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← HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES

Form 990 for tax year 2023

Filed by HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES.

Totals

Total revenue
$1,257,778
Total expenses
$1,275,397
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$1,275,397
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$1,275,397

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DENISE BROOKS-WILLIAMS

    DIRECTOR

    Total calculated
    $1,689,777
    From this org
    $0
    From related orgs
    $1,641,896
    Other
    $47,881
    Hours/week
    1 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,054,577 related
    Bonus
    $0 + $317,037 related
    Other
    $0 + $270,282 related
    Deferred
    $0 + $27,441 related
    Nontaxable benefits
    $0 + $20,440 related
    Filer's total
    $0 + $1,689,777 related

  • ROBIN S DAMSCHRODER

    DIRECTOR, TREASURER

    Total calculated
    $2,468,944
    From this org
    $0
    From related orgs
    $2,407,031
    Other
    $61,913
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,396,213 related
    Bonus
    $0 + $563,406 related
    Other
    $0 + $447,412 related
    Deferred
    $0 + $27,441 related
    Nontaxable benefits
    $0 + $34,472 related
    Filer's total
    $0 + $2,468,944 related

  • MICHAEL A GENORD MD

    DIRECTOR

    Total calculated
    $1,559,474
    From this org
    $0
    From related orgs
    $1,525,458
    Other
    $34,016
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $880,670 related
    Bonus
    $0 + $387,967 related
    Other
    $0 + $256,821 related
    Deferred
    $0 + $5,399 related
    Nontaxable benefits
    $0 + $28,617 related
    Filer's total
    $0 + $1,559,474 related

  • VERONICA M HALL RN

    DIRECTOR

    Total calculated
    $888,160
    From this org
    $0
    From related orgs
    $781,795
    Other
    $106,365
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $519,188 related
    Bonus
    $0 + $174,366 related
    Other
    $0 + $88,241 related
    Deferred
    $0 + $92,487 related
    Nontaxable benefits
    $0 + $13,878 related
    Filer's total
    $0 + $888,160 related

  • MICHELLE JOHNSON TIDJANI ESQ

    DIRECTOR, SECRETARY (THRU 9/2023)

    Total calculated
    $1,615,611
    From this org
    $0
    From related orgs
    $1,567,789
    Other
    $47,822
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $911,978 related
    Bonus
    $0 + $367,252 related
    Other
    $0 + $288,559 related
    Deferred
    $0 + $22,491 related
    Nontaxable benefits
    $0 + $25,331 related
    Filer's total
    $0 + $1,615,611 related

  • SHANNA JOHNSON

    DIRECTOR

    Total calculated
    $585,283
    From this org
    $0
    From related orgs
    $534,903
    Other
    $50,380
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $396,809 related
    Bonus
    $0 + $123,498 related
    Other
    $0 + $14,596 related
    Deferred
    $0 + $45,624 related
    Nontaxable benefits
    $0 + $4,756 related
    Filer's total
    $0 + $585,283 related

  • BRUCE K MUMA MD

    DIRECTOR

    Total calculated
    $699,766
    From this org
    $0
    From related orgs
    $629,484
    Other
    $70,282
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $423,230 related
    Bonus
    $0 + $155,902 related
    Other
    $0 + $50,352 related
    Deferred
    $0 + $30,228 related
    Nontaxable benefits
    $0 + $40,054 related
    Filer's total
    $0 + $699,766 related

  • ADNAN R MUNKARAH MD

    DIRECTOR

    Total calculated
    $2,403,542
    From this org
    $0
    From related orgs
    $2,335,257
    Other
    $68,285
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,372,925 related
    Bonus
    $0 + $523,983 related
    Other
    $0 + $438,349 related
    Deferred
    $0 + $27,441 related
    Nontaxable benefits
    $0 + $40,844 related
    Filer's total
    $0 + $2,403,542 related

  • ROBERT G RINEY

    DIRECTOR,CHAIR,PRESIDENT

    Total calculated
    $4,524,962
    From this org
    $0
    From related orgs
    $4,467,923
    Other
    $57,039
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,165,620 related
    Bonus
    $0 + $1,535,761 related
    Other
    $0 + $766,542 related
    Deferred
    $0 + $27,441 related
    Nontaxable benefits
    $0 + $29,598 related
    Filer's total
    $0 + $4,524,962 related

  • BARBARA W ROSSMANN

    DIRECTOR (THRU 6/2023)

    Total calculated
    $1,371,069
    From this org
    $0
    From related orgs
    $772,428
    Other
    $598,641
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $242,311 related
    Bonus
    $0 + $294,348 related
    Other
    $0 + $235,769 related
    Deferred
    $0 + $584,195 related
    Nontaxable benefits
    $0 + $14,446 related
    Filer's total
    $0 + $1,371,069 related

  • RAND J O'LEARY

    DIRECTOR (START 4/2023)

    Total calculated
    $498,526
    From this org
    $0
    From related orgs
    $450,086
    Other
    $48,440
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $289,168 related
    Bonus
    $0 + $150,000 related
    Other
    $0 + $10,918 related
    Deferred
    $0 + $29,088 related
    Nontaxable benefits
    $0 + $19,352 related
    Filer's total
    $0 + $498,526 related

  • MARJORIE A STATEN JD

    SECRETARY (START 9/2023)

    Total calculated
    $237,931
    From this org
    $0
    From related orgs
    $223,236
    Other
    $14,695
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $187,185 related
    Bonus
    $0 + $33,653 related
    Other
    $0 + $2,398 related
    Deferred
    $0 + $2,866 related
    Nontaxable benefits
    $0 + $11,829 related
    Filer's total
    $0 + $237,931 related

  • WILLIAM A CONWAY MD

    FORMER DIRECTOR

    Total calculated
    $201,780
    From this org
    $0
    From related orgs
    $167,405
    Other
    $34,375
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,405 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $11,691 related
    Nontaxable benefits
    $0 + $22,684 related
    Filer's total
    $0 + $201,780 related

  • ERIC E WALLIS DNP

    FORMER DIRECTOR

    Total calculated
    $892,029
    From this org
    $0
    From related orgs
    $739,770
    Other
    $152,259
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $530,068 related
    Bonus
    $0 + $185,942 related
    Other
    $0 + $23,760 related
    Deferred
    $0 + $117,571 related
    Nontaxable benefits
    $0 + $34,688 related
    Filer's total
    $0 + $892,029 related

  • PAULA AUTRY

    FORMER DIRECTOR

    Total calculated
    $368,899
    From this org
    $0
    From related orgs
    $368,899
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $368,899 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $368,899 related

  • CARLADENISE A EDWARDS PHD

    FORMER DIRECTOR

    Total calculated
    $1,000,937
    From this org
    $0
    From related orgs
    $1,000,937
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $156,122 related
    Other
    $0 + $844,815 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,000,937 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

  • 1a · First-class or charter travel
  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 1b · Written policy on the line-1a expenses
  • 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 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. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP RECEIVE MEMBERSHIP TO SOCIAL CLUBS INTENDED TO FURTHER THE BUSINESS NEEDS OF THE ORGANIZATION. USAGE IS REIMBURSED ON A CASE-BY-CASE BASIS BASED UPON DOCUMENTATION OF BUSINESS PURPOSE. IN CONNECTION WITH THE RECRUITMENT AND EMPLOYMENT OF LEADERS AND PHYSICIANS, THE ORGANIZATION AGREES AT TIMES TO PROVIDE TEMPORARY HOUSING AND RELOCATION SERVICES. INTERNAL REVENUE SERVICE GUIDELINES ARE ADHERED TO REGARDING THE REPORTING AND TAXATION OF ALL SUCH ITEMS. THE VALUE OF SUCH SERVICES IS ALSO INCLUDED IN THE EVALUATION OF REASONABLE COMPENSATION. CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PROGRAM THAT RESULTS IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. THE ORGANIZATION ALSO OFFERS CERTAIN MEMBERS OF LEADERSHIP THE OPTION OF PARTICIPATING IN AN IRC SEC 457 BENEFIT PROGRAM WHICH ALSO RESULTS IN REPORTABLE TAXABLE INCOME AS BENEFITS ACCRUE, RATHER THAN AS THEY ARE PAID. IT IS AN ELEMENT OF THE PLAN DESIGN TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. SEE Q. 4B FOR THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS.
PART I, LINES 4A-B
SCH J, LINE 4B, PERSON PARTICIPATING IN HFHS NONQUALIFIED RETIREMENT PLANS PART I, LINES 4A: SEVERANCE PAYMENTS PAULA AUTRY $368,899 CARLADENISE EDWARDS $844,815 SEC 457(F) - HFHS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE PARTICIPANT ACCRUAL DISTRIBUTION DISTRIBUTION NON-VESTED W-2 ROBERT G. RINEY 736,518 - - - 736,518 BARBARA W. ROSSMANN - 234,069 568,269 - 234,069 DENISE BROOKS-WILLIAMS 229,220 - - 229,220 ROBIN DAMSCHRODER 370,240 - - - 370,240 MICHELLE JOHNSON TIDJANI 220,161 - - - 220,161 ADNAN MUNKARAH, M.D. 359,641 - - - 359,641 MICHAEL GENORD, M.D. 228,968 - - - 228,968 SHANNA JOHNSON - - - 40,674 - VERONICA M. HALL, R.N. - - - 65,046 - ERIC WALLIS - - - 112,621 - SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -HENRY FORD WYANDOTTE HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 RAND J. O'LEARY - - 24,605 - CONTRIBUTIONS TO HFHS SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN: EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2023 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBERT G. RINEY 22,500 - - 22,500 BARBARA W. ROSSMANN 1,700 - - 1,700 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 MARC CORRIVEAU 22,500 - - 22,500 BRUCE K. MUMA, M.D. 15,153 7,347 177 22,677 ROBIN DAMSCHRODER 22,500 - - 22,500 ADNAN R. MUNKARAH, M.D. 22,500 - - 22,500 VERONICA M. HALL, R.N. 4,950 - - 4,950 MICHAEL GENORD, M.D. 22,500 - - 22,500 MICHELLE JOHNSON TIDJANI 19,904 - - 19,904 ERIC WALLIS 22,500 - - 22,500

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
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202433129349303073

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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