Totals
- Total revenue
- $0
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- 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
-
LYNN FORD ALANDT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
DAVID J BREEN
DIRECTOR - CHAIR
- Total calculated
- $50,000
- From this org
- $0
- From related orgs
- $50,000
- Other
- $0
- Hours/week
- 2 + 6 related
-
JACALYN S GOFORTH
DIRECTOR
- Total calculated
- $25,000
- From this org
- $0
- From related orgs
- $25,000
- Other
- $0
- Hours/week
- 1 + 3 related
-
JOHN F HARRIS
DIRECTOR
- Total calculated
- $30,000
- From this org
- $0
- From related orgs
- $30,000
- Other
- $0
- Hours/week
- 1 + 3 related
-
DAVID M HEMPSTEAD
DIRECTOR
- Total calculated
- $15,000
- From this org
- $0
- From related orgs
- $15,000
- Other
- $0
- Hours/week
- 1 + 4 related
-
PATRICIA A MARYLAND DRPH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
CHARLES G MCCLURE JR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
JAMES O PEABODY MD
DIRECTOR - PHYSICIAN
- Total calculated
- $617,163
- From this org
- $0
- From related orgs
- $552,958
- Other
- $64,205
- Hours/week
- 1 + 62 related
Schedule J breakdown matched by us
- Base
- $0 + $483,693 related
- Bonus
- $0 + $35,267 related
- Other
- $0 + $33,998 related
- Deferred
- $0 + $27,441 related
- Nontaxable benefits
- $0 + $36,764 related
- Filer's total
- $0 + $617,163 related
-
DANIEL J PHELAN PHD
DIRECTOR
- Total calculated
- $30,000
- From this org
- $0
- From related orgs
- $30,000
- Other
- $0
- Hours/week
- 1 + 7 related
-
BARRY G PORTER
DIRECTOR
- Total calculated
- $25,000
- From this org
- $0
- From related orgs
- $25,000
- Other
- $0
- Hours/week
- 1 + 4 related
-
MICHAEL S RAFFERTY
DIRECTOR
- Total calculated
- $30,000
- From this org
- $0
- From related orgs
- $30,000
- Other
- $0
- Hours/week
- 1 + 3 related
-
JOSEPH J RICHARDSON JR
DIRECTOR
- Total calculated
- $35,000
- From this org
- $0
- From related orgs
- $35,000
- Other
- $0
- Hours/week
- 1 + 4 related
-
ROBERT G RINEY
DIRECTOR/ PRESIDENT/CEO
- 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
-
FREDERIEK TONEY
DIRECTOR
- Total calculated
- $35,000
- From this org
- $0
- From related orgs
- $35,000
- Other
- $0
- Hours/week
- 1 + 4 related
-
EDGAR L VANN II
DIRECTOR
- Total calculated
- $35,000
- From this org
- $0
- From related orgs
- $35,000
- Other
- $0
- Hours/week
- 1 + 4 related
-
GERARDO NORCIA
DIRECTOR (START 12/2023)
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
MICHELLE JOHNSON TIDJANI ESQ
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
-
ROBIN S DAMSCHRODER
TREASURER/CFO
- 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
-
MARJORIE A STATEN JD
SECRETARY (START 10/2023)
- 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
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, and on a Form 990-PF Part VIII's — 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
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 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 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, 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: PART I, LINE 4B, PERSON PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE PARTICIPANT ACCRUAL DISTRIBUTIONS DISTRIBUTIONS NON-VESTED W-2 ROBERT G. RINEY 736,518 - - - 736,518 ROBIN DAMSCHRODER 370,240 - - - 370,240 MICHELLE JOHNSON TIDJANI 220,161 - - - 220,161 CONTRIBUTIONS TO 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 ROBIN DAMSCHRODER 22,500 - - 22,500 MICHELLE JOHNSON TIDJANI 19,904 - - 19,904 JAMES PEABODY, M.D. 12,639 9,861 237 22,737
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.
-
501(C)(3) · HEALTHCARE SERVICE PROVIDER · MI
-
501(C)(3) · HEALTHCARE SERVICE PROVIDER · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD MACOMB HOSPITAL CORPORATION
501(C)(3) · HEALTHCARE SERVICE PROVIDER · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(4) · HEALTH MAINTENANCE ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD HEALTH SYSTEM FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(3) · SCIENTIFIC RESEARCH · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HEALTH
501(C)(3) · HEALTHCARE SERVICE PROVIDER · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
HENRY FORD ALLEGIANCE HEALTH GROUP
501(C)(3) · EXEMPT ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(3) · SUPPORTS ALLEGIANCE HEALTH · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
HOSPICE OF JACKSON DBA ALLEGIANCE HOSPICE
501(C)(3) · HOSPICE CARE · MI · controlled entity
Directly controlled by HEALTHLINK
-
501(C)(3) · HOME HEALTH CARE · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
501(C)(3) · LONG TERM ACUTE CARE HOSPITAL · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND
501(C)(3) · SUPPORTING ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES
501(C)(4) · ADVOCACY SERVICES FOR HFHS AND AFFILIATES · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD PHYSICIANS PARTNERS
501(C)(3) · PHYSICIAN SERVICES · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
N/A · OPERATE DIALYSIS CLINIC · MI
Directly controlled by HENRY FORD HEALTH SYSTEM
-
MACOMB REGIONAL DIALYSIS CENTERS
N/A · OPERATE DIALYSIS CLINIC · MI
Directly controlled by HENRY FORD HEALTH SYSTEM
-
FOOTE HEALTH CENTER ASSOCIATES
N/A · LESSOR OF MEDICAL CONDOMINIUMS · MI
Directly controlled by HENRY FORD HEALTH JACKSON HOSPITAL
-
N/A · OUTPATIENT SURGERY CLINICS · MI
Directly controlled by HENRY FORD HEALTH SYSTEM
-
N/A · HOLDING COMPANY · DE
Directly controlled by HELATH ALLIANCE PLAN OF MICHIGAN
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · REAL ESTATE HOLDING · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
C · HEALTHCARE MANAGEMENT · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
ALLIANCE HEALTH AND LIFE INSURANCE
C · HEALTH INSURANCE PROVIDER · MI · controlled entity
Directly controlled by HEALTH ALLIANCE PLAN
-
ONIKA INSURANCE LTD
C · CAPTIVE INSURANCE · CJ · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
C · PHYSICIAN NETWORK · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
ADMINISTRATION SYSTEMS RESEARCH CORPORATION
C · THIRD PARTY INSURANCE ADMINISTRATOR · MI · controlled entity
Directly controlled by HEALTH ALLIANCE PLAN
-
C · HEALTH INSURANCE PROVIDER · MI · controlled entity
Directly controlled by HEALTH ALLIANCE PLAN OF MICHIGAN
-
HENRY FORD ALLEGIANCE PHARMACY
C · PHARMACY · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION
C · CONDOMINIUM ASSOCIATION · MI
Directly controlled by HENRY FORD HEALTH SYSTEM
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 28 February 2025
- IRS schema version
- 2023v6.0
- Source object
- 202530599349301868
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