2025-11-14T11:13:50-06:00 2024-12-31 990 2024-01-01 382947657 HENRY FORD MACOMB HOSPITAL CORPORATION HENR 3138768714 ONE FORD PLACE - 5F DETROIT MI 48202 J DOUGLAS CLARK SVP/CHIEF ACCOUNTING OFFICER 3138768714 2025-11-14 0 2024 2025-03-06 01:10:19Z HENRY FORD HEALTH MACOMB HOSPITAL HENRY FORD HEALTH MACOMB HOSPITAL ROBIN DAMSCHRODER ONE FORD PLACE - 5F DETROIT MI 48202 670470890 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 3933 410 0 0 6960126 5837114 629216589 638171757 6387366 4907415 2865473 2716402 645429554 651632688 30075 39332 0 0 261539139 275204658 0 0 119688 368884901 366354499 630454115 641598489 14975439 10034199 633386055 728839953 251644024 253224809 381742031 475615144 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 432387916 39332 396964128 HENRY FORD HEALTH MACOMB HOSPITAL (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 2024, HFMH HAD 20,583 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.MEDICAL EDUCATION:HENRY FORD HEALTH MACOMB HOSPITAL HAS AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOUTH-YEAR MEDICAL STUDENTS.HENRY FORD HEALTH MACOMB HOSPITAL TRAINS OVER 170 MEDICAL STUDENTS AND 155 RESIDENTS IN 8 PROGRAMS. 139192896 153047403 HFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED 480,805 TOTAL OUTPATIENT ENCOUNTERS DURING 2024. 30061644 59508991 HFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 62,294 PATIENT VISITS DURING 2024. 16229700 34410990 OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES. 16229700 34410990 617872156 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 0 1 0 1 314 0 1 3933 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 LYNN FORD ALANDT DIRECTOR 1.00 4.00 X 0 0 0 JACALYN S GOFORTH DIRECTOR 1.00 5.00 X 0 25000 0 DAVID J BREEN DIRECTOR-CHAIR 2.00 6.00 X X 0 50000 0 JOHN F HARRIS DIRECTOR 1.00 3.00 X 0 30000 0 DAVID M HEMPSTEAD DIRECTOR 1.00 4.00 X 0 15000 0 PATRICIA A MARYLAND DRPH DIRECTOR 1.00 3.00 X 0 0 0 CHARLES G MCCLURE JR DIRECTOR 1.00 4.00 X 0 0 0 DANIEL J PHELAN PHD DIRECTOR 1.00 7.00 X 0 30000 0 BARRY G PORTER DIRECTOR 1.00 4.00 X 0 35000 0 MICHAEL S RAFFERTY DIRECTOR 1.00 3.00 X 0 30000 0 JOSEPH J RICHARDSON JR DIRECTOR 1.00 4.00 X 0 35000 0 ROBERT G RINEY DIRECTOR/ PRESIDENT/CEO 2.00 63.00 X X 0 7019469 61705 FREDERIEK TONEY DIRECTOR 1.00 4.00 X 0 35000 0 EDGAR L VANN II DIRECTOR 1.00 4.00 X 0 35000 0 GERARDO NORCIA DIRECTOR 1.00 3.00 X 0 0 0 FARZAN SIDDIQUI MD PHD DIRECTOR/PHYSICIAN 1.00 62.00 X 0 721637 33170 ROBIN S DAMSCHRODER TREASURER 2.00 63.00 X 0 3345654 64536 STEVEN B BENDER ESQ SECRETARY (START 10/2024) 2.00 63.00 X 0 319725 5629 MARJORIE A STATEN JD SECRETARY (THRU 10/2024) 2.00 63.00 X 0 247026 15932 SHANNA JOHNSON INTERIM CEO 30.00 31.00 X 0 931485 75745 TERRY A GOODBALIAN CFO NORTH MARKET (THRU 10/24) 60.00 0.00 X 438336 0 45449 MICHAEL MARKEL JR RN VP-OPERATIONS/CNO 60.00 0.00 X 449480 0 30682 CHRISTOPHER MILBACK MD CMO 60.00 0.00 X 607246 0 33492 KENNETH A SCOTT DO PHYSICIAN 60.00 0.00 X 1199360 0 61785 MARK T RYAN DO PHYSICIAN 60.00 0.00 X 941848 0 42293 PETER P LOPEZ MD PHYSICIAN 60.00 0.00 X 874912 0 59290 EDDIE EL-YUSSIF DO PHYSICIAN 60.00 0.00 X 939366 0 64992 RAED M ALNAJJAR MD PHYSICIAN 60.00 0.00 X 2015674 0 66313 BARBARA W ROSSMANN FORMER CEO 0.00 0.00 X 135699 0 0 7601921 12904996 661013 334 1 1 0 RONCELLI INC 6471 METRO PARKWAY STERLING HEIGHTS MI 48312 CONSTRUCTION 4904952 BARTON MALOW DIXON JV 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION 4236595 ALLIANCE HNI LLC PO BOX 772550 DETROIT MI 482772550 PHYSICIAN SERVICES 3980215 FERNDALE ELECTRIC CO INC PO BOX 72476 CLEVELAND OH 441920002 REPAIR & EQUIP LABOR 2566766 METROPOLITAN DETROIT AREA HOSPITAL SERVI 1150 ELIJAH MCCOY DR DETROIT MI 48202 LAUNDRY SERVICES 1663733 61 226729 4266639 1343746 88923 5837114 HOSPITAL SERVICES 900099 396964128 396964128 OUTPATIENT SERVICES 621400 153047403 153047403 EMERGENCY SERVICES 900099 59508991 59508991 MEDICAL EDUCATION-GME 900099 7877235 7877235 20774000 20774000 638171757 1730070 1730070 588586 0 588586 588586 588586 21771545 40862 18198199 436863 3573346 -396001 3177345 3573346 -396001 111537 226729 197269 -85732 -85732 33010 5871 27139 27139 CAFETERIA 900099 1699263 1699263 GIFT SHOP 455000 362435 362435 124711 124711 2186409 651632688 643931512 0 1864062 39332 39332 1628397 1087381 459596 81420 228580529 222084251 6496278 4439775 4304055 134150 1570 24898477 24137351 752320 8806 15657480 15178844 473098 5538 23517985 21431407 2085844 734 46407 22223 24184 14182902 12278385 1904517 1417110 1382687 34423 5195192 4561405 633642 145 287127 280313 6814 717743 646296 71447 10816381 10816381 23940529 16771096 7169433 9143480 9143480 MEDICAL SUPPLIES 81903805 81840959 62846 CORPORATION ALLOCATION 72693938 72693938 PHARMACEUTICAL SUPPLIES 33333119 33333119 QAAP TAX 28959502 28959502 60199279 56879751 3298053 21475 641598489 617872156 23606645 119688 4446 3863 -6947343 45871152 3445052 3197565 54392288 80367557 16531242 14439892 1693466 2139781 608595546 271757787 340181151 336837759 194504244 216055946 29581509 29926438 633386055 728839953 51211937 53286817 121108456 117180940 79323631 82757052 251644024 253224809 X 366532992 459418686 15209039 16196458 381742031 475615144 633386055 728839953 X 10034199 17892162 65946752 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15209039 1511882 105268 629731 16196458 11062282 6163161 54516 2070921 15209039 8186370 3366485 24337 514910 11062282 6906279 1457542 -2640 174811 8186370 7259366 523910 8829 885826 6906279 0.14590 0.85410 0 1 1 11743199 11743199 440607914 157398544 283209370 1777845 1031753 746092 150897559 113327490 37570069 3569029 3569029 336837759 MALPRACTICE LIABILITY 27436297 CORPORATE RESERVE 5896562 DEFERRED COMPENSATION 9567283 POST RETIREMENT BENEFITS 17003170 CURR OPERATING LEASE LIABILITY 2272708 CURR FINANCE LEASE LIABILITY 310265 LT FINANCE LEASE LIABILITY 4423901 LT OPERATING LEASE LIABILITY 16176760 OPERATING LEASE A/P PAYMENT CLEARING -280164 FINANCE LEASE A/P PMT CLEARING -49730 82757052 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, 2024 AND 2023. MACOMB GALA 240266 141069 99197 148840 SHOWTIME 98000 85660 12340 48429 0 338266 226729 111537 197269 197269 -85732 33010 5871 1 1.00000 33010 5871 5871 27139 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 8132115 8132115 0.01290 101488144 84048521 17439623 0.02780 109620259 84048521 25571738 0.04070 20 4438 282841 282841 0.00050 5 269 22519003 13072962 9446041 0.01500 17111138 14576251 2534887 0.00400 11 451 632638 632638 0.00100 36 5158 40545620 27649213 12896407 0.02050 36 5158 150165879 111697734 38468145 0.06120 4 750 38806 38806 0.00010 6 350 2506 2506 0.00000 10 1100 41312 41312 0.00010 0 13377403 3344351 290236751 313568763 -23332012 X 1 1 1 1 HENRY FORD HEALTH MACOMB HOSPITAL 15855 19 MILE ROAD CLINTON TOWNSHIP MI 48038 X X X X HENRY FORD HEALTH MACOMB 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 400.000000000000 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 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 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 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 PART V, SECTION B, LINE 13B: HENRY FORD HEALTH MACOMB 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. TO QUALIFY FOR DISCOUNTED CARE, INCOMES MUST BE LESS THAN 400% OF THE FEDERAL POVERTY LEVEL. PART V, LINE 10A HTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT 23 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-ORCHARD VIEW 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 - HENRY FORD REHABILITATION-CLINTON TWP 16301 NINETEEN MILE ROAD CLINTON TOWNSHIP MI 48308 REHABILITATION SERVICES 13 - HFMH-PC CENTER FOR WOMENS HEALTH 17941 HALL ROAD MACOMB MI 48044 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 14 - HENRY FORD REHAB & SPORTS MED-FRASER 15595 15 MILE ROAD CLINTON TOWNSHIP MI 48035 REHABILITATION SERVICES 15 - HF MACOMB PLASTIC SURGWEIGHT MGT 15420 19 MILE ROAD SUITES 200/300 CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 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 LABIMAGING CENTER 133 SOUTH MAIN STREET MT CLEMENS MI 48043 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 19 - HFMH-DR HANS VASCULAR SURGERY 43191 DALCOMA DRIVE CLINTON TOWNSHIP MI 48038 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 20 - HFMH-RESIDENCY CLINIC 13801 15 MILE RD SUITES A-D STERLING HEIGHTS MI 48312 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 21 - HFMH-WARREN FAMILY MED & GYN 14049 13 MILE RD SUITE 6 WARREN MI 48088 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 22 - HFMH- DR JANDE 58024 VAN DYKE WASHINGTON TOWNSHIP MI 48095 CLINICAL/DIAGNOSTIC MEDICAL SERVICES 23 - HF MACOMB CARDIAC REHAB 43401 GARFIELD CLINTON TOWNSHIP MI 48038 REHABILITATION 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 $13,377,403 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 3: BAD DEBT IS REPORTED BASED UPON GROSS CHARGES (LINE 2). LINE 3 IS AN ESTIMATE USING 25% OF LINE 2. 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 8: MEDICARE AMOUNTS ARE BASED ON THE COST REPORTS. COSTING METHODOLOGY USED IS COST TO CHARGE RATIO 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 HOSPITAL (HFMH) IS 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. 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. THIS TAX RETURN REFLECTS ACTIVITIES OF HENRY FORD HEALTH MACOMB HOSPITAL (HFMH), WHICH INCLUDES 366 LICENSED 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. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. PART VI, LINE 6: HENRY FORD HEALTH IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE BY ADDRESSING HEALTH DISPARITIES, ENHANCING ACCESS TO QUALITY CARE, AND SUPPORTING INITIATIVES THAT FOSTER COMMUNITY DEVELOPMENT. ALIGNED WITH OUR STRATEGIC VISION, OUR COMMUNITY FOCUS IS TO IMPROVE THE SOCIAL DETERMINANTS OF HEALTH, ENSURE CLINICAL EXCELLENCE, AND CONTRIBUTE TO ECONOMIC AND WORKFORCE DEVELOPMENT. BELOW ARE KEY ACHIEVEMENTS AND ONGOING INITIATIVES ACROSS FOUR CRITICAL AREAS OF IMPACT. SOCIAL DETERMINANTS OF HEALTH HENRY FORD HEALTH RECOGNIZES THAT THE HEALTH OF OUR COMMUNITY IS DEPENDENT UPON MANY FACTORS BEYOND OUR HOSPITAL WALLS, AND WE ACTIVELY WORK TO IMPROVE FACTORS INFLUENCING THE COMMUNITY'S OVERALL WELL-BEING. NUTRITION - THE COMMUNITY INFORMATION EXCHANGE FOR PATIENTS FACING FOOD INSECURITY AND OTHER CHALLENGES AND HENRY FORD HEALTH'S GENERATION WITH PROMISE PROGRAM WHICH PROVIDES EVIDENCE-BASED NUTRITION EDUCATION SUPPORTED NEARLY 20,000 INDIVIDUALS DURING 2024. TRANSPORTATION - HENRY FORD HEALTH WORKS TO HELP PATIENTS FIND LOW OR NO COST OPTIONS FOR TRANSPORTATION FOR MEDICAL APPOINTMENTS, AND DISCHARGE PLANNERS WORK WITH PATIENTS TO HELP THEM ACCESS AVAILABLE TRANSPORTATION BENEFITS THROUGH HEALTH INSURERS. ADDITIONALLY, FOR PATIENTS MEETING ESTABLISHED HIGH-RISK CRITERIA, HENRY FORD HEALTH ARRANGED TRANSPORTATION FOR MEDICAL APPOINTMENTS TO MORE THAN 4,500 PATIENTS IN 2024. ENVIRONMENT - WORKING TOWARD A GOAL OF 50% REDUCTION IN GREENHOUSE GAS EMISSIONS BY 2030, DESTINATION: GRAND HAS BEEN DESIGNED AS THE COUNTRY'S SECOND ALL-ELECTRIC HOSPITAL CAMPUS POWERED BY A DEDICATED CENTRAL ENERGY HUB. EMPLOYMENT - IMPLEMENTED "HIRE LOCAL" CRITERIA IN MAJOR CONSTRUCTION CONTRACTS ASSOCIATED WITH DESTINATION: GRAND THE NEW DETROIT HOSPITAL DEVELOPMENT WHICH IS ANTICIPATED TO EXPAND THE DETROIT-BASED WORKFORCE BY NEARLY 9,000. THIS INCLUDES TRADE APPRENTICESHIPS, JOB FAIRS, AND ESTABLISHING NURSING ASSISTANT AND MEDICAL ASSISTANT APPRENTICESHIP PROGRAMS WITH A PATHWAY TO EMPLOYMENT WITHIN HENRY FORD HEALTH, MOST RECENTLY HOSTING OVER 60 HIRING EVENTS ACROSS MICHIGAN IN PARTNERSHIP WITH MICHIGAN WORKS, FOCUSING ON UNDERSERVED COMMUNITIESHENRY FORD HEALTH REMAINS COMMITTED TO PROVIDING NEEDED HEALTH CARE TO OUR COMMUNITY MEMBERS REGARDLESS OF SOCIOECONOMIC STATUS. IN 2024, HENRY FORD HEALTH PROVIDED APPROXIMATELY $1.1 BILLION IN COMMUNITY BENEFIT, INCLUDING $784.4M IN UNCOMPENSATED CARE. PATIENT FINANCIAL ASSISTANCE PROGRAMS ARE DESIGNED TO REDUCE FINANCIAL BARRIERS AND ENSURE ACCESS TO MEDICAL SERVICES TO PATIENTS EXPERIENCING ECONOMIC HARDSHIP WITH AN AVERAGE OF 20,000 PATIENTS PER MONTH SUPPORTED THROUGH THIS PROGRAM IN 2024. X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 ROBERT G RINEY DIRECTOR/ PRESIDENT/CEO 0 2387193 0 3700757 0 931519 0 29501 0 32204 0 7081174 0 0 ROBIN S DAMSCHRODER TREASURER 0 1578028 0 1327919 0 439707 0 29501 0 35035 0 3410190 0 0 RAED M ALNAJJAR MD PHYSICIAN 870916 0 912777 0 231981 0 29500 0 36813 0 2081987 0 0 0 KENNETH A SCOTT DO PHYSICIAN 919628 0 147245 0 132487 0 29501 0 32284 0 1261145 0 0 0 SHANNA JOHNSON INTERIM CEO 0 449568 0 436302 0 45615 0 70768 0 4977 0 1007230 0 0 EDDIE EL-YUSSIF DO PHYSICIAN 862339 0 2000 0 75027 0 29501 0 35491 0 1004358 0 0 0 MARK T RYAN DO PHYSICIAN 900555 0 2000 0 39293 0 29500 0 12793 0 984141 0 0 0 PETER P LOPEZ MD PHYSICIAN 310130 0 152424 0 412358 0 6038 0 53252 0 934202 0 0 0 FARZAN SIDDIQUI MD PHD DIRECTOR/PHYSICIAN 0 556460 0 124000 0 41177 0 29500 0 3670 0 754807 0 0 CHRISTOPHER MILBACK MD CMO 431570 0 163802 0 11874 0 6038 0 27454 0 640738 0 0 0 TERRY A GOODBALIAN CFO NORTH MARKET (THRU 10/24) 245230 0 117798 0 75308 0 16610 0 28839 0 483785 0 0 0 MICHAEL MARKEL JR RN VP-OPERATIONS/CNO 306224 0 120256 0 23000 0 28939 0 1743 0 480162 0 0 0 STEVEN B BENDER ESQ SECRETARY (START 10/2024) 0 169566 0 150000 0 159 0 0 0 5629 0 325354 0 0 MARJORIE A STATEN JD SECRETARY (THRU 10/2024) 0 204635 0 40500 0 1891 0 3642 0 12290 0 262958 0 0 BARBARA W ROSSMANN FORMER CEO 0 0 135699 0 0 0 0 0 0 0 135699 0 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 2023. 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, LINES 4A-B SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS PART I, LINES 4A: SEVERANCE PAYMENTS TERRY A. GOODBALIAN $63,832 SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE 2024 ACCRUAL NON-VESTED DISTRIBUTIONS DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT ROBIN DAMSCHRODER 414,385 - - - 414,385 ROBERT RINEY 894,040 - - - 894,040 SHANNA JOHNSON - 64,730 - - - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2024 CONTRIBUTIONS 2024 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS MARK RYAN, M.D. 2,945 20,055 483 23,483 KENNETH A. SCOTT - 23,000 554 23,554 EDDIE EL-YUSSIF 3,838 19,162 461 23,461 ROBIN S. DAMSCHRODER 23,000 - - 23,000 CHRISTOPHER MILBACK, M.D. 5,200 3,957 95 9,252 RAED ALAJJAR, M.D. 7,075 15,925 383 23,383 ROBERT RINEY 23,000 - - 23,000 MICHAEL J MARKEL, JR. 23,000 - - 23,000 PETER P LOPEZ, M.D. 21,688 1,312 32 23,032 FARZAN SIDDIQUI, M.D. 12,537 10,463 252 23,252 PART I, LINE 7 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A BASE SALARY AND AN INCENTIVE PAYMENT WHEN SERVICE VOLUMES EXCEED A PREDETERMINED LEVEL. THE ORGANIZATION MAY ALSO PROVIDE SUPPLEMENTAL COMPENSATION TO LEADERS ASKED TO ASSUME TEMPORARY EXPANDED SCOPES OF RESPONSIBILTIES. IN ALL SUCH CASES TOTAL COMPENSATION IS CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION. KIRCO SEE BELOW 3707071 SEE BELOW 0 SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KIRCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $ 3,707,071(D) DESCRIPTION OF TRANSACTION: CONSTRUCTION SERVICES PAID BY THE ORGANIZATION(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #33(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 566,045(D) DESCRIPTION OF TRANSACTION: PROVIDED PROFESSIONAL HIGH-TECH CARE OF ACUTE ADULT INPATIENT 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 $4,630,496(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION AND HEALTHCARE SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #11(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 585,579(D) DESCRIPTION OF TRANSACTION: PROVIDED MAITENANCE OF HIGH EFECIENCY HVAC SYSTEMS(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #21(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 2,566,766(D) DESCRIPTION OF TRANSACTION: PROVIDED SPECIALIZED ELECTRICAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #32(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 116,500(D) DESCRIPTION OF TRANSACTION: PROVIDES AND SUPORTS PARTNERSHIPS WITH HEALTH CARE PROVIDERS(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #38(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 803,355(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO (A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #23(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 1,056,327(D) DESCRIPTION OF TRANSACTION: PROVIDED FULLY INTEGRATED DESIGN BUILD GENERAL CONSTRUCTION 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 $ 4,904,952(D) DESCRIPTION OF TRANSACTION: PROVIDED CONSTRUCTION SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO(A) NAME OF PERSON: SUBSTANTIAL CONTRIBUTOR #24(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DONOR AS LISTED ON SCH. B(C) AMOUNT OF TRANSACTION $ 753,607(D) DESCRIPTION OF TRANSACTION: PROVIDED COMMERCIAL LAWN CARE AND SNOW REMOVAL SERVICES(E) SHARING OF ORGANIZATION'S REVENUE? NO X 3 82552 MARKET VALUE X SPECIAL EVENTS 7 6371 FAIR MARKET VALUE 0 1 0 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 XI, LINE 9: MINIMUM PENSION LIABILITY ADJUSTMENT 946,752. TRANSFERS 65,000,000. 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, 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%, TARGETING NET-ZERO BY 2040 ELIMINATE CHEMICALS OF CONCERN FROM PRIORITY PRODUCTS REDUCE WASTE SENT TO LANDFILL BY 50% MEET LOCAL OR SUSTAINABLE CRITERIA FOR 30% OF FOOD PURCHASES 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 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 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 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 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 HEALTH JACKSON HOSPITAL 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 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 3031 W GRAND BLVD DETROIT MI 48202 383291563 HEALTH INSURANCE PROVIDER 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 3031 W GRAND BLVD DETROIT MI 48202 382651185 THIRD PARTY INSURANCE ADMINISTRATOR 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 ALLEGIANCE PHARMACY 205 N EAST AVENUE JACKSON MI 49201 383370242 PHARMACY MI HENRY FORD ALLEGIANCE HEALTH GROUP 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 1 1 0 0 1 1 0 0 HEALTH ALLIANCE PLAN L 34470416 CASH VALUE ALLIANCE HEALTH AND LIFE INSURANCE M 1729663 CASH VALUE ONIKA INSURANCE LTD P 2800500 CASH VALUE ONIKA INSURANCE LTD Q 3321498 CASH VALUE ALLIANCE HEALTH AND LIFE INSURANCE P 1729663 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.