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Nonprofiteer
← HENRY FORD PHYSICIAN PARTNERS

Form 990 for tax year 2022

Filed by HENRY FORD PHYSICIAN PARTNERS.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • ADNAN R MUNKARAH MD

    DIRECTOR/CHAIR/PRESIDENT

    Total calculated
    $2,805,880
    From this org
    $0
    From related orgs
    $2,740,661
    Other
    $65,219
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $977,733 related
    Bonus
    $0 + $629,552 related
    Other
    $0 + $1,133,376 related
    Deferred
    $0 + $27,698 related
    Nontaxable benefits
    $0 + $37,521 related
    Filer's total
    $0 + $2,805,880 related

  • MICHELLE JOHNSON TIDJANI ESQ

    DIRECTOR/SECRETARY

    Total calculated
    $1,721,328
    From this org
    $0
    From related orgs
    $1,660,930
    Other
    $60,398
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $896,512 related
    Bonus
    $0 + $479,115 related
    Other
    $0 + $285,303 related
    Deferred
    $0 + $26,173 related
    Nontaxable benefits
    $0 + $34,225 related
    Filer's total
    $0 + $1,721,328 related

  • ROBIN S DAMSCHRODER

    DIRECTOR/TREASURER

    Total calculated
    $2,780,207
    From this org
    $0
    From related orgs
    $2,718,752
    Other
    $61,455
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,020,039 related
    Bonus
    $0 + $693,870 related
    Other
    $0 + $1,004,843 related
    Deferred
    $0 + $26,173 related
    Nontaxable benefits
    $0 + $35,282 related
    Filer's total
    $0 + $2,780,207 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
SCH J, LINE 4B, PERSON PARTICIPATING IN HFHS NONQUALIFIED RETIREMENT PLANS SEC 457(F) - HFHS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) REPORTABLE PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED W-2 ROBIN DAMSCHRODER 827,133 - - 827,133 MICHELLE JOHNSON TIDJANI 211,041 - - 211,041 ADNAN MUNKARAH, M.D. 991,756 - - 991,756 CONTRIBUTIONS TO HFHS SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN: EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBIN DAMSCHRODER 20,500 - - 20,500 ADNAN R. MUNKARAH, M.D. 20,500 - - 20,500 MICHELLE JOHNSON TIDJANI 20,500 - - 20,500

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202303149349304245

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