Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
HENRY FORD HEALTH SYSTEM
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE FORD PLACE - 5F
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DETROIT, MI48202
D Employer identification number

38-1357020
E Telephone number

G Gross receipts $ 2,480,288,287
F Name and address of principal officer:
EDWARD G CHADWICK
ONE FORD PLACE
DETROIT,MI48202
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HENRYFORD.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1915
M State of legal domicile: MI
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 19,289
6 Total number of volunteers (estimate if necessary) ............. 6 613
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 14,130,739
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -3,236,851
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 39,102,359 81,272,136
9 Program service revenue (Part VIII, line 2g) ......... 2,246,297,088 2,205,701,741
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 22,055,433 44,029,071
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 52,541,957 63,051,021
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,359,996,837 2,394,053,969
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,713,320 4,382,510
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,303,406,357 1,341,928,645
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 378,507 58,480
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,882,377    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,045,667,322 1,071,834,895
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,353,165,506 2,418,204,530
19 Revenue less expenses. Subtract line 18 from line 12....... 6,831,331 -24,150,561
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,917,359,827 1,965,056,471
21 Total liabilities (Part X, line 26)............. 1,356,831,080 1,344,803,705
22 Net assets or fund balances. Subtract line 21 from line 20..... 560,528,747 620,252,766
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: AS ONE OF THE NATION'S LEADING INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HENRY FORD HEALTH SYSTEM TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. SINCE ITS FOUNDING IN 1915, HFHS HAS BEEN COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF ALL OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,075,824,770 including grants of $ 4,382,510 ) (Revenue $ 1,075,199,385 )
INPATIENT HOSPITALS: HENRY FORD HEALTH SYSTEM IS HONORED TO BE THE ONLY ORGANIZATION IN MICHIGAN AND ONE OF FOUR NATIONALLY TO RECEIVE THE 2011 MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR PERFORMANCE EXCELLENCE. A KEY FACET OF OUR AWARD-WINNNING OPERATIONS IS THE COMMUNITY PILLAR, SUPPORTING OUR VISION OF TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. THE ORGANIZATION OPERATES HENRY FORD HOSPITAL (HFH), AN 877 BED TERTIARY CARE HOSPITAL, EDUCATION AND RESEARCH COMPLEX IN THE NEW CENTER AREA OF DETROIT, MICHIGAN. THE HOSPITAL IS RECOGNIZED FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF CARDIOLOGY AND CARDIOVASCULAR SURGERY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS AND SPORTS MEDICINE, AND TREATMENT OF PROSTATE, BREAST AND LUNG CANCERS AMONG OTHERS. THE HOSPITAL IS A MULTI-ORGAN TRANSPLANT CENTER AND LEVEL 1 TRAUMA CENTER. THE HOSPITAL HAD REVENUES OF MORE THAN $855 MILLION AND MORE THAN 41,000 ADMISSIONS DURING 2013. MORE THAN 1,000 MEDICAL RESIDENTS, FELLOWS AND STUDENTS PARTICIPATED IN THE ORGANIZATION'S VARIOUS EDUCATIONAL PROGRAMS.WEST BLOOMFIELD HOSPITAL, AN OPERATING UNIT OF HFHS, OPENED MARCH 15, 2009. LOCATED IN WEST BLOOMFIELD, THE 300-BED, ALL PRIVATE ROOM HOSPITAL OPENED WITH 191 BEDS, WITH AN ADDITIONAL 109 BEDS PLANNED. OFFERS COMPREHENSIVE MEDICAL CARE, INCLUDING 24-HOUR EMERGENCY CARE, NEUROSCIENCES, WOMEN'S AND CHILDREN'S HEALTH, ORTHOPAEDICS, DIAGNOSTIC TESTING AND A WELLNESS CENTER WITH COMPLEMENTARY THERAPIES. A GREENHOUSE GROWS ORGANIC PRODUCE FOR PATIENTS, STAFF AND COMMUNITY. THE HOSPITAL HAD REVENUES OF $220 MILLION, AND ADMITTED 13,000 PATIENTS DURING 2013.TEACHING, RESEARCH, AND ADVANCED PATIENT CARE MAKE HFHS A PREMIER ACADEMIC MEDICAL CENTER. AFFILIATED WITH WAYNE STATE UNIVERSITY'S SCHOOL OF MEDICINE, HENRY FORD PROVIDES INNOVATIVE PHYSICIAN TRAINING PROGRAMS AND COLLABORATES ON LEADING-EDGE MEDICAL RESEARCH.HENRY FORD MEDICAL EDUCATION OVERVIEW:MEDICAL EDUCATION PROGRAMS OFFERED BY HENRY FORD HEALTH SYSTEM INCLUDE UNDERGRADUATE, GRADUATE, CONTINUING, AND ALLIED HEALTH TRAINING PROGRAMS THROUGHOUT SOUTHEAST MICHIGAN. THE SYSTEM'S FLAGSHIP HOSPITAL, HENRY FORD HOSPITAL IN DETROIT, IS ONE OF THE NATION'S LARGEST RESEARCH CENTERS, WITH MORE THAN $70 MILLION IN RESEARCH FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHER SOURCES. AS ONE OF THE LARGEST MEDICAL EDUCATION TEACHING CENTERS IN THE NATION, HENRY FORD TRAINS MORE THAN 1,600 DOCTORS EVERY YEAR.HENRY FORD HOSPITAL DOCTORS TRAIN MORE THAN 600 MEDICAL SCHOOL STUDENTS, 500 RESIDENTS AND 150 FELLOWS ACROSS 46 DIFFERENT AREAS OF MEDICINE EVERY YEAR. HENRY FORD HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS. HENRY FORD MACOMB HOSPITALS AND HENRY FORD WYANDOTTE HOSPITAL TRAIN MORE THAN 200 MEDICAL STUDENTS AND 200 RESIDENTS EVERY YEAR. THESE HOSPITALS OFFER NATIONALLY ACCREDITED D.O. (DOCTORATE OF OSTEOPATHIC MEDICINE) AND D.P.M. (DOCTORATE OF PODIATRIC MEDICINE) TRAINING PROGRAMS. AS TEACHING PHYSICIANS, HENRY FORD MEDICAL GROUP DOCTORS ARE ALSO FACULTY MEMBERS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE, AND MANY OTHER HENRY FORD TEACHING DOCTORS ARE FACULTY MEMBERS AT THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HENRY FORD HOSPITAL HEALTH SYSTEM'S CENTER FOR SIMULATION, EDUCATION AND RESEARCH ALLOWS DOCTORS TO PRACTICE NEW SKILLS ON LIFE-LIKE MANNEQUINS (ADULT AND CHILD) TO GAIN EXPERIENCE BEFORE CARING FOR THE HUMAN PATIENT.THIS 15,000 SQUARE FOOT TRAINING CENTER INCLUDES HIGH-TECH COMPUTERS WHICH CREATE HUNDREDS OF DIFFERENT MEDICAL CONDITIONS IN SURGERY, LABOR AND DELIVERY, INTENSIVE CARE, EMERGENCY AND ROUTINE HOSPITAL PROCEDURES.
4b (Code:   ) (Expenses $ 783,960,701 including grants of $   ) (Revenue $ 691,932,206 )
OUTPATIENT CLINICS: THE ORGANIZATION INCLUDES THE HENRY FORD MEDICAL GROUP (HFMG),ONE OF THE NATION'S LARGEST GROUP PRACTICES, WITH 1,200 PHYSICIANS AND RESEARCHERS IN 40 SPECIALTIES FROM 60 COUNTRIES WHO STAFF HENRY FORD HOSPITAL AND HENRY FORD WEST BLOOMFIELD HOSPITAL, ALONG WITH 29 HENRY FORD MEDICAL CENTERS, ENCOMPASSING MORE THAN 2.2 MILLION VISITS. HENRY FORD'S MEDICAL CENTERS ARE LOCATED IN WAYNE, OAKLAND, MACOMB AND WASHTENAW COUNTIES. SOME MEDICAL GROUP PHYSICIANS ALSO ARE ON STAFF AT OTHER HENRY FORD HOSPITALS. THREE MEDICAL CENTERS PROVIDE 24-HOUR EMERGENCY CARE AND AMBULATORY SURGERY AND ARE PRIMARY CARE STROKE CENTERS.FOUNDED IN 1915 AFTER CONSULTATIONS WITH PHYSICIANS AT JOHNS HOPKINS HOSPITAL AND THE MAYO CLINIC, THE HENRY FORD MEDICAL GROUP HAS ESTABLISHED ITSELF AS ONE OF THE PREMIER GROUP PRACTICES IN THE NATION. OUR LARGE ACADEMIC ENTERPRISE PLACES US IN THE TOP THREE OF TRADITIONALLY INDEPENDENT GROUP PRACTICES THROUGH:CLINICAL CARE: THE BREADTH AND DEPTH OF THE HENRY FORD MEDICAL GROUP'S CLINICAL SERVICES IS UNPARALLELED BY ANY OTHER INDEPENDENT ACADEMIC MEDICAL CENTER. OUR SCALE AND SCOPE ARE IN THE 99TH PERCENTILE OF ALL GROUP PRACTICES, WITH VISIT VOLUMES LARGER THAN MOST GROUP PRACTICES. WE ARE NATIONAL LEADERS IN PRIMARY CARE WITH EXPERTISE IN PREVENTIVE CARE SERVICES AND THE HEALTH MANAGEMENT OF SENIOR CITIZENS. OUR SPECIALTY CENTERS OF EXCELLENCE ARE NATIONAL LEADERS AS WELL, PROVIDING ADVANCED TERTIARY AND QUATERNARY CARE WITH A FOCUS ON DISCOVERY AND INNOVATION.EDUCATION: ONE-THIRD OF ALL PHYSICIANS IN MICHIGAN RECEIVED TRAINING AT HENRY FORD, AND OUR POST-GRADUATE MEDICAL EDUCATION ENTERPRISE IS AMONG THE LARGEST IN THE COUNTRY.RESEARCH: HENRY FORD IS IN THE TOP 20% OF ALL INSTITUTIONS GRANTED FUNDING BY THE NIH AND U.S. PUBLIC HEALTH SERVICE, AND RANKS FIRST IN MICHIGAN FOR NIH-RESEARCH FUNDING FOR NON-UNIVERSITY BASED HEALTH CARE SYSTEMS.LEADERS IN ACADEMIC MEDICINE AND CLINICAL CARE: THE HENRY FORD MEDICAL GROUP IS AMONG THE BEST ORGANIZED IN THE COUNTRY. OUR SELF-GOVERNED, EMPLOYED PHYSICIAN PRACTICE PROGRAM HAS BEEN COPIED BY MANY OTHERS BECAUSE OF OUR CONTINUING SUCCESS EVEN THROUGH THE TOUGHEST ECONOMIC TIMES. THE BRIGHTEST MINDS IN MEDICINE ARE ATTRACTED TO BECOME PART OF THE HENRY FORD MEDICAL GROUP BECAUSE OUR ORGANIZATION PROVIDES PHYSICIANS THE INDEPENDENCE TO PURSUE ADVANCED CLINICAL CARE WHILE UNDERTAKING RESEARCH AS WELL AS ACADEMIC EDUCATIONAL INITIATIVES.FOR NEARLY 100 YEARS NOW THE HENRY FORD MEDICAL GROUP HAS FOSTERED ADVANCEMENT IN PATIENT CARE, RESEARCH, AND EDUCATION WHILE ENCOURAGING INNOVATION IN TECHNOLOGY AND PATIENT CARE PROCESSES BOTH IN THE OUTPATIENT AND HOSPITAL SETTINGS. FOR THESE REASONS HENRY FORD MEDICAL GROUP PHYSICIANS ARE CONSISTENTLY SELECTED BY THEIR PHYSICIAN PEERS AS TOP DOCTORS IN VARIOUS LOCAL AND NATIONAL PUBLISHED SURVEYS AND TO LEAD NATIONAL AND STATE MEDICAL ASSOCIATIONS. HENRY FORD MEDICAL GROUP PHYSICIANS WORK TOGETHER IN LEADERSHIP AND AS EVERYDAY PARTNERS TO CONTINUE TO BRING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE.
4c (Code:   ) (Expenses $ 130,694,419 including grants of $   ) (Revenue $ 128,086,200 )
EMERGENCY ROOM SERVICES: THE ORGANIZATION DIRECTLY OPERATES FIVE 24 HOUR EMERGENCY FACILITIES, ONE OF WHICH IS A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT. EMERGENCY SERVICES RECOGNIZED MORE THAN $128 MILLION IN REVENUE DURING 2013 REPRESENTING 220,000 PATIENT VISITS.
(Code:   ) (Expenses $ 161,820,206 including grants of $   ) (Revenue $ 372,378,594 )
OTHER PROGRAM SERVICES INCLUDES HFHS RESEARCH SERVICES, ALONG WITH HFHS COMMUNITY CARE SERVICES, WHICH OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS INCLUDING NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, DIALYSIS AND A DEDICATED CANCER CENTER; APARTMENT RENTALS FOR MEDICAL RESIDENTS & PATIENT FAMILY MEMBERS; FITNESS CENTER & ATHLETIC TRAINING SERVICES, AND SCHOOL BASED HEALTH PROGRAMS.RESEARCH IS A VITAL COMPONENT OF THE MISSION OF HENRY FORD HEALTH SYSTEM-HENRY FORD HEALTH SYSTEM'S MISSION IS TO IMPROVE HUMAN LIFE THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING. THIS MISSION IS STRONGLY SUPPORTED AND ENHANCED BY THE DEDICATED STAFF PURSUING SCIENTIFIC ACTIVITIES. SINCE 1915, HENRY FORD HOSPITAL PHYSICIANS AND SCIENTISTS HAVE FOCUSED THEIR EFFORTS ON A WIDE VARIETY OF TOPICS CRITICAL TO UNDERSTANDING THE MECHANISMS OF DISEASE AND DEVELOPING NEW, VIABLE TREATMENT OPTIONS. OVER THE PAST YEAR AND A HALF, HENRY FORD HEALTH SYSTEM (HFHS) HAS ENJOYED GREAT SUCCESS IN SECURING EXTERNAL RESEARCH GRANTS AND CONTRACTS. EXTERNAL GRANT FUNDING HAS BEEN RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH), OTHER FEDERAL AGENCIES, PHARMACEUTICAL COMPANIES AND INDUSTRY, STATE AND LOCAL AGENCIES, AND FOUNDATIONS, SUCH AS THE AMERICAN HEART ASSOCIATION. IN 2013, $27.4 MILLION WAS AWARDED BY NIH AND OTHER FEDERAL AGENCIES AND $29 MILLION BY INDUSTRY. "DESPITE THE FACT THAT THE NIH BUDGET HAS NOT KEPT UP WITH INFLATION SINCE 2002, AND THE FACT THAT THE RECENT RECESSION RESULTED IN SUBSTANTIVE FUNDING CUTS, OUR SCIENTISTS AND PHYSICIANS HAVE WORKED DILIGENTLY TO CONTINUE TO SUBMIT GRANTS FOR ALL AVAILABLE FUNDING OPPORTUNITIES," SAYS MARGOT LAPOINTE, PH.D., VICE PRESIDENT FOR RESEARCH, HENRY FORD HEALTH SYSTEM. "WE ARE HOPEFUL THAT OUR RESEARCH ENTERPRISE IS NOW ON A GROWTH TRAJECTORY AFTER SEVERAL YEARS OF STAGNATION." ALTHOUGH HFHS IS NOT PART OF A UNIVERSITY OR MEDICAL SCHOOL, THERE HAS BEEN SUPPORT FOR THE SYSTEM'S RESEARCH THROUGHOUT ITS HISTORY. THIS DRIVE TO UNDERSTAND DISEASE MECHANISM AND DISCOVER NEW THERAPIES IS MANIFESTED BY THE CONTINUUM OF BIOMEDICAL RESEARCH PERFORMED AT HENRY FORD. THE SYSTEM HAS 80 FULL-TIME RESEARCH BIO-SCIENTIFIC STAFF DOING BASIC SCIENCE STUDIES IN CARDIOVASCULAR AND RENAL DISEASES SUCH AS HYPERTENSION AND HEART FAILURE, STROKE/BRAIN INJURY/BRAIN TUMORS, POPULATION HEALTH AND HEALTHCARE RESEARCH, CANCER THERAPEUTICS, BONE AND JOINT DISEASES, IMMUNOLOGY AND IMAGING, AMONG OTHERS. IN ADDITION, DOZENS OF PHYSICIANS AND THEIR CLINICAL SUPPORT STAFF ARE ENGAGED IN PATIENT-ORIENTED STUDIES. AT THIS TIME, HFHS HAS MORE THAN 1,800 OPEN STUDIES APPROVED BY ITS INSTITUTIONAL REVIEW BOARD, WITH A SMALL NUMBER OF THESE STUDIES ALSO APPROVED IN CONJUNCTION WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY. THE BASIC SCIENCE BIOMEDICAL RESEARCH PROGRAMS RECEIVING THE MOST EXTERNAL FUNDING DURING THIS TIME PERIOD OF GROWTH WERE PUBLIC HEALTH SCIENCES, NEUROLOGY RESEARCH (STROKE, TRAUMATIC BRAIN INJURY, ETC.), HYPERTENSION RESEARCH AND CARDIOVASCULAR RESEARCH (IN PARTICULAR, HEART FAILURE). IN CLINICAL RESEARCH, THE MAJORITY OF FUNDING HAS GONE TO THE DEPARTMENT OF INTERNAL MEDICINE WHERE THE DIVISIONS OF INFECTIOUS DISEASES, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY AND CARDIOLOGY ARE LEADING THE WAY. THE INFRASTRUCTURE AT HFHS ALLOWS US TO HAVE A RESEARCH PROGRAM FAR LARGER THAN OTHER NON-UNIVERSITY-BASED HEALTH CARE SYSTEMS IN THE STATE OF MICHIGAN, WHERE OUR NIH FUNDING IS TEN TIMES HIGHER THAN HFHS'S CLOSEST COMPETITOR. IN 2013, HFHS WAS FOURTH IN MICHIGAN, TRAILING ITS THREE LARGEST UNIVERSITIES, AND RANKED 192ND OUT OF ALL 2,495 INSTITUTIONS RECEIVING NIH GRANTS.
4d Other program services (Describe in Schedule O.)
(Expenses $ 161,820,206 including grants of $   ) (Revenue $ 372,378,594 )
4e Total program service expensesMediumBullet2,152,300,096
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
985
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
25
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
19,289
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
21
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
FL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletEDWARD G CHADWICKONE FORD PLACEDETROITMI48202 (313) 876-8714
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) LYNN FORD ALANDT........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(2) N CHARLES ANDERSON........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(3) EDWARD J BAGALE........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(4) GREGORY L BARKLEY MD........................................................................
TRUSTEE
60.00
.......................1.00
X           325,001 0 57,187
(5) STEPHANIE W BERGERON........................................................................
TRUSTEE - VICE CHAIR
2.00
.......................2.00
X   X       0 0 0
(6) EDWARD D CALLAGHAN PHD........................................................................
TRUSTEE - VICE CHAIR
2.00
.......................2.00
X   X       0 0 0
(7) WILLIAM A CONWAY MD........................................................................
TRUSTEE
60.00
.......................2.00
X           707,229 0 138,225
(8) WILLIAM CLAY FORD JR........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(9) LINDA D FORTE........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(10) JAMES GROSFELD........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(11) DAVID M HEMPSTEAD........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(12) JOSEPH R JORDAN........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(13) MARK A KELLEY MD........................................................................
PHYS TRUSTEE/EVP THRU 1/2/13
1.00
.......................0.00
X           989,334 0 1,017,709
(14) ALAN M KIRILUK........................................................................
TRUSTEE
1.00
.......................2.00
X           0 0 0
(15) DAVID BAKER LEWIS........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(16) JACK MARTIN........................................................................
TRUSTEE - VICE CHAIR
2.00
.......................3.00
X   X       0 0 0
(17) SANDRA E PIERCE........................................................................
TRUSTEE - CHAIR
2.00
.......................2.00
X   X       0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CHARLES H PODOWSKI........................................................................
TRUSTEE - VICE CHAIR
2.00
.......................2.00
X   X       0 0 0
(19) NANCY M SCHLICTING........................................................................
PRESIDENT AND C.E.O.
60.00
.......................8.00
X   X       3,052,458 0 53,629
(20) GARY C VALADE........................................................................
TRUSTEE
1.00
.......................3.00
X           0 0 0
(21) KATHLEEN L YAREMCHUK MD........................................................................
PHYSICIAN TRUSTEE
60.00
.......................1.00
X           652,972 0 59,330
(22) LEROY C RICHIE........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(23) CATHERINE A ROBERTS........................................................................
TRUSTEE
1.00
.......................1.00
X           0 0 0
(24) JAMES M CONNELLY........................................................................
TREASURER/C.F.O.
50.00
.......................16.00
    X       1,108,016 0 45,562
(25) EDITH L EISENMANN........................................................................
SECRETARY
60.00
.......................8.00
    X       220,523 0 38,669
(26) BRIAN R GAMBLE........................................................................
ASSISTANT TREASURER
60.00
.......................4.00
    X       264,418 0 51,228
(27) WILLIAM ALVIN........................................................................
C.E.O.-HAP THRU 9-30-13
5.00
.......................56.00
      X     1,071,930 0 43,518
(28) GERALD VAN GRINSVEN........................................................................
CEO-W BLMFLD HOSP THRU 6/2/13
60.00
.......................1.00
      X     364,325 0 166,129
(29) EDWARD COFFEY MD........................................................................
VP - BEHAVIORAL SERVICES
60.00
.......................1.00
      X     434,960 0 58,332
(30) JOHN POPOVICH MD........................................................................
CEO-HF HOSPITAL/PHYSICIAN
60.00
.......................2.00
      X     1,195,627 0 142,725
(31) JOHN J POLANSKI........................................................................
CEO-COMMUNITY CARE SERVICE
60.00
.......................5.00
      X     629,828 0 35,948
(32) ROBERT G RINEY........................................................................
SENIOR VP AND C.O.O.
60.00
.......................4.00
      X     1,458,742 0 53,368
(33) LYNN TOROSSIAN........................................................................
CEO-W BLMFLD HOSP START 11/25/13
1.00
.......................1.00
      X     24,827 0 1,347
(34) MANI MENON MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   1,576,280 0 55,588
(35) MARK L ROSENBLUM MD........................................................................
PHYSICIAN
60.00
.......................1.00
        X   1,237,677 0 58,139
(36) THEODORE W PARSONS MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   957,884 0 52,103
(37) GHAUS MALIK MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   975,086 0 54,839
(38) WILLIAM O'NEIL MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   1,017,810 0 55,304
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 18,264,927 0 2,238,879
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,791
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
SIEMENS ENTERPRISE COMMUNICATIONS INCPO BOX 99076CHICAGOIL606939076 INFORMATION SERVICES 43,771,937
CSC COVANSYS CORPORATION22475 NETWORK PLACECHICAGOIL606731224 INFORMATION SERVICES 32,030,033
EPIC SYSTEMS CORPORATIONPO BOX 88314MILWAUKEEWI532880314 INFORMATION SERVICES 15,826,245
ACT 1 PERSONNEL SERVICESPO BOX 2886TORRANCECA905092886 STAFFING SERVICES 13,335,914
INFORMATION BUILDERS INCPO BOX 7247-7482PHILADELPHIAPA191707482 INFORMATION SERVICES 9,757,321
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet240
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 1,828,366
d Related organizations...1d 17,900,000
e Government grants (contributions)1e 16,860,134
f All other contributions, gifts, grants, and
similar amounts not included above
1f
44,683,636
g Noncash contributions included in lines
1a-1f:$
1,488,126
h Total. Add lines 1a-1f.......MediumBullet 81,272,136
 Program Service RevenueAmt Business Code
2a INPATIENT HOSPITALS 900099 1,075,199,385 1,075,199,385    
b OUTPATIENT CLINICS 621400 691,932,206 691,932,206    
c EMERGENCY ROOM SERVICES 900099 128,086,200 128,086,200    
d MEDICAL EDUCATION-GME 900099 47,179,047 47,179,047    
e PATIENT-RELATED RENTAL 531110 2,535,989 2,535,989    
f All other program service revenue . 260,768,914 258,160,107 2,608,807  
g Total. Add lines 2a–2f........MediumBullet 2,205,701,741
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 21,778,220     21,778,220
4 Income from investment of tax-exempt bond proceeds..MediumBullet 906,123     906,123
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 391,436 21,992,864
b Less: cost or other basis and sales expenses 0 1,039,572
c Gain or (loss) 391,436 20,953,292
d Net gain or (loss)..........MediumBullet 21,344,728 20,953,292   391,436
8a Gross income from fundraising events (not including
$ 1,828,366
of contributions reported on line 1c). See Part IV, line 18 ..
a 581,682
b Less: direct expenses ...b 1,015,375
c Net income or (loss) from fundraising events..MediumBullet -433,693   -433,693
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 94,042
b Less: direct expenses ...b 57,092
c Net income or (loss) from gaming activities...MediumBullet 36,950     36,950
10a Gross sales of inventory, less
returns and allowances .
a 116,854,157
b Less: cost of goods sold ..b 84,122,279
c Net income or (loss) from sales of inventory..MediumBullet 32,731,878 21,209,946 11,521,932  
Miscellaneous Revenue Business Code
11a OTHER PHARMACY 900099 16,411,073 16,411,073    
b CAFETERIA & GIFT SHOP 900099 6,523,233     6,523,233
c JOINT VENTURE INCOME 621400 3,512,848 3,512,848    
d All other revenue .... 4,268,732 2,416,292   1,852,440
e Total. Add lines 11a–11d ...... MediumBullet 30,715,886
12 Total revenue. See Instructions......MediumBullet 2,394,053,969 2,267,596,385 14,130,739 31,054,709
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 3,547,703 3,547,703
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 834,807 834,807
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 14,463,096 5,878,339 7,969,733 615,024
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,176,594 858,193 318,401  
7 Other salaries and wages 1,076,811,308 987,861,490 86,433,408 2,516,410
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 78,118,958 71,121,690 6,752,690 244,578
9 Other employee benefits ....... 105,649,912 96,187,161 9,138,954 323,797
10 Payroll taxes ........... 65,708,777 59,818,987 5,688,253 201,537
11 Fees for services (non-employees):        
a Management ...... 806,004   806,004  
b Legal ......... 2,655,750 1,474,072 1,181,678  
c Accounting ........... 695,122   695,122  
d Lobbying ........... 106,795   106,795  
e Professional fundraising services. See Part IV, line 17 58,480 58,480
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 55,017,198 36,728,703 17,675,698 612,797
12 Advertising and promotion .... 10,534,864 3,847,150 6,138,348 549,366
13 Office expenses ....... 50,605,054 36,103,873 14,160,804 340,377
14 Information technology ...... 94,965,247 27,197,316 67,675,699 92,232
15 Royalties ..        
16 Occupancy ........... 52,920,547 46,296,136 6,624,202 209
17 Travel ............ 7,009,279 6,347,728 585,066 76,485
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 5,646,089 4,872,358 766,843 6,888
20 Interest ........... 25,242,204 16,279,583 8,962,621  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 123,878,498 110,090,234 13,558,087 230,177
23 Insurance .............. 7,360,719 7,113,476 247,243  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 414,310,886 413,279,396 1,031,442 48
b BAD DEBT EXPENSE 131,763,404 131,763,404    
c REPAIRS & MAINTENANCE 32,329,046 32,035,477 293,277 292
d
e All other expenses 55,988,189 52,762,820 3,211,689 13,680
25 Total functional expenses. Add lines 1 through 24e 2,418,204,530 2,152,300,096 260,022,057 5,882,377
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 90,576 1 120,707
2 Savings and temporary cash investments ......... 446,232,780 2 420,864,320
3 Pledges and grants receivable, net ........... 30,265,759 3 30,412,178
4 Accounts receivable, net ............. 216,777,924 4 234,014,496
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 44,569,859 7 40,094,629
8 Inventories for sale or use .............. 44,244,168 8 42,616,966
9 Prepaid expenses and deferred charges .......... 34,371,911 9 35,128,795
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,203,130,196
b Less: accumulated depreciation ..... 10b 1,284,827,491 876,684,337 10c 918,302,705
11 Investments—publicly traded securities .......... 137,882,488 11 141,957,283
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ............... 246,255 14 246,255
15 Other assets. See Part IV, line 11 ........... 85,993,770 15 101,298,137
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,917,359,827 16 1,965,056,471
Liabilities 17 Accounts payable and accrued expenses ......... 270,034,216 17 240,649,664
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 628,066,489 20 619,709,682
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 47,981,434 23 116,344,196
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 410,748,941 25 368,100,163
26 Total liabilities. Add lines 17 through 25......... 1,356,831,080 26 1,344,803,705
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 356,109,532 27 417,220,254
28 Temporarily restricted net assets ........... 115,761,853 28 110,962,777
29 Permanently restricted net assets ........... 88,657,362 29 92,069,735
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 560,528,747 33 620,252,766
34 Total liabilities and net assets/fund balances ........ 1,917,359,827 34 1,965,056,471
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,394,053,969
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,418,204,530
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-24,150,561
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
560,528,747
5
Net unrealized gains (losses) on investments ...............
5
1,919,751
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
81,954,829
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
620,252,766
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).Click to see attachment
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 11,042 11,042
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 95,753 95,753
c Total lobbying expenditures (add lines 1a and 1b) ................... 106,795 106,795
d Other exempt purpose expenditures ........................ 2,418,097,735 3,189,691,754
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 2,418,204,530 3,189,798,549
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures 125,491 105,250 82,852 106,795 420,388
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures 11,550 10,013 9,325 11,042 41,930
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 204,419,215 197,339,688 197,372,633 179,222,662 166,916,793
b Contributions ........ 80,875,393 38,461,282 35,658,290 39,377,929 36,940,603
c Net investment earnings, gains, and losses 10,518,567 11,992,464 -777,973 11,274,382 17,532,736
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
92,780,663 43,374,219 34,913,262 32,502,340 42,167,470
f Administrative expenses ....          
g End of year balance ...... 203,032,512 204,419,215 197,339,688 197,372,633 179,222,662
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet45.350 %
c
Temporarily restricted endowment SchDMd Bullet54.650 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   19,618,888 19,618,888
b Buildings ................   1,026,266,628 488,297,757 537,968,871
c Leasehold improvements ............   9,970,757 1,851,274 8,119,483
d Equipment ................   1,090,327,027 794,678,460 295,648,567
e Other .................   56,946,896   56,946,896
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 918,302,705
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INVESTMENTS IN PARTNERSHIP 500,856
(2) INVESTMENTS IN JOINT VENTURES 6,163,998
(3) FITNESS CENTER 411,639
(4) DEFERRED COMPENSATION 91,464,969
(5) ASSETS HELD FOR SALE 2,756,675




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 101,298,137
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
POST RETIREMENT EMPLOYEE BENEFITS 166,614,461
RESERVE FOR MALPRACTICE 88,477,923
DEFERRED COMPENSATION 91,633,110
OTHER LIABILITIES 21,374,669





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 368,100,163
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: EARNINGS FROM THE ORGANIZATION'S ENDOWMENT 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, 2013 & 2012.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
CENTRAL AMERICA AND CARRIBEAN     INVESTMENTS   85,694,246
MIDDLE EAST AND NORTH AFRICA     PROVIDE CONSULTING SERVICES FOR DESIGN AND CONSTRUCTION OF A HEALTH CLINIC.   414,086
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 86,108,332
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 86,108,332
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
PART I, LINE 3, COL. F TOTAL EXPENDITURES AND INVESTMENTS FOR THE REGION ARE REPORTED AT COST BASIS OR BOOK VALUE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
 
FULKERSON SALES INC
5760 SNOWSHOE CIRCLE
 
BLOOMFIELD HILLS, MI48301
EVENT SOLICITATIONS   No 602,858 91,948 510,910
 
HARRIS CONNECT
1400-A CROSSWAYS BLVD
 
CHESAPEAKE, VA23320
TELEPHONE CAMPAIGN   No 48,302 58,480 -10,178
             
             
             
             
             
             
             
             
Total .................right arrow 651,160 150,428 500,732
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
MI, FL
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

GET YOUR HEART RACING
(event type)
(b) Event #2

GRAND BALL
(event type)
(c) Other events

8
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 753,329 416,548 1,240,171 2,410,048
2 Less: Contributions . . 597,224 334,706 896,436 1,828,366
3 Gross income (line 1
minus line 2) . . .
156,105 81,842 343,735 581,682
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . . 612 0 70,783 71,395
6 Rent/facility costs . .        
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 224,869 199,300 519,811 943,980
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 1,015,375
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -433,693
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .     94,042 94,042
VerticalDirectExpenses 2 Cash prizes . . . .     10,800 10,800
3 Non-cash prizes . . .     45,992 45,992
4 Rent/facility costs . . .        
5 Other direct expenses . .     300 300
6 Volunteer labor . . .
%
%
100.000 %
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 57,092
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow 36,950
9
Enter the state(s) in which the organization operates gaming activities: MI
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
REBECCA BLANKEN
Address right arrow
HFHS EVENTS-ONE FORD PLACE
DETROIT,MI48202
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


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Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    50,425,839   50,425,839 2.210 %
b Medicaid (from Worksheet 3,
column a) ....
    384,265,441 310,598,140 73,667,301 3.220 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    434,691,280 310,598,140 124,093,140 5.430 %
Other Benefits
    15,107,409 6,671,998 8,435,411 0.370 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    98,354,809 47,446,596 50,908,213 2.230 %
g Subsidized health services
(from Worksheet 6) ..
    28,067,015 24,637,637 3,429,378 0.150 %
h Research (from Worksheet 7)     61,157,445 44,179,986 16,977,459 0.740 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    1,273,241 27,976 1,245,265 0.050 %
j Total. Other Benefits ..     203,959,919 122,964,193 80,995,726 3.540 %
k Total. Add lines 7d and 7j .     638,651,199 433,562,333 205,088,866 8.970 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     1,300,769   1,300,769 0.060 %
2 Economic development     578,377   578,377 0.030 %
3 Community support     839,853   839,853 0.040 %
4 Environmental improvements     2,444   2,444 0 %
5 Leadership development and training for community members            
6 Coalition building     90,750   90,750 0 %
7 Community health improvement advocacy     60,688   60,688 0 %
8 Workforce development     108,146   108,146 0 %
9 Other            
10 Total     2,981,027   2,981,027 0.130 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
131,763,404
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
32,940,851
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
648,338,787
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
737,951,922
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-89,613,135
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?5
Name, address, primary website address, and state license number
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 HENRY FORD HOSPITAL
2799 W GRAND BLVD
DETROIT,MI48202
HTTP://WWW.HENRYFORD.COM/HOMEPAGE_HFH.
1060000026
X X   X   X X      
2 HENRY FORD WEST BLOOMFIELD HOSPITAL
6777 W MAPLE RD
WEST BLOOMFIELD,MI48322
HTTP://WWW.HENRYFORD.COM/HOME_WBLOOMFI
1060000155
X X   X     X      
3 HENRY FORD COTTAGE HOSPITAL
159 KERCHEVAL
GROSSE POINTE FARMS,MI48236
HTTP://WWW.HENRYFORD.COM/BODY.CFM?XYZP
1060000064
X X         X      
4 HENRY FORD KINGSWOOD HOSPITAL
10300 W EIGHT MILE RD
FERNDALE,MI48220
HTTP://WWW.HENRYFORD.COM/BODY.CFM?ID=5
1080000037
X     X         PSYCHIATRIC HOSPITAL  
5 HENRY FORD MAPLEGROVE HOSPITAL
6773 W MAPLE RD
WEST BLOOMFIELD,MI48322
HTTP://WWW.HENRYFORD.COM/BODY.CFM?ID=4
SA0630142
X               CHEMICAL DEPENDENCY FACILITY  
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HENRY FORD HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HENRY FORD WEST BLOOMFIELD HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HENRY FORD COTTAGE HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HENRY FORD KINGSWOOD HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
4
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HENRY FORD MAPLEGROVE HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
5
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
HENRY FORD HOSPITAL PART V, SECTION B, LINE 3: AS PART OF THE CHNA PROCESS, A COMMUNITY STAKEHOLDER SURVEY WAS DEVELOPED AND CONDUCTED BY HENRY FORD HEALTH SYSTEM. THE SURVEY WAS DESIGNED TO GATHER INPUT FROM MAJOR COMMUNITY STAKEHOLDERS IN THE TRI-COUNTY AREA AND BE USED TO COMPLEMENT AND VALIDATE THE TRENDS IN DEMOGRAPHIC AND COMMUNITY HEALTH DATA IDENTIFIED WITHIN THE CHNA. THE SURVEY ALSO ASSISTED IN ACHIEVING COMPLIANCE WITH THE IRS REQUIREMENTS OF GATHERING COMMUNITY INPUT. AREAS OF SPECIFIC FOCUS IN THE SURVEY INCLUDED: PROMOTING HEALTHY BEHAVIORS, MANAGING CHRONIC DISEASE, PUBLIC HEALTH INFRASTRUCTURE/ENVIRONMENTAL HAZARDS AND ADDITIONAL OPEN ENDED QUESTIONS. KEY COMMUNITY STAKEHOLDERS THROUGHOUT THE WAYNE, MACOMB AND OAKLAND TRI-COUNTY AREA WERE INVITED TO PARTICIPATE IN THE SURVEY VIA A LINK TO THE ELECTRONIC SURVEY FROM NOVEMBER, 2011 TO DECEMBER, 2012. SEE APPENDIX 2 OF THE CHNA TO VIEW THE STAKEHOLDER SURVEY TEMPLATE. APPENDIX 3 DETAILS THE COMMUNITY STAKEHOLDERS INVITED TO PARTICIPATE AS WELL AS THE STAKEHOLDERS THAT COMPLETED THE SURVEY.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 4: HENRY FORD HOSPITALHENRY FORD KINGSWOOD HOSPITALHENRY FORD MACOMB HOSPITALSHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTER
HENRY FORD HOSPITAL PART V, SECTION B, LINE 7: WHILE HFHS IS ADDRESSING THE MAJORITY OF THE IDENTIFIED HEALTH ISSUES, IT WILL NOT DIRECTLY ADDRESS THE FOLLOWING PRIORITY: INFANT MORTALITY IN OAKLAND COUNTY (PONTIAC). THIS PRIORITY DID NOT MEET THE EVALUATION CRITERIA. IT WAS DETERMINED THAT DUE TO THE LOCATION OF OUR HOSPITAL IN OAKLAND COUNTY, WE DID NOT HAVE SUFFICIENT FINANCIAL AND PERSONNEL RESOURCES AVAILABLE TO INFLUENCE CHANGE. IN ADDITION, THERE ARE OTHER COMMUNITY HOSPITALS LOCATED IN THE IMMEDIATE VICINITY OF THE CITY OF PONTIAC, WHERE THIS HEALTH ISSUE RESIDES.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?75
Name and address Type of Facility (describe)
1 HENRY FORD MEDICAL CENTER - FAIRLANE
19401 HUBBARD DRIVE
DEARBORN,MI48126
OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM
2 HENRY FORD MEDICAL CENTER - LAKESIDE
14500 HALL RD
STERLING HEIGHTS,MI48313
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
3 HENRY FORD MEDICAL CENTER - STERLING HGT
3500 FIFTEEN MILE RD
STERLING HEIGHTS,MI48310
OUTPATIENT CLINIC/DIAGNOSTIC CENTER; EMERGENCY ROOM
4 HENRY FORD MEDICAL CENTER - LIVONIA
29200 SCHOOLCRAFT RD
LIVONIA,MI48150
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
5 HENRY FORD MEDICAL CENTER - COLUMBUS
39450 W TWELVE MILE ROAD
NOVI,MI48377
CLINICAL DIAGNOSIS MEDICAL SERVICES
6 HENRY FORD MEDICAL CENTER - TAYLOR
24555 HAIG RD
TAYLOR,MI48180
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
7 HENRY FORD MEDICAL CENTER - DETROIT NW
7800 W OUTER DRIVE
DETROIT,MI48235
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
8 HENRY FORD MEDICAL CENTER - CANTON
6100 HAGGERTY
CANTON,MI48187
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
9 HENRY FORD MEDICAL CENTER - E JEFFERSON
24725 E JEFFERSON
SAINT CLAIR SHORES,MI48080
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
10 HENRY FORD MEDICAL CENTER - PIERSONGPF
131 KERCHEVAL AVENUE
GROSSE POINTE FARMS,MI48236
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
11 HENRY FORD MEDICAL CENTER - TROY
2825 LIVERNOIS RD
TROY,MI48083
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
12 HENRY FORD MEDICAL CENTER - PLYMOUTH
14300 BECK RD
PLYMOUTH,MI48170
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
13 HENRY FORD MEDICAL CENTER - WOODHAVEN
25505 ALLEN ROAD
WOODHAVEN,MI48183
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
14 HENRY FORD MEDICAL CENTER - BLOOMFIELD
2520 S TELEGRAPH ROAD
BLOOMFIELD HILLS,MI48302
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
15 HENRY FORD MEDICAL CENTER - FARMINGTON
6530 FARMINGTON ROAD
WEST BLOOMFIELD,MI48322
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
16 HENRY FORD MEDICAL CENTER - ANN ARBOR
2755 CARPENTER RD
ANN ARBOR,MI48108
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
17 HENRY FORD MEDICAL CENTER - SOUTHLAND
21901 EUREKA RD
TAYLOR,MI48180
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
18 HENRY FORD MEDICAL CENTER - HAMTRAMCK
9100 BROMBACK STREET
HAMTRAMCK,MI48212
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
19 HENRY FORD MEDICAL CENTER - ROYAL OAK
26300 WOODWARD AVENUE
ROYAL OAK,MI48067
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
20 HENRY FORD MEDICAL CENTER - SOUTHFIELD
22777 W ELEVEN MILE RD
SOUTHFIELD,MI48034
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
21 HENRY FORD MEDICAL CENTER - WARREN
8600 CHICAGO RD SOUTH
WARREN,MI48093
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
22 HENRY FORD MEDICAL CENTER - DEARBORN
5500 AUTO CLUB DRIVE
DEARBORN,MI48126
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
23 HENRY FORD MEDICAL CENTER - HARBORTOWN
3370 E JEFFERSON AVENUE
DETROIT,MI48207
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
24 HENRY FORD MEDICAL CENTER - NEW CNTR ONE
3031 W GRAND BLVD
DETROIT,MI48202
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
25 HENRY FORD MEDICAL CENTER - CHRYSLER
1000 CHRYSLER DRIVE
AUBURN HILLS,MI48326
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
26 HFHS - NORTHWEST DETROIT DIALYSIS
7800 W OUTER DRIVE
DETROIT,MI48325
DIALYSIS CENTER
27 HFHS - NORTHWEST LAHSER DIALYSIS
25664 LAHSER RD
SOUTHFIELD,MI48034
DIALYSIS CENTER
28 HFHS - EASTPOINTE DIALYSIS
21400 KELLY RD
EASTPOINTE,MI48021
DIALYSIS CENTER
29 HFHS - FAIRLANE DIALYSIS
19001 HUBBARD DR
DEARBORN,MI48126
DIALYSIS CENTER
30 HFHS - NORTHLAND PARK DIALYSIS
21000 NORTHWESTERN HWY
SOUTHFIELD,MI48075
DIALYSIS CENTER
31 HFHS - SE MI KIDNEY CENTER
1695 W 12 MILE ROAD
BERKLEY,MI48072
DIALYSIS CENTER
32 HFHS - ST JOSEPH DIALYSIS
44200 WOODWARD SUITE 109
PONTIAC,MI48341
DIALYSIS CENTER
33 HFHS - TAYLOR DIALYSIS
24555 HAIG RD
TAYLOR,MI48180
DIALYSIS CENTER
34 HFHS - TROY DIALYSIS
2050 LIVERNOIS SUITE A
TROY,MI48083
DIALYSIS CENTER
35 HFHS - ST MARY DIALYSIS
14555 LEVAN
LIVONIA,MI48154
DIALYSIS CENTER
36 HFHS - OPTIMEYES
4355 24TH AVENUE
PORT HURON,MI48059
VISION SERVICES
37 HFHS - OPTIMEYES
2025 25 MILE ROAD
SHELBY TOWNSHIP,MI48316
VISION SERVICES
38 HFHS - OPTIMEYES SUPER VISION CENTER
32600 GRATIOT
ROSEVILLE,MI48066
VISION SERVICES
39 HFHS - OPTIMEYES SUPER VISION CENTER
35184 CENTRAL CITY PARKWAY
WESTLAND,MI48185
VISION SERVICES
40 HFHS - OPTIMEYES SUPER VISION CENTER
6530 FARMINGTON ROAD
WEST BLOOMFIELD,MI48322
VISION SERVICES
41 HFHS - OPTIMEYES SUPER VISION CENTER
43910 SCHOENHERR
STERLING HEIGHTS,MI48313
VISION SERVICES
42 HFHS - OPTIMEYES SUPER VISION CENTER
735 JOHN R ROAD
TROY,MI48083
VISION SERVICES
43 HFHS - OPTIMEYES SUPER VISION CENTER
18900 EUREKA RD
SOUTHGATE,MI48195
VISION SERVICES
44 HFHS - OPTIMEYES
2799 W GRAND BLVD
DETROIT,MI48202
VISION SERVICES
45 HFHS - OPTIMEYES
516 HIGHLAND AVE
MILFORD,MI48381
VISION SERVICES
46 HFHS - OPTIMEYES
504 N TELEGRAPH ROAD
MONROE,MI48162
VISION SERVICES
47 HFHS - OPTIMEYES
400 RENAISSANCE CENTER 2ND FLOOR
DETROIT,MI48235
VISION SERVICES
48 HFHS - OPTIMEYES
38487 W 10 MILE RD
FARMINGTON HILLS,MI48335
VISION SERVICES
49 HFHS - OPTIMEYES
7800 W OUTER DRIVE
DETROIT,MI48235
VISION SERVICES
50 HFHS - OPTIMEYES
30800 SOUTHFIELD RD
SOUTHFIELD,MI48076
VISION SERVICES
51 HFHS - OPTIMEYES SUPER VISION CENTER
5500 AUTO CLUB DRIVE
DEARBORN,MI48126
VISION SERVICES
52 HFHS - OPTIMEYES
684 S LAPEER RD
LAKE ORION,MI48362
VISION SERVICES
53 HFHS - OPTIMEYES
3500 FIFTEEN MILE RD
STERLING HEIGHTS,MI48310
VISION SERVICES
54 HFHS - OPTIMEYES
15401 E JEFFERSON
GROSSE POINTE PARK,MI48230
VISION SERVICES
55 HFHS - OPTIMEYES
27903 23 MILE ROAD
CHESTERFIELD,MI48051
VISION SERVICES
56 HENRY FORD MEDICAL CLINIC - COMMERCE
8391 COMMERCE ROAD
COMMERCE TOWNSHIP,MI48382
PHYSICIAN PRACTICE
57 HENRY FORD MEDICAL CENTER - RESEARCH
440 BURROUGHS
DETROIT,MI48202
RESEARCH CENTER
58 HENRY FORD MEDICAL CENTER - TROY IVF
1500 W BIG BEAVER RD SUITE 105
TROY,MI48084
PHYSICIAN PRACTICE
59 HFHS - ALLEN PARK REHABILITATION
7445 ALLEN RD SUITE 102
ALLEN PARK,MI48101
REHABILITATION SERVICES
60 HFHS - HOSPICE RESIDENT CARE
11700 E TEN MILE ROAD
WARREN,MI48089
HOSPICE CARE
61 HFHS - HOSPICE RESIDENT CARE
26900 FRANKLIN ROAD
SOUTHFIELD,MI48033
HOSPICE CARE
62 HFHS - CENTER FOR ATHLETIC MEDICINE
6525 SECOND AVENUE
DETROIT,MI48202
CLINICAL DIAGNOSIS MEDICAL SERVICES
63 HFHS - BEHAVIORAL SERVICES
42633 GARFIELD ROAD
CLINTON TOWNSHIP,MI48038
CLINICAL DIAGNOSIS MEDICAL SERVICES
64 HFHS - BEHAVIORAL SERVICES
5110 AUTO CLUB DRIVE SUITE 112
DEARBORN,MI48126
CLINICAL DIAGNOSIS MEDICAL SERVICES
65 HFHS - ONE FORD PLACE
ONE FORD PLACE
DETROIT,MI48202
CLINICAL DIAGNOSIS MEDICAL SERVICES
66 HENRY FORD HEALTH PRODUCTS - NW DETROIT
7940 W OUTER DRIVE
DETROIT,MI48235
MEDICAL EQUIPMENT SUPPLY SERVICES
67 HENRY FORD HEALTH PRODUCTS - RIVERVIEW
17763 FORT STREET
RIVERVIEW,MI48192
MEDICAL EQUIPMENT SUPPLY SERVICES
68 HENRY FORD HEALTH PRODUCTS - WALLED LAKE
39630 FOURTEEN MILE ROAD
WALLED LAKE,MI48390
MEDICAL EQUIPMENT SUPPLY SERVICES
69 HENRY FORD HEALTH PRODUCTS - WOODHAVEN
23400 ALLEN ROAD
WOODHAVEN,MI48183
MEDICAL EQUIPMENT SUPPLY SERVICES
70 HFHS - FAIRLANE REHABILITATION
5225 AUTO CLUB DRIVE SUITE 100
DEARBORN,MI48126
REHABILITATION SERVICES
71 HENRY FORD HEALTH PRODUCTS - WARREN
13355 E TEN MILE ROAD
WARREN,MI48089
MEDICAL EQUIPMENT SUPPLY SERVICES
72 HENRY FORD MEDICAL CENTER - NOVI
40000 8 MILE RD
NORTHVILLE,MI48167
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
73 HENRY FORD HEALTH - CARDIOVASCULAR SV
16001 W NINE MILE ROAD
SOUTHFIELD,MI48075
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
74 HENRY FORD MEDICAL CENTER - ACCESS
6450 MAPLE
DEARBORN,MI48126
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
75 HENRY FORD MEDICAL CENTER - CHASS
7436 WOODWARD AVENUE
DETROIT,MI48202
OUTPATIENT CLINIC/DIAGNOSTIC CENTER
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
HENRY FORD HOSPITAL PART V, SECTION B, LINE 3: AS PART OF THE CHNA PROCESS, A COMMUNITY STAKEHOLDER SURVEY WAS DEVELOPED AND CONDUCTED BY HENRY FORD HEALTH SYSTEM. THE SURVEY WAS DESIGNED TO GATHER INPUT FROM MAJOR COMMUNITY STAKEHOLDERS IN THE TRI-COUNTY AREA AND BE USED TO COMPLEMENT AND VALIDATE THE TRENDS IN DEMOGRAPHIC AND COMMUNITY HEALTH DATA IDENTIFIED WITHIN THE CHNA. THE SURVEY ALSO ASSISTED IN ACHIEVING COMPLIANCE WITH THE IRS REQUIREMENTS OF GATHERING COMMUNITY INPUT. AREAS OF SPECIFIC FOCUS IN THE SURVEY INCLUDED: PROMOTING HEALTHY BEHAVIORS, MANAGING CHRONIC DISEASE, PUBLIC HEALTH INFRASTRUCTURE/ENVIRONMENTAL HAZARDS AND ADDITIONAL OPEN ENDED QUESTIONS. KEY COMMUNITY STAKEHOLDERS THROUGHOUT THE WAYNE, MACOMB AND OAKLAND TRI-COUNTY AREA WERE INVITED TO PARTICIPATE IN THE SURVEY VIA A LINK TO THE ELECTRONIC SURVEY FROM NOVEMBER, 2011 TO DECEMBER, 2012. SEE APPENDIX 2 OF THE CHNA TO VIEW THE STAKEHOLDER SURVEY TEMPLATE. APPENDIX 3 DETAILS THE COMMUNITY STAKEHOLDERS INVITED TO PARTICIPATE AS WELL AS THE STAKEHOLDERS THAT COMPLETED THE SURVEY.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 4: HENRY FORD HOSPITALHENRY FORD KINGSWOOD HOSPITALHENRY FORD MACOMB HOSPITALSHENRY FORD WEST BLOOMFIELD HOSPITALHENRY FORD WYANDOTTE HOSPITALHENRY FORD COTTAGE HOSPITAL/MEDICAL CENTER
HENRY FORD HOSPITAL PART V, SECTION B, LINE 7: WHILE HFHS IS ADDRESSING THE MAJORITY OF THE IDENTIFIED HEALTH ISSUES, IT WILL NOT DIRECTLY ADDRESS THE FOLLOWING PRIORITY: INFANT MORTALITY IN OAKLAND COUNTY (PONTIAC). THIS PRIORITY DID NOT MEET THE EVALUATION CRITERIA. IT WAS DETERMINED THAT DUE TO THE LOCATION OF OUR HOSPITAL IN OAKLAND COUNTY, WE DID NOT HAVE SUFFICIENT FINANCIAL AND PERSONNEL RESOURCES AVAILABLE TO INFLUENCE CHANGE. IN ADDITION, THERE ARE OTHER COMMUNITY HOSPITALS LOCATED IN THE IMMEDIATE VICINITY OF THE CITY OF PONTIAC, WHERE THIS HEALTH ISSUE RESIDES.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 11: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 14G: SUMMARIES OF THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL SERVICE LOCATIONS AND IN THE ADMISSIONS OFFICE. SIMILAR POSTINGS HAVE BEEN PLACED IN PROMINENT LOCATIONS AT OUR FACILITIES. ADDITIONALLY, PATIENT BILLINGS PROVIDE GUIDANCE TO PATIENT ON WHO TO CONTACT TO LEARN MORE ABOUT THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE PROGRAM.
HENRY FORD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD WEST BLOOMFIELD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD COTTAGE HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD KINGSWOOD HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
HENRY FORD MAPLEGROVE HOSPITAL PART V, SECTION B, LINE 20D: FOR PATIENTS THAT FAILED TO QUALIFY FOR FINANCIAL ASSISTANCE, DISCOUNTS FOR MEDICALLY NECESSARY SERVICES WERE PROVIDED AT 40% OFF OF STANDARD RATES.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number
38-1357020
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) AMERICAN KIDNEY FUND
6110 EXECUTIVE BLVD-STE 1010
ROCKVILLE,MD20852
23-7124261 501(C)(3) 180,000       ORGANIZATIONAL SUPPORT
(2) DETROIT CRISTO REY HIGH SCHOOL
5679 W VERNOR HIGHWAY
DETROIT,MI48209
04-3730980 501(C)(3) 30,000       ORGANIZATIONAL SUPPORT
(3) CROHN'S & COLITIS FOUNDATION OF AMERICA
25882 ORCHARD LAKE RD-SUITE 102
FARMINGTON HILLS,MI48336
13-6193105 501(C)(3) 6,500       ORGANIZATIONAL SUPPORT
(4) CITY YEAR DETROIT (CITY YEAR INC)
1 FORD PLACE-SUITE 1F
DETROIT,MI48202
22-2882549 501(C)(3) 15,000 101,050 FAIR MARKET VALUE PROVISION OF OFFICE SPACE & POSTAGE AT NO COST ORGANIZATIONAL SUPPORT
(5) AMERICAN HEART ASSOCIATION
24445 NORTHWESTERN HWY
SOUTHFIELD,MI48075
13-5613797 501(C)(3) 20,000       ORGANIZATIONAL SUPPORT
(6) NATIONAL KIDNEY FOUNDATION OF MICHIGAN
1169 OAK VALLEY DRIVE
ANN ARBOR,MI48108
38-1559941 501(C)(3) 5,800       ORGANIZATIONAL SUPPORT
(7) MICHIGAN UNIVERSAL HEALTHCARE ACCESS NETWORK
35828 SMITHFIELD
FARMINGTON HILLS,MI48335
74-3142101 501(C)(3) 10,000       ORGANIZATIONAL SUPPORT
(8) DOWNTOWN DETROIT PARTNERSHIP
600 RENAISSANCE CENTER-SUITE 1740
DETROIT,MI48243
38-3436456 501(C)(3) 9,150       ORGANIZATIONAL SUPPORT
(9) ALLIANCE FOR VISION RESEARCH (A NIGHT FOR SIGHT)
29201 TELEGRAPH ROAD-SUITE 324
SOUTHFIELD,MI48034
33-1088835 501(C)(3) 8,500       ORGANIZATIONAL SUPPORT
(10) 100 BLACK MEN OF GREATER DETROIT
1 FORD PLACE
DETROIT,MI48202
38-3124115 501(C)(3) 5,000 13,800 FAIR MARKET VALUE BUILDING SPACE PROVISION ORGANIZATIONAL SUPPORT
(11) M-1 RAIL
600 RENAISSANCE CENTER-SUITE 1740
DETROIT,MI48243
26-2310566 501(C)(3) 600,000       ORGANIZATIONAL SUPPORT
(12)  

 
 
          ORGANIZATIONAL SUPPORT
(13) VATTIKUTI FOUNDATION
3350 EASTPOINTE LN
BLOOMFIELD,MI48302
38-3380162 501(C)(3) 35,000       ORGANIZATIONAL SUPPORT
(14)  

 
 
          ORGANIZATIONAL SUPPORT
(15) ARAB COMMUNITY CENTER FOR ECONOMIC & SOCIAL SERVICES
2651 SAULINO COURT
DEARBORN,MI48120
23-7444497 501(C)(3) 6,000       ORGANIZATIONAL SUPPORT
(16) VOICES OF DETROIT INITIATIVE
4201 ST ANTOINE-UHC 9D
DETROIT,MI48201
20-2333719 501(C)(3) 25,000       ORGANIZATIONAL SUPPORT
(17)  

 
 
          ORGANIZATIONAL SUPPORT
(18) AUTISM ALLIANCE OF MICHIGAN
PO BOX 532558
LIVONIA,MI48153
27-0472137 501(C)(3) 5,450       ORGANIZATIONAL SUPPORT
(19)  

 
 
          ORGANIZATIONAL SUPPORT
(20) FRIENDSHIP CIRCLE
6892 WEST MAPLE ROAD
W BLOOMFIELD,MI48322
38-3613944 501(C)(3) 10,000       ORGANIZATIONAL SUPPORT
(21) ST JOSEPH MERCY HOSPITAL-OAKLAND
44405 WOODWARD AVENUE
PONTIAC,MI48341
38-2113393 501(C)(3) 7,500       ORGANIZATIONAL SUPPORT
(22) CARING ATHLETES TEAM FOR CHILDREN'S AND HENRY FORD HOSPITAL
3011 W GRAND BLVD-SUITE 223
DETROIT,MI48202
38-2746810 501(C)(3) 8,800       ORGANIZATIONAL SUPPORT
(23) MICHIGAN PHYSICAL FITNESS HEALTH AND SPORTS FOUNDATION
PO BOX 27187
LANSING,MI48909
38-3172025 501(C)(3) 15,000       ORGANIZATIONAL SUPPORT
(24) DETROIT REGIONAL CHAMBER FOUNDATION INC
ONE WOODWARD AVE-SUITE 1900
DETROIT,MI48226
32-2352462 501(C)(3) 25,000       ORGANIZATIONAL SUPPORT
(25) MOSAIC YOUTH THEATRE OF DETROIT
3011 WEST GRAND BLVD SUITE 1510
DETROIT,MI48202
38-3069610   6,500       ORGANIZATIONAL SUPPORT
(26) MI COUNCIL FOR MATERNAL & CHILD HEALTH
221 N WALNUT
LANSING,MI48933
38-2445458 501(C)(3) 25,000       ORGANIZATIONAL SUPPORT
(27) DETROIT HISTORICAL SOCIETY
5401 WOODWARD AVENUE
DETROIT,MI48202
38-1381144 501(C)(3) 11,000       ORGANIZATIONAL SUPPORT
(28) DETROIT ECONOMIC CLUB
211 WEST FORT STREET
DETROIT,MI48226
38-0508823 501(C)(3) 10,000       ORGANIZATIONAL SUPPORT
(29) COMMUNITY HEALTH & SOCIAL SERVICES CENTER INC (CHASS)
5635 W FORT STREET
DETROIT,MI48209
38-3094394 501(C)(3)   1,344,047 COST PROVISION OF MEDICAL OFFICE & STAFF FOR COMMUNITY HEALTH CENTER ORGANIZATIONAL SUPPORT
(30) MICHIGAN THANKSGIVING PARADE FOUNDATION
9500 MT ELLIOTT-SUITE A
DETROIT,MI48211
38-2460378 501(C)(3) 8,000       ORGANIZATIONAL SUPPORT
(31) UNIVERSITY CULTURAL CENTER ASSOCIATION
3939 WOODWARD AVENUE
DETROIT,MI48201
38-2134035 501(C)(3) 904,000       ORGANIZATIONAL SUPPORT
(32) URBAN LEAGUE OF DETROIT AND SOUTHEASTERN MICHIGAN
208 MACK AVENUE
DETROIT,MI48201
38-1358387 501(C)(3) 10,000       ORGANIZATIONAL SUPPORT
(33) MHA HEALTH FOUNDATION (PATIENT SAFETY ORGANIZATION)
6215 W ST JOSEPH HWY
LANSING,MI48917
38-6091188 501(C)(3) 70,606       ORGANIZATIONAL SUPPORT
(34) SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS
1501 M STREET NW-7TH FLOOR
WASHINGTON,DC20005
20-5913680 501(C)(3) 10,000       ORGANIZATIONAL SUPPORT
(35) YMCA OF METROPOLITAN DETROIT
1401 BROADWAY - 3A
DETROIT,MI48226
38-1358055 501(C)(3) 6,000       ORGANIZATIONAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
31
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) HELPING HANDS PROGRAM 94 169,743      
(2) PATIENT MEDICAL SUPPLIES & PHARMACEUTICALS 887   665,064 COST PATIENTS MEETING FINANCIAL ASSISTANCE PROGRAM GUIDELINES MAY BE PROVIDED WITH PHARMACEUTICALS & MEDICAL SUPPLIES AT NO CHARGE UPON DISCHARGE










Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE HENRY FORD HEALTH SYSTEM HELPING HANDS PROGRAM IS A CHARITABLE INITIATIVE SPONSORED AND FUNDED ENTIRELY BY EMPLOYEES TO HELP CO-WORKERS, VOLUNTEERS AND RETIREES IN TIMES OF NEED. SINCE ITS INCEPTION IN 1992, THE PROGRAM HAS PROVIDED FINANCIAL ASSISTANCE TO HUNDREDS OF PEOPLE. HELPING HANDS PROVIDES FINANCIAL ASSISTANCE OF UP TO $1,800 TO ELIGIBLE EMPLOYEES AND UP TO $500 TO ELIGIBLE VOLUNTEERS AND RETIREES WHO, DUE TO A CATASTROPHE-SUCH AS A HOME FIRE, ILLNESS OR INJURY-CAN'T AFFORD BASIC NECESSITIES INCLUDING FOOD, CLOTHING AND MEDICAL CARE. A HELPING HANDS EXECUTIVE COMMITTEE ("THE COMMITTEE") COMPRISED OF A REPRESENTATIVE FROM EACH BUSINESS UNIT OF THE HEALTH SYSTEM OVERSEES THE HELPING HANDS PROGRAM. THE COMMITTEE PROVIDES PERIODIC OVERSIGHT OF THE POLICIES AND CRITERIA THAT GOVERN THE DISTRIBUTION OF FUNDS AND PRODUCES AND MAINTAINS THE PROGRAM'S FINANCIAL REPORTS. APPLICATIONS FOR FUNDS, ELIGIBILITY DETERMINATIONS AND DISTRIBUTION OF FUNDS ARE ADMINISTERED AT THE BUSINESS UNIT LEVEL EITHER BY A BUSINESS UNIT HELPING HANDS COMMITTEE OR A HELPING HANDS REPRESENTATIVE.
SCHEDULE I, PART I, LINE 2 THE COMMUNITY OUTREACH DEPARTMENT MONITORS GRANTS PAID TO CHARITABLE AND GOVERNMENTAL ENTITIES.
Schedule I (Form 990) 2013


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
Yes
 
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)GREGORY L BARKLEY MDTRUSTEE (i)
(ii)
285,712
0
9,400
0
29,889
0
31,858
0
25,329
0
382,188
0
0
0
(2)WILLIAM A CONWAY MDTRUSTEE (i)
(ii)
637,554
0
50,782
0
18,893
0
118,540
0
19,685
0
845,454
0
0
0
(3)MARK A KELLEY MDPHYS TRUSTEE/EVP THRU 1/2/13 (i)
(ii)
36,480
0
302,728
0
650,126
0
1,016,477
0
1,232
0
2,007,043
0
1,663,223
0
(4)NANCY M SCHLICTINGPRESIDENT AND C.E.O. (i)
(ii)
1,419,555
0
1,033,403
0
599,500
0
29,308
0
24,321
0
3,106,087
0
0
0
(5)KATHLEEN L YAREMCHUK MDPHYSICIAN TRUSTEE (i)
(ii)
601,794
0
29,009
0
22,169
0
31,858
0
27,472
0
712,302
0
0
0
(6)JAMES M CONNELLYTREASURER/C.F.O. (i)
(ii)
662,923
0
268,013
0
177,080
0
29,308
0
16,254
0
1,153,578
0
0
0
(7)EDITH L EISENMANNSECRETARY (i)
(ii)
180,375
0
19,688
0
20,460
0
25,545
0
13,124
0
259,192
0
0
0
(8)BRIAN R GAMBLEASSISTANT TREASURER (i)
(ii)
217,136
0
24,438
0
22,844
0
31,373
0
19,855
0
315,646
0
0
0
(9)WILLIAM ALVINC.E.O.-HAP THRU 9-30-13 (i)
(ii)
445,022
0
217,182
0
409,726
0
31,858
0
11,660
0
1,115,448
0
0
0
(10)GERALD VAN GRINSVENCEO-W BLMFLD HOSP THRU 6/2/13 (i)
(ii)
196,748
0
137,909
0
29,668
0
156,202
0
9,927
0
530,454
0
165,238
0
(11)EDWARD COFFEY MDVP - BEHAVIORAL SERVICES (i)
(ii)
385,911
0
18,970
0
30,079
0
31,859
0
26,473
0
493,292
0
0
0
(12)JOHN POPOVICH MDCEO-HF HOSPITAL/PHYSICIAN (i)
(ii)
790,946
0
288,641
0
116,040
0
115,858
0
26,867
0
1,338,352
0
0
0
(13)JOHN J POLANSKICEO-COMMUNITY CARE SERVICE (i)
(ii)
438,547
0
131,513
0
59,768
0
31,858
0
4,090
0
665,776
0
0
0
(14)ROBERT G RINEYSENIOR VP AND C.O.O. (i)
(ii)
917,323
0
370,356
0
171,063
0
31,859
0
21,509
0
1,512,110
0
0
0
(15)LYNN TOROSSIANCEO-W BLMFLD HOSP START 11/25/13 (i)
(ii)
24,785
0
0
0
42
0
0
0
1,347
0
26,174
0
0
0
(16)MANI MENON MDPHYSICIAN (i)
(ii)
874,904
0
683,455
0
17,921
0
31,859
0
23,729
0
1,631,868
0
0
0
(17)MARK L ROSENBLUM MDPHYSICIAN (i)
(ii)
780,756
0
206,000
0
250,921
0
31,859
0
26,280
0
1,295,816
0
0
0
(18)THEODORE W PARSONS MDPHYSICIAN (i)
(ii)
891,841
0
41,114
0
24,929
0
26,758
0
25,345
0
1,009,987
0
0
0
(19)GHAUS MALIK MDPHYSICIAN (i)
(ii)
628,921
0
10,468
0
335,697
0
31,858
0
22,981
0
1,029,925
0
0
0
(20)WILLIAM O'NEIL MDPHYSICIAN (i)
(ii)
671,169
0
326,984
0
19,657
0
26,759
0
28,545
0
1,073,114
0
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
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 2013. 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 4B. 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. 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. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: SCH J, LINE 4B, PERSON PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 NANCY SCHLICHTING 568,441 - - 568,441 PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 MARK KELLEY, MD - 1,663,223 - 650,126 JAMES CONNELLY 136,600 - - 136,600 WILLIAM CONWAY, MD - - 86,682 - ROBERT RINEY 149,090 - - 149,090 JOHN POLANSKI 39,724 - - 39,724 JOHN POPOVICH, MD 90,667 - - 90,667 GERARD VAN GRINSVEN - 165,238 - 29,668 WILLIAM ALVIN 392,770 - - 392,770 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2013 CONTR. 2013 CONTR. TAX GROSS-UP W-2 AMOUNTS NANCY SCHLICHTING - 17,500 421 17,921 MANI MENON, MD - 17,500 421 17,921 MARK ROSENBLUM, MD - 17,500 421 17,921 THEODORE PARSONS, MD - 17,500 421 17,921 JAMES CONNELLY - 17,500 421 17,921 ROBERT RINEY - 17,500 421 17,921 EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2013 CONTR. 2013 CONTR. TAX GROSS-UP W-2 AMOUNTS GHAUS MALIK, MD - 17,500 421 17,921 JOHN POPOVICH, MD - 17,500 421 17,921 WILLIAM ALVIN - 11,293 272 11,564 JOHN POLANSKI 6,604 10,896 262 17,762 EDITH EISENMANN 17,500 - - 17,500 KATHLEEN YAREMCHUK, MD - 17,500 421 17,921 WILLIAM O'NEILL, MD - 15,715 378 16,093 GREG BARKLEY, MD - 2,475 60 2,535 WILLIAM CONWAY, MD 1,163 16,337 393 17,893 C.E. COFFEY, SR. MD 9,195 8,305 200 17,700 ACCRUALS TO SELECT SEC 457(F)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN 2013 ACCRUALS JOHN POPOVICH, M.D. 84,000
PART I, LINE 5 CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A CONTRACTUAL FORMULA THAT PROVIDES FOR A MINIMUM BASE SALARY AND INCREMENTAL COMPENSATION WHEN DEPARTMENTAL NET REVENUE EXCEEDS A PREDETERMINED LEVEL. SUCH ARRANGEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION.
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. SUCH AGREEMENTS AND THE RESULTING COMPENSATION ARE CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number
38-1357020
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
 
38-2889417 59465HDM5 06-27-2006 403,115,204 SEE PART VI   X   X   X
B MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
 
38-2889417 59465HGS9 11-29-2007 165,735,000 SEE PART VI   X   X   X
C MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
 
38-2889417 594654MA1 11-03-2009 322,571,412 SEE PART VI   X   X   X
D MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
 
80-0596186   12-20-2013 75,000,000 SEE PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 21,245,000 14,140,000 21,360,000  
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 447,442,232 165,735,000 322,571,784 56,602,793
4 Gross proceeds in reserve funds . . . . . . . . . . . . 23,348,894   23,348,894  
5 Capitalized interest from proceeds . . . . . . . . . . . 24,165,427   12,938,234  
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 3,541,881 1,453,729 4,474,851  
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 253,937,393 164,281,271 87,119,305 56,602,793
11 Other spent proceeds . . . . . . . . . . . . . . 165,797,531   194,690,500  
12 Other unspent proceeds . . . . . . . . . . . . . . 18,397,207     18,397,207
13 Year of substantial completion . . . . . . . . . . . . 2009 2007 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . . X     X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.990 %   0.140 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X     X
b Exception to rebate? . . . . . . . .   X   X X   X  
c No rebate due? . . . . . . . . X   X     X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X     X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X     X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I, COLUMN (F), DESCRIPTION OF PURPOSE (A) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND 1999 (10/12/99), 1992A (9/16/92) & 2003A BONDS (2/13/03); FUND NEW CONSTRUCTION (B) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: FUND ACQUISITION OF ASSETS (C) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND 2006B&C (6/27/06) BONDS; FUND NEW CONSTRUCTION (D) ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: FUND ACQUISITION OF ASSETS AND EQUIPMENT PART I, COLUMN (E) AND PART II, LINE 3 - DIFFERENCES BETWEEN THE ISSUE PRICE SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS. PART II, LINE 3, COLUMN A - FOR PURPOSES OF DETERMINING PROCEEDS ON THE ISSUE, WE HAVE ASSUMED THAT THE "PROJECT PERIOD" WITH RESPECT TO THE REFUNDING PORTION OF AN ISSUE ENDS ON THE DATE THE REFUNDED BONDS ARE CALLED AND RETIRED. PART IV, LINE 2C, COLUMN A - DATE OF REBATE COMPUTATION, 3/24/2011 PART IV, LINE 2C, COLUMN B - DATE OF REBATE COMPUTATION, 11/28/2012 PART IV, LINE 6, COLUMN A - THIS WAS AN ADVANCE REFUNDING ISSUE, WHICH HAS A 30-DAY TEMPORARY PERIOD. AS SUCH, THE PROCEEDS HAVE BEEN YIELD RESTRICTED.
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1)  
 
        No
(2) WALGREENS
 
SEE BELOW 6,488,670 SEE BELOW   No
(3) COMERICA BANK
 
SEE BELOW 918,017 SEE BELOW   No
(4) STERIS CORP
 
SEE BELOW 506,043 SEE BELOW   No
(5) FORD MOTOR LAND DEV
 
SEE BELOW 297,857 SEE BELOW   No
(6) DETROIT LIONS
 
SEE BELOW 146,000 SEE BELOW   No
(7) JUSTIN COFFEY MD
 
SEE BELOW 276,690 SEE BELOW   No
(8) COLLEEN GRACE MD
 
SEE BELOW 272,158 SEE BELOW   No
(9) CHARLES E COFFEY JR MD
 
SEE BELOW 206,721 SEE BELOW   No
(10) NANCY SAMMONS
 
SEE BELOW 130,071 SEE BELOW   No
(11) PEGGY ORR
 
SEE BELOW 100,155 SEE BELOW   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: WALGREENS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/CURRENT OFFICER(D) DESCRIPTION OF TRANSACTION: PHARMACY SERVICES (A) NAME OF PERSON: COMERICA BANK(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: BANKING SERVICES(A) NAME OF PERSON: STERIS CORP.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: MEDICAL SUPPLIES(A) NAME OF PERSON: FORD MOTOR LAND DEVELOPMENT CO.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: BUILDING RENT(A) NAME OF PERSON: DETROIT LIONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OFFICER/BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: MEDICAL SERVICES(A) NAME OF PERSON: JUSTIN M. COFFEY, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: COLLEEN GRACE, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT TRUSTEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: CHARLES E. COFFEY, JR., MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: NANCY SAMMONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(A) NAME OF PERSON: PEGGY ORR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(CONTINUATION), PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: ELIZABETH TYLER WANG(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/KEY EMPLOYEE(C) AMOUNT OF TRANSACTION $68,675(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: THOMAS EISENMANN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $60,504.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: JOSHUA GAMBLE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $27,671.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: SUSAN CONWAY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT TRUSTEE(C) AMOUNT OF TRANSACTION $21,852.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: DETROIT LIONS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OFFICER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $20,021.00(D) DESCRIPTION OF TRANSACTION: SPORTING TICKETS(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: FORD MOTOR COMPANY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: OFFICER/BOARD MEMBER(C) AMOUNT OF TRANSACTION $18,256.00(D) DESCRIPTION OF TRANSACTION: FACILITY FEES(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: KERRY CONWAY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT TRUSTEE(C) AMOUNT OF TRANSACTION $12,576.00(D) DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION(E) SHARING OF ORGANIZATION'S REVENUES? NO(A) NAME OF PERSON: PAMELA THEISEN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER/CURRENT OFFICER(C) AMOUNT OF TRANSACTION $15,600.00(D) DESCRIPTION OF TRANSACTION: CONSULTING SERVICES(E) SHARING OF ORGANIZATION'S REVENUES? NO
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.

Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 4 8,000 FAIR MARKET VALUE
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 19 954,848 MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies . X 3 216,398 FAIR MARKET VALUE
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( MISCELLANEOUS ) X 183 308,880 FAIR MARKET VALUE
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 32B: BROKERAGE FIRM SELLS DONATIONS OF STOCK
Schedule M (Form 990) (2013)
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP - STEPHANIE BERGERON (CURRENT TRUSTEE) AND EDWARD CALLAGHAN, PHD. (CURRENT TRUSTEE)
FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS CONTRACTED WITH H2O, LLC TO PROVIDE SENIOR LEADERSHIP TO ITS HUMAN RESOURCES FUNCTION. UNDER THE TERMS OF THIS AGREEMENT, H2O PROVIDES HFHS WITH THE SERVICES OF THE CHIEF HUMAN RESOURCES OFFICER OF HFHS.
FORM 990, PART VI, SECTION B, LINE 11 THE TAX DEPARTMENT OF THE ORGANIZATION PREPARES THE FORM 990 AND HAS IT REVIEWED BY ITS INDEPENDENT TAX SERVICE PROVIDER. AS PART OF THE PREPARATION AND REVIEW PROCESS PRIOR TO FILING THE RETURN, THE FOLLOWING REVIEW PROCESS IS CONDUCTED: - REVIEW OF THE ENTIRE RETURN WITH THE HFHS CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF EXECUTIVE OFFICER - REVIEW OF ALL COMPENSATION MATTERS AND DISCLOSURES WITH THE COMPENSATION COMMITTEE OF THE HFHS BOARD OF TRUSTEES - REVIEW OF THE RETURN WITH THE HFHS AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES - PROVIDE A COPY OF THE RETURN TO THE HFHS BOARD OF TRUSTEES
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A STANDING CONFLICT OF INTEREST COMMITTEE (THE COMMITTEE) THAT IS RESPONSIBLE FOR OVERSIGHT OF ALL CONFLICT OF INTEREST MATTERS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES AND EMPLOYEES. ANNUALLY, TRUSTEES, EMPLOYEES OF A MANAGEMENT LEVEL, RESEARCHERS, AS WELL AS EMPLOYEES ASSOCIATED WITH PROCUREMENT, OR IN CERTAIN OTHER PREDEFINED ROLES MUST COMPLETE AN ANNUAL DISCLOSURE DESIGNED TO IDENTIFY ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE COMMITTEE TO REVIEW THESE DISCLOSURES AND DETERMINE THE NEED FOR ANY ACTION TO MANAGE THE POTENTIAL CONFLICT. THE COMMITTEE ANNUALLY REPORTS THE RESULTS OF ITS ACTIVITIES TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL EXTERNAL TRUSTEES. THEY MEET PERIODICALLY THROUGHOUT THE YEAR. THEY ARE CHARGED WITH APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THEY DIRECTLY ENGAGE AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS, AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE COMMITTEE ALSO REVIEWS THE COMPENSATION DISCLOSURES TO BE MADE ON FORM 990 IN ADVANCE OF FILING.
FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. AS A HOLDER OF TAX EXEMPT DEBT THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO A PUBLIC CLEARING HOUSE ON A QUARTERLY BASIS. PART IV, LINE 12 THE ORGANIZATION IS AN ELEMENT OF THE EXTERNAL AUDIT REPORT OBTAINED FOR THE CONSOLIDATED OPERATIONS OF HENRY FORD HEALTH SYSTEM. SCHEDULE R, PART V, LINE 1D AND 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 BOND MASTER INDENTURE. SCHEDULE R, PART II, IDENTIFICATION OF OTHER RELATED ORGANIZATIONS THE ORGANIZATION HAS THE FOLLOWING OPERATING DIVISIONS THAT ARE NOT SEPARATE LEGAL ENTITIES BUT HAVE THEIR OWN UNIQUE ASSIGNED EIN'S. FINANCIAL INFORMATION RELATING TO THESE DIVISIONS ARE INCLUDED IN THIS RETURN. -HENRY FORD WEST BLOOMFIELD HOSPITAL (26-3896897) -CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE (30-0092342) -HENRY FORD HEALTH SYSTEM - SCHOOL BASED HEALTH INITIATIVE (87-0729167) -COTTAGE HOSPITAL PHYSICIAN PRACTICE (26-4245539) -HENRY FORD PATHOLOGY (41-2223561) SCHEDULE R, PART V, LINE 2, COLUMN C ALL TRANSACTIONS REPORTED ARE BASED ON CASH VALUE
FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 63,561,813. INTERCOMPANY TRANSFERS 18,393,016.
FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: MANY EXECUTIVE EMPLOYEES OF HFHS PROVIDE SERVICES TO MULTIPLE AFFILIATED ENTITIES. HENRY FORD HEALTH SYSTEM USES ESTIMATES FOR REPORTING AVERAGE HOURS PER WEEK IN ALL SECTIONS OF FORM 990. GENERALLY 60 HOURS ARE REPORTED FOR THE HOURS ASSOCIATED FOR THE ORGANIZATION THAT THE INDIVIDUAL HAS PRINCIPAL RESPONSIBILITY FOR. HOURS ASSOCIATED WITH OTHER HOSPITAL OR LARGER ORGANIZATIONS ARE REPORTED AT 5 PER WEEK, AND FOR SMALLER ORGANIZATIONS 1 HOUR PER WEEK IS REPORTED.
FORM 990, PART XII, LINE 2C THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HENRY FORD HEALTH SYSTEM (HFHS) AND AFFILIATES. THE GOVERNING BODY OF HFHS HAS DELEGATED THE OVERSIGHT OF FINANCIAL STATEMENTS, INCLUDING THE CHOICE OF FINANCIAL AUDITORS, TO ITS AUDIT COMMITTEE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENRY FORD HEALTH SYSTEM
 
Employer identification number

38-1357020
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) P-COR LLC
655 W 13 MILE ROAD
MADISON HEIGHTS,MI48071
38-3322462
EYE CARE SERVICES MI 41,910,933 17,634,162 HENRY FORD HEALTH SYSTEM
 
(2) NEIGHBORHOOD DEVELOPMENT LLC
ONE FORD PLACE
DETROIT,MI48202
33-1210726
REAL ESTATE MI 17,916 12,192,498 HENRY FORD HEALTH SYSTEM
 
(3) HFHS EMPLOYMENT COMPANY LLC
ONE FORD PLACE
DETROIT,MI48202
45-3852852
STAFFING SERVICES MI 0 0 HENRY FORD HEALTH SYSTEM
 






Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) HENRY FORD MACOMB HOSPITAL CORPORATION

ONE FORD PLACE

DETROIT,MI48202
38-2947657
HEALTHCARE SERVICE PROVIDER DE 501(C)(3) 3 HENRY FORD HEALTH SYSTEM
 
Yes
 
(2) HENRY FORD WYANDOTTE HOSPITAL

2333 BIDDLE AVE

WYANDOTTE,MI48192
38-2791823
HEALTHCARE SERVICE PROVIDER MI 501(C)(3) 3 HENRY FORD HEALTH SYSTEM
 
Yes
 
(3) HENRY FORD HEALTH SYSTEM FOUNDATION

ONE FORD PLACE

DETROIT,MI48202
23-7383042
SUPPORTING ORGANIZATION MI 501(C)(3) 11A-TYPE 1 HENRY FORD HEALTH SYSTEM
 
Yes
 
(4) HEALTH ALLIANCE PLAN

2850 W GRAND BLVD

DETROIT,MI48202
38-2242827
HEALTH MAINTENANCE ORGANIZATION MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM
 
Yes
 
(5) HFHS SELF FUNDED LIABILITY

ONE FORD PLACE

DETROIT,MI48202
38-6553031
MALPRACTICE INSURANCE MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM
 
Yes
 
(6) DOWNRIVER CENTER FOR ONCOLOGY

ONE FORD PLACE

DETROIT,MI48202
38-3193008
HEALTHCARE SERVICE PROVIDER MI 501(C)(3) 3 HENRY FORD HEALTH SYSTEM
 
Yes
 
(7) HENRY FORD CONTINUING CARE

ONE FORD PLACE

DETROIT,MI48202
38-2433285
NURSING HOMES MI 501(C)(3) 9 HENRY FORD HEALTH SYSTEM
 
Yes
 
(8) HFII CORPORATION

ONE FORD PLACE

DETROIT,MI48202
90-0840304
SCIENTIFIC RESEARCH MI 501(C)(3) 7 HENRY FORD HEALTH SYSTEM
 
Yes
 
(9) HENRY FORD HEALTH SYSTEM GOVERMENTAL AFFAIRS SERVICES

ONE FORD PLACE

DETROIT,MI48202
46-4064067
ADVOCACY FOR HFHS AND AFFILIATES MI 501(C)(4) N/A HENRY FORD HEALTH SYSTEM
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) NORTHWEST DETROIT DIALYSIS

30100 TELEGRAPH
BINGHAM FARMS,MI48025
38-3232668
OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM
 
RELATED 2,358,876 6,764,141   No   Yes   56.250 %
(2) DIALYSIS PARTNERS OF NW OHIO

30100 TELEGRAPH
BINGHAM FARMS,MI48025
34-1877956
OPERATE DIALYSIS CLINIC OH HENRY FORD HEALTH SYSTEM
 
RELATED 15,911,973 1,227,286   No   Yes   57.000 %
(3) MACOMB REGIONAL DIALYSIS CENTERS

16151 NINETEEN MILE ROAD
CLINTON TOWNSHIP,MI48038
26-0423581
OPERATE DIALYSIS CLINIC MI HENRY FORD HEALTH SYSTEM
 
RELATED 931,891 734,222   No   Yes   60.000 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) FAIRLANE HEALTH SERVICES

30100 TELEGRAPH
BINGHAM FARMS,MI48025
38-2565235
HEALTHCARE MANAGEMENT MI HENRY FORD HEALTH SYSTEM
 
C 12,768   100.000 % Yes  
(2) SHA REALTY INC

ONE FORD PLACE
DETROIT,MI48202
38-1378121
REAL ESTATE HOLDING MI HENRY FORD HEALTH SYSTEM
 
C 554,758 4,174,950 100.000 % Yes  
(3) ALLIANCE HEALTH AND LIFE INSURANCE

2850 W GRAND BLVD
DETROIT,MI48202
38-3291563
HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN
 
C       Yes  
(4) HAP PREFERRED INC

2850 W GRAND BLVD
DETROIT,MI48202
38-2513504
PROVIDER NETWORK LEASING MI HEALTH ALLIANCE PLAN
 
C       Yes  
(5) HORIZON PROPERTIES INC

ONE FORD PLACE
DETROIT,MI48202
38-2679527
REAL ESTATE - LESSOR BUILDINGS MI HENRY FORD MACOMB HOSPITAL
 
C       Yes  
(6) ONIKA INSURANCE LTD

FIRST CARRIBEAN HOUSE
GRAND CAYMAN    
CJ
CAPTIVE INSURANCE CJ HENRY FORD HEALTH SYSTEM
 
C 752,836 80,219,489 100.000 % Yes  
(7) HENRY FORD PHYSICIAN NETWORK

ONE FORD PLACE
DETROIT,MI48202
32-0306774
PHYSICIAN NETWORK MI HENRY FORD HEALTH SYSTEM
 
C 2,125,441 1,882,715 100.000 % Yes  
(8) HAP COMMUNITY ALLIANCE

2850 W GRAND BLVD
DETROIT,MI48202
27-0449055
HEALTH MAINTENANCE ORGANIZAION MI HEALTH ALLIANCE PLAN
 
C       Yes  
(9) ADMINISTRATION SYSTEMS RESEARCH CORPORATION

2850 W GRAND BLVD
DETROIT,MI48202
38-2651185
THIRD PARTY INSURANCE ADMINISTRATOR MI HEALTH ALLIANCE PLAN
 
C       Yes  
(10) MIDWEST HEALTH PLAN

4700 SHAEFER ROAD SUITE 340
DEARBORN,MI48126
38-3123777
HEALTH INSURANCE PROVIDER MI HEALTH ALLIANCE PLAN
 
C       Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) HEALTH ALLIANCE PLAN

L 506,019,954 CASH VALUE
(2) HENRY FORD WYANDOTTE HOSPITAL

Q 193,984,196 CASH VALUE
(3) HENRY FORD MACOMB HOSPITAL CORPORATION

Q 290,068,613 CASH VALUE
(4) HEALTH ALLIANCE PLAN

M 131,321,973 CASH VALUE
(5) HEALTH ALLIANCE PLAN

D 4,583,333 CASH VALUE
(6) HEALTH ALLIANCE PLAN

F 21,800,000 CASH VALUE
(7) HENRY FORD HEALTH SYSTEM FOUNDATION

C 16,203,650 CASH VALUE
(8) HFHS SELF FUNDED LIABILITY

M 3,000,000 CASH VALUE
(9) ONIKA INSURANCE LTD

M 2,100,000 CASH VALUE
(10) DOWNRIVER CENTER FOR ONCOLOGY

O 2,955,370 CASH VALUE
(11) HENRY FORD CONTINUING CARE

Q 15,864,869 CASH VALUE
(12) HEALTH ALLIANCE PLAN

Q 7,705,080 CASH VALUE
(13) P-COR LLC

Q 30,659,790 CASH VALUE
(14) P-COR LLC

P 748,799 CASH VALUE
(15) NEIGHBORHOOD DEVELOPMENT LLC

Q 986,783 CASH VALUE
(16) ALLIANCE HEALTH & LIFE INSURANCE CO

Q 54,057 CASH VALUE
(17) NORTHWEST DETROIT DIALYSIS

O 7,188,211 CASH VALUE
(18) GAM RENAL LTD (DIALYSIS) PARTNERS OF NW OHIO

O 3,315,950 CASH VALUE
(19) MACOMB REGIONAL DIALYSIS CENTERS

O 1,663,635 CASH VALUE
(20) NORTHWEST DETROIT DIALYSIS

F 1,575,000 CASH VALUE
(21) GAM RENAL LTD (DIALYSIS) PARTNERS OF NW OHIO

F 15,751,021 CASH VALUE
(22) MACOMB REGIONAL DIALYSIS CENTERS

F 528,000 CASH VALUE
(23) HFHS SELF FUNDED LIABILITY

Q 3,469,779 CASH VALUE
(24) ONIKA INSURANCE LTD

Q 1,999,390 CASH VALUE
(25) SHA REALTY INC

Q 1,165,058 CASH VALUE
(26) SHA REALTY INC

B 1,629,000 CASH VALUE
(27) NEIGHBORHOOD DEVELOPMENT LLC

B 848,000 CASH VALUE
(28) SHA REALTY INC

S 1,100,246 CASH VALUE
(29) MIDWEST HEALTH PLAN

Q 80,042 CASH VALUE
(30) HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES

M 271,875 CASH VALUE
(31) HENRY FORD WYANDOTTE HOSPITAL

Q 14,791,360 CASH VALUE
(32) HENRY FORD MACOMB HOSPITAL CORPORATION

Q 20,328,472 CASH VALUE
(33) HENRY FORD CONTINUING CARE

Q 2,390,200 CASH VALUE
(34) HEALTH ALLIANCE PLAN

Q 8,697,165 CASH VALUE
(35) HEALTH ALLIANCE PLAN

A 328,290 CASH VALUE
(36) HEALTH ALLIANCE PLAN

P 46,207,197 CASH VALUE
(37) HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES

Q 271,875 CASH VALUE
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID:  
Software Version:  






TY 2013 AffiliatedGroupSchedule
Name:
HENRY FORD HEALTH SYSTEM
EIN: 38-1357020
Affiliated Group Business Name:
HENRY FORD WYANDOTTE HOSPITAL
 
Address. Either US or Foreign Type:
2333 BIDDLE AVE


WYANDOTTE,
MI
48192



 
 
EIN:
38-2791823
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
292,386,398
Total Exempt Purpose Expenditures:
292,386,398
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
HENRY FORD CONTINUING CARE CORPORATION
 
Address. Either US or Foreign Type:
ONE FORD PLACE


DETROIT,
MI
48202



 
 
EIN:
38-2433285
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
24,211,819
Total Exempt Purpose Expenditures:
24,211,819
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
HENRY FORD HEALTH SYSTEM FOUNDATION
 
Address. Either US or Foreign Type:
ONE FORD PLACE


DETROIT,
MI
48202



 
 
EIN:
23-7383042
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
19,222,764
Total Exempt Purpose Expenditures:
19,222,764
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
DOWNRIVER CANCER CENTER
 
Address. Either US or Foreign Type:
ONE FORD PLACE


DETROIT,
MI
48202



 
 
EIN:
38-3193008
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
4,017,446
Total Exempt Purpose Expenditures:
4,017,446
Lobbying Nontaxable Amount:
350,872
Grassroots Nontaxable Amount:
87,718
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
HENRY FORD MACOMB HOSPITAL CORPORATION
 
Address. Either US or Foreign Type:
ONE FORD PLACE


DETROIT,
MI
48202



 
 
EIN:
38-2947657
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
429,768,422
Total Exempt Purpose Expenditures:
429,768,422
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
HFII CORPORATION
 
Address. Either US or Foreign Type:
ONE FORD PLACE


DETROIT,
MI
48202



 
 
EIN:
90-0840304
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,715,295
Total Exempt Purpose Expenditures:
1,715,295
Lobbying Nontaxable Amount:
235,765
Grassroots Nontaxable Amount:
58,941
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS
 
Address. Either US or Foreign Type:
ONE FORD PLACE


DETROIT,
MI
48202



 
 
EIN:
46-4064067
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
271,875
Total Exempt Purpose Expenditures:
271,875
Lobbying Nontaxable Amount:
54,375
Grassroots Nontaxable Amount:
13,594
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0