2023-11-10T14:15:39-06:00 2022-12-31 990 2022-01-01 382947657 HENRY FORD MACOMB HOSPITAL CORPORATION HENR 3138768714 ONE FORD PLACE - 5F DETROIT MI 48202 ROBIN DAMSCHRODER EVP FINANCE/CFO 3138745446 2023-11-10 ROBIN DAMSCHRODER 999009999 0 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z HENRY FORD HEALTH MACOMB HOSPITAL HENRY FORD HEALTH MACOMB HOSPITAL ROBIN DAMSCHRODER ONE FORD PLACE - 5F DETROIT MI 48202 709825679 0 X WWW.HENRYFORD.COM/HOMEPAGE_MACOMB X 1990 DE WE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: WE WILL BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE-ONE PERSON AT A TIME. 16 14 4108 257 0 0 5708909 8992133 630225437 617033735 15568187 11995329 2062790 2556645 653565323 640577842 96436 124268 0 0 259574912 265188887 0 0 145196 359456242 366600524 619127590 631913679 34437733 8664163 546856756 468250474 319830439 273393900 227026317 194856574 X HENRY FORD HEALTH MACOMB HOSPITAL (HFMH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") 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 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. 0 0 442517587 124268 276817261 HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TOWNSHIP (HFMH) IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF MACOMB COUNTY MICHIGAN AS WELL AS OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 2022, HFMH HAD 19,870 DISCHARGES.HFMH PROVIDES COMPREHENSIVE ACUTE AND TERTIARY CARE. SPECIALTY SERVICES INCLUDE A HEART & VASCULAR INSTITUTE, HENRY FORD CANCER INSTITUTE, A WOMEN'S HEALTH CENTER, ALONG WITH A BIRTHING CENTER THAT FEATURES 17 LABOR, DELIVERY, RECOVERY AND POST-PARTUM SUITES. THE HOSPITAL ALSO HAS A 32-BED INPATIENT REHABILITATION PROGRAM, AN AMBULATORY AND MINIMALLY INVASIVE SURGERY CENTER AND LEADING DIAGNOSTIC IMAGING, ALONG WITH ADVANCED TRAUMA CAPABILITIES AND EMERGENCY SERVICES.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 MACOMB HOSPITALS HAVE AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOUTH-YEAR MEDICAL STUDENTS.HENRY FORD HEALTH MACOMB HOSPITALS TRAIN OVER 150 MEDICAL STUDENTS AND 175 RESIDENTS IN 8 PROGRAMS. 71237041 181841237 HFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED 895,105 TOTAL OUTPATIENT FACILITY VISITS DURING 2022. 49332212 69648643 HFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 57,146 PATIENT VISITS DURING 2022. 53585505 101340139 OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES. 53585505 101340139 616672345 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 0 1 0 1 327 0 1 4108 1 0 0 0 0 0 0 0 0 0 0 X 16 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBIN DAMSCHRODER 3138768714 ONE FORD PLACE DETROIT MI 48202 WRIGHT L LASSITER III DIRECTOR/ PRESIDENT/CEO (THRU 7/2022) 2.00 63.00 X X 0 4029820 1993507 ROBERT G RINEY DIRECTOR/ PRESIDENT/CEO (START 7/2022) 2.00 63.00 X X 0 2993892 58060 DAVID J BREEN DIRECTOR-CHAIR 2.00 4.00 X X 0 40000 0 LYNN FORD ALANDT DIRECTOR 1.00 3.00 X 0 0 0 BARRY G PORTER DIRECTOR 1.00 3.00 X 0 25000 0 JACALYN S GOFORTH DIRECTOR 1.00 4.00 X 0 25000 0 MICHAEL S RAFFERTY DIRECTOR 1.00 2.00 X 0 30000 0 DANIEL J PHELAN PHD DIRECTOR 1.00 6.00 X 0 30000 0 DAVID M HEMPSTEAD DIRECTOR 1.00 3.00 X 0 15000 0 JOHN F HARRIS DIRECTOR 1.00 2.00 X 0 30000 0 CHARLES G MCCLURE JR DIRECTOR 1.00 3.00 X 0 0 0 JAMES O PEABODY MD DIRECTOR/PHYSICIAN 1.00 61.00 X 0 507650 64391 PATRICIA A MARYLAND DRPH DIRECTOR 1.00 2.00 X 0 0 0 FREDERIEK TONEY DIRECTOR 1.00 2.00 X 0 35000 0 ANDREA L ZOPPJD DIRECTOR 1.00 2.00 X 0 0 0 JOSEPH J RICHARDSON JR DIRECTOR 1.00 3.00 X 0 35000 0 EDGAR L VANN II DIRECTOR 1.00 3.00 X 0 35000 0 ROBIN S DAMSCHRODER TREASURER 2.00 63.00 X 0 2718752 61455 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 2.00 63.00 X 0 1660930 60398 MARJORIE A STATEN JD ASSISTANT SECRETARY 2.00 58.00 X 0 212050 14110 BARBARA W ROSSMANN CEO MACOMB HOSPITAL 60.00 1.00 X 990990 0 54778 DENISE BROOKS-WILLIAMS EVP- CARE DELIVERY SYSTEMS 20.00 43.00 X 0 1395321 43835 TERRY A GOODBALIAN CFO NORTH MARKET 60.00 0.00 X 0 391439 56772 CHRISTOPHER MILBACK MD CMO 60.00 0.00 X 547834 0 41627 MICHAEL MARKEL JR RN VP-OPERATIONS/CNO 60.00 0.00 X 398230 0 49773 KENNETH A SCOTT DO PHYSICIAN 60.00 0.00 X 1144950 0 57341 MARK T RYAN DO PHYSICIAN 60.00 0.00 X 942378 0 37777 RONALD LEVIN MD PHYSICIAN 60.00 0.00 X 891009 0 57173 EDDIE EL-YUSSIF DO PHYSICIAN 60.00 0.00 X 954425 0 59022 RAED M ALNAJJAR MD PHYSICIAN 60.00 0.00 X 1644815 0 53954 WILLIAM A CONWAY MD FORMER DIRECTOR/PHYSICIAN 0.00 40.00 X 0 166393 37457 KATHLEEN L YAREMCHUK MD FORMER DIRECTOR/PHYSICIAN 0.00 60.00 X 0 989026 50803 7514631 15365273 2852233 349 1 1 0 BARTON MALOW DIXON JV 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION 99889334 ALLIANCE HEALTH PROFESSIONALS PLLC 133 S MAIN ST SUITE D MT CLEMENS MI 48043 PHYSICIAN SERVICES 18843648 ALLIANCE MANAGEMENT PARTNERS LLC 133 S MAIN ST SUITE D MT CLEMENS MI 48043 MANAGEMENT SERVICES 15890901 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 TEMP NURSING SERVICES 10069826 METROPOLITAN DETROIT AREA HOSPITAL 1150 ELIJAH MCCOY DR DETROIT MI 48202 LAUNDRY SERVICES 1441795 76 175095 5630627 3186411 8992133 HOSPITAL SERVICES 900099 274949345 274949345 OUTPATIENT SERVICES 621400 181841237 181841237 EMERGENCY SERVICES 900099 69648643 69648643 MEDICAL EDUCATION-GME 900099 8152927 8152927 82441583 82441583 617033735 1259350 1259350 678925 0 678925 678925 678925 78554274 1373615 67813470 1378440 10740804 -4825 10735979 10740804 -4825 42616 175095 53679 -11063 -11063 18290 2248 16042 16042 CAFETERIA 900009 1392147 1392147 GIFT SHOP 455000 270226 270226 210368 210368 1872741 640577842 629647280 0 1938429 X 124268 124268 2083440 1082872 896396 104172 221665241 215998157 5667084 5403133 5242121 158496 2516 21012198 20386040 616375 9783 15024875 14577138 440742 6995 53930 27108 26822 68375251 66930855 1442587 1809 117397 11740 105657 11937977 11607401 330576 1282732 913746 368986 4487979 3932010 555969 144733 138289 6444 681495 669517 11978 5000855 5000855 20170775 18997486 1173159 130 7601779 7601779 MEDICAL SUPPLIES 69502409 69325497 176912 CORPORATE ALLOCATION 67279682 67279682 PHARMACEUTICALS 58194274 57861005 333269 QAAP TAX 13127999 13127999 38641257 35836780 2784686 19791 631913679 616672345 15096138 145196 5720 4810 36047990 10587169 1011336 3337950 59364843 71691248 14801717 16002380 2319273 2246070 532918939 236918797 204007225 296000142 201890302 42838863 -22930 1134 27431280 25540708 546856756 468250474 110166104 67560450 127856287 124721655 81808048 81111795 319830439 273393900 X 218839947 183794291 8186370 11062283 227026317 194856574 546856756 468250474 X 8664163 -39399985 -1433921 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8186370 3366485 24337 514910 11062282 6906279 1457542 -2640 174811 8186370 7259366 523910 8829 885826 6906279 5616528 2160100 49690 566952 7259366 10403458 1427858 41385 6256173 5616528 0.21360 0.78640 0 1 1 11743199 11743199 250609029 129889355 120719674 1660930 907510 753420 129965780 106121932 23843848 138940001 138940001 296000142 DEFERRED COMPENSATION 7090993 OTHER 1250206 RIGHT OF USE ASSET OPERATING 12789988 RIGHT OF USE ASSET FINANCE 7866828 ACCUM AMORT R OF U ASSET FINANCE -2580301 ACCUM AMORT- INTANGIBLES -877006 25540708 MALPRACTICE LIABILITY 23517597 CORPORATE RESERVE 6349121 WORKERS COMP LIABILITY 1478919 DEFERRED COMPENSATION 7234648 POST RETIREMENT BENEFITS 18843689 CURR OPERATING LEASE LIABILITY 2778496 CURR FINANCE LEASE LIABILITY 673793 LT FINANCE LEASE LIABILITY 5379463 LT OPERATING LEASE LIABILITY 10250941 OPERATING LEASE A/P PAYMENT CLEARING -359915 CURRENT PORTION LT DEBT 4936395 FINANCE LEASE A/P PMT CLEARING 28648 81111795 X 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. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021. SHOWTIME 112026 98059 13967 24235 MACOMB GOLF 105685 77036 28649 29444 0 217711 175095 42616 53679 53679 -11063 18290 2248 1 1.00000 18290 2248 2248 16042 MI 1 0 1 0 1.00000 AMY STRAUSS SPECIAL EVENTS DEPT ONE FORD PLACE DETROIT MI 48202 0 0 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 8975145 8975145 0.01440 113851029 74617572 39233457 0.06290 122826174 74617572 48208602 0.07730 557545 60520 497025 0.00080 19833752 12256039 7577713 0.01210 17024284 14564353 2459931 0.00390 0.00000 33682 33682 0.00010 37449263 26880912 10568351 0.01690 160275437 101498484 58776953 0.09420 83455 83455 0.00010 49293 49293 0.00010 14402 14402 0.00000 890 890 0.00000 943 943 0.00000 148983 148983 0.00020 0 7777361 2424635 268333060 300522027 -32188967 X 1 1 2 1 HENRY FORD HEALTH MACOMB HOSPITAL - CLINTON 15855 19 MILE ROAD CLINTON TOWNSHIP MI 48038 X X X X 2 HENRY FORD HEALTH MACOMB HOSPITAL- MOUNT CLEMENS 215 NORTH AVENUE MOUNT CLEMENS MI 48043 X PSYCHIATRIC INPATIENT HENRY FORD HEALTH MACOMB HOSPITAL-CLINTO 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 MACOMB HOSP-MOUNT CLEM 2 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 MACOMB HOSPITAL-CLINTON TWP 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.SURVEYS WERE USED TO GATHER INPUT FROM A VARIETY OF STAKEHOLDERS IN THE CITY OF DETROIT AS WELL AS WAYNE, MACOMB AND OAKLAND COUNTIES, INCLUDING COMMUNITY MEMBERS AND LEADERS, AND STAKEHOLDER ORGANIZATIONS SERVING THE WELLBEING OF RESIDENTS. THE TWO GROUPS, COMMUNITY MEMBERS AND THOSE WORKING AT STAKEHOLDER ORGANIZATIONS, RESPONDED TO SEPARATE SURVEYS. SURVEYS WERE ADMINISTERED USING SURVEYMONKEY AND HENRY FORD'S INSIGHTS PLATFORM DURING MARCH-APRIL 2022. SURVEYS GATHERED INPUT ON BARRIERS PEOPLE FACE IN ACHIEVING GOOD HEALTH AND ACCESSING HEALTHCARE. RESPONDENTS WERE ASKED TO RANK HEALTH AND SOCIAL ISSUES THAT ARE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH, AMONGST OTHER QUESTIONS ABOUT BARRIERS TO ACHIEVING GOOD HEALTH. 1,571 RESPONSES FROM COMMUNITY MEMBERS AND STAKEHOLDERS WERE COLLECTED.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS AUTHORITY HEALTH; DETROIT HEALTH DEPARTMENT; LINCOLN PARK SCHOOLS; CHALDEAN COMMUNITY FOUNDATION; MACOMB COUNTY HEALTH DEPARTMENT; MICHIGAN PUBLIC HEALTH INSTITUTE AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE AND REPRESENTED A RANGE OF RACIAL/ETHNIC BACKGROUNDS. FROM THEIR SURVEY RESPONSES WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES WHICH FACE OUR COMMUNITIES. HENRY FORD HEALTH MACOMB HOSP-MOUNT CLEMENS 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.SURVEYS WERE USED TO GATHER INPUT FROM A VARIETY OF STAKEHOLDERS IN THE CITY OF DETROIT AS WELL AS WAYNE, MACOMB AND OAKLAND COUNTIES, INCLUDING COMMUNITY MEMBERS AND LEADERS, AND STAKEHOLDER ORGANIZATIONS SERVING THE WELLBEING OF RESIDENTS. THE TWO GROUPS, COMMUNITY MEMBERS AND THOSE WORKING AT STAKEHOLDER ORGANIZATIONS, RESPONDED TO SEPARATE SURVEYS. SURVEYS WERE ADMINISTERED USING SURVEYMONKEY AND HENRY FORD'S INSIGHTS PLATFORM DURING MARCH-APRIL 2022. SURVEYS GATHERED INPUT ON BARRIERS PEOPLE FACE IN ACHIEVING GOOD HEALTH AND ACCESSING HEALTHCARE. RESPONDENTS WERE ASKED TO RANK HEALTH AND SOCIAL ISSUES THAT ARE MOST IMPORTANT TO IMPROVING COMMUNITY HEALTH, AMONGST OTHER QUESTIONS ABOUT BARRIERS TO ACHIEVING GOOD HEALTH. 1,571 RESPONSES FROM COMMUNITY MEMBERS AND STAKEHOLDERS WERE COLLECTED.INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS AUTHORITY HEALTH; DETROIT HEALTH DEPARTMENT; LINCOLN PARK SCHOOLS; CHALDEAN COMMUNITY FOUNDATION; MACOMB COUNTY HEALTH DEPARTMENT; MICHIGAN PUBLIC HEALTH INSTITUTE AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE AND REPRESENTED A RANGE OF RACIAL/ETHNIC BACKGROUNDS. FROM THEIR SURVEY RESPONSES WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES WHICH FACE OUR COMMUNITIES. HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TWP PART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH WYANDOTTE HOSPITALHENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH JACKSON HOSPITALHENRY FORD HEALTH ALLEGIANCE SPECIALTY HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTER HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TWP 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 CANCER PREVENTION & SCREENING.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 (DPP) PROGRAMS 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. CANCER PREVENTION & SCREENING INCREASE PROSTATE, BREAST, LUNG AND COLORECTAL CANCER SCREENING VOLUMES. HOLD EVENTS TO INCREASE AWARENESS AND EDUCATION AROUND CANCER SCREENING FOR BREAST, LUNG, COLON AND PROSTATE CANCER.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 MACOMB HOSP-MOUNT CLEMENS 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 CANCER PREVENTION & SCREENING.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 (DPP) PROGRAMS 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. CANCER PREVENTION & SCREENING INCREASE PROSTATE, BREAST, LUNG AND COLORECTAL CANCER SCREENING VOLUMES. HOLD EVENTS TO INCREASE AWARENESS AND EDUCATION AROUND CANCER SCREENING FOR BREAST, LUNG, COLON AND PROSTATE CANCER.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 MACOMB HOSPITAL-CLINTON TWP PART V, SECTION B, LINE 13B: HENRY FORD HEALTH MACOMB HOSPITAL-CLINTON TOWNSHIP 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. HENRY FORD HEALTH MACOMB HOSP-MOUNT CLEMENS PART V, SECTION B, LINE 13B: HENRY FORD HEALTH MACOMB HOSPITAL-MOUNT CLEMENS 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 18 1 - HF MACOMB HEALTH CENTER-BRUCE TWP 80650 VAN DYKE BRUCE TOWNSHIP MI 48065 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 2 - HF MACOMB HLTH CENTER-CHESTERFIELD 30795 23 MILE ROAD CHESTERFIELD TOWNSHI MI 48047 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 3 - HF MACOMB HOSPITAL MEDICAL PAVILION 16151 19 MILE ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 4 - HF MACOMB HEALTH CENTER-FRASER 15717 15 MILE ROAD FRASER MI 48035 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 5 - HF MACOMB HEALTH CENTER-RICHMOND 67267 MAIN STREET RICHMOND MI 48062 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 6 - HF MACOMB SLEEP MEDICINE CENTER 43650 GARFIELD ROAD UNIT 103 CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 7 - HF MACOMB HEALTH CENTER-WASH TWP 12150 30 MILE ROAD WASHINGTON TOWNSHIP MI 48095 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 8 - HF MACOMB MEDICAL CENTER 15520 19 MILE ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 9 - HF MACOMB MEDICAL CENTER 15400 19 MILE ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 10 - HF MACOMB-SHELBY FAMILY MED 51221 SCHOENHERR SUITE 201 SHELBY TOWNSHIP MI 48315 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 11 - HF MACOMB-SHELBY FAMILY MED 49310 VAN DYKE SHELBY TOWNSHIP MI 48317 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 12 - HF MACOMB CENTER-CLINTON TWP 43411 GARFIELD ROAD CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 13 - HENRY FORD REHABILITATION-CLINTON TWP 16301 NINETEEN MILE ROAD CLINTON TOWNSHIP MI 48308 REHABILITATION SERVIES 14 - HFMH-PC CENTER FOR WOMENS HEALTH 17941 HALL ROAD MACOMB MI 48044 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 15 - HENRY FORD REHAB & SPORTS MED-FRASER 15595 15 MILE ROAD CLINTON TOWNSHIP MI 48035 REHABILITATION SERVIES 16 - HF MACOMB ONCOLOGY 43630 HAYES SUITE 200 CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 17 - HF MACOMB OBGYN 16360 26 MILE ROAD MACOMB MI 48044 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 18 - HF MACOMB PLASTIC SURGWEIGHT MGT 15420 19 MILE ROAD SUITES 200/300 CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL 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 $7,777,361 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 BASE UPON 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 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. 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. 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 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" 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: 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 HF HEALTH 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 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: 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 MACOMB HOSPITALS (HFMH) ARE PART OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"), 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 366 INPATIENT BEDS WITH AN OPEN MEDICAL STAFF, 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. 0 LEADERSHIP MACOMB INC 14460 LAKESIDE CIRCLE STE 220 STERLING HEIGHTS MI 48313 383551700 501(C)(3) 13250 0 ORGANIZATIONAL SUPPORT MACOMB COUNTY CHAMBER OF COMMERCE 28 FIRST STREET SUITE B MOUNT CLEMENS MI 48043 380855880 501(C)(6) 17220 0 ORGANIZATIONAL SUPPORT FAMILIES AGAINST NARCOTICS 18900 15 MILE ROAD CLINTON TOWNSHIP MI 48035 262302028 501(C)(3) 6300 0 ORGANIZATIONAL SUPPORT STERLING HEIGHTS REGIONAL CHAMBER OF COMMERCE & INDUSTRY 12900 HALL ROAD SUITE 100 STERLING HEIGHTS MI 48313 381987626 501(C)(6) 5620 0 ORGANIZATIONAL SUPPORT CARE OF SOUTHEASTERN MICHIGAN TOTAL 31900 UTICA ROAD FRASER MI 48026 382175274 501(C)(3) 6000 0 ORGANIZATIONAL SUPPORT 3 2 X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 WRIGHT L LASSITER III DIRECTOR/ PRESIDENT/CEO (THRU 7/2022 0 1210232 0 2172864 0 646724 0 1974100 0 19407 0 6023327 0 107645 ROBERT G RINEY DIRECTOR/ PRESIDENT/CEO (START 7/202 0 1617376 0 808535 0 567981 0 29223 0 28837 0 3051952 0 0 ROBIN S DAMSCHRODER TREASURER 0 1020039 0 693870 0 1004843 0 26173 0 35282 0 2780207 0 524009 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 0 896512 0 479115 0 285303 0 26173 0 34225 0 1721328 0 0 RAED M ALNAJJAR MD PHYSICIAN 779712 0 608726 0 256377 0 26172 0 27782 0 1698769 0 0 0 DENISE BROOKS-WILLIAMS EVP- CARE DELIVERY SYSTEMS 0 745812 0 383946 0 265563 0 26173 0 17662 0 1439156 0 0 KENNETH A SCOTT DO PHYSICIAN 921777 0 114554 0 108619 0 27698 0 29643 0 1202291 0 0 0 BARBARA W ROSSMANN CEO MACOMB HOSPITAL 523998 0 358710 0 108282 0 29222 0 25556 0 1045768 0 0 0 KATHLEEN L YAREMCHUK MD FORMER DIRECTOR/PHYSICIAN 0 841292 0 124541 0 23193 0 29222 0 21581 0 1039829 0 0 EDDIE EL-YUSSIF DO PHYSICIAN 868327 0 0 0 86098 0 26173 0 32849 0 1013447 0 0 0 MARK T RYAN DO PHYSICIAN 905575 0 0 0 36803 0 26172 0 11605 0 980155 0 0 0 RONALD LEVIN MD PHYSICIAN 561355 0 0 0 329654 0 29222 0 27951 0 948182 0 0 0 CHRISTOPHER MILBACK MD CMO 411138 0 129530 0 7166 0 5338 0 36289 0 589461 0 0 0 JAMES O PEABODY MD DIRECTOR/PHYSICIAN 0 484535 0 0 0 23115 0 29222 0 35169 0 572041 0 0 TERRY A GOODBALIAN CFO NORTH MARKET 0 300902 0 80546 0 9991 0 29222 0 27550 0 448211 0 0 MICHAEL MARKEL JR RN VP-OPERATIONS/CNO 282622 0 95095 0 20513 0 27697 0 22076 0 448003 0 0 0 MARJORIE A STATEN JD ASSISTANT SECRETARY 0 175106 0 35360 0 1584 0 3119 0 10991 0 226160 0 0 WILLIAM A CONWAY MD FORMER DIRECTOR/PHYSICIAN 0 166393 0 0 0 0 0 14535 0 22922 0 203850 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. THERE WERE NO PAYMENTS OR REIMBURSEMENTS OF FIRST CLASS DURING 2022. 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. ADDITIONALLY, 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 4B SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE 2022 ACCRUAL NON-VESTED DISTRIBUTIONS DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT BARBARA W. ROSSMANN 105,125 - - - 105,125 MICHELLE JOHNSON TIDJANI 211,041 - - - 211,041 WRIGHT L. LASSITER III 523,447 - 107,645 1,947,928 631,092 DENISE BROOKS-WILLIAMS 176,267 - - - 176,267 ROBIN DAMSCHRODER 827,133 - - - 827,133 ROBERT RINEY 463,649 - - - 463,649 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTRIBUTIONS 2022 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA W. ROSSMANN 3,157 - - 3,157 RONALD LEVIN, M.D. 4,632 15,482 373 20,487 MARK RYAN, M.D. - 20,500 493 20,993 KENNETH A. SCOTT - 20,500 493 20,993 TERRY A. GOODBALIAN - 945 23 968 EDDIE EL-YUSSIF - 20,500 493 20,993 WRIGHT L. LASSITER III 12,616 - - 12,616 ROBIN S. DAMSCHRODER 20,500 - - 20,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 MICHELLE JOHNSON TIDJANI 20,500 - - 20,500 KATHLEEN YAREMCHUK, M.D. - 20,500 493 20,993 CHRISTOPHER MILBACK, M.D. - 4,437 107 4,544 RAED ALAJJAR, M.D. 3,175 17,325 417 20,917 ROBERT RINEY 20,500 - - 20,500 JAMES PEABODY - 11,236 270 11,506 MARTIN E BEAULAC SEE BELOW 232039 SEE BELOW 0 KIRCO SEE BELOW 3079105 SEE BELOW 0 JONATHAN E BEAULAC SEE BELOW 333700 SEE BELOW 0 SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: MARTIN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: JONATHAN E. BEAULAC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/FORMER KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION PAID BY THE ORGANIZATION(A) NAME OF PERSON: KIRCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $ 3,079,105(D) DESCRIPTION OF TRANSACTION: CONSTRUCTION SERVICES PAID BY THE ORGANIZATION(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #26(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 538,772(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #16(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 99,889,334(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #12(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 545,481(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #30(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 330,623(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #22(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 243,321(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #20(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 542,324(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #35(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 658,391(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR TO DIRECTOR BUSINESS RELATIONSHIP: MICHAEL RAFFERY AND SANDRA PIERCE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A TAX EXEMPT STOCK CORPORATION AND HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH 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, HF HEALTH 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 11B THE ORGANIZATION IS AN AFFILIATE OF 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: - 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 - PROVIDE A COPY OF THE RETURN TO THE ORGANIZATION'S BOARD OF DIRECTORS 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. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISION THAT IS NOT A SEPARATE LEGAL ENTITY BUT HAS THEIR OWN UNIQUE ASSIGNED EIN. FINANCIAL INFORMATION RELATING TO THIS DIVISION IS INCLUDED IN THIS RETURN. -HENRY FORD MACOMB ANCILLARY SERVICES (47-3293378) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 41,843,740. MANAGEMENT AND GENERAL EXPENSES 821,841. FUNDRAISING EXPENSES 1,809. TOTAL EXPENSES 42,667,390. RESEARCH SERVICES: PROGRAM SERVICE EXPENSES 13,908. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,908. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 25,073,207. MANAGEMENT AND GENERAL EXPENSES 620,746. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,693,953. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT -1,433,921. FORM 990 - PART XII - LINE 2C: HENRY FORD HEALTH MACOMB HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH. THE GOVERNING BODY OF HF HEALTH HAS DELEGATED THE OVERSIGHT OF THE FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF INDEPENDENT AUDITORS, TO ITS AUDIT COMMITTEE. FORM 5713 - INTERNATIONAL BOYCOTT ACTIVITY: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (PARENT OF OUR CONTROLLED GROUP). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. FORM 990, PART VII: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HF HEALTH PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH 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. 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 MERCY MOUNT CLEMENS REAL ESTATE LLC ONE FORD PLACE DETROIT MI 48202 382947657 REAL ESTATE MI 0 0 N/A 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 MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 1 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 12A, I 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 HEALTHLINK 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 WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL 205 N EAST AVENUE JACKSON MI 49201 382027689 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 HENRY FORD ALLEGIANCE HEALTH GROUP 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) LINE 3 HENRY FORD HEALTH SYSTEM 1 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 CLINICS MI HENRY FORD HEALTH SYSTEM N/A 0 0 FOOTE HEALTH CENTER ASSOCIATES 1100 E MICHIGAN AVENUE JACKSON MI 49201 383017711 LESSOR OF MEDICAL CONDOMINIUM MI HENRY FORD ALLEGIANCE HEALTH GROUP 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 ELIJAH MCCOY CONDOMINIUM ASSOCIATION 1150 ELIJAH MCCOY DR DETROIT MI 48202 852144748 CONDOMINIUM ASSOCIATION 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 INSURANCE 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 SHA REALTY INC ONE FORD PLACE DETROIT MI 48202 381378121 REAL ESTATE HOLDING MI HENRY FORD HEALTH SYSTEM 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 ADMINISTRATION SYSTEMS RESEARCH CORPORATION 2850 W GRAND BLVD DETROIT MI 48202 382651185 THIRD PARTY INSURANCE ADMINISTRATOR 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 ALLEGIANCE PHARMACY 205 N EAST AVENUE JACKSON MI 49201 383370242 PHARMACY MI HENRY FORD ALLEGIANCE HEALTH GROUP C 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 HEALTH ALLIANCE PLAN L 37957985 CASH VALUE ALLIANCE HEALTH AND LIFE INSURANCE M 1785202 CASH VALUE ONIKA INSURANCE LTD P 2400740 CASH VALUE ONIKA INSURANCE LTD Q 1637237 CASH VALUE ALLIANCE HEALTH AND LIFE INSURANCE P 1785202 CASH VALUE 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.