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Henry Ford Health System

One Ford Place - 5f
Detroit, MI 48202
EIN: 381357020
Individual Facility Details: Henry Ford West Bloomfield Hospital
6777 West Maple Rd
West Bloomfield, MI 48322
2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count191Medicare provider number230302Member of the Council of Teaching HospitalsYESChildren's hospitalNO

Henry Ford Health SystemDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.35%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 3,776,183,807
      Total amount spent on community benefits
      as % of operating expenses
      $ 277,461,789
      7.35 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 39,269,802
        1.04 %
        Medicaid
        as % of operating expenses
        $ 131,283,426
        3.48 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 70,384,224
        1.86 %
        Subsidized health services
        as % of operating expenses
        $ 9,720,423
        0.26 %
        Research
        as % of operating expenses
        $ 17,068,215
        0.45 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 7,689,612
        0.20 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 2,046,087
        0.05 %
        Community building*
        as % of operating expenses
        $ 2,963,853
        0.08 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 2,963,853
          0.08 %
          Physical improvements and housing
          as % of community building expenses
          $ 797,000
          26.89 %
          Economic development
          as % of community building expenses
          $ 18,238
          0.62 %
          Community support
          as % of community building expenses
          $ 1,475,252
          49.77 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 250,300
          8.45 %
          Community health improvement advocacy
          as % of community building expenses
          $ 127,443
          4.30 %
          Workforce development
          as % of community building expenses
          $ 295,620
          9.97 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 49,575,104
        1.31 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 12,393,776
        25 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of 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 (Expenses $ 1575267376 including grants of $ 4160735) (Revenue $ 1228369038)
      INPATIENT HOSPITALS: HENRY FORD HEALTH IS HONORED TO HAVE BEEN A RECIPIENT OF THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD FOR PERFORMANCE EXCELLENCE. A KEY FACET OF OUR AWARD-WINNING OPERATIONS IS OUR COMMITMENT TO ALL COMMUNITIES WE SERVE, SUPPORTING OUR VISION OF TRANSFORMING LIVES AND COMMUNITIES THROUGH HEALTH AND WELLNESS-ONE PERSON AT A TIME. WE WILL BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE.THE ORGANIZATION OPERATES HENRY FORD HEALTH HOSPITAL (HFH), AN 877 BED TERTIARY, AND QUATERNARY CARE HOSPITAL, EDUCATION AND RESEARCH COMPLEX IN THE NEW CENTER AREA OF DETROIT, MICHIGAN. HENRY FORD HEALTH HOSPITAL IS A MAGNET HOSPITAL, AWARDED BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCCI), AND IS RECOGNIZED FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF CARDIOLOGY AND CARDIOVASCULAR SURGERY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, CANCER CARE AND SPORTS MEDICINE, AMONG OTHERS. THE HOSPITAL IS A MULTI-ORGAN TRANSPLANT CENTER AND LEVEL 1 TRAUMA CENTER. THE HOSPITAL POSTED REVENUES OF MORE THAN ONE BILLION DOLLARS AND 31,662 DISCHARGES DURING 2021. ANNUALLY ABOUT 875 MEDICAL RESIDENTS AND FELLOWS ALONG WITH 1,000 MEDICAL STUDENTS PARTICIPATE IN THE ORGANIZATION'S VARIOUS EDUCATIONAL PROGRAMS.THE CORONAVIRUS IMPACT AND RESPONSEADDRESSING THE IMPACT OF COVID 19 ON ITS COMMUNITY HAS BEEN A PRIORITY FOR THE SYSTEM, FROM THE ADMISSION OF ITS FIRST COVID 19 PATIENT IN EARLY 2020, THROUGHOUT 2021, WITH ONGOING IMPLICATIONS EXPECTED TO CONTINUE THROUGHOUT 2022. IN 2021 THE VOLUME OF COVID 19 ADMITTED PATIENTS INITIALLY SHOWED A STEADY DECREASE UNTIL A THIRD SURGE BEGAN IN MARCH AND CONTINUED THROUGH JUNE. IN THE SECOND HALF OF 2021, THE SYSTEM EXPERIENCED A STEADY INCREASE IN COVID 19 CASES ASSOCIATED WITH BOTH THE DELTA AND OMICRON VARIANTS.DRIVEN BY THE ECONOMIC IMPACT OF COVID 19, FRONT LINE CLINICAL AND SUPPORT STAFF LABOR SHORTAGES INCREASINGLY IMPACTED SYSTEM OPERATIONS IN 2021. THIS HAS REQUIRED RELIANCE UPON PREMIUM PAY PRACTICES AND USE OF HIGHER COST TEMPORARY AND CONTRACT LABOR TO MAINTAIN THESE ESSENTIAL WORKERS. LABOR DISRUPTIONS ARE EXPECTED TO PERSIST THROUGH THE DURATION OF THE PANDEMIC AND THROUGHOUT 2022.THE SYSTEM CONTINUES TO MONITOR PATIENT AND MEMBER UTILIZATION INFORMATION TO SUPPORT ESTIMATING THE IMPACT OF COVID 19 ON OPERATIONS AND FINANCIAL PERFORMANCE. WE BELIEVE THAT OUR CASH RESOURCES, BORROWING CAPACITY, AND CASH FLOWS GENERATED FROM OPERATIONS WILL CONTINUE TO BE SUFFICIENT TO WITHSTAND THE FINANCIAL IMPACT OF THE PANDEMIC, AND WILL ENABLE US TO CONTINUE TO SUPPORT OUR OPERATIONS, REGULATORY REQUIREMENTS, DEBT REPAYMENT OBLIGATIONS, AND CAPITAL EXPENDITURES FOR THE FORESEEABLE FUTURE. THE SYSTEM TOOK THE MARKET LEADING POSITION OF REQUIRING ALL TEAM MEMBERS AND MEDICAL STAFF, STUDENTS, VOLUNTEERS, AND CONTRACTORS TO BE FULLY VACCINATED BY SEPTEMBER 10, 2021. THE SYSTEM REPORTED THAT 99 PERCENT OF ITS WORKFORCE WERE COMPLIANT WITH ITS COVID 19 VACCINATION REQUIREMENT. THIS FIGURE MEANS TEAM MEMBERS WERE EITHER FULLY VACCINATED, ON THE WAY TO COMPLETING A TWO-DOSE REGIMEN, OR RECEIVED AN APPROVED MEDICAL OR RELIGIOUS EXEMPTION.THE SYSTEM BELIEVES THAT THE KNOWLEDGE GAINED REGARDING EFFECTIVE AND SAFE CLINICAL PRACTICES AND TREATMENT PROTOCOLS AND THE INCREASING LEVEL OF VACCINATION AND IMMUNITY AMONGST OUR TEAM MEMBERS AND THE COMMUNITY POSITIONED THE SYSTEM WELL TO PROTECT OUR STAFF AND PATIENTS FROM VIRUS TRANSMISSION AND TO MAINTAIN FULL SCOPE OPERATIONS.DURING 2021, THE SYSTEM SERVED AS THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ANCHOR NETWORK PARTNER FOR THE MONOCLONAL ANTIBODY (MAB) PROGRAM IN SOUTHEAST AND SOUTHCENTRAL MICHIGAN. UNDER THIS PARTNERSHIP, THE SYSTEM EXPANDED AVAILABILITY OF MAB BY OPENING AN INFUSION CENTER IN SOUTHWEST DETROIT AT COMMUNITY HEALTH AND SOCIAL SERVICES, A FEDERALLY QUALIFIED HEALTH CENTER WHOSE PHYSICIAN SERVICES ARE CONTRACTED THROUGH THE SYSTEM AND EXPANDING PROGRAMS AT THREE OF ITS HOSPITALS THAT CARE FOR PATIENTS IN UNDERSERVED COMMUNITIES.IN APRIL 2021, THE SYSTEM ESTABLISHED A SPECIALTY CLINIC TO TREAT COVID 19 AND OTHER PATIENTS WHO HAVE LINGERING COGNITIVE, EMOTIONAL, AND MENTAL HEALTH CONDITIONS AFTER BEING HOSPITALIZED IN THE INTENSIVE CARE UNIT. AS AN INCREASING NUMBER OF COVID 19 PATIENTS RECOVER AND ARE DISCHARGED FROM THE HOSPITAL, IT IS ANTICIPATED THAT MANY WILL NEED LONG TERM HELP GETTING BACK TO A NORMAL STATE OF PHYSICAL AND MENTAL WELL-BEING. THE POST ICU BRAIN HEALTH CLINIC OPENED RECENTLY AT THE NEUROPSYCHOLOGY CENTERS IN DETROIT AND WEST BLOOMFIELD. CLINIC STAFF CONDUCT EVALUATIONS, MAKE RECOMMENDATIONS FOR TREATMENT, AND PROVIDE RESOURCES FOCUSING ON PATIENTS AGED 55 AND OLDER WHO CONTINUE TO EXPERIENCE COGNITIVE, BEHAVIORAL, OR PSYCHIATRIC SYMPTOMS. IN ADDITION, SERVICES ARE OFFERED TO CAREGIVERS THAT PROVIDE NEW TOOLS AND STRATEGIES FOR CARING FOR AND SUPPORTING THEIR LOVED ONE,ALONG WITH HOME HEALTH VISITS TO ASSIST PATIENTS WITH USING TELEMEDICINE.HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL:HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL (HFWBH), AN OPERATING UNIT OF HF HEALTH, OFFERS COMPREHENSIVE MEDICAL CARE, INCLUDING 24-HOUR EMERGENCY CARE, NEUROSCIENCES, WOMEN'S AND CHILDREN'S HEALTH, ORTHOPEDICS, DIAGNOSTIC TESTING AND A WELLNESS CENTER WITH COMPLEMENTARY THERAPIES. A GREENHOUSE GROWS ORGANIC PRODUCE FOR PATIENTS, STAFF AND THE LOCAL COMMUNITY. HENRY FORD HEALTH WEST BLOOMFIELD EARNED THE BABY FRIENDLY HOSPITAL DESIGNATION IN 2015. BY HFWBH IMPLEMENTING 10 IMPORTANT STEPS, HFWBH JOINED ALMOST 300 HOSPITALS NATIONWIDE TO OFFER OPTIMAL CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. TO COMPLEMENT THE SERVICES AT ITS BREAST CENTER, HFWBH WAS THE FIRST HOSPITAL IN THE SYSTEM TO ADD TOMOSYNTHESIS TECHNOLOGY FOR IMAGING OF DENSE BREASTS. THE HOSPITAL HAD REVENUES OF $368 MILLION, AND DISCHARGED 12,867 PATIENTS DURING 2021. TEACHING, RESEARCH, AND ADVANCED PATIENT CARE MAKE HF HEALTH A PREMIER ACADEMIC MEDICAL CENTER. AFFILIATED WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY SCHOOLS OF MEDICINE, HENRY FORD HEALTH PROVIDES INNOVATIVE PHYSICIAN TRAINING PROGRAMS AND COLLABORATES ON LEADING-EDGE MEDICAL RESEARCH. HENRY FORD MEDICAL EDUCATION OVERVIEW:HENRY FORD HEALTH HAS ONE OF THE LARGEST MEDICAL EDUCATION ENTERPRISES IN THE UNITED STATES. THE SYSTEM SPONSORS 72 ACCREDITED GRADUATE TRAINING PROGRAMS IN MICHIGAN. OUR DEDICATION TO EDUCATION AND RESEARCH IS SUPPORTED BY $94 MILLION IN ANNUAL GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHER PUBLIC AND PRIVATE FOUNDATIONS. THE SYSTEM'S FLAGSHIP HOSPITAL, HENRY FORD HEALTH HOSPITAL IN DETROIT, IS ONE OF THE NATION'S LARGEST RESEARCH CENTERS. AS ONE OF THE LARGEST MEDICAL EDUCATION TEACHING CENTERS IN THE NATION, HF HEALTH TRAINS ABOUT 1,000 MEDICAL STUDENTS EACH YEAR. HENRY FORD HEALTH HOSPITAL DOCTORS TRAIN APPROXIMATELY 900 MEDICAL SCHOOL STUDENTS, 675 RESIDENTS AND FELLOWS ACROSS 50 DIFFERENT AREAS OF MEDICINE ANNUALLY. HENRY FORD HEALTH HOSPITAL RESIDENCY AND FELLOWSHIP PROGRAMS ARE NATIONALLY ACCREDITED M.D. (DOCTORATE OF MEDICINE) TRAINING PROGRAMS. HENRY FORD HEALTH JACKSON , MACOMB AND WYANDOTTE HOSPITALS TRAIN ABOUT 100 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 HF HEALTH TEACHING DOCTORS ARE FACULTY MEMBERS AT THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HENRY FORD HEALTH HOSPITAL'S CENTER FOR SIMULATION, EDUCATION AND RESEARCH PROVIDES PARTICIPANTS A RISK-FREE ENVIRONMENT WHERE STATE-OF-THE-ART COMPUTERS AND MANNEQUINS SIMULATE HUNDREDS OF MEDICAL CONDITIONS, ALLOWING HEALTH PROFESSIONALS TO PRACTICE AND AUGMENT THEIR SKILLS.
      4B (Expenses $ 96631800 including grants of $ 0) (Revenue $ 1054395181)
      OUTPATIENT CLINICS: THE ORGANIZATION INCLUDES THE HENRY FORD MEDICAL GROUP (HFMG),ONE OF THE NATION'S LARGEST GROUP PRACTICES, WITH MORE THAN 1,900 PHYSICIANS AND RESEARCHERS IN MORE THAN 40 SPECIALTIES AT LOCATIONS THROUGHOUT SOUTHEAST AND CENTRAL MICHIGAN, ENCOMPASSING MORE THAN 2.9 MILLION TOTAL OUTPATIENT FACILITY VISITS ANNUALLY. HENRY FORD'S MEDICAL CENTERS ARE LOCATED IN WAYNE, OAKLAND, MACOMB AND JACKSON COUNTIES. SOME MEDICAL GROUP PHYSICIANS ALSO ARE ON STAFF AT OTHER HENRY FORD HOSPITALS. FOUR 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: OUR POST-GRADUATE MEDICAL EDUCATION ENTERPRISE IS AMONG THE LARGEST IN THE COUNTRY. APPROXIMATELY ONE THIRD OF ALL PHYSICIANS IN MICHIGAN FORMALLY TRAINED AT HF HEALTH DURING SOME POINT IN THEIR CAREER.RESEARCH: HENRY FORD HEALTH IS AMONG TOP NATIONAL INSTITUTES OF HEALTH FUNDED INSTITUTIONS IN MICHIGAN.LEADERS IN ACADEMIC MEDICINE AND CLINICAL CARE: THE HENRY FORD MEDICAL GROUP IS CONSIDERED AMONG THE BEST ORGANIZED IN THE COUNTRY. OUR SELF-GOVERNED, EMPLOYED PHYSICIAN PRACTICE PROGRAM HAS BECOME A MODEL FOR MANY OTHERS BECAUSE OF OUR CONTINUING SUCCESS. 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 OVER 100 YEARS 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 (Expenses $ 169563849 including grants of $ 0) (Revenue $ 181476260)
      EMERGENCY ROOM SERVICES: THE ORGANIZATION DIRECTLY OPERATES SIX 24-HOUR EMERGENCY FACILITIES, ONE OF WHICH IS A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT. EMERGENCY SERVICES REVENUES APPROXIMATED $111 MILLION DURING 2021, REPRESENTING 157,879 PATIENT VISITS.
      4D (Expenses $ 1365498490 including grants of $ 0) (Revenue $ 1141404051)
      OTHER PROGRAM SERVICES INCLUDES HF HEALTH RESEARCH SERVICES, ALONG WITH HF HEALTH 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; HOUSING FOR MEDICAL RESIDENTS & PATIENT FAMILY MEMBERS; FITNESS CENTER & ATHLETIC TRAINING SERVICES, SCHOOL BASED HEALTH PROGRAMS AND A DEDICATED CANCER CENTER. RESEARCH IS A VITAL COMPONENT OF THE MISSION OF HENRY FORD HEALTH. HENRY FORD HEALTH'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'S PURSUIT OF SCIENTIFIC ADVANCEMENT.SINCE 1915, HENRY FORD HEALTH 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. HENRY FORD HEALTH (HF HEALTH) 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. IN 2018 HF HEALTH RECEIVED $86 MILLION IN EXTERNALLY- AWARDED GRANTS, CONTRACTS AND SUB-CONTRACTS, $45 MILLION OF WHICH WAS AWARDED BY NIH AND OTHER FEDERAL AGENCIES. ALTHOUGH HF HEALTH IS NOT FORMALLY PART OF A UNIVERSITY OR MEDICAL SCHOOL, THERE HAS BEEN STRONG 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 HEALTH. THE SYSTEM HAS A STAFF OF 82 BIO-SCIENTIFIC RESEARCHERS ENGAGING IN 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, HF HEALTH HAS MORE THAN 2,000 ACTIVE RESEARCH PROJECTS APPROVED BY ITS INSTITUTIONAL REVIEW BOARD, INCLUDING STUDIES APPROVED IN CONJUNCTION WITH WAYNE STATE UNIVERSITY AND MICHIGAN STATE UNIVERSITY. THE BASIC SCIENCE BIOMEDICAL RESEARCH PROGRAMS RECEIVING THE MOST EXTERNAL FUNDING WERE PUBLIC HEALTH SCIENCES, NEUROLOGY RESEARCH (STROKE, TRAUMATIC BRAIN INJURY, ETC.), HYPERTENSION RESEARCH AND CARDIOVASCULAR RESEARCH (IN PARTICULAR, HEART FAILURE). IN CLINICAL RESEARCH, A 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 HF HEALTH 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 GREATER THAN HF HEALTH'S CLOSEST COMPETITOR. IN 2018, HF HEALTH WAS FOURTH IN MICHIGAN, TRAILING THE STATES THREE LARGEST UNIVERSITIES, AND RANKED 182ND OUT OF MORE THAN 2,500 INSTITUTIONS RECEIVING NIH GRANTS NATIONALLY.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      HENRY FORD HEALTH HOSPITAL
      PART V, SECTION B, LINE 5: OUR METHODOLOGY FOR DATA COLLECTION INVOLVED REACHING OUT TO COMMUNITY EXPERTS AND OTHER MEMBERS OF COMMUNITY AGENCIES IN WAYNE COUNTY AND THE CITY OF DETROIT USING A WEB-BASED 5-QUESTION SURVEY. THE SURVEY WAS DISTRIBUTED TO HEALTH LEADERS AND OTHER RESPECTED INDIVIDUALS WITHIN THE COMMUNITY REPRESENTING PUBLIC AGENCIES AND PROGRAMS FROM MAY THROUGH JULY OF 2019. INDIVIDUALS SURVEYED INCLUDED LEADERS FROM AGENCIES SUCH AS ACCESS; DETROIT HEALTH DEPARTMENT; WAYNE COUNTY HEALTH DEPARTMENT; AMERICAN LUNG ASSOCIATION; INTERFAITH LEADERSHIP COUNCIL; GREATER DETROIT HEALTH COUNCIL AND MANY OTHERS. PARTICIPANTS HAD A WIDE RANGE OF EXPERTISE. FROM THEIR SURVEY RESPONSES WE GAINED INSIGHT INTO THE KINDS OF HEALTH ISSUES FACING OUR COMMUNITIES. OUR METHODOLOGY ALSO INCLUDED A WIDE VARIETY OF SECONDARY DATA SOURCES IN ADDITION TO RESULTS OBTAINED FROM BOTH SURVEY AND FOCUS GROUP PARTICIPANTS IN OAKLAND, MACOMB AND JACKSON COUNTIES. ADDITIONALLY, WE LOCATED STATE HEALTH NEEDS DATA FOR HF HEALTH USING THE MICHIGAN BEHAVIORAL RISK FACTOR SURVEY AND MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES PROFILES AMONG OTHER SOURCES. DATA FROM THESE SOURCES CAN BE FOUND IN THE APPENDIX.
      HENRY FORD HEALTH HOSPITAL
      PART V, SECTION B, LINE 6A: HENRY FORD HEALTH HOSPITALHENRY FORD HEALTH KINGSWOOD HOSPITALHENRY FORD HEALTH MACOMB HOSPITALSHENRY FORD HEALTH WEST BLOOMFIELD HOSP.HENRY FORD HEALTH WYANDOTTE HOSPITALHENRY FORD HEALTH COTTAGE HOSPITAL/MEDICAL CENTERHENRY FORD HEALTH JACKSON HOSPITALHENRY FORD ALLEGIANCE SPECIALTY HOSPITAL
      HENRY FORD HEALTH HOSPITAL
      PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HF HEALTH AND COMMUNITY LEADERS. HENRY FORD HEALTH HOSPITAL'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES & DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND INFANT MORTALITY. HENRY FORD HEALTH HOSPITAL (HFH) WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HFH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HFH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED.
      HENRY FORD HEALTH WEST BLOOMFIELD HOSP.
      PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HF HEALTH AND COMMUNITY LEADERS. HFWBH'S RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND CANCER. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HFWBH ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HFWBH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT HFWBH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED.
      HENRY FORD HEALTH COTTAGE HOSPITAL
      PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HF HEALTH AND COMMUNITY LEADERS. HENRY FORD HEALTH RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND INFANT MORTALITY. HENRY FORD HEALTH WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HF HEALTH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT. HF HEALTH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED.
      HENRY FORD HEALTH KINGSWOOD HOSPITAL
      PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN FOCUSES ON THE PROGRAMS IDENTIFIED WHICH WERE DEEMED TO BE THE AREAS OF MOST CRITICAL NEED, AND WITH THE GREATEST POTENTIAL FOR ACHIEVING A MEASURABLE IMPROVEMENT. SEVERAL SIGNIFICANT HEALTH NEEDS WITHIN THE SERVICE AREA OF HENRY FORD HEALTH WERE IDENTIFIED. HEALTH NEEDS WERE PRIORITIZED BASED ON SEVERAL CRITERIA INCLUDING THE IMPORTANCE GIVEN TO PARTICULAR HEALTH ISSUES BY SURVEY AND FOCUS GROUP PARTICIPANTS, STATISTICAL DATA FROM THE STATE OF MICHIGAN, AS WELL AS INPUT FROM HF HEALTH AND COMMUNITY LEADERS. HENRY FORD HEALTH RESOURCES AND OVERALL ALIGNMENT WITH THE HENRY FORD HEALTH MISSION, VISION, GOALS AND STRATEGIC PRIORITIES WERE TAKEN INTO CONSIDERATION WHEN IDENTIFYING THE TOP THREE MOST SIGNIFICANT HEALTH ISSUES TO BE ADDRESSED: HEALTHY LIFESTYLES AND DIABETES, SUBSTANCE ABUSE & MENTAL HEALTH AND INFANT MORTALITY. HENRY FORD HEALTH WILL FOCUS ON DEVELOPING AND SUPPORTING INITIATIVES AND MEASURE THEIR EFFECTIVENESS TO IMPROVE THESE HEALTH NEEDS. IN TERMS OF SIGNIFICANT HEALTH NEEDS THAT WILL NOT BE ADDRESSED, HENRY FORD HEALTH ACKNOWLEDGES THE WIDE RANGE OF HEALTH CONCERNS WHICH EMERGED FROM THE CHNA PROCESS, AND DETERMINED IT COULD MOST EFFECTIVELY ADDRESS THOSE HEALTH NEEDS THAT WERE DETERMINED TO BE MOST URGENT AND ESSENTIAL TO THE HEALTH OF THE COMMUNITY AS WELL AS WITHIN ITS ABILITY TO INFLUENCE. WHILE MOST OF THESE ADDITIONAL HEALTH ISSUES ARE BEING ADDRESSED CURRENTLY THROUGH SUPPORTIVE CLINICAL SERVICES, HF HEALTH WILL NOT TAKE NEW OR SPECIFIC, ADDITIONAL ACTIONS RELATED TO THE FOLLOWING HEALTH NEEDS: KIDNEY DISEASE, FAMILY PLANNING, ASTHMA AND ALZHEIMER'S DISEASE. HEALTH INSURANCE ENROLLMENT - HF HEALTH WILL CONTINUE TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT AND ACCESS TO OTHER FINANCIAL SUPPORTS THROUGH ITS PATIENT FINANCIAL SERVICES PROGRAMS, BUT WILL NOT BE TAKING NEW OR SPECIFIC ACTIONS TO ADDRESS THIS NEED UNTIL THE FULL IMPACT OF THE AFFORDABLE CARE ACT AND ITS NEXT ITERATION CAN BE MEASURED AND SPECIFIC BARRIERS IDENTIFIED.
      HENRY FORD HEALTH HOSPITAL
      PART V, SECTION B, LINE 13B: HENRY FORD HEALTH HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES. PART V, SECTION B, LINE 22A:HENRY FORD HEALTH HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.
      HENRY FORD HEALTH WEST BLOOMFIELD HOSP.
      PART V, SECTION B, LINE 13B: HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.PART V, SECTION B, LINE 22A:HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.
      HENRY FORD HEALTH COTTAGE HOSPITAL
      PART V, SECTION B, LINE 13B: HENRY FORD HEALTH COTTAGE HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES. PART V, SECTION B, LINE 22A:HENRY FORD HEALTH COTTAGE HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.
      HENRY FORD HEALTH KINGSWOOD HOSPITAL
      PART V, SECTION B, LINE 13B: HENRY FORD HEALTH KINGSWOOD HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES. PART V, SECTION B, LINE 22A:HENRY FORD HEALTH KINGSWOOD HOSPITAL ADMINISTERS A PATIENT FINANCIAL ASSISTANCE POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNTED RATE THAT DOES NOT EXCEED 138% OF MEDICARE PAYMENT RATES. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR A DISCOUNT ON SELF-PAY BALANCES.
      PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE
      HENRY FORD HEALTH HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.
      PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE
      HENRY FORD HEALTH WEST BLOOMFIELD HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.
      PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE
      HENRY FORD HEALTH COTTAGE HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.
      PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE
      HENRY FORD HEALTH KINGWOOD HOSPITALHTTPS://WWW.HENRYFORD.COM/ABOUT/COMMUNITY-HEALTH/NEEDS-ASSESSMENT.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 7G:
      SUBSIDIZED SERVICES CONSIST OF INPATIENT WOMENS' SERVICES AND BEHAVIORAL HEALTH SERVICES. THIS INCLUDES BOTH PHYSICIAN AND FACILITY COSTS.
      PART I, LN 7 COL(F):
      THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $49,375,104
      PART II, COMMUNITY BUILDING ACTIVITIES:
      HF HEALTH BELIEVES THAT THE STRENGTH AND VITALITY OF A COMMUNITY HAS A SIGNIFICANT IMPACT ON THE BEHAVIORS OF ITS RESIDENTS AND THAT THERE IS A DIRECT CORRELATION BETWEEN THE VIABILITY OF A COMMUNITY AND THE ATTITUDE OF ITS RESIDENTS TOWARD HEALTHIER BEHAVIORS. THEREFORE, HF HEALTH INCLUDES IN ITS COMMITMENT TO COMMUNITY BENEFIT A FOCUS ON DIRECT INVOLVEMENT IN THE COMMUNITY TO BOTH IMPROVE THE ENVIRONMENT AND ENSURE THAT CRITICAL MESSAGES ARE HEARD ON THE BENEFITS OF HEALTHIER BEHAVIORS. HF HEALTH LEADERS COLLABORATE WITH COMMUNITY TASK FORCES AND COALITIONS TO ADDRESS THE NEEDS OF OUR SERVICE AREA.
      PART III, LINE 2:
      THE ORGANIZATION'S BAD DEBT EXPENSE IS STATED BASED UPON GROSS CHARGES.
      PART III, LINE 4:
      IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. AT SUCH POINT IN TIME THAT A BILLED SERVICE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ESTIMATES OF RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE RECEIVED.FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE SYSTEM OFFERS A DISCOUNT OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED 138% OF MEDICARE RATES.THE ORGANIZATION DETERMINES THE COSTS OF SUCH UNPAID SERVICES BY APPLYING A COST-TO-CHARGE RATIO TO THE BILLED CHARGES.
      PART III, LINE 9B:
      "SHOULD A PATIENT BE DEEMED ELIGIBLE FOR ASSISTANCE ANY COLLECTION EFFORTS ASSOCIATED WITH THE QUALIFYING SERVICE ARE SUSPENDED.IF THE PATIENT IS DETERMINED TO QUALIFY UNDER THE ORGANIZATION'S PATIENT FINANCIAL ASSISTANCE POLICY (PFAP) PRIOR TO BILLING, NO BILL IS EVER GENERATED AND THEREFORE THE ELEMENTS OF THE COLLECTION POLICY ARE NEVER INVOKED. WHEN THE DETERMINATION IS NOT MADE PRIOR TO BILLING, THE ORGANIZATION'S COLLECTION POLICY WOULD APPLY. THIS POLICY READS IN PART:- ""PATIENTS WILL BE EVALUATED FOR THE SYSTEM'S PATIENT FINANCIAL ASSISTANCE PROGRAM""- ""UNINSURED PATIENTS WILL BE GIVEN A DISCOUNT""- ""UNDERINSURED PATIENTS MAY QUALIFY FOR DISCOUNTED SERVICES BASED UPON THEIR AGGREGATE HOUSEHOLD INCOME""- ""THE ORGANIZATION WILL REVIEW THE PATIENTS'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS REQUESTED""- ""LEGAL ACTION...MAY BE TAKEN...WHEN THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION""- ""THE ORGANIZATION WILL NOT FORCE THE SALE OR FORECLOSURE OF ANY PATIENT'S OR GUARANTOR'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING MEDICAL BILL""- ""THE ORGANIZATION WILL NOT...REQUIRE THE PATIENT OR RESPONSIBLE PARTY TO APPEAR IN COURT""- ""THE ORGANIZATION WILL DIRECT THEIR COLLECTION AGENCIES TO FOLLOW THESE GUIDELINES""PATIENTS NOT DEEMED TO QUALIFY UNDER OUR PATIENT FINANCIAL ASSISTANCE PROGRAM (PFAP) RECEIVE 2 CYCLES OF INTERNAL BILLING STATEMENTS INCLUDING INSTRUCTIONS ON APPLYING FOR OUR PFAP. BASED ON THE VOLUME OF OUTSTANDING SERVICES, DETERMINATION ON FURTHER COLLECTION EFFORTS WILL BE MADE WHICH INCLUDES INTERNAL COLLECTION EFFORTS OR ASSIGNMENT TO AN EXTERNAL COLLECTION AGENCY."
      PART VI, LINE 2:
      THE ASSESSMENT OF COMMUNITY HEALTH NEEDS IS AN ESSENTIAL FUNCTION OF A HEALTH CARE ORGANIZATION FOR SEVERAL REASONS. FIRST, IT PROVIDES AN UNDERSTANDING OF THE DEMOGRAPHICS AND MAJOR HEALTH NEEDS OF THE COMMUNITIES IT SERVES AND INSIGHT INTO WHAT SERVICES SHOULD BE OFFERED TO MEET THOSE NEEDS. SECOND, BY UNDERSTANDING THE MAJOR HEALTH NEEDS OF THE COMMUNITY, STRATEGIES CAN BE PRIORITIZED AND A MORE TAILORED APPROACH DEVELOPED, RESULTING IN GREATER USE OF THE LIMITED RESOURCES OF MANY HEALTHCARE ORGANIZATIONS. THIRD, VULNERABLE POPULATIONS WITH SIGNIFICANT HEALTH NEEDS CAN BE IDENTIFIED AND TARGETED FOR INTERVENTION SUCH AS THE POOR, UNINSURED, UNDERINSURED, OR VARIOUS RACIAL/ETHNIC OR OTHER VULNERABLE POPULATIONS THAT OTHERWISE MAY HAVE BEEN OVERLOOKED. THROUGH IDENTIFICATION, PROGRAMS CAN THEN BE DEVELOPED SO THAT ALL POPULATIONS WE SERVE WILL RECEIVE APPROPRIATE AND TIMELY ACCESS TO HEALTHCARE SERVICES. IN ADDITION, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ENCOURAGES AN ORGANIZATION TO IDENTIFY AND PARTNER WITH OTHER ORGANIZATIONS AND COMMUNITY AGENCIES. THROUGH PARTNERSHIP, KNOWLEDGE IS SHARED AND RESOURCES CAN BE ALIGNED AND MORE OPTIMALLY UTILIZED TO BENEFIT THE COMMUNITIES SERVED. INTERNALLY THE COMMUNITY HEALTH ANCHOR COUNCIL ENTERPRISE (CHANCE) PROVIDES EXECUTIVE OVERSIGHT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HENRY FORD HEALTH. TEAM MEMBERS APPROVE HENRY FORD HEALTH'S ONGOING WORK AS A NATIONAL AND STATE LEADER IN COMMUNITY HEALTH ADVOCACY THAT SEEKS TO IMPROVE HEALTH STATUS IN DETROIT AND THE SURROUNDING SUBURBS. THIS IS ACHIEVED THROUGH TARGETED HEALTH IMPROVEMENT PROGRAMS SUCH AS OUR WOMEN-INSPIRED NEIGHBORHOOD (WIN) NETWORK: DETROIT, GENERATION WITH PROMISE, FAITH COMMUNITY NURSING INITIATIVES, SCHOOL-BASED HEALTH CLINICS, HEALTH LITERACY IMPROVEMENT PROJECTS AND OTHER ACTIVITIES. THROUGH TARGETED VOLUNTEERISM AND PARTNERSHIPS, THE SYSTEM'S GOAL IS TO CULTIVATE NEW COMMUNITY RELATIONSHIPS. THIS ASSESSMENT WAS PREPARED JOINTLY BY THE HF HEALTH BUSINESS INTEGRITY SERVICES AND CORPORATE STRATEGIC PLANNING DEPARTMENTS, ALONG WITH THE OFFICE OF COMMUNITY HEALTH, EQUITY AND WELLNESS. RESULTS ARE BEING USED AS A FOUNDATION FOR PLANNING, DEVELOPING, AND REFINING HF HEALTH'S FUTURE COMMUNITY SERVICES IN THE FOUR-COUNTY AREAS. RESULTS OF THIS ASSESSMENT HAVE BEEN REVIEWED WITH SEVERAL HENRY FORD HEALTH LEADERS, LEADING TO STRATEGIC AND IMPLEMENTATION PLAN MODIFICATIONS TO ALIGN STRATEGY WITH IDENTIFIED NEEDS.
      PART VI, LINE 6:
      THE INTEGRATED HEALTH SYSTEM ALSO INCLUDES 5 COMMUNITY HOSPITALS ENCOMPASSING MORE THAN 2,400 BEDS WITH, EMERGENCY SERVICES AND OPEN MEDICAL STAFFS LOCATED IN SUBURBAN REGIONS OF SOUTHEAST MICHIGAN. SOME OF THESE ENTITIES ARE SEPARATE CORPORATIONS AND THE RESULTS OF THEIR COMMUNITY BENEFIT ACTIVITIES ARE REFLECTED IN THEIR RESPECTIVE TAX RETURNS.
      PART VI, LINE 3:
      HF HEALTH HAS VARIOUS APPROACHES TO TARGET AND INFORM RESIDENTS OF ITS COMMUNITIES ABOUT THE PROGRAMS AND SERVICES IT OFFERS. PROGRAMS WHERE WE PARTNER WITH ORGANIZATIONS WITH ESTABLISHED RELATIONSHIPS WITH THE INDIVIDUALS SUCH AS THROUGH COMMUNITY HEALTH CENTERS, THE PUBLIC SCHOOLS AND FAITH-BASED ORGANIZATIONS HAVE BEEN PARTICULARLY SUCCESSFUL. HF HEALTH HAS A SINGULAR PATIENT FINANCIAL ASSISTANCE POLICY (PFAP). INDIVIDUALS WITHOUT ADEQUATE HEALTH INSURANCE COVERAGE MOST FREQUENTLY APPEAR IN ONE OF OUR EMERGENCY ROOMS FOR SERVICES. ALL PATIENTS ARE SEEN WITHOUT REGARD TO ABILITY TO PAY. INTAKE STAFF MEMBERS ARE TRAINED REGARDING HOW TO APPROACH AND ENGAGE AN INDIVIDUAL WHEN THERE IS AN APPARENT LACK OF ADEQUATE HEALTH COVERAGE. THIS INCLUDES INFORMING THEM OF THE PROGRAMS OFFERED BY HF HEALTH AS WELL AS OTHER COMMUNITY, LOCAL, STATE AND FEDERAL PROGRAMS THAT WOULD OFFER POTENTIAL SUPPORT. HF HEALTH HAS DEDICATED STAFF RESPONSIBLE TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR SUPPORTIVE PROGRAMS AND ASSIST THEM WITH THE ENROLLMENT PROCESS. THERE ARE MANY REASONS WHY A PATIENT IN NEED OF FINANCIAL ASSISTANCE WITH THEIR MEDICAL CARE MAY NOT HAVE BEEN IDENTIFIED AT THE TIME OF THE CARE DELIVERY. PATIENT FINANCIAL SERVICE AND COLLECTION STAFFS ARE TRAINED TO RECOGNIZE THESE INDIVIDUALS AND PROVIDE THEM WITH ADVICE REGARDING THE VARIOUS OPTIONS AVAILABLE TO SUPPORT THEIR CARE NEEDS.
      PART VI, LINE 4:
      THE FOUR-COUNTY AREA INCLUDES THE COUNTIES OF WAYNE, OAKLAND, MACOMB, AND JACKSON WHICH ARE LOCATED IN SOUTHEASTERN AND SOUTHCENTRAL MICHIGAN AND ACCOUNT FOR 41% OF THE MICHIGAN POPULATION. WAYNE, OAKLAND, AND MACOMB (IN THAT ORDER) ARE THE MOST POPULATED COUNTIES IN MICHIGAN. JACKSON COUNTY IS MUCH SMALLER. OF THE NEARLY 4 MILLION RESIDENTS , APPROXIMATELY 51% OF THE POPULATION IS FEMALE. WITH REGARD TO RACE/ETHNICITY, THE FOUR-COUNTY AREA IS 64% WHITE, COMPARED TO A NATIONAL AVERAGE OF 60%. OF NOTE, THE FOUR-COUNTY AREA IS 24% BLACK, WHICH IS TWICE THE NATIONAL PERCENTAGE OF 12%. CONVERSELY, THE HISPANIC POPULATION (5.0%) IS A LITTLE UNDER ONE THIRD THE NATIONAL PERCENTAGE OF 18%.THE NUMBER OF FOUR-COUNTY RESIDENTS IS EXPECTED TO REMAIN FLAT OVER THE NEXT SEVERAL YEARS. WHEN EXAMINING AGE DISTRIBUTION, THE FOUR-COUNTY AREA HAS A COMPARABLE POPULATION TO THAT OF THE COUNTRY WITH 17% OF THE POPULATION ABOVE THE AGE OF 65. OF PARTICULAR INTEREST TO HEALTHCARE PROVIDERS IS THE AGING POPULATION OF THE FOUR-COUNTY AREA WITH THE 65-YEARS-OLD AND ABOVE POPULATION EXPECTED TO RISE BY 15% FROM 2019 TO 2024.WITH REGARDS TO EDUCATION, THE FOUR-COUNTY AREA HAS APPROXIMATELY 11% OF RESIDENTS WHO HAVE SOME HIGH SCHOOL EDUCATION OR LESS COMPARED TO THE NATIONAL AVERAGE OF 13%. FURTHER, 29% OF RESIDENTS HAVE A BACHELOR'S DEGREE OR GREATER, WHICH IS COMPARABLE TO THE NATIONAL AVERAGE. THE FOUR-COUNTY AREA IS DIVERSE IN POPULATION, RACE/ETHNICITY, ECONOMIC GROWTH AND DEVELOPMENT. THE AUTOMOTIVE INDUSTRY REMAINS THE LARGEST EMPLOYER IN THE REGION, BUT THE HEALTH CARE SECTOR IS REPRESENTED AMONG THE TOP EMPLOYERS IN THE REGION AS WELL. THE AVERAGE MEDIAN HOUSEHOLD INCOME WITHIN THE FOUR-COUNTY AREA ($56,240) IS SLIGHTLY LESS THAN THE NATIONAL AVERAGE ($57,652). WITHIN THE FOUR-COUNTY AREA, THE MEDIAN HOUSEHOLD INCOME IN OAKLAND COUNTY ($73,369) IS SIGNIFICANTLY HIGHER THAN WAYNE COUNTY ($43,702), JACKSON COUNTY ($49,715) AND MACOMB COUNTY ($58,175). AT THE ZIP CODE LEVEL, AVERAGE HOUSEHOLD INCOMES VARY SIGNIFICANTLY.LOWER HOUSEHOLD INCOMES NEGATIVELY IMPACT PURCHASING POWER, HEALTH INSURANCE COVERAGE, AND COSTS OF BASIC NECESSITIES. AS A RESULT, THE FOUR-COUNTY AREA'S SAFETY NETS, INCLUDING HEALTHCARE SYSTEMS, ARE BEING STRETCHED TO THE LIMIT. MICHIGAN RANKS 33RD IN THE COUNTRY FOR CHILDREN UNDER 18 IN FAMILIES BELOW THE POVERTY LEVEL, AT 19.3%, A 3% IMPROVEMENT FROM 2016. UNEMPLOYMENT IN MICHIGAN HAS DROPPED TO 4.6% IN 2018, WHICH IS SIMILAR TO THE NATIONAL AVERAGE AND A DECLINE OF 0.8% SINCE 2016 IN MICHIGAN. CONVERSELY, WITHIN THE FOUR-COUNTY AREA THE UNEMPLOYMENT RATE MATCHES THE NATIONAL AVERAGE OF 4% AND RANGES FROM 3.2% IN OAKLAND COUNTY TO 5.0% IN WAYNE COUNTY.THERE ARE KEY DEMOGRAPHIC DIFFERENCES BETWEEN THE RESIDENTS OF EACH COUNTY WITHIN THE FOUR-COUNTY AREA. FOR EXAMPLE, AGE, SEX, EDUCATION, AND INCOME DISTRIBUTION DIFFER FROM COUNTY TO COUNTY. IN ORDER TO INCREASE THE UTILITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IT IS IMPORTANT TO ANALYZE THE PROFILE(S) OF EACH OF THESE COUNTIES AT A MORE DETAILED LEVEL, SUCH AS ZIP CODES, SO THAT CERTAIN DIFFERENCES WITHIN THE AREA BECOME EVIDENT.ONE COMMUNITY IN PARTICULAR NEED OF ATTENTION IS THE CITY OF DETROIT. WHEN EXAMINING THE CITY OF DETROIT THE AVERAGE HOUSEHOLD INCOME IS $40,314, WHICH IS SIGNIFICANTLY LESS THAN AVERAGE HOUSEHOLD INCOME OF THE OVERALL FOUR-COUNTY AREA ($68,064). REGARDING EDUCATION, 23% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION AND ONLY 14% HAVE A BACHELOR'S DEGREE OR HIGHER. IN TERMS OF RACE/ETHNICITY, APPROXIMATELY 91% OF DETROIT IS COMPOSED OF A MINORITY POPULATION VERSUS 37% FOR THE FOUR-COUNTY AREA AS A WHOLE. THE DETROIT UNEMPLOYMENT RATE IS 7.9% (NOVEMBER 2018), DOWN FROM 11.5% IN SEPTEMBER 2015.WHEN LOOKING OUTSIDE OF THE CITY OF DETROIT, VARIOUS OTHER ZIP CODES IN THE FOUR-COUNTY AREA INDICATE SECTIONS OF THE REGION THAT HAVE LOWER INCOMES, LESS EDUCATION, AND ARE MORE RACIALLY AND ETHNICALLY DIVERSE. THE AVERAGE HOUSEHOLD INCOME OF THESE ZIP CODES RANGES FROM $29,486-$54,251, LOWER THAN THE FOUR-COUNTY SERVICE AREA. OVERALL, 17% OF RESIDENTS IN THESE ZIP CODES HAVE LESS THAN A HIGH SCHOOL EDUCATION COMPARED TO 11% FOR THE FOUR-COUNTY AREA. THESE TWENTY ZIP CODES HAVE A SLIGHTLY DIFFERENT PERCENTAGE OF RACIAL/ETHNIC MINORITIES AS COMPARED TO THE REST OF THE FOUR-COUNTY AREA. AS A WHOLE THESE ZIP CODES ARE COMPOSED OF 40% MINORITIES COMPARED TO 36% FOR THE FOUR-COUNTY AREA.AS A RESULT, THE CITY OF DETROIT AND ABOVE TWENTY ZIP CODES ARE OF PARTICULAR INTEREST IN PLANNING COMMUNITY NEEDS INITIATIVES WITHIN THE FOUR-COUNTY AREA.
      PART VI, LINE 5:
      HF HEALTH IS ONE OF THE NATION'S LARGEST INTEGRATED HEALTH DELIVERY SYSTEMS SERVING SOUTHEASTERN MICHIGAN. HF HEALTH IS GOVERNED BY DEDICATED COMMUNITY BOARDS, AND IN TOTAL PROVIDES APPROXIMATELY 48,000 INPATIENTS STAYS AND 4.4 MILLION PHYSICIAN VISITS ANNUALLY. THIS TAX RETURN REFLECTS THE ACTIVITIES OF HENRY FORD HEALTH HOSPITAL AN 877- BED TERTIARY, AND QUATERNARY CARE HOSPITAL WITH A LEVEL 1 TRAUMA CENTER LOCATED IN THE CITY OF DETROIT, SERVING AS A COMMUNITY HOSPITAL FOR ITS IMMEDIATE NEIGHBORHOODS AS WELL AS A REFERRAL CENTER FOR THE SURROUNDING REGION. IT IS SUPPORTED BY THE HENRY FORD MEDICAL GROUP (HFMG) WHICH ALSO PROVIDES CARE IN THE MORE THAN 30 OUTPATIENT MEDICAL CENTERS LOCATED THROUGHOUT SOUTHEAST MICHIGAN. HF HEALTH ALSO INCLUDES HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL A 191- BED COMMUNITY HOSPITAL. BEHAVIORAL HEALTH SERVICES ARE PROVIDED THROUGHOUT THE ABOVE FACILITIES AS WELL AS AT HENRY FORD KINGSWOOD HOSPITAL, A 136- BED PSYCHIATRIC HOSPITAL, AND THE MAPLEGROVE CENTER SUBSTANCE ABUSE FACILITY. HF HEALTH COMMUNITY CARE SERVICES OFFERS A BROAD LEVEL OF SERVICES AT NUMEROUS GEOGRAPHIC LOCATIONS. SERVICES PROVIDED INCLUDE NURSING CARE, HOME CARE, SENIOR CARE, PHARMACIES, EYE CARE, HOSPICE CARE, OCCUPATIONAL HEALTH, AND DIALYSIS.THE SYSTEM DEMONSTRATES ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY BY OPERATING EMERGENCY ROOMS OPEN TO THE PUBLIC 24 HOURS A DAY, 7 DAYS A WEEK; PROVIDING FACILITIES FOR THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS; AND MAINTAINING RESEARCH FACILITIES FOR THE STUDY OF NEW DRUGS AND MEDICAL DEVICES THAT OFFER THE PROMISE OF IMPROVING HEALTH CARE. THE SYSTEM ALSO PROVIDES COMMUNITY HEALTH SERVICES, SUCH AS COMMUNITY EDUCATION AND OUTREACH IN THE FORM OF FREE OR LOW-COST CLINICS; HEALTH EDUCATION TELEVISION PROGRAMMING; DONATIONS FOR THE COMMUNITY; MULTIPLE HEALTH PROMOTION AND WELLNESS PROGRAMS, SUCH AS HEALTH SCREENING; AND VARIOUS COMMUNITY PROJECTS AND SUPPORT GROUPS. COMMUNITY PARTNERSHIPS: HENRY FORD HEALTH DEVELOPS INNOVATIVE WAYS TO ADDRESS THE SOCIAL, ECONOMIC AND EDUCATIONAL ISSUES THAT AFFECT THE HEALTH OF THE METRO DETROIT COMMUNITY. THESE INCLUDE:CENTER FOR HEALTH SERVICES RESEARCH- CONDUCTS RESEARCH FOCUSING ON OUTCOMES, EFFECTIVENESS AND COST-EFFECTIVENESS OF THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF SUCH DISEASES AS CANCER, DIABETES, ASTHMA AND CONGESTIVE HEART FAILURE AS WELL AS COMMON ACUTE CONDITIONS.COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) CLINIC- PROVIDES PRIMARY CARE SERVICES TO MORE THAN 1,300 UNINSURED AND UNDERINSURED DETROIT RESIDENTS EACH MONTH. HF HEALTH PHYSICIANS STAFF THE CLINIC LOCATED IN SOUTHWEST DETROIT.INNOVATION INSTITUTE AT HENRY FORD HEALTH HOSPITAL - IN COLLABORATION WITH WAYNE STATE UNIVERSITY SCHOOL OF ENGINEERING AND CENTER FOR CREATIVE STUDIES, THE INNOVATION INSTITUTE AIMS TO RESEARCH AND DESIGN MEDICAL PRODUCTS TO ENHANCE MEDICAL USE AND TO CREATE NEW INDUSTRY IN THE REGION.INSTITUTE ON MULTICULTURAL HEALTH- THIS INSTITUTE STUDIES THE DISPARITIES IN HEALTH CARE AMONG PEOPLE OF COLOR AND FINDS SOLUTIONS FOR GETTING EARLY DIAGNOSIS AND TREATMENT OF DISEASES.SCHOOL-BASED AND COMMUNITY HEALTH PROGRAM - OPERATES 16 CHILD AND ADOLESCENT HEALTH CENTERS THAT PROVIDE PRIMARY CARE SERVICES IN DETROIT AND OTHER METRO DETROIT COMMUNITIES. IT HAS DEMONSTRATED BETTER ATTENDANCE AND TEST SCORES BY STUDENTS. THE PROGRAM ALSO OFFERS A MOBILE PEDIATRIC MEDICAL CLINIC CALLED CLARA WHICH TRAVELS TO SEVERAL DETROIT SCHOOLS WEEKLY AND IS FUNDED BY THE CHILDRENS'S HEALTH FUND.