2023-11-10T14:20:59-06:00 2022-12-31 990 2022-01-01 382027689 WA FOOTE MEMORIAL HOSPITAL WAFO 5172054800 205 N EAST AVENUE JACKSON MI 49201 JIM BONGIORNO CFO 5172054800 2023-11-10 JIM BONGIORNO 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HENRY FORD HEALTH JACKSON HOSPITAL EMILY MOORHEAD 205 N EAST AVENUE JACKSON MI 49201 921775723 0 X WWW.HENRYFORD.COM/LOCATIONS/ALLEGIANCE-HEALTH X 1970 MI WE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. 17 9 4827 426 1315355 0 10271054 10833229 708536277 709090457 12380284 23078980 46423638 51120129 777611253 794122795 916202 352336 0 0 360098763 353933964 0 0 115319 387690971 410304273 748705936 764590573 28905317 29532222 867319103 762216405 390238278 333441992 477080825 428774413 X W.A. FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") SERVING COMMUNITIES IN SOUTH CENTRAL MICHIGAN FOR MORE THAN 100 YEARS. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, W.A FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ("HFHJH") SHARES THE MISSION OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. 0 0 709175196 352336 781677528 FOR MORE THAN 100 YEARS, HENRY FORD HEALTH JACKSON HOSPITAL HAS SERVED A NINE-COUNTY EXPANSE OF SOUTH-CENTRAL MICHIGAN WITH A COMMITMENT TO CHARITABLE GIVING, OUTREACH AND BUILDING STRONGER, HEALTHIER INDIVIDUALS AND FAMILIES. THE 365-BED ACUTE CARE HOSPITAL AND LEVEL II TRAUMA CENTER OFFERS A FULL RANGE OF CLINICAL SERVICES, INCLUDING GENERAL MEDICINE, SURGERY, BIRTHING CENTER AND 24-HOUR EMERGENCY CARE. HENRY FORD HEALTH JACKSON HOSPITAL ALSO PROVIDES PHYSICAL MEDICINE AND REHAB, CARDIAC, CANCER AND NEUROSURGICAL SERVICES. DURING 2022, HENRY FORD HEALTH JACKSON HOSPITAL HAD 15,751 DISCHARGES.WITH A SENSE OF HUMAN COMPASSION, WE GIVE, ORGANIZE, LEAD, PARTNER AND EMBRACE THE WIDE-RANGING COMMUNITY PROGRAMS AND SERVICES. IN GIVING BACK TO THE CULTURE AND PEOPLE THAT SURROUND US, WE GAIN FULFILLMENT IN KNOWING WE HAVE INVESTED IN THE HEALTH AND WELL-BEING OF THE COMMUNITY WHICH WE SERVE. ESTABLISHED IN 1918, OUR COMMITMENT TO THE COMMUNITY IS TO LEAD THEM TO BETTER HEALTH AND WELL-BEING AT EVERY STAGE OF LIFE. SERVING SOUTH CENTRAL MICHIGAN, HENRY FORD HEALTH JACKSON HOSPITAL IS THE LARGEST EMPLOYER IN JACKSON COUNTY. THE CORONAVIRUS IMPACT ADDRESSING THE IMPACT OF COVID-19 ON ITS COMMUNITIES HAS BEEN A PRIORITY FOR HENRY FORD HEALTH FROM THE ADMISSION OF ITS FIRST COVID-19 PATIENT IN EARLY 2020. COVID-19 INPATIENT CASES HAVE REMAINED AT RELATIVELY LOW LEVELS SINCE MARCH 2022 DUE TO WIDESPREAD AVAILABILITY OF SUCCESSFUL TREATMENT PROTOCOLS AND UPDATED BOOSTERS. MEDICAL EDUCATION:HENRY FORD HEALTH JACKSON HOSPITAL HAS AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOUTH-YEAR MEDICAL STUDENTS.HENRY FORD HEALTH JACKSON HOSPITAL TRAINS MORE THAN 35 MEDICAL STUDENTS AND 130 RESIDENTS IN 6 PROGRAMS.A NATIONAL LEADER IN FORMING COMMUNITY PARTNERSHIPS, HENRY FORD HEALTH JACKSON HOSPITAL PROMOTES WELLNESS AND PREVENTION THROUGH OUR HEALTH IMPROVEMENT ORGANIZATION. HENRY FORD HEALTH JACKSON HOSPITAL PROVIDES OUTPATIENT SERVICES AT APPROXIMATELY 40 LOCATIONS THROUGHOUT SOUTH CENTRAL MICHIGAN. IN TOTAL THIS REPRESENTED 1,282,186 TOTAL OUTPATIENT FACILITY VISITS DURING 2022. HENRY FORD HEALTH JACKSON HOSPITAL OPERATES A 24 HOUR EMERGENCY DEPARTMENT. EMERGENCY SERVICES REPRESENTED 66,505 PATIENT VISITS DURING 2022. 709175196 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 1 0 1 366 0 1 4827 1 1 1 0 0 0 0 0 0 0 0 0 X 17 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JIM BONGIORNO 3138749506 ONE FORD PLACE DETROIT MI 48202 PAULA AUTRY TRUSTEE - PRESIDENT & CEO (THRU 2/2022) 60.00 5.00 X X 0 1020599 6952 EMILY MOORHEAD TRUSTEE- PRESIDENT & CEO (START 2/2022) 56.00 9.00 X X 421370 86392 5969 DANIEL J PHELAN PHD TRUSTEE - VICE CHAIR 2.00 5.00 X X 0 30000 0 MARTHA A FUERSTENAU TRUSTEE- CHAIR 2.00 2.00 X X 0 0 0 ROBERT G RINEY TRUSTEE (THRU 6/2022) 1.00 64.00 X 0 2993892 58060 DENISE BROOKS-WILLIAMS TRUSTEE (START 7/2022) 1.00 62.00 X 0 1395321 43835 ADNAN R MUNKARAH MD PHYSICIAN TRUSTEE 1.00 64.00 X 0 2740661 65219 MOHAN G KULKARNI MD PHYSICIAN TRUSTEE 60.00 2.00 X 1065980 0 43827 DAVID CRAFT TRUSTEE 1.00 3.00 X 0 0 0 KEVIN E OXLEY TRUSTEE 1.00 1.00 X 0 0 0 AARON S BOATIN TRUSTEE - SECRETARY/TREASURER 2.00 4.00 X X 0 0 0 MUMTAZ MEMON MD PHYSICIAN TRUSTEE 60.00 1.00 X 647045 0 34905 LAWRENCE NARKIEWICZMD PHYSICIAN TRUSTEE 60.00 1.00 X 528880 0 34564 CHRISTINA M SIDERS TRUSTEE 1.00 3.00 X 0 0 0 CATHERINE A HENDRIAN TRUSTEE 1.00 1.00 X 0 0 0 MARK OLSON TRUSTEE 1.00 1.00 X 0 0 0 MONICA MOSER TRUSTEE 1.00 1.00 X 0 0 0 SAIRIA DASS RAMCHARAN MD TRUSTEE 1.00 1.00 X 0 0 0 RAMI ABDEL RAHEEM ALZEBDEH MD TRUSTEE 1.00 1.00 X 60975 0 0 KENNETH W EMPEY GENERAL COUNSEL 55.00 5.00 X 0 365184 23760 JIM BONGIORNO CENTRAL MARKET CFO, VP FIN 55.00 5.00 X 0 263593 43403 MARK A SMITH MD CMO/CEO HFAHMG 55.00 5.00 X 573443 0 40599 FRANK LAMARCA MD PHYSICIAN 60.00 0.00 X 2910318 0 36132 AZAM BASHEER MD PHYSICIAN 60.00 0.00 X 2512408 0 37647 AMRITRAJ G LOGANATHAN MD PHYSICIAN 60.00 0.00 X 1127196 0 33875 VISHAL GUPTA MD PHYSICIAN 60.00 0.00 X 1189553 0 25281 RYAN A BEEKMANMD PHYSICIAN 60.00 0.00 X 1166627 0 7448 MICHAEL GRISDELA FORMER INTERIM CENTRAL MAR 0.00 60.00 X 0 518134 36412 12203795 9413776 577888 494 1 1 0 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 TEMP NURSING SERVICES 21037642 INDEPENDENT HOSPITALIST PHYSICIANS PLLC PO BOX 100 ROYAL OAK MI 48068 HEALTHCARE SERVICES 15341438 PULMONARY CLINICS OF SOUTHERN MI PC 900 E MICHIGAN AVENUE STE 105 JACKSON MI 49201 HEALTHCARE SERVICES 3807120 OBHG MICHIGAN PC 777 LOWNDES HILL ROAD BLDG 1 GREENVILLE SC 296068261 HEALTHCARE SERVICES 1993305 INDEPENDENT EMERGENCY PHYSICIANS PC 37000 GRAND RIVER AVE FARMINGTION HILLS MI 48335 HEALTHCARE SERVICES 1768497 65 69992 7217435 3545802 10833229 PATIENT SERVICES 621990 709090457 707812395 1278062 709090457 3110312 3110312 308021 0 308021 308021 308021 147536371 40665 127558026 50342 19978345 -9677 19968668 19978345 -9677 39419 69992 37799 1620 1620 3480 6761 -3281 -3281 CONTRACTED PHARMACY REVENUE 621110 45334727 45334727 CAFETERIA 900099 1963943 1963943 JHN 621990 1134186 1134186 2380913 2343620 37293 50813769 794122795 781677528 1315355 296683 220644 220644 131692 131692 4891842 3732257 1063074 96511 291318715 273939499 17379216 2934015 2750385 182674 956 36166091 33902579 2251728 11784 18623301 17457732 1159501 6068 4085 6226 -2141 71110585 67858066 3252519 1389393 76201 1313192 12060190 8046344 4013846 1769110 1436765 332345 6485368 3136354 3349014 620942 561607 59335 465789 409343 56446 5798748 5798410 338 28898364 21087248 7811116 9854341 9854341 MEDICAL SUPPLIES 74949170 75624595 -675425 0 CORP OFFICE ALLOCATION 74674736 74674736 0 0 PHARMACEUTICAL SUPPLIES 58530567 58423356 107211 0 QUAAP TAX 20086744 20086744 0 0 43606141 29960072 13646069 764590573 709175196 55300058 115319 65536 178909 99156365 52930307 12941 2011000 103667392 115951683 14334525 16461895 3727024 2880388 389324783 177415878 229533720 211908905 379112325 326853923 6064455 6163830 31644820 26875565 867319103 762216405 154901488 104675171 142948275 139373205 92388515 89393616 390238278 333441992 X 473154911 423437020 3925914 5337393 477080825 428774413 867319103 762216405 X 29532222 -77406818 -431816 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 45958 0 0 45958 0 PART II-B, LINE 1: HEALTH CARE IS A HIGHLY-REGULATED FIELD, REQUIRING FREQUENT AND HIGH-LEVEL COMMUNICATION WITH REGULATORS AND ELECTED OFFICIALS. A SMALL INVESTMENT IN LOBBYING ENABLES US TO REMAIN IN CONTACT WITH LEGISLATORS AND GOVERNMENT AGENCIES, MAXIMIZE THE RESOURCES WITH WHICH WE ARE ENTRUSTED AND ASSURE THAT WE PROVIDE THE BEST CARE TO OUR COMMUNITY. W.A. FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL ENLISTS THE SERVICES OF SEVERAL LOBBYING CONSULTANTS, ATTORNEYS AND HEALTHCARE TRADE ASSOCIATIONS. 3925913 3614133 -145673 2056981 5337392 3089845 2032607 184527 1381066 3925913 2864539 1790548 125594 1690836 3089845 3183393 192950 2311804 2864539 2713012 2074346 -50758 1553207 3183393 0.57250 0.42750 0 1 1 9540626 9540626 205450663 59632416 145818247 210800 210800 0 168371711 117572662 50799049 5750983 5750983 211908905 RETIREMENT PLAN LIABILITY 24020701 DEFERRED COMP 15344983 CORPORATE RESERVE 6256100 LIABILITY INSURANCE 24535270 WORKERS COMP LIABILITY 944516 CURRENT OPERATING LEASE LIABILITY 2335587 LONG TERM OPERATING LEASE LIABILITY 10698260 OPERATING LEASE A/P PAYMENT -269255 SHORT-TERM BORROWINGS 5527454 89393616 X PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR VARIOUS CHARITABLE HOSPITAL PROGRAMS INCLUDING TREATMENT OF UNINSURED PATIENTS, COMMUNITY PREVENTATIVE HEALTH EDUCATION, PROGRAM DEVELOPMENT AND CAPITAL IMPROVEMENTS. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021. PINK BALL 109411 69992 39419 37799 109411 69992 39419 37799 37799 1620 3480 6761 1 1.00000 3480 6761 6761 -3281 MI 1 0 1 0 1.00000 AMY STRAUSS SPECIAL EVENTS DEPT ONE FORD PLACE DETROIT MI 48202 0 0 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 13001492 0 13001492 0.01740 214202766 155545032 58657734 0.07840 227204258 155545032 71659226 0.09580 867041 867041 0.00120 19712370 8524172 11188198 0.01490 20806532 15634202 5172330 0.00690 201790 201790 0.00030 302503 302503 0.00040 41890236 24158374 17731862 0.02370 269094494 179703406 89391088 0.11950 13594 13594 0.00000 633880 633880 0.00080 647474 647474 0.00080 0 16061914 4015478 207312849 242265256 -34952407 X 1 1 1 FOOTE HEALTH CENTER ASSOCIATES ENTITY LEASES MEDICAL OFFICE SPACE. 0.92870 0.00000 0.07130 2 GRASS LAKE REAL ESTATE LLC TO BUILD AND MANAGE OUTPATIENT SURGICAL CENTER 0.46000 0.00000 0.46000 3 GRASS LAKE SURGERY CENTER LLC TO OPERATE OUTPATIENT SURGICAL CENTER 0.46000 0.00000 0.46000 1 1 HENRY FORD HEALTH JACKSON HOSPITAL 205 N EAST AVENUE JACKSON MI 49201 WWW.HENRYFORD.COM X X X X X HENRY FORD HEALTH JACKSON HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE LINE 10A BELOW X 1 22 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X HTTPS://WWW.HENRYFORD.COM/VISITORS/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HENRY FORD HEALTH JACKSON HOSPITAL PART V, SECTION B, LINE 5: TO GET A COMPREHENSIVE PICTURE OF THE HEALTH OF THE COMMUNITIES WE SERVE, OUR CHNA PROCESS INCLUDED AN IN-DEPTH REVIEW OF STATE AND LOCAL DATA, FROM WHICH MANY COMMON HEALTH ISSUES AND TRENDS EMERGED. THESE DATA WERE GATHERED LARGELY FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) VITAL STATISTICS, THE MICHIGAN BEHAVIORAL RISK FACTOR (BRFS) SURVEY, AND THE AMERICAN COMMUNITIES SURVEY. THE MOST UPDATED DATA WERE GENERALLY COLLECTED FROM 2018 TO 2020. DATA FROM 2020 MAY BE INFLUENCED BY THE COVID-19 PANDEMIC. HOWEVER, SINCE DATA MORE RECENT THAN 2020 IS LARGELY NOT YET AVAILABLE, THIS CHNA IS NOT ABLE TO FULLY REFLECT THE IMPACT OF COVID-19. WE ALSO EXAMINED TRENDS IN THESE DATA SINCE COMPLETING OUR LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019, FROM WHICH DATA WERE MOSTLY COLLECTED DURING 2015-2017.OUR METHODOLOGY INCLUDED REVIEWING DATA COLLECTED FROM STATE AND LOCAL SOURCES AND COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS.JACKSON COUNTY WAS SURVEYED THROUGH THE JACKSON COLLABORATIVE NETWORK'S NEEDS ASSESSMENT PROCESS, WHICH UTILIZES A PHONE SURVEY SAMPLING STRATEGY. THE METHOD USED FOR THIS SURVEY WAS A RANDOM DIGIT DIAL TELEPHONE SURVEY OF JACKSON COUNTY RESIDENTS. THE SAMPLE WAS STRATIFIED BY CENSUS TRACT, MEANING THE POPULATION WAS SAMPLED EVENLY THROUGHOUT ALL CENSUS TRACTS IN THE COUNTY (WITH THE PRISON CENSUS TRACT BEING OMITTED). CELLULAR AND LANDLINE TELEPHONE NUMBERS OF JACKSON COUNTY RESIDENTS IN EACH CENSUS TRACT WERE RANDOMLY DIALED UNTIL THE TARGET NUMBER OF SURVEYS WAS COMPLETED FOR EACH TRACT. THIS CYCLE INCLUDED AN OVERSAMPLING OF RESIDENTS WHO SELF-IDENTIFIED AS BLACK/AFRICAN AMERICAN TO HELP STRENGTHEN THE SAMPLE AND HELP TO REVEAL EVIDENCE OF RACIAL DISPARITIES IN THE JACKSON COMMUNITY. A TOTAL OF 1,300 ADULTS IN JACKSON COUNTY COMPLETED THE TELEPHONE SURVEY. WITHIN JACKSON COUNTY, 26% OF RESPONDENTS LIVED IN THE CITY OF JACKSON, 59% LIVED OUTSIDE OF THE CITY, AND THE REMAINING 15% HAD AN UNKNOWN LOCATION WITHIN JACKSON COUNTY.RESPONSES TO SURVEYS WERE RECEIVED FROM ORGANIZATIONS AND INDIVIDUALS REPRESENTING A RANGE OF RACIAL/ETHNIC BACKGROUNDS. RACIAL/ETHNIC MINORITIES REPRESENTED AMONGST SURVEY RESPONDENTS INCLUDE BLACK, ASIAN, NATIVE AMERICAN, MULTI-RACIAL, HISPANIC OR LATINO, AND MIDDLE EASTERN OR NORTH AFRICAN DESCENT.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS JACKSON COUNTY HEALTH DEPARTMENT, JACKSON HEALTH NETWORK, JACKSON COMMUNITY FOUNDATION, JACKSON COUNTY INTERMEDIATE SCHOOL DISTRICT, UNITED WAY OF JACKSON COUNTY AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE. FROM THEIR SURVEY RESPONSES, WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES FACING OUR COMMUNITIES. HENRY FORD HEALTH JACKSON HOSPITAL PART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH MACOMB HOSPITALSHENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHENRY FORD HEALTH WYANDOTTE HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD HEALTH ALLEGIANCE SPECIALTY HOSPITAL HENRY FORD HEALTH JACKSON HOSPITAL PART V, SECTION B, LINE 11: CHNA PRIORITIESTHE THREE (3) SELECTED PRIORITIES WHICH EMERGED FROM THE 2022 CHNA WERE: CHRONIC DISEASE PREVENTION & MANAGEMENT, BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER AND INFANT MORTALITY.THE FOLLOWING ARE STRATEGIES TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA. CHRONIC DISEASE PREVENTION & MANAGEMENT EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAMS ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.CONTINUE TO ENHANCE PROGRAMMING AND EVALUATE AND IDENTIFY IMPROVEMENT OPPORTUNITIES TO ENSURE DIABETES PREVENTION PROGRAMS (DPP) ARE ACHIEVING EQUITY IN ACCESS AND OUTCOMES FOR COMMUNITIES OF COLOR.ENGAGE PROVIDER ORGANIZATIONS IN SYSTEMATIC CLINICAL IMPROVEMENTS TO REDUCE RACIAL DISPARITIES IN HYPERTENSION AND/OR DIABETES CONTROL.HENRY FORD HEALTH WILL PARTNER WITH COMMUNITY ORGANIZATIONS VIA A COMMUNITY INFORMATION EXCHANGE (CIE) TO CLOSE 50% OF THE SOCIAL NEEDS GAPS IDENTIFIED (REFERRALS MADE) WITHIN POPULATIONS SCREENED BY 2025. BY 2025, HENRY FORD HEALTH WILL INVEST $15 MILLION THROUGH INTERMEDIARIES INTO PROJECTS THAT POSITIVELY IMPACT SOCIAL DETERMINANTS OF HEALTH (SDOH) ACROSS MARKETS WE SERVE. INVESTMENTS WILL YIELD RETURNS THAT MAY BE BELOW GENERAL MARKET EXPECTATIONS, BUT SUFFICIENT TO REPLENISH FUNDING FOR FUTURE ROUNDS OF INVESTMENT. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER PROVIDE DEPRESSION SCREENING FOR ALL THOSE SEEKING PSYCHIATRIC CARE.PATIENTS SUFFERING FROM OPIATE USE DISORDER (OUD), NOT IN REMISSION, WILL BE PRESCRIBED NAXLOXONE AS A SAFETY MEASURE TO PREVENT MORBIDITY AND MORTALITY.IMPROVE ACCESS IN OUR PSYCHIATRIC SPECIALTY CLINICS AND IN OUR COLLABORATIVE CARE MODEL FOR ADULT PATIENTS. INFANT MORTALITY IMPROVE PRENATAL AND PEDIATRIC ASSESSMENTS OF ALL PATIENTS BY IDENTIFYING AND ADDRESSING SDOH AND PROVIDING IMPROVED CARE NAVIGATION. EXPAND IMPLICIT BIAS EDUCATION/TRAINING TO ALL HFHS OBSTETRIC, PEDIATRIC/NEONATOLOGY NURSING AND PROVIDERS (INCLUDES REDUCING UNCONSCIOUS BIAS, AND IMPERATIVE (RUBI) CURRICULUM).ENSURE OB/GYN PATIENTS ARE RECEIVING RESPECTFUL CARE.SCALE WIN NETWORK: DETROIT ENHANCED MODEL OF GROUP PRENATAL CARE TO ADDITIONAL SITES.CHNA SIGNIFICANT NEEDS NOT ADDRESSEDSIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA WHICH ARE NOT BEING ADDRESSED IN THE CHNA IMPLEMENTATION PLANS: VACCINATIONS ASTHMA ALZHEIMER'S KIDNEY DISEASE PNEUMONIA AND INFLUENZA HENRY FORD HEALTH ACKNOWLEDGES THE NUMEROUS AND WIDE RANGE OF HEALTH NEEDS THAT EXIST IN OUR COMMUNITIES SERVED, AND WE ACKNOWLEDGE THAT THERE ARE CERTAIN HEALTH NEEDS NOT CHOSEN AS PRIORITIES, LISTED ABOVE. WE HAVE DETERMINED THAT OUR IMPLEMENTATION PLANS ARE ONLY ABLE TO EFFECTIVELY ADDRESS THE MOST PRESSING NEEDS IDENTIFIED BY OUR STAKEHOLDERS AND IN RELEVANT DATA AND SURVEYS, WHICH INCLUDE CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE USE, CANCER, AND INFANT MORTALITY. THE SELECTED PRIORITIES WERE ANALYZED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, AS WELL AS HEALTH SYSTEM RESOURCES, AND REPRESENT THE KEY HEALTH ISSUES WHICH ARE MOST PRESSING WITH THE MOST COMPELLING DATA. WHILE HFH PROVIDES SUPPORTIVE CLINICAL SERVICES IN THESE AREAS, THEY WILL NOT BE INCLUDED AS AREAS OF PRIMARY ACTIVITY AS IT RELATES TO THE IMPLEMENTATION PLANS. HENRY FORD HEALTH JACKSON HOSPITAL PART V, SECTION B, LINE 13B: HENRY FORD HEALTH JACKSON HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES. PART V, LINE 10A HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 48 1 - HFHJH HEMATOLOGYONCOLOGY 1100 E MICHIGAN AVE STE 307 JACKSON MI 49201 SPECIALTY PRACTICE AND INFUSION CENTER 2 - HFHJH ORTHOPEDIC & NEUROSCIENCE CNTR 1201 E MICHIGAN AVENUE JACKSON MI 49201 OUTPATIENT SPECIALTY, DIAGNOSTIC AND REHAB FACILITY 3 - HFHJH SURGERY CENTER 1125 E MICHIGAN AVENUE JACKSON MI 49201 OUTPATIENT SURGERY CENTER 4 - HFHJH DIGESTIVE HEALTH 205 S EAST AVE JACKSON MI 49201 OUTPATIENT SURGERY CENTER 5 - HFHJH RADIATION ONCOLOGY 1102 E MICHIGAN AVE JACKSON MI 49201 RADIATION THERAPY 6 - HFHJH HEALTH CARDIOLOGY 309 PAGE AVENUE JACKSON MI 49201 SPECIALTY PRACTICE AND DIAGNOSTIC TESTING CENTER 7 - HFHJH HEALTH CENTER - CASCADE RIDGE 3305/3333 SPRING ARBOR RD JACKSON MI 49203 FAMILY AND SPECIALTY PRACTICES, DIAGNOSTIC CENTER 8 - HFHJH VASCULAR LABORATORY 300 W WASHINGTON AVENUE STE 350 JACKSON MI 49201 VASCULAR TESTING 9 - HFHJH HEALTH CENTER - TOWNSEND 400 HINCKLEY BLVD JACKSON MI 49203 FAMILY MEDICINE AND DIAGNOSTIC CENTER 10 - HFHJH HEALTH CENTER - NORTH STREET 1401 W NORTH STREET JACKSON MI 49202 FAMILY MEDICINE AND DIAGNOSTIC CENTER 11 - HFHJH HEALTH CENTER - SPRINGPORT 2200 SPRINGPORT ROAD JACKSON MI 49202 OUTPATIENT SERVICES, DIAGNOSTIC CENTER, PHARMACY SVCS 12 - HFHJH GASTROENTEROLOGY 744 W MICHIGAN AVE STE 201 JACKSON MI 49201 SPECIALTY PRACTICE 13 - HFHJH ENTHEARING CENTER 1111 TENEYCK ST JACKSON MI 49201 SPECIALTY PRACTICE AND AUDIOLOGY SALES/SERVICE 14 - HFHJH ADDICTION RECOVERY CENTER 2424 W WASHINGTON AVE JACKSON MI 49203 INPATIENT AND OUTPATIENT TREATMENT CENTER 15 - HFHJH HOME HEALTH CARE 100 E MICHIGAN AVE STE 400 JACKSON MI 49201 CLINICAL HOME CARE SERVICES 16 - HFHJH UROLOGY - SPRING ARBOR ROAD 2800 SPRING ARBOR RD JACKSON MI 49201 SPECIALTY PRACTICE 17 - HFHJH UROLOGY - W MICHIGAN AVE 744 W MICHIGAN AVE STE 300 JACKSON MI 49201 SPECIALTY PRACTICE 18 - HFHJH PHYSICAL REHAB-JACKSON 100 E MICHIGAN AVE STE 103 JACKSON MI 49201 PHYSICAL REHABILITATION 19 - HFHJH HEALTH CENTER - EAST MICHIGAN 3235 E MICHIGAN AVENUE JACKSON MI 49202 FAMILY MEDICINE AND BEHAVIORAL HEALTH SERVICES 20 - HFHJH PEDIATRICS 760 W FRANKLIN JACKSON MI 49203 PEDIATRIC MEDICINE 21 - HFHJH HEALTH CENTER - MASON 810 HOGSBACK RD MASON MI 48854 FAMILY AND SPECIALTY PRACTICE, DIAGNOSTICS, REHAB 22 - HFHJH HOME MEDICAL EQUIP 700 E MICHIGAN AVE JACKSON MI 49201 SALE OF DURABLE MEDICAL EQUIPMENT 23 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNTR 153 WAMPLERS LAKE RD BROOKLYN MI 49230 FAMILY MEDICINE AND DIAGNOSTIC CENTER 24 - HFHJH HEALTH CENTER - LESLIE 130 N SHERMAN ST LESLIE MI 49251 FAMILY MEDICINE AND DIAGNOSTIC CENTER 25 - HFHJH HEALTH CENTER - SPRING ARBOR 7845 SPRING ARBOR ROAD SPRING ARBOR MI 49283 FAMILY MEDICINE AND DIAGNOSTIC CENTER 26 - HFHJH HEALTH CENTER - MICHIGAN CENTER 4304 PAGE AVE MICHIGAN CENTER MI 49254 SPECIALTY PRACTICE, DIAGNOSTICS, REHAB 27 - HFHJH GENERAL SURGERY 744 W MICHIGAN AVE STE 200 JACKSON MI 49201 SPECIALTY PRACTICE 28 - HFHJH GENERAL SURGERY 1100 E MICHIGAN AVE STE 300 JACKSON MI 49201 SPECIALTY PRACTICE 29 - HFHJH HEALTH CENTER - ALBION 27931 C DRIVE NORTH ALBION MI 49224 FAMILY AND SPECIALTY MEDICINE, DIAGNOSTIC CENTER 30 - HFHJH FAMILY MEDICINE - SUMMIT WOODS 2585 SPRING ARBOR ROAD JACKSON MI 49203 FAMILY MEDICINE 31 - HFHJH THORACIC SURGERY 1100 E MICHIGAN AVE STE 201 JACKSON MI 49201 SPECIALTY PRACTICE 32 - HFHJH VASCULAR HEALTH 300 W WASHINGTON AVENUE STE 300 JACKSON MI 49201 SPECIALTY PRACTICE 33 - HFHJH OCCUPATIONAL HEALTH 100 E MICHIGAN AVE STE 101 JACKSON MI 49201 EMPLOYMENT SCREENING, WORK-RELATED INJURY TREATMENT 34 - HFHJH CARDIAC SURGERY 1100 E MICHIGAN AVE STE 201 JACKSON MI 49201 SPECIALTY PRACTICE 35 - HFHJH FAMILY MEDICINE AND DIAGNOSTIC CNTR 12369 E MICHIGAN AVE GRASS LAKE MI 49240 FAMILY MEDICINE AND DIAGNOSTIC CENTER 36 - HFHJH INTERNAL MEDICINE 100 E MICHIGAN AVE JACKSON MI 49201 OUTPATIENT SERVICES 37 - HFHJH DIAGNOSTIC CENTER - NORTH JACKSON 505 N JACKSON ST STE 178 JACKSON MI 49201 LAB AND IMAGING SERVICES 38 - HFHJH OUTPATIENT PROCEDURE CENTER 1100 E MICHIGAN AVE STE 109 JACKSON MI 49201 OUTPATIENT SERVICES 39 - HFHJH CARDIAC REHAB 1100 E MICHIGAN AVE STE 100/102 JACKSON MI 49201 POST-SURGICAL REHABILITATION 40 - HFHJH BARIATRIC CENTER 744 W MICHIGAN AVE STE 101 JACKSON MI 49201 SPECIALTY PRACTICE 41 - HFHJH PHYSICAL REHAB - HILLSDALE 61 W CARLTON HILLSDALE MI 49242 PHYSICAL REHABILITATION 42 - HFHJH SENIOR HEALTH CENTER 100 E MICHIGAN AVE STE 102 JACKSON MI 49201 OUTPATIENT EVALUTION AND TESTING 43 - HFHJH DIAGNOSTIC CENTER 1100 E MICHIGAN AVE STE 104 JACKSON MI 49201 LAB AND IMAGING SERVICES 44 - HFHJH DIAGNOSTIC CENTER - GREENWOOD AVE 1310 GREENWOOD AVE JACKSON MI 49203 LABORATORY SERVICES 45 - HFHJH OUTPATIENT TRAUMA 1100 E MICHIGAN AVE STE 300 JACKSON MI 49201 SPECIALTY PRACTICE 46 - HFHJH HEALTH CENTER-CHELSEA 1145 S MAIN ST UNIT A CHELSEA MI 48119 LAB 47 - HFHJH HEALTH CENTER-COLDWATER 605 W CHICAGO STREET COLDWATER MI 49036 LAB 48 - HFHJH DIAGNOSTIC CENTER-HILLSDALE 3271 W CARLETON HILLSDALE MI 49242 LAB PART I, LINE 7G: SUBSIDIZED SERVICES CONSIST PRIMARILY OF PHYSICIAN AND FACILITY COSTS OF WOMEN'S AND BEHAVIORAL HEALTH SERVICES. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $16,016,914 PART II, COMMUNITY BUILDING ACTIVITIES: OUR VISION IS TO BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE-ONE PERSON AT A TIME. TO BE A TRULY TRANSFORMATIVE FORCE FOR COMMUNITIES AND A TRUSTED PARTNER, IT IS IMPERATIVE THAT AS AN ORGANIZATION, WE LISTEN TO THE VOICES OF THOSE WE SERVE. WE SERVE MANY DIVERSE COMMUNITIES AND POPULATIONS WITH UNIQUE HISTORIES, CHARACTERISTICS, STRUGGLES AND STRENGTHS.TO ACHIEVE THIS VISION, WE MUST BUILD TRUSTED RELATIONSHIPS WITH OUR PATIENTS AND COMMUNITY MEMBERS AND ENSURE THOSE WE SERVE THAT THEIR NEEDS INFORM OUR PRACTICES, POLICIES AND ALLOCATION OF RESOURCES. OUR PATIENTS ENTRUST OUR ORGANIZATION WITH THEIR LIVES AND THE LIVES OF THOSE THEY LOVE. ASSESSING AND RESPONDING TO THE CHANGING NEEDS OF THESE PATIENTS IS VITAL TO DEVELOPING AND MAINTAINING TRUSTED RELATIONSHIPS AS WE WORK TOWARD A COMMON GOAL COMMUNITIES FULL OF HEALTHY, THRIVING PEOPLE OF ALL AGES. PART III, LINE 2: THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED IN PATIENT GROSS CHARGES. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 138% OF MEDICARE RATES.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES PART III, LINE 9B: SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED. IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO THE BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- "PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM"- "UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT"- "UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME" - "THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL 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" PART VI, LINE 2: COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES ARE SELECTED AFTER CONSIDERING THE DATA ON HEALTH AND SOCIAL NEEDS, WEIGHED ALONGSIDE INPUT RECEIVED FROM COMMUNITY MEMBERS AND STAKEHOLDERS REGARDING THE ISSUES THEY BELIEVE TO BE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH. THE FOLLOWING CRITERIA WERE CONSIDERED MOST IMPORTANT WHEN THE CHNA WORKGROUP WAS SELECTING THE RECOMMENDED PRIORITIES: ISSUES SIGNIFICANTLY CONTRIBUTING TO DEATH ISSUES SIGNIFICANTLY CONTRIBUTING TO PREVENTABLE HOSPITALIZATIONS SIGNIFICANT RACIAL DISPARITIES IN DISEASE OR MORTALITY PREVALENCE SIGNIFICANT WORSENING OF A HEALTH ISSUE SINCE 2019 CHNA RANKING IN TOP 4 ISSUES IMPORTANT TO IMPROVING COMMUNITY HEALTH BY COMMUNITY MEMBERS AND STAKEHOLDERSHENRY FORD'S CHNA WORKGROUP, A WORKGROUP OF COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE-WIDE (CHANCE), REVIEWED THE DATA COLLECTED FROM STATE AND LOCAL SOURCES AND THE COMMUNITY/STAKEHOLDER INPUT FROM SURVEYS. THE WORKGROUP IDENTIFIED HIGHLY PREVALENT HEALTH ISSUES, ISSUES WHICH AFFECT PEOPLE IN OUR SERVICE AREA MORE THAN MICHIGAN RESIDENTS ON AVERAGE, AND ISSUES WHICH HAVE SIGNIFICANTLY WORSENED SINCE THE 2019 CHNA. AFTER CONSIDERING THE DATA, COMMUNITY INPUT, AND OUR RESOURCES AND INITIATIVES, PRIORITIES WERE RECOMMENDED BY THE CHNA WORKGROUP FOR APPROVAL BY THE PRESIDENT OF EACH HENRY FORD HEALTH HOSPITAL. CHNA WORKGROUP LEADERSHIP MET ONE-ON-ONE WITH EACH HOSPITAL PRESIDENT TO PRESENT NEEDS ASSESSMENT FINDINGS, PRIORITY RECOMMENDATIONS AND JUSTIFICATIONS FOR THE SELECTED PRIORITIES. APPROVAL WAS RECEIVED FROM EACH PRESIDENT FOR THE RECOMMENDED PRIORITIES. THE RECOMMENDED PRIORITIES WERE THEN PRESENTED TO AND RATIFIED BY EACH HOSPITAL BOARD OF TRUSTEES AND THE HENRY FORD HEALTH EXECUTIVE COUNCIL IN THE THIRD QUARTER OF 2022. THE COMMUNITY HEALTH LEADERSHIP COUNCIL RECOMMENDED THIS CHNA FOR APPROVAL BY THE BOARD OF DIRECTORS ON NOVEMBER 4, 2022. THE SELECTED PRIORITIES WERE RATIFIED BY THE HENRY FORD HEALTH BOARD OF DIRECTORS ON DECEMBER 16, 2022. PART VI, LINE 3: HFHJH 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. HFHJH FOLLOWS THE HFHS PATIENT FINANCIAL ASSISTANCE POLICY. HF HEALTH HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN OUR EMERGENCY ROOM FOR SERVICES, ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF IS TRAINED 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 HFHJH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS OFFERING POTENTIAL SUPPORT. HFHJH 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: THE FOUR-COUNTY AREA INCLUDES THE WAYNE, OAKLAND, MACOMB AND JACKSON COUNTIES, WHICH ARE LOCATED IN SOUTHEASTERN AND SOUTHCENTRAL MICHIGAN AND ACCOUNT FOR 41% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULOUS COUNTIES IN MICHIGAN; JACKSON IS A MUCH SMALLER COUNTY. OF THE OVER 4 MILLION RESIDENTS IN THE FOUR-COUNTY AREA, APPROXIMATELY 51% OF THE POPULATION IS FEMALE. THE FOUR-COUNTY AREA IS 63% WHITE, 24% BLACK, AND 5% HISPANIC.POPULATION IN THE FOUR-COUNTY AREA IS EXPECTED TO REMAIN FLAT UNTIL 2026. WHEN EXAMINING AGE DISTRIBUTION, THE FOUR-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 18% OF THE POPULATION ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE FOUR-COUNTY AREA WITH THE 65-YEAR-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 14% FROM 2021 TO 2026.REGARDING EDUCATION, THE FOUR-COUNTY AREA HAS APPROXIMATELY 10% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 12%. FURTHER, 30% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE FOURCOUNTY AREA IS DIVERSE IN POPULATION, RACE/ETHNICITY, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTHCARE SECTOR IS REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL.WITHIN THE FOUR-COUNTY AREA, THE MEDIAN HOUSEHOLD INCOME IN OAKLAND COUNTY ($81,587) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($49,359), JACKSON COUNTY ($54,511), AND MACOMB COUNTY ($64,641). THE UNITED WAY ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT SHOWS THE NUMBER OF HOUSEHOLDS WHOSE AVERAGE INCOME IS INSUFFICIENT TO AFFORD BASIC EXPENSES, INCLUDING HOUSING, CHILDCARE, HEALTH CARE AND TRANSPORTATION, BY COUNTY AND CITY.LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND ABILITY TO AFFORD NECESSITIES. THE FOUR-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT. MICHIGAN RANKS 33RD IN THE COUNTRY FOR CHILDREN UNDER AGE 18 IN FAMILIES BELOW POVERTY LEVEL, AT 17.3% IN 2019, A 2% IMPROVEMENT FROM 2018.IN ORDER TO INCREASE THE UTILITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS IMPORTANT TO ANALYZE THE PROFILE(S) OF EACH OF THESE COUNTIES AT A MORE DETAILED LEVEL, SUCH AS ZIP CODES, SO THAT CERTAIN DIFFERENCES WITHIN THE AREA BECOME EVIDENT.ONE COMMUNITY IN PARTICULAR NEED OF ATTENTION IS THE CITY OF DETROIT, WHERE THE AVERAGE HOUSEHOLD INCOME IS $52,005, SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL FOUR-COUNTY AREA ($96,462). 18% OF DETROIT RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 15% HAVE A BACHELOR'S DEGREE OR HIGHER.IN ADDITION TO THE CITY OF DETROIT, THERE ARE OTHER ZIP CODES IN THE FOUR-COUNTY AREA WITH LOWER INCOMES AND LOWER EDUCATIONAL ATTAINMENT. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES RANGES FROM $27,380-$65,690, LOWER THAN THE FOUR-COUNTY SERVICE AREA. OVERALL, 17% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 9% FOR THE FOUR-COUNTY AREA.THE POPULATIONS IN THESE ZIP CODES ARE MORE RACIALLY AND ETHNICALLY DIVERSE COMPARED TO THE FOUR-COUNTY AREA. 39% OF THE RESIDENTS OF THESE TOP 20 ZIP CODES ARE RACIAL MINORITIES COMPARED TO 37% OF RESIDENTS IN THE ENTIRE FOUR-COUNTY AREA.AS A RESULT, THE CITY OF DETROIT AND ABOVE TWENTY ZIP CODES ARE OF PARTICULAR INTEREST IN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE FOUR-COUNTY AREA. PART VI, LINE 5: HENRY FORD HEALTH JACKSON HOSPITAL (HFHJH) IS PART OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"), ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING SOUTHEASTERN MICHIGAN. THIS TAX RETURN REFLECTS ACTIVITIES OF HFHJH, WHICH INCLUDES 365 INPATIENT BEDS WITH AN INTEGRATED MEDICAL STAFF SERVING MORE THAN 40 FACILITIES IN THE JACKSON COUNTY AREA OF MICHIGAN. HFHJH IS GOVERNED BY A DEDICATED VOLUNTEER COMMUNITY BOARD AND IT PROVIDES ITS COMMUNITIES WITH A FULL RANGE OF CLINICAL SERVICES INCLUDING GENERAL MEDICINE, SURGERY, PRIMARY CARE, OBSTETRICS, PEDIATRICS, CARDIAC CARE, CANCER CARE, ORTHOPEDICS, NEUROSURGERY, 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. 1 JACKSON SYMPHONY ORCHESTRA 215 W MICHIGAN AVE JACKSON MI 49201 382146747 501(C)(3) 6000 0 N/A ORGANIZATIONAL SUPPORT ANCHOR INITIATIVE 141 S JACKSON ST JACKSON MI 49201 472475316 501(C)(3) 50000 0 N/A ORGANIZATIONAL SUPPORT ENTERPRISE GROUP 100 E MICHIGAN AVE 1100 JACKSON MI 49201 383326101 501(C)(6) 55000 0 N/A ORGANIZATIONAL SUPPORT JACKSON SCHOOL OF THE ARTS 634 N MECHANIC JACKSON MI 49202 383581314 501(C)(3) 35000 0 N/A ORGANIZATIONAL SUPPORT AMERICAN HEART ASSOCIATION PO BOX 4002902 DES MOINES IA 50340 135613797 501(C)(3) 25000 0 N/A ORGANIZATIONAL SUPPORT JACKSON MICH GIVING BACK TO THE COMMUNITY 1003 CLINTON JACKSON MI 49202 841995862 501(C)(3) 6000 0 N/A ORGANIZATIONAL SUPPORT JACKSON COUNTY VISITOR BUREAU- DBA EXPERIENCE JACKSON 134 W MICHIGAN AVE JACKSON MI 49201 382562896 501(C)(6) 6000 0 N/A ORGANIZATIONAL SUPPORT 5 2 STAFF ASSISTANCE FUND FOR EMERGENCIES 134 107054 WE CARE PATIENT NEEDS FUND 179 17853 CANCER PATIENT IMMEDIATE NEEDS FUNDS 14 6785 PART I, LINE 2: AWARDS ARE GRANTED BASED ON AN APPLICATION AND REVIEW PROCESS.THE ORGANIZATION SENDS OUT AN AWARD LETTER TO ALL GRANTEE RECIPENTS. THE LETTER OUTLINES WHAT THE FUNDING MAY BE USED FOR AND REQUESTS A FINAL REPORT DETAILING THE YEAR'S ACTIVITIES. X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 ROBERT G RINEY TRUSTEE (THRU 6/2022) 0 1617376 0 808535 0 567981 0 29223 0 28837 0 3051952 0 0 FRANK LAMARCA MD PHYSICIAN 1055812 0 1130319 0 724187 0 5338 0 30794 0 2946450 0 0 0 ADNAN R MUNKARAH MD PHYSICIAN TRUSTEE 0 977733 0 629552 0 1133376 0 27698 0 37521 0 2805880 0 713646 AZAM BASHEER MD PHYSICIAN 743570 0 1258038 0 510800 0 5338 0 32309 0 2550055 0 0 0 DENISE BROOKS-WILLIAMS TRUSTEE (START 7/2022) 0 745812 0 383946 0 265563 0 26173 0 17662 0 1439156 0 0 VISHAL GUPTA MD PHYSICIAN 737325 0 351993 0 100235 0 5338 0 19943 0 1214834 0 0 0 RYAN A BEEKMANMD PHYSICIAN 560738 0 307231 0 298658 0 5338 0 2110 0 1174075 0 0 0 AMRITRAJ G LOGANATHAN MD PHYSICIAN 362566 0 237839 0 526791 0 4575 0 29300 0 1161071 0 0 0 MOHAN G KULKARNI MD PHYSICIAN TRUSTEE 432122 0 399034 0 234824 0 6863 0 36964 0 1109807 0 0 0 PAULA AUTRY TRUSTEE - PRESIDENT & CEO (THRU 2/20 0 75796 0 280355 0 664448 0 1430 0 5522 0 1027551 0 0 MUMTAZ MEMON MD PHYSICIAN TRUSTEE 466333 0 101891 0 78821 0 5338 0 29567 0 681950 0 0 0 MARK A SMITH MD CMO/CEO HFAHMG 423612 0 136170 0 13661 0 5338 0 35261 0 614042 0 0 0 LAWRENCE NARKIEWICZMD PHYSICIAN TRUSTEE 381915 0 28950 0 118015 0 5338 0 29226 0 563444 0 0 0 MICHAEL GRISDELA FORMER INTERIM CENTRAL MAR 0 373966 0 118049 0 26119 0 5338 0 31074 0 554546 0 0 EMILY MOORHEAD TRUSTEE- PRESIDENT & CEO (START 2/20 273937 30305 92077 52946 55356 3141 4575 0 1287 107 427232 86499 0 0 KENNETH W EMPEY GENERAL COUNSEL 0 270216 0 74468 0 20500 0 8258 0 15502 0 388944 0 0 JIM BONGIORNO CENTRAL MARKET CFO, VP FIN 0 208664 0 54621 0 308 0 17062 0 26341 0 306996 0 0 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. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP RECEIVE MEMBERSHIP TO SOCIAL CLUBS INTENDED TO FURTHER THE BUSINESS NEEDS OF THE ORGANIZATION. USAGE IS REIMBURSED ON A CASE-BY-CASE BASIS BASED UPON DOCUMENTATION OF BUSINESS PURPOSE. IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS, THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO 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 3 THE CHIEF EXECUTIVE OFFICER FOR HENRY FORD HEALTH JACKSON HOSPITAL IS AN EMPLOYEE OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH ("HF HEALTH") HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL INDEPENDENT TRUSTEES. THE COMMITTEE MEETS THROUGHOUT THE YEAR AND IS CHARGED WITH THE 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 OF HENRY FORD HEALTH JACKSON HOSPITAL. THE COMMITTEE DIRECTLY ENGAGES 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 CEO IS ACCOUNTABLE FOR ENSURING THAT HENRY FORD HEALTH JACKSON HOSPITAL'S MISSION IS EFFICIENTLY CARRIED OUT WITH THE HIGHEST LEVELS OF QUALITY, SAFETY AND SERVICE, WHILE AT THE SAME TIME ENSURING THAT THE ORGANIZATION IS FINANCIALLY HEALTHY. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT HENRY FORD HEALTH JACKSON HOSPITAL COMPENSATION PRACTICES ARE CONSISTENT WITH INDUSTRY STANDARDS AND THAT COMPENSATION LEVELS ARE FAIR COMPARED TO SIMILAR HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION CONSULTANT BENCHMARKS HENRY FORD HEALTH JACKSON HOSPITAL'S POSITIONS AGAINST DATA FROM MULTIPLE PUBLISHED SURVEYS OF HEALTH CARE EXECUTIVE COMPENSATION IN THE NATIONAL HEALTH CARE LABOR MARKET. BASED UPON THE CONSULTANTS RECOMMENDATIONS, THE EXECUTIVE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR APPROVAL OF THE EXECUTIVE COMPENSATION PROGRAM. ONLY INDEPENDENT TRUSTEES VOTE ON THIS RECOMMENDATION. PART I, LINES 4A-B 4B. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN SUPPLEMENTAL RETIREMENT PROGRAMS THAT RESULT IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, AND/OR AS PAID. IT IS AN ELEMENT OF SOME PLAN DESIGNS 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. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: PART I, LINES 4A: SEVERANCE PAYMENTS PAULA AUTRY $492,602 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) - HENRY FORD HEALTH SYSTEM PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 ROBERT G. RINEY 463,649 - - 463,649 ADNAN R. MUNKARAH 991,756 - - - 991,756 PAULA AUTRY - 167,535 - 167,535 DENISE BROOKS-WILLIAMS 176,267 - - 176,267 SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - HENRY FORD HEALTH SYSTEM EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBERT G. RINEY 20,500 - - 20,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 ADNAN R. MUNKARAH 20,500 - - 20,500 PAULA AUTRY 3,154 - - 3,154 EMILY MOORHEAD 465 - - 465 MICHAEL GRISDELA 17,403 3,097 75 20,575 KENNETH EMPEY 20,500 - - 20,500 SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS FRANK LAMARCA, M.D. - 20,500 493 20,993 AZAM BASHEER, M.D - 15,575 375 15,950 AMRITRAJ LOGANATHAN, M.D. - 2,100 51 2,151 MOHAN KULKARNI, M.D. 13,300 7,200 173 20,673 RYAN BEEKMAN, M.D. 8,575 9,275 223 18,073 MUMTAZ MEMON, M.D. 13,675 6,825 164 20,664 LAWRENCE NARKIEWICZ, M.D. 16,825 3,675 88 20,588 MARK SMITH, M.D. 11,039 - - 11,039 EMILY MOORHEAD 11,160 - - 11,160 VISHAL GUPTA, M.D. 4,925 15,575 375 20,875 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -W.A. FOOTE MEMORIAL HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 FRANK LAMARCA, M.D. 198,899 - - 198,899 AZAM BASHEER, M.D. 157,495 - - 157,495 RYAN BEEKMAN, M.D. 120,305 - - 120,305 PART I, LINE 7 COLUMN B(II) OF PART II, SCHEDULE J INCLUDES NON-FIXED PAYMENTS TO CERTAIN PHYSICIANS BASED ON THEIR PRODUCTIVITY AND OTHER PERFORMANCE METRICS. PULMONARY CLINICS SEE BELOW 3807120 SEE BELOW 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: PULMONARY CLINICS OF SOUTHERN MI P.C.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OWNER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $ 3,807,120(D) DESCRIPTION OF TRANSACTION: PROVIDED HEALTH CARE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP (FORMERLY ALLEGIANCE HEALTH SERVICES). FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION MAY ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CORPORATION'S TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HENRY FORD ALLEGIANCE HEALTH GROUP ("MEMBER"). THE MEMBER'S SOLE CORPORATE MEMBER IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). HF HEALTH SHALL HAVE THE SOLE AUTHORITY TO TAKE OR CAUSE TO BE TAKEN ANY OF THE FOLLOWING ACTIONS (THE "HF HEALTH'S RESERVED POWERS"). - APPOINT THE BOARD OF TRUSTEES, CHAIRPERSON, AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - REMOVE THE BOARD OF TRUSTEES, CHAIRPERSON AND PRESIDENT OF THE CORPORATION AND THE OTHER SYSTEM ENTITIES - CHANGE THE CORPORATE MEMBER OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - AMEND THESE BYLAWS, THE CORPORATION'S ARTICLES OF INCORPORATION OR THE GOVERNING DOCUMENTS OF ANY SYSTEM ENTITY, PROVIDED (I) HF HEALTH FIRST CONSULTS WITH THE MEMBER'S BOARD OF DIRECTORS REGARDING THE PROPOSED AMENDMENT AND (II) THE AMENDMENT COMPLIES WITH ARTICLE XV OF THE BYLAWS REGARDING KEY SECTIONS; - APPROVE AN AGREEMENT OF (A) MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY SYSTEM ENTITY, OR (B) SALE, LEASE, OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY SYSTEM ENTITY, PROVIDED SUCH AGREEMENT SHALL HAVE BEEN APPROVED BY VOTE OF TWO-THIRDS OF THE MEMBER'S LOCAL DIRECTORS (AS DEFINED IN THE MEMBER'S BYLAWS) AND FURTHER PROVIDED THAT APPROVAL OF THE LOCAL DIRECTORS SHALL NOT BE REQUIRED WITH RESPECT TO (I) AN OVERALL AFFILIATION OR CHANGE IN OWNERSHIP OF HF HEALTH (INCLUDING THE SYSTEM) IF THE TERMS OF THAT TRANSACTION DO NOT VIOLATE THE KEY SECTIONS OR (II) A SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF HF HEALTH (INCLUDING THE ASSETS OF THE CORPORATION) TO A FOR-PROFIT ENTITY WHICH TRIGGERS APPLICATION OF THE TERMS OF SECTION 6.8(B) OF THE AFFILIATION AGREEMENT DATED MARCH 4, 2016 BETWEEN THE MEMBER (THEN KNOWN AS ALLEGIANCE HEALTH SERVICES) AND HF HEALTH, AS AMENDED FROM TIME TO TIME; - DISSOLVE THE CORPORATION OR ANY SYSTEM ENTITY OR REVOKE SUCH DISSOLUTION, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS; - RECEIVE FROM THE MEMBER STRATEGIC AND ANNUAL OPERATING PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE SYSTEM ENTITIES, INCLUDING THE CORPORATION, THAT ARE DEVELOPED COLLABORATIVELY BY THE MEMBER'S AND HF HEALTH'S RESPECTIVE LEADERSHIP AND RECOMMENDED BY THE MEMBER'S BOARD OF DIRECTORS, AND ADOPT SUCH RECOMMENDED PLANS AND BUDGETS UNLESS AN UNUSUAL CIRCUMSTANCE ARISES IN WHICH HF HEALTH DETERMINES A CHANGE TO A PLAN OR BUDGET IS NECESSARY, AND APPROVE EXPENDITURES BY THE SYSTEM ENTITIES NOT INCLUDED IN SUCH BUDGETS OF AN ANNUAL AGGREGATE AMOUNT EXCEEDING $500,000. - CAUSE ANY SYSTEM ENTITY TO INCUR, ASSUME OR GUARANTY INDEBTEDNESS OR FULFILL OTHER OBLIGATIONS REQUIRED UNDER HF HEALTH DEBT AGREEMENTS, OR APPROVE INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL INDEBTEDNESS SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - ENCUMBER THE ASSETS OF ANY SYSTEM ENTITY AS SECURITY FOR DEBTS OR OTHER LAWFUL ENGAGEMENTS SECURING INDEBTEDNESS, OR APPROVE ENCUMBRANCES SECURING INDEBTEDNESS OF THE SYSTEM ENTITIES IN AN ANNUAL AGGREGATE AMOUNT EXCEEDING $2,000,000 PROVIDED ALL ENCUMBRANCES SHALL COMPLY WITH HF HEALTH'S MASTER INDENTURE AND OTHER HF HEALTH CREDIT DOCUMENTS. - EXCHANGE, ABANDON OR DISPOSE OF FIXED ASSETS OF ANY SYSTEM ENTITY BY MEANS OF SALE, LEASE OR TRANSFER, AND APPROVE ALL SUCH ACTIONS PROPOSED BY THE SYSTEM ENTITIES WITH AN ANNUAL AGGREGATE VALUE IN EXCESS OF $2,000,000, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE MEMBER'S BOARD OF DIRECTORS. - AUTHORIZE THE FORMATION OR ACQUISITION OF NEW SUBSIDIARIES OF THE CORPORATION FOLLOWING CONSULTATION WITH THE MEMBER'S BOARD OF DIRECTORS. AS USED HEREIN, "INDEBTEDNESS" OF A PERSON SHALL MEAN: (A) OBLIGATIONS OF SUCH PERSON RELATING TO INDEBTEDNESS FOR BORROWED MONEY; (B) OBLIGATIONS OF SUCH PERSON EVIDENCED BY BONDS, NOTES, DEBENTURES OR SIMILAR INSTRUMENTS; AND (C) OBLIGATIONS IN THE NATURE OF GUARANTEES BY, OR JOINT AND SEVERAL LIABILITY OF, SUCH PERSON WITH RESPECT TO THE OBLIGATIONS OF ANY OTHER PERSON OF THE TYPE DESCRIBED IN CLAUSES (A) AND (B) ABOVE. RESPONSIBILITIES AND RESERVED POWERS OF THE MEMBER (HENRY FORD ALLEGIANCE HEALTH GROUP): IN ADDITION TO DOING ALL THINGS RESERVED TO THE MEMBER BY LAW AND WHICH ARE CONSISTENT WITH HF HEALTH'S RESERVED POWERS, THE MEMBER OF THE CORPORATION SHALL TAKE THE FOLLOWING ACTIONS WITH RESPECT TO THIS CORPORATION ("MEMBER'S RESERVED POWERS"): - ADOPT THE VISION, MISSION AND VALUES; AND - RATIFY OR REJECT OPERATING AND CAPITAL BUDGETS RECOMMENDED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") AND THE TAX DEPARTMENT OF HF HEALTH 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: - REVIEWED BY THE ORGANIZATION'S DIRECTOR AND VP OF FINANCE, CHIEF EXECUTIVE OFFICER, GENERAL COUNSEL, AND COMPLIANCE OFFICER. - REVIEW OF THE ENTIRE RETURN WITH THE HF HEALTH AND ORGANIZATION'S SENIOR VICE PRESIDENT FINANCIAL OPERATIONS AND CHIEF FINANCIAL OFFICER, - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HF HEALTH BOARD OF DIRECTORS - REVIEW OF THE RETURN WITH THE HF HEALTH CEO AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS - FINAL COPIES OF THE RETURN ARE DISTRIBUTED TO THE HOSPITAL'S BOARD OF TRUSTEES BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO OVERSEES THE CONFLICT OF INTEREST PROCESS WITH REGARD TO THE ORGANIZATION. HF HEALTH HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE HF HEALTH CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND EMPLOYEES. ANNUALLY, DIRECTORS, 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 HF HEALTH BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH (HF HEALTH) WHO HAS RESPONSIBILITY TO OVERSEE THE COMPENSATION PRACTICES OF THE ORGANIZATION. HF HEALTH HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS CONSISTING OF ALL EXTERNAL DIRECTORS. 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. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BOND ISSUE: THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH. THE ALLOCATED TAX-EXEMPT BOND LIABILITY OF THE ORGANIZATION IS REPORTED UNDER THE FORM 990, SCHEDULE K OF ITS PARENT, HENRY FORD HEALTH. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -431,816. FORM 990, PART XII, LINE 2C HENRY FORD HEALTH JACKSON HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). THE GOVERNING BODY OF HENRY FORD HEALTH HAS DELEGATED THE OVERSIGHT OF ITS FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HENRY FORD HEALTH AND AFFILIATES PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH AND AFFILIATES USE 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 HOSPITALS OR AFFILIATES ARE REPORTED AT BETWEEN 1 TO 5 HOURS PER WEEK. FORM 990 DIVERSITY, EQUITY AND INCLUSION: HENRY FORD HEALTH IS COMMITTED TO ADDRESSING SYSTEMIC RACIAL, ECONOMIC, AND CLINICAL BARRIERS THAT INFLUENCE SOCIAL DETERMINANTS OF HEALTH, WORKFORCE CULTURE, AND COMMUNITY WEALTH BUILDING. IN SEPTEMBER 2021, HENRY FORD HEALTH'S FIVE-YEAR DIVERSITY, EQUITY, INCLUSION, AND SOCIAL JUSTICE PLAN WAS APPROVED BY THE HENRY FORD HEALTH BOARD OF DIRECTORS. WITH A MISSION OF "EQUITY FOR ALL," THE PLAN IS COMPRISED OF FOUR PILLARS WITH TARGETED STRATEGIC OUTCOMES AND SUPPORTING MACRO-TACTICS TO DRIVE MEASURABLE RESULTS WITHIN THE COMMUNITIES THAT HENRY FORD HEALTH SERVES. HENRY FORD HEALTH HAS ADOPTED A ZERO-TOLERANCE STANCE FOR UNJUST SOCIAL PRACTICES THAT THREATEN THE EQUITABLE TREATMENT OF ITS PATIENTS, MEMBERS, AND VISITORS. HENRY FORD HEALTH IS ACTIVELY ENGAGED IN SOCIAL JUSTICE ADVOCACY EFFORTS AT THE NATIONAL, STATE, AND LOCAL LEVEL. SELECT STRATEGIC OUTCOMES MAY INCLUDE VOTER ACCESS AND PARTICIPATION AT THE NATIONAL, STATE, AND LOCAL LEVELS; IMPLICIT BIAS TRAINING; BEHAVIORAL HEALTH SERVICES IN HENRY FORD HEALTH'S SCHOOL-BASED PROGRAMS; AND ADVOCACY FOR THE ADOPTION OF "BAN THE BOX" BY OTHER HEALTH CARE ORGANIZATIONS IN HENRY FORD HEALTH MARKET. HENRY FORD HEALTH STRIVES TO CREATE AN INTENTIONAL CULTURE OF BELONGING, GROWTH, EDUCATION, AND LEARNING AND IS RECOGNIZED FOR DIVERSE AND INCLUSIVE WORKFORCE PRACTICES AND A LEADERSHIP AND GOVERNANCE MODEL THAT REFLECTS THE DIVERSITY OF ITS MEMBERS, PATIENTS, AND EMPLOYEES. HENRY FORD HEALTH HAS ESTABLISHED GOALS FOCUSED ON MAINTAINING RETENTION RATES OF UNDER-REPRESENTED MINORITY TALENT ACROSS THE ORGANIZATION AND IN LEADERSHIP. HENRY FORD HEALTH SEEKS TO FOSTER AWARENESS THROUGH LEADERSHIP TRAINING SESSIONS THAT FOCUS ON INCLUSIVE CULTURE AND ELIMINATING UNCONSCIOUS BIAS. HENRY FORD HEALTH FOCUSES ON IDENTIFYING ROOT CAUSES OF HEALTH DISPARITIES AND ALIGNING SUPPORT FOR COMMUNITY RESOURCES TO ADDRESS THEM AND ADVOCATE FOR PROGRAMS THAT PROMOTE HEALTHY CHOICES. RECOGNIZING THE IMPACT OF DISCRIMINATION AND DISINVESTMENT ON COMMUNITY WEALTH BUILDING AND SUSTAINABILITY, THIS PILLAR ALSO ADVOCATES FOR RESOURCES THAT PROMOTE MOBILITY, ACCESS, OPPORTUNITY, AND HEALTH, WHILE LEVERAGING HENRY FORD HEALTH'S PURCHASING POWER TO GENERATE ECONOMIC OPPORTUNITIES FOR DIVERSE AND WOMEN-OWNED BUSINESSES. AS A PROVEN LEADER IN ELIMINATING HEALTHCARE DISPARITIES, HENRY FORD HEALTH PROVIDES PATIENTS WITH ACCESS TO TOOLS SUCH AS SCREENINGS AND RESOURCE MAPPING THAT ADDRESS SOCIAL NEEDS WHILE OVERCOMING SOCIOECONOMIC BARRIERS THAT CONTRIBUTE TO HEALTH DISPARITIES. HENRY FORD HEALTH DEVELOPS BEST PRACTICES IN RESEARCH AND EDUCATION THAT PROVIDES KNOWLEDGE AND INSIGHT ON HENRY FORD HEALTH ROOTS OF INEQUITIES AND CREATE OPPORTUNITIES FOR DIVERSE INNOVATION AND RESEARCH. FORM 990 SUSTAINABILITY: ENVIRONMENTAL FACTORS IMPACT COMMUNITY HEALTH AND HENRY FORD HEALTH RECOGNIZES THAT AS A COMMUNITY PARTNER WE CAN INFLUENCE MANY OF THESE FACTORS. OUR SUSTAINABILITY GOALS ARE INTENDED TO SIMULTANEOUSLY REDUCE GREENHOUSE GAS EMISSIONS, REDRESS ENVIRONMENTAL INJUSTICES, AND IMPROVE THE HEALTH OF THE PATIENTS, EMPLOYEES, AND COMMUNITIES WE SERVE. HENRY FORD HEALTH HAS ESTABLISHED THE FOLLOWING SUSTAINABILITY GOALS TO BE ACHIEVED BY 2030: REDUCE GREENHOUSE GAS EMISSIONS FROM OPERATIONS BY 50%, NET-ZERO BY 2040 ELIMINATE CHEMICALS OF CONCERN FROM PRIORITY PRODUCTS REDUCE WASTE SENT TO LANDFILL BY 50% 30% OF FOOD PURCHASED WILL MEET LOCAL OR SUSTAINABLE CRITERIA INCREASE ANNUAL INVESTMENT IN GREEN AND HEALTHY INFRASTRUCTURE FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH JACKSON HOSPITAL DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. PHYSICIANS CHOICE NETWORK LLC 205 N EAST AVENUE JACKSON MI 49201 PROVIDER NETWORK MI 0 0 HENRY FORD ALLEGIANCE HEALTH JACKSON HEALTH NETWORK L3C 205 N EAST AVENUE JACKSON MI 49201 453253643 CLINICALLY INTEGRATED NETWORK MI 4227650 4730392 HENRY FORD ALLEGIANCE HEALTH IT'S YOUR LIFE SERVICES LLC 205 N EAST AVENUE JACKSON MI 49201 PREVENTION AND COMMUNITY HEALTH MI 0 0 HENRY FORD ALLEGIANCE HEALTH HENRY FORD ALLEGIANCE HEALTH GROUP 205 N EAST AVENUE JACKSON MI 49201 382756428 EXEMPT ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 ALLEGIANCE HEALTH FOUNDATION 205 N EAST AVENUE JACKSON MI 49201 383607833 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD ALLEGIANCE HEALTH GROUP 1 HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE 205 N EAST AVENUE JACKSON MI 49201 382336367 HOSPICE CARE MI 501(C)(3) LINE 7 HEATHLINK 1 HEALTHLINK 205 N EAST AVENUE JACKSON MI 49201 382756425 HOME HEALTH CARE MI 501(C)(3) LINE 12A, I HENRY FORD ALLEGIANCE HEALTH GROUP 1 CARELINK OF JACKSON 110 NORTH ELM AVENUE JACKSON MI 49202 381218485 LONG TERM ACUTE CARE HOSPITAL MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 1 HENRY FORD HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 381357020 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 N/A 0 HENRY FORD WYANDOTTE HOSPITAL 2333 BIDDLE AVE WYANDOTTE MI 48192 382791823 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH SYSTEM FOUNDATION ONE FORD PLACE DETROIT MI 48202 237383042 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I HENRY FORD HEALTH SYSTEM 1 HEALTH ALLIANCE PLAN 2850 W GRAND BLVD DETROIT MI 48202 382242827 HEALTH MAINTENANCE ORGANIZATION MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 HFII CORPORATION ONE FORD PLACE DETROIT MI 48202 900840304 SCIENTIFIC RESEARCH MI 501(C)(3) LINE 7 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES ONE FORD PLACE DETROIT MI 48202 464064067 ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES ME 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 HENRY FORD MACOMB HOSPITAL CORPORATION ONE FORD PLACE DETROIT MI 48202 382947657 HEALTHCARE SERVICE PROVIDER DE 501(C)(3) LINE 3 HENRY FORD HEALTH SYSTEM 1 THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND 3031 WEST GRAND BOULEVARD NO 800 DETROIT MI 48202 382682321 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 HENRY FORD PHYSICIAN PARTNERS ONE FORD PLACE DETROIT MI 48202 871633901 PHYSICIAN SERVICES MI 501(C)(3) HENRY FORD HEALTH SYSTEM 1 FOOTE HEALTH CENTER ASSOCIATES 1100 E MICHIGAN AVENUE JACKSON MI 49201 383017711 LESSOR OF MEDICAL CONDOMINIUMS MI HENRY FORD ALLEGIANCE HEALTH GROUP N/A 0 0 NORTHWEST DETROIT DIALYSIS 30100 TELEGRAPH BINGHAM FARMS MI 48025 383232668 OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM N/A 0 0 MACOMB REGIONAL DIALYSIS CENTERS 16151 NINETEEN MILE RD CLINTON TOWNSHIP MI 48038 260423581 OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM N/A 0 0 HFHS-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 465291602 OUTPATIENT SURGERY CLINICS MI HENRY FORD HEALTH SYSTEM N/A 0 0 HENRY FORD ALLEGIANCE PHARMACY 205 N EAST AVENUE JACKSON MI 49201 383370242 PHARMACY MI HENRY FORD ALLEGIANCE HEALTH GROUP C 1 SHA REALTY INC ONE FORD PLACE DETROIT MI 48202 381378121 REAL ESTATE HOLDING MI HENRY FORD HEALTH SYSTEM C 1 FAIRLANE HEALTH SERVICES 30100 TELEGRAPH BINGHAM FARMS MI 48025 382565235 HEALTHCARE MANAGEMENT MI HENRY FORD HEALTH SYSTEM C 1 ALLIANCE HEALTH AND LIFE INSURNACE 2850 W GRAND BLVD DETROIT MI 48202 383291563 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN C 1 HAP PREFERRED INC 2850 W GRAND BLVD DETROIT MI 48202 382513504 PROVIDER NETWORK LEASING MI HEALTH ALLIANCE PLAN C 1 ONIKA INSURANCE LTD FIRST CARRIBEAN HOUSE GRAND CAYMAN CJ CAPTIVE INSURANCE CJ HENRY FORD HEALTH SYSTEM C 1 HENRY FORD PHYSICIAN NETWORK ONE FORD PLACE DETROIT MI 48202 320306774 PHYSICIAN NETWORK MI HENRY FORD HEALTH SYSTEM C 1 ADMINSTRATION SYSTEMS RESEARCH CORPORATION 2850 W GRAND BLVD DETROIT MI 48202 382651185 THIRD PARTY INSURANCE ADMIN. MI HEALTH ALLIANCE PLAN C 1 HAP CARESOURCE 2850 W GRAND BLVD DETROIT MI 48202 383123777 HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN C 1 HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION 1150 ELIJAH MCCOY DR DETROIT MI 48202 852144748 CONDOMINIUM ASSOCIATION MI HENRY FORD HEALTH SYSTEM C 1 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 1 0 1 ALLIANCE HEALTH AND LIFE INSURANCE CO M 2785613 COST HENRY FORD ALLEGIANCE PHARMACY Q 3441284 COST JACKSON HEALTH NETWORK L3C S 10259793 COST COMMUNITY HEALTH TECH NETWORK P 729761 COST ONIKA INSURANCE LTD P 2656836 COST ONIKA INSURANCE LTD Q 287676 COST FOOTE HEALTH CENTER ASSOCIATES M 50522 COST HEALTH ALLIANCE PLAN L 6543205 COST FOOTE HEALTH CENTER ASSOCIATES K 839533 COST FOOTE HEALTH CENTER ASSOCIATES F 431850 COST HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE Q 1331888 COST CARELINK OF JACKSON Q 718595 COST SCHEDULE R, PART V, LINE 1D & 1E: THE ORGANIZATION IS A MEMBER OF THE HENRY FORD HEALTH SYSTEM OBLIGATED GROUP. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR OUTSTANDING OBLIGATIONS ISSUED UNDER THE 2016, 2019 AND 2022 HFHS BOND MASTER INDENTURES.