2025-11-14T10:43:50-06:00 2024-12-31 990 2024-01-01 382336367 HOSPICE OF JACKSON HOSP 5172056982 205 N EAST AVENUE JACKSON MI 49201 J DOUGLAS CLARK SVP/ CHIEF ACCOUNTING OFFICER 5172056982 2025-11-14 0 2024 2025-03-06 01:10:19Z HENRY FORD ALLEGIANCE HOSPICE ALLEGIANCE HOSPICE ROBIN DAMSCHRODER 205 N EAST AVENUE JACKSON MI 49201 7053417 0 X HENRYFORD.COM/LOCATIONS/ALLEGIANCE-HOSPICE-HOME X 1980 MI HOSPICE OF JACKSON PROVIDES QUALITY CARE TO THE TERMINALLY ILL AND SUPPORT TO THEIR FAMILIES. 8 7 101 48 0 0 2691279 559173 6715806 6493059 1819 1130 1130 55 9410034 7053417 0 0 0 0 5827813 6117036 0 0 0 1856619 2024500 7684432 8141536 1725602 -1088119 5662432 5877566 6582566 7885819 -920134 -2008253 X HENRY FORD ALLEGIANCE HOSPICE PROVIDES QUALITY HEALTH CARE TO THE TERMINALLY ILL AND SUPPORT TO THEIR FAMILIES. THE ORGANIZATION PROVIDES MEMBERS OF THE GENERAL PUBLIC A COMPREHENSIVE HEALTHCARE PROGRAM TO MEET THE PHYSICAL, EMOTIONAL, SPIRITUAL AND SOCIAL NEEDS OF TERMINALLY ILL INDIVIDUALS AND MEMBERS OF THEIR FAMILIES, GENERALLY DESCRIBED AS HOSPICE SERVICES. 0 0 7590656 6493114 HENRY FORD ALLEGIANCE HOSPICE PROVIDES IN-HOME HOSPICE SERVICES AND OPERATES A 20-BED HOSPICE HOME TO SERVE THE NEEDS OF TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THE ORGANIZATION ALSO PROVIDES GRIEF SUPPORT SERVICES TO THESE PATIENTS' FAMILIES, AS WELL AS EDUCATIONAL SEMINARS ON ELDER CARE IN THE JACKSON COMMUNITY. 7590656 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 101 1 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X ROBIN DAMSCHRODER 3138768714 ONE FORD PLACE DETROIT MI 48202 AL KAUFFMAN DIRECTOR 1.00 0.00 X 0 0 0 JON LAKE MD DIRECTOR 1.00 0.00 X 0 0 0 EMILY S MOORHEAD DIRECTOR-PRESIDENT 2.00 63.00 X X 0 632666 59773 JAMES HINES DIRECTOR 1.00 0.00 X 0 0 0 SANDRA PLACE DIRECTOR 1.00 1.00 X 0 0 0 KRISTIN PLUTA DIRECTOR 1.00 0.00 X 0 0 0 CATHY REYNOLDS DIRECTOR- SEC/TREAS 2.00 0.00 X X 0 0 0 CHRISTINA M SIDERS DIRECTOR-CHAIRMAN 2.00 2.00 X X 0 0 0 ANDREW M DUDA MD PHYSICIAN 50.00 0.00 X 339972 0 11242 MELISA A OBERST REGISTERED NURSE 50.00 0.00 X 114816 0 33302 JERRY ALLEN MAINS REGISTERED NURSE 50.00 0.00 X 139372 0 8693 MELISSA DOSER NURSE PRACTITIONER 50.00 0.00 X 119646 0 35703 SHARON L DOWNS REGISTERED NURSE 50.00 0.00 X 132693 0 39927 846499 632666 188640 9 0 1 0 0 559173 559173 PATIENT CARE 621990 6493059 6493059 6493059 1130 1130 55 55 55 7053417 6493114 0 1130 4911794 4878216 33578 185989 185047 942 659421 654929 4492 359832 357512 2320 2442 2442 612235 538803 73432 190 190 246963 154053 92910 753 753 102757 1791 100966 118867 118867 4644 4644 63863 63863 110594 25247 85347 2275 2275 SHARED SERVICES ALLOCAT 289940 289940 PHARMACEUTICAL SUPPLIES 244434 244353 81 MEDICAL SUPPLIES 114208 59036 55172 IPS RENT 85533 0 85533 24802 11137 13665 8141536 7590656 550880 0 -135997 -1 2716164 2894335 576435 545290 7422 4032 3106900 672990 2498408 2433910 5662432 5877566 6556015 7885819 26551 0 6582566 7885819 X -3636298 -5017229 2716164 3008976 -920134 -2008253 5662432 5877566 -1088119 0 X X 0 1 X 1 0 X 269745 314241 289507 114996 220266 1208755 269745 314241 289507 114996 220266 1208755 0 0 0 1208755 59 8 0 41 0 108 59 8 41 108 269804 314249 289507 115037 220266 1208863 0.99990 0.99160 0.00010 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2716163 18241 320667 46095 3008976 138103 2579079 1778 2797 2716163 145849 -4948 -2555 243 138103 239453 -46872 3225 49957 145849 309418 2543027 2269 2615261 239453 0.88250 0.11750 0 0 40000 40000 2703059 399978 2303081 363841 273012 90829 2433910 X PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR VARIOUS CHARITABLE HOSPICE PROGRAMS INCLUDING SUPPORTING HOSPICE SERVICES AND BEREAVEMENT SUPPORT FOR GRIEVING FAMILIES, AS WELL AS CAPITAL PURCHASES FOR THE HOSPICE RESIDENCE. PART X, LINE 2: THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 AND 2023. 0 1 0 0 0 0 0 0 0 EMILY S MOORHEAD DIRECTOR-PRESIDENT 0 442308 0 190358 0 0 0 58378 0 1395 0 692439 0 0 ANDREW M DUDA MD PHYSICIAN 234256 0 87195 0 18521 0 5989 0 5253 0 351214 0 0 0 SHARON L DOWNS REGISTERED NURSE 84026 0 0 0 48667 0 2450 0 37477 0 172620 0 0 0 MELISSA DOSER NURSE PRACTITIONER 107962 0 0 0 11684 0 2225 0 33478 0 155349 0 0 0 PART I, LINE 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: CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2024 CONTR. 2024 CONTR. TAX GROSS-UP W-2 AMOUNTS CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - HENRY FORD HEALTH SYSTEM EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2024 CONTR. 2024 CONTR. TAX GROSS-UP W-2 AMOUNTS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -W.A. FOOTE MEMORIAL HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 EMILY MOORHEAD - - 52,341 - FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HEALTHLINK. FORM 990, PART VI, SECTION A, LINE 7A MEMBER HAS THE POWER TO APPROVE CHANGES IN THOSE PROVISIONS OF THE CORPORATIONS BYLAWS WHICH AFFECT THE SIZE, COMPOSITION, AND METHOD OF SELECTION OF THE BOARD OF DIRECTORS. MEMBER HAS THE POWER TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CORPORATION'S DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HEALTHLINK ("MEMBER"). THE MEMBER'S SOLE CORPORATE MEMBER IS HENRY FORD ALLEGIANCE HEALTH GROUP ("PARENT"). THE PARENT'S SOLE CORPORATE MEMBER IS HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH"). RESPONSIBILITIES AND RESERVED POWERS OF 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 DIRECTORS, CHAIRPERSON, AND PRESIDENT OF THE CORPORATION AND ITS SUBSIDIARIES. REMOVE THE BOARD OF DIRECTORS, CHAIRPERSON AND PRESIDENT OF THE CORPORATION AND ITS SUBSIDIARIES. CHANGE THE CORPORATE MEMBER OF THE CORPORATION OR ITS SUBSIDIARIES, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE PARENT'S BOARD OF DIRECTORS. AMEND THESE BYLAWS, THE CORPORATION'S ARTICLES OF INCORPORATION OR THE GOVERNING DOCUMENTS OF THE CORPORATION'S SUBSIDIARIES, PROVIDED HF HEALTH FIRST CONSULTS WITH THE PARENT'S BOARD OF DIRECTORS REGARDING THE PROPOSED AMENDMENT. APPROVE AN AGREEMENT OF (A) MERGER OR CONSOLIDATION OF THE CORPORATION OR ITS SUBSIDIARIES, OR (B) SALE, LEASE, OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ITS SUBSIDIARIES, PROVIDED SUCH AGREEMENT SHALL HAVE BEEN APPROVED BY VOTE OF TWO-THIRDS OF THE PARENT'S LOCAL DIRECTORS (AS DEFINED IN THE PARENT'S BYLAWS) AND FURTHER PROVIDED THAT APPROVAL OF THE LOCAL DIRECTORS SHALL NOT BE REQUIRED WITH RESPECT TO CERTAIN TRANSACTIONS WITH RESPECT TO HF HEALTH'S OVERALL HEALTH SYSTEM (INCLUDING THE SYSTEM) AS DESCRIBED IN SECTION 6.8 OF THE AFFILIATION AGREEMENT DATED MARCH 4, 2016 BETWEEN THE PARENT (THEN KNOWN AS ALLEGIANCE HEALTH SERVICES) AND HF HEALTH, AS AMENDED FROM TIME TO TIME. DISSOLVE THE CORPORATION OR ITS SUBSIDIARIES OR REVOKE SUCH DISSOLUTION, PROVIDED SUCH ACTION SHALL HAVE BEEN APPROVED BY A VOTE OF THE PARENT'S BOARD OF DIRECTORS. CAUSE THE CORPORATION AND ITS SUBSIDIARIES TO INCUR, ASSUME OR GUARANTY INDEBTEDNESS OR FULFILL OTHER OBLIGATIONS REQUIRED UNDER HFHS DEBT AGREEMENTS. ENCUMBER THE ASSETS OF THE CORPORATION AND ITS SUBSIDIARIES AS SECURITY FOR DEBTS OR OTHER LAWFUL ENGAGEMENTS SECURING INDEBTEDNESS. AUTHORIZE THE FORMATION OR ACQUISITION OF NEW SUBSIDIARIES OF THE CORPORATION FOLLOWING CONSULTATION WITH THE PARENT'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 (HEALTHLINK). IN ADDITION TO DOING ALL THINGS RESERVED TO THE MEMBER BY LAW, THE MEMBER OF THE CORPORATION SHALL HAVE SOLE AUTHORITY TO TAKE THE FOLLOWING ACTIONS WITH RESPECT TO THE CORPORATION ("MEMBER'S RESERVED POWERS"), SUBJECT HOWEVER TO HFHS'S RESERVED POWERS: RECOMMEND TO THE PARENT FOR APPROVAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. AUTHORIZE NON-BUDGETED EXPENDITURES BY THE CORPORATION ABOVE LIMITS ESTABLISHED BY THE PARENT. APPROVE THE CORPORATION'S REQUEST TO INVADE THE PRINCIPAL OF THE HOSPICE OF JACKSON CHARITABLE TRUST. 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, CHIEF FINANCIAL OFFICER AND DIRECTOR OF ACCOUNTING. - 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 ORGANIZATION'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. FORM 5713- INTERNATIONAL BOYCOTT ACTIVITIES: A FORM 5713, INTERNATIONAL BOYCOTT REPORT, HAS BEEN FILED ON OUR BEHALF BY HENRY FORD HEALTH (PARENT OF CONTROLLED GROUP OF WHICH THE ORGANIZATION IS A MEMBER). THE ORGANIZATION DID NOT ITSELF HAVE ANY ACTIVITIES ASSOCIATED WITH AN INTERNATIONAL BOYCOTT COUNTRY. FORM 990, PART XII, LINE 2C HENRY FORD ALLEGIANCE HOSPICE 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 ALLEGIANCE 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, PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH. 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 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 HENRY FORD 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 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 3031 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 AFFILATES MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM 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 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) LINE 3 HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH PARENT ONE FORD PLACE DETROIT MI 48202 934079536 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH SYSTEM 1 HENRY FORD HEALTH ROCHESTER HOSPITAL ONE FORD PLACE DETROIT MI 48202 381359247 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 1 HENRY FORD HEALTH PROVIDENCE HOSPITAL ONE FORD PLACE DETROIT MI 48202 381358212 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 1 HENRY FORD HEALTH RIVER DISTRICT HOSPITAL ONE FORD PLACE DETROIT MI 48202 383160564 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 1 HENRY FORD HEALTH ST JOHN HOSPITAL ONE FORD PLACE DETROIT MI 48202 381359063 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 1 HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL ONE FORD PLACE DETROIT MI 48202 383322109 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 1 HENRY FORD HEALTH GENESYS HOSPITAL ONE FORD PLACE DETROIT MI 48202 382377821 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 1 HENRY FORD HEALTH BRIGHTON CENTER FOR RECOVERY ONE FORD PLACE DETROIT MI 48202 381576680 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 1 HENRY FORD HEALTH ST JOHN FOUNDATION ONE FORD PLACE DETROIT MI 48202 202961579 FUNDRAISING MI 501(C)(3) LINE 7 HENRY FORD HEALTH STJOHN HOSPITAL 1 HENRY FORD HEALTH EASTWOOD BEHAVIORAL HEALTH ONE FORD PLACE DETROIT MI 48202 381958763 HEALTHCARE MI 501(C)(3) LINE 7 STJOHN PROVIDENCE 1 HENRY FORD ST JOHN PROVIDENCE ONE FORD PLACE DETROIT MI 48202 382244034 HOLDING COMPANY MI 501(C)(3) LINE 12B, II ASCENSION MICHIGAN 1 HENRY FORD SOUTHEAST MICHIGAN COMMUNITY HEALTH ONE FORD PLACE DETROIT MI 48202 382262856 HEALTHCARE MI 501(C)(3) LINE 3 STJOHN PROVIDENCE 1 GENESYS AMBULATORY HEALTH SERVICES INC ONE FORD PLACE DETROIT MI 48202 382371754 HEALTH SERVICES/STAFFING/PROPERTY MGT MI 501(C)(3) LINE 12B, II GENESYS HEALTH SYSTEM 1 THE HEALTHSOURCE GROUP INC ONE FORD PLACE DETROIT MI 48202 382427678 PRG RELATED INVESTMENTS MI 501(C)(3) LINE 12B, II GENESYS HEALTH SYSTEM 1 HENRY FORD CORNERSTONE MEDICAL GROUP ONE FORD PLACE DETROIT MI 48202 382601348 HEALTHCARE MI 501(C)(3) LINE 10 STJOHN PROVIDENCE 1 HENRY FORD HEALTH ROCHESTER FOUNDATION ONE FORD PLACE DETROIT MI 48202 382627336 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH ROCHESTER HOSPITAL 1 ASCENSION MICHIGAN ONE FORD PLACE DETROIT MI 48202 382631907 SUPPORTING ORGANIZATION MI 501(C)(3) ASCENSION HEALTH 1 SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN ONE FORD PLACE DETROIT MI 48202 382820107 SOCIAL WELFARE MI 501(C)(4) N/A STJOHN PROVIDENCE 1 GENESYS HEALTH SYSTEM ONE FORD PLACE DETROIT MI 48202 383339703 HOLDING COMPANY MI 501(C)(3) LINE 12B, II ASCENSION MICHIGAN 1 HENRY FORD SEMI MEDICAL GROUP ONE FORD PLACE DETROIT MI 48202 383494637 HEALTHCARE MI 501(C)(3) LINE 10 ASCENSION MICHIGAN 1 HENRY FORD HEALTH PROVIDENCE FOUNDATION ONE FORD PLACE DETROIT MI 48202 383526629 FUNDRAISING MI 501(C)(3) LINE 7 HENRY FORD HEALTH PROVIDENCE HOSPITAL 1 HENRY FORD HEALTH GENESYS FOUNDATION ONE FORD PLACE DETROIT MI 48202 383591148 FOUNDATION MI 501(C)(3) LINE 12B, II HENRY FORD HEALTH GENESYS HOSPITAL 1 HENRY FORD MEDICAL GROUP GENESYS ONE FORD PLACE DETROIT MI 48202 831617112 HEALTHCARE MI 501(C)(3) LINE 10 HENRY FORD SEMI MEDICAL GROUP 1 HFH SRALAB CORPORATION ONE FORD PLACE DETROIT MI 48202 803295211 HEALTHCARE SERVICE PROVIDER MI 501(C)(3) LINE 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 HEALTH JACKSON HOSPITAL 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 HAP EMPOWERED HOLDING LLC 3031 W GRAND BLVD DETROIT MI 48202 922877012 HOLDING COMPANY DE HEALTH ALLIANCE PLAN OF MICHIGAN N/A 0 0 THE MICHIGAN INSTITUTE FOR ADVANCED SURGERY CENTER LLC OFP DETROIT MI 48202 030444972 AMBULATORY SURGERY CENTER MI CRITTENTON DEVELOPMENT CORPORATION RELATED 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 INSURANCE 3031 W GRAND BLVD DETROIT MI 48202 383291563 HEALTH INSURANCE PROVIDER 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 3031 W GRAND BLVD DETROIT MI 48202 382651185 THRID PARTY INSURANCE ADMIN. MI HEALTH ALLIANCE PLAN C 1 HAP CARESOURCE 3031 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 CRITTENTON DEVELOPMENT CORPORATION OFP DETROIT MI 48202 382594115 REAL ESTATE MI HENRY FORD HEALTH ROCHESTER HOSPITAL C 1 AFFILIATED HEALTH SERVICES INC OFP DETROIT MI 48202 382292922 MEDICAL SERVICES MI ST JOHN PROVIDENCE C 1 BEECHER BALLENGER SERVICES INC OFP DETROIT MI 48202 382497922 HOLDING COMPANY MI GENESYS AMBULATORY HEALTH SERVICES INC C 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 HENRY FORD HEALTH JACKSON HOSPITAL P 1001600 COST ALLIANCE HEALTH & LIFE INSURANCE CO M 47577 COST