077 | 0 | 39808 | 0 | 2840 | 0 | 24372 | 0 | 22710 | 0 | 364807 | 0 | 0 |
| CERVENAK MICHAEL | |||||||||||||
| 234985 | 0 | 62636 | 0 | 1944 | 0 | 24979 | 0 | 19736 | 0 | 344280 | 0 | 0 | 0 |
| EISENMANN EDITH L | |||||||||||||
| 0 | 138674 | 0 | 54560 | 0 | 18697 | 0 | 17607 | 0 | 12335 | 0 | 241873 | 0 | 0 |
| CONNELLY JAMES M | |||||||||||||
| 0 | 607114 | 0 | 460119 | 0 | 206279 | 0 | 19647 | 0 | 20339 | 0 | 1313498 | 0 | 0 |
| GOODBALIAN TERRY A | |||||||||||||
| 212711 | 0 | 66881 | 0 | 4549 | 0 | 21504 | 0 | 24085 | 0 | 329730 | 0 | 0 | 0 |
| BEAULAC GARY | |||||||||||||
| 262064 | 0 | 109307 | 0 | 20133 | 0 | 21778 | 0 | 20362 | 0 | 433644 | 0 | 0 | 0 |
| PEASE DO JOANNA R | |||||||||||||
| 240599 | 0 | 80145 | 0 | 4252 | 0 | 22758 | 0 | 13982 | 0 | 361736 | 0 | 0 | 0 |
| AGOSTA MD ANDREW M | |||||||||||||
| 448120 | 0 | 16934 | 0 | 93484 | 0 | 33073 | 0 | 19124 | 0 | 610735 | 0 | 0 | 0 |
| LEVIN MD RONALD | |||||||||||||
| 414293 | 0 | 272049 | 0 | 4797 | 0 | 20916 | 0 | 17764 | 0 | 729819 | 0 | 0 | 0 |
| RYANDO MARK T | |||||||||||||
| 366257 | 0 | 232562 | 0 | 48425 | 0 | 7731 | 0 | 420 | 0 | 655395 | 0 | 0 | 0 |
| SCOTT DO FREMONT | |||||||||||||
| 487070 | 0 | 90240 | 0 | 37133 | 0 | 17197 | 0 | 21691 | 0 | 653331 | 0 | 0 | 0 |
| HILL DO DEREK | |||||||||||||
| 320285 | 0 | 120192 | 0 | 25151 | 0 | 19000 | 0 | 14748 | 0 | 499376 | 0 | 0 | 0 |
| HATHAWAY STEPHEN J | |||||||||||||
| 0 | 262440 | 0 | 90115 | 0 | 6576 | 0 | 36734 | 0 | 20219 | 0 | 416084 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | IT IS THE ORGANIZATION'S POLICY TO PAY OR REIMBURSE EMPLOYEES FOR BONAFIDE BUSINESS TRAVEL BASED ON THE MOST COST EFFECTIVE MEANS AVAILABLE. GENERALLY, WHEN AIR TRAVEL IS INVOLVED THIS EQUATES TO COACH CLASS AIR FARE. UNDER CERTAIN CIRCUMSTANCES, SUCH AS WHEN COACH CLASS IS NOT AVAILABLE OR THE TRIP IS OF AN EXTENSIVE DURATION, SENIOR LEADERSHIP HAS APPROVED BUSINESS CLASS, FIRST CLASS OR CHARTER TRAVEL. IN SUCH CIRCUMSTANCES, THE TRAVEL IS CONSIDERED TO BE FOR A BONAFIDE BUSINESS PURPOSE; ACCORDINGLY NO TAXABLE INCOME IS REPORTED. NO QUALIFYING INDIVIDUALS RECEIVED PAID OR REIMBURSED FIRST CLASS TRAVEL DURING 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 4B | SCH 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)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ADVANCED CARDIOTHORACIC SURGEONS PLLC | |||
| SEE BELOW | 534387 | SEE BELOW | 0 |
| WILMA DIMITRIJEVIC MD | |||
| SEE BELOW | 270651 | SEE BELOW | 0 |
| MARTIN BEAULAC | |||
| SEE BELOW | 174736 | SEE BELOW | 0 |
| ROSEMARY MINJEUR | |||
| SEE BELOW | 68598 | SEE BELOW | 0 |
| RAYMOND MINJEUR | |||
| SEE BELOW | 48477 | SEE BELOW | 0 |
| COLLEEN HARRINGTON | |||
| SEE BELOW | 15216 | SEE BELOW | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS 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 ORGANIZATION | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | EVENT COSTS | 31 | 96094 | FAIR MARKET VALUE |
| X | EVENT PRIZES | 120 | 70726 | FAIR MARKET VALUE |
| X | MISCELLANEOUS | 18 | 43789 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A TAX EXEMPT STOCK CORPORATION AND HENRY FORD HEALTH SYSTEM HOLDS ALL OF THE ISSUED AND OUTSTANDING SHARES OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE STOCK HOLDER OF THE ORGANIZATION, HFHS HOLDS THE RESERVE POWER TO APPROVE OR DISAPPROVE TRUSTEE APPOINTMENTS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) AND THE TAX DEPARTMENT OF HFHS PREPARES THE ORGANIZATION'S FORM 990. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HFHS AND ORGANIZATION CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF EXECUTIVE OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF TRUSTEES - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES - PROVIDE A COPY OF THE RETURN TO THE ORGANIZATION'S BOARD OF TRUSTEES | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HFHS HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HFHS CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES AND EMPLOYEES. ANNUALLY, TRUSTEES, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE HFHS BOARD OF TRUSTEES. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HFHS HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL EXTERNAL TRUSTEES. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING. | |
| FORM 990, PART VI, SECTION C, LINE 19 | IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH SYSTEM. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH SYSTEM. | |
| FORM 990, PART XI, LINE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MOUNT CLEMENS REAL ESTATE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FORD PLACE | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382947657 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivities |
| Legal Domicile State | MI | LegalDomicileState |
| Total Income | 25000 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD HEALTH SYSTEM | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381357020 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | 3 | N/A | 0 | |
| HENRY FORD WYANDOTTE HOSPITAL | |||||||||||
| 2333 BIDDLE AVE | WYANDOTTE | MI | 48192 | 382791823 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | 3 | 1 | HENRY FORD HEALTH SYSTEM | |
| HENRY FORD HEALTH SYSTEM FOUNDATION | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 237383042 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | 11A-TYPE 1 | 1 | HENRY FORD HEALTH SYSTEM | |
| HEALTH ALLIANCE PLAN | |||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382242827 | HEALTH MEDICAL ORGANIZATION | MI | 501(C)(4) | N/A | 1 | HENRY FORD HEALTH SYSTEM | |
| HFHS SELF FUNDED LIABILITY | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 386553031 | MALPRACTICE INSURANCE | MI | 501(C)(4) | N/A | 1 | HENRY FORD HEALTH SYSTEM | |
| DOWNRIVER CENTER FOR ONCOLOGY | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 383193008 | HEALTHCARE SERVICE PROVIDER | MI | 501(C)(3) | 3 | 1 | HENRY FORD HEALTH SYSTEM | |
| HENRY FORD CONTINUING CARE | |||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 382433285 | NURSING HOMES | MI | 501(C)(3) | 9 | 1 | HENRY FORD HEALTH SYSTEM | |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST DETROIT DIALYSIS | ||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 383232668 | OPERATE DIALYSIS CLINIC | MI | N/A | N/A | 0 | 0 |
| DIALYSIS PARTNERS OF NW OHIO | ||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 341877956 | OPERATE DIALYSIS CLINIC | OH | N/A | N/A | 0 | 0 |
| MACOMB REGIONAL DIALYSIS CENTERS | ||||||||||
| 16151 NINETEEN MILE RD | CLINTON TOWNSHIP | MI | 48038 | 260423581 | OPERATE DIALYSIS CLINICS | MI | N/A | N/A | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HORIZON PROPERTIES INC | ||||||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 382679527 | REAL ESTATE - LESSOR BUILDINGS | MI | N/A | C | 77674 | 597644 | 1.00000 | |||||
| FAIRLANE HEALTH SERVICES | ||||||||||||||||
| 30100 TELEGRAPH | BINGHAM FARMS | MI | 48025 | 382565235 | HEALTHCARE MANAGEMENT | MI | N/A | C | ||||||||
| ALLIANCE HEALTH AND LIFE INSURANCE | ||||||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 383291563 | HEALTH INSURANCE PROVIDER | MI | N/A | C | ||||||||
| HAP PREFERRED INC | ||||||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382513504 | PROVIDER NETWORK LEASING | MI | N/A | C | ||||||||
| SHA REALTY INC | ||||||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 381378121 | REAL ESTATE HOLDING | MI | N/A | C | ||||||||
| FIRST OPTOMETRY EYE CARE CENTERS INC | ||||||||||||||||
| 655 W 13 MILE RD | MADISON HEIGHTS | MI | 48071 | 382299059 | FRANCHISING EYE CARE CENTERS | MI | N/A | C | ||||||||
| FIRST OPTOMETRY VISION PLANS INC | ||||||||||||||||
| 655 W 13 MILE RD | MADISON HEIGHTS | MI | 48071 | 382594841 | VISION CARE PLANS | MI | N/A | C | ||||||||
| ONIKA INSURANCE LTD | ||||||||||||||||
| CAPTIVE INSURANCE | N/A | C | FIRST CARRIBEAN HOUSE | GRAND CAYMAN | CJ | CJ | ||||||||||
| HENRY FORD PHYSICIAN NETWORK | ||||||||||||||||
| ONE FORD PLACE | DETROIT | MI | 48202 | 320306774 | PHYSICIAN NETWORK | MI | N/A | C | ||||||||
| ADMINISTRATION SYSTEMS RESEARCH CORPORATION | ||||||||||||||||
| 2850 W GRAND BLVD | DETROIT | MI | 48202 | 382651185 | THIRD PARTY INSURANCE ADMINISTRATOR | MI | C | HEALTH ALLIANCE PLAN | ||||||||
| MIDWEST HEALTH PLAN | ||||||||||||||||
| 4700 SHAEFER ROAD SUITE 340 | DEARBORN | MI | 48126 | 383123777 | HEALTH INSURANCE PROVIDER | MI | C | HEALTH ALLIANCE PLAN | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HEALTH ALLIANCE PLAN | ||
| K | 43514939 | CASH VALUE |
| HEALTH ALLIANCE PLAN | ||
| L | 24728135 | CASH VALUE |
| HFHS SELF FUNDED LIABILITY | ||
| O | 1970000 | CASH VALUE |
| ONIKA INSURANCE LTD | ||
| O | 1260000 | CASH VALUE |
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