Vendor Profile

Thank you for your interest in business opportunities with Henry Ford Health System. The following Vendor Profile form is a tool for our Supply Chain Management team to use to identify companies that may have business opportunities within Henry Ford Health System.

This form is for vendors who provide general supplies (medical and non-medical), equipment, professional services including construction services and trades, and architectural/engineering services used by health care institutions.

Please provide the information requested on the form and any additional information regarding the product or services that you provide to the healthcare industry.
HFHS maintains a vendor database for identifying vendors for potential inclusion in future RFPs, RFQs or RFIs. The vendor profile is used for this purpose only and does not provide any guarantee of business within HFHS. Profiles received will be evaluated for potential opportunities.

If you have any questions please email us.

* Asterisk indicates required field.

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Coporate Headquarters
Payment and Remit
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Contact Information
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Geographical Service Area
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Region








if you select local, then select all the regions you serve
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Company Description
use keywords, describe the product lines/services your company provides
Financial Information
List the year and the gross annual sales figure associated
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Bonded

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Type of Ownership
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Business Ownership
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US citizen

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Business References (Top 3 Clients)
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Diversity
Are you a diverse supplier?

Minority, woman, veteran, LGBT, etc.
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Certifications

If you hold any of the certificates below you will need to provide them via email.

If yes, indicate your current certifications (choose all that apply)







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Quality and Enviornment Certifications
Indicate your current certifications (check all that apply)











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e.g. Microsoft MCSE, CPA, Series 7
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Extended Profile Information
Is your company union?

Do you have healthcare experience?

Construction companies only
Do you have a safety program?

Construction companies only
Manufacturers only
Does your organization handle or have access to patient protected confidential information (HIPPA)?

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Have you, your company or an employee been listed by a Federal agency as debarred, excluded or otherwise ineligible for participation in Federally funded healthcare programs?

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