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Nonprofiteer
← HENRY FORD HEALTH PROVIDENCE HOSPITAL

Form 990 for tax year 2022

Filed by HENRY FORD HEALTH PROVIDENCE HOSPITAL.

Totals

Total revenue
$880,490,402
Total expenses
$904,524,555
Contributions and grants received
$6,066,480
Grants paid
$2,329,087
Program services expenses (Part IX)
$703,224,370
Management and general expenses
$201,300,185
Fundraising expenses
$0
Program service expenses (Part III)
$703,224,370

Program services were 77.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CAROL L SCHMIDT

    MINISTRY MARKET EXECUTIVE/PRESIDENT (START 1/2023)

    Total calculated
    $1,585,940
    From this org
    $0
    From related orgs
    $1,547,996
    Other
    $37,944
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $608,724 related
    Bonus
    $0 + $732,000 related
    Other
    $0 + $207,272 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $18,119 related
    Filer's total
    $0 + $1,585,940 related

  • JAMES BOLES MD

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • JONATHAN SAMUEL NALLI FACHE

    INTERIM MARKET PRESIDENT (START 8/2022 - END 12/2022)

    Total calculated
    $2,386,194
    From this org
    $0
    From related orgs
    $2,332,003
    Other
    $54,191
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $972,482 related
    Bonus
    $0 + $1,119,600 related
    Other
    $0 + $239,921 related
    Deferred
    $0 + $12,529 related
    Nontaxable benefits
    $0 + $41,662 related
    Filer's total
    $0 + $2,386,194 related

  • JOSEPH G CACCHIONE MD FACC

    INTERIM MARKET PRESIDENT (START 7/2022 - END 8/2022)

    Total calculated
    $3,857,281
    From this org
    $0
    From related orgs
    $3,809,601
    Other
    $47,680
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,053,026 related
    Bonus
    $0 + $2,400,000 related
    Other
    $0 + $356,575 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $30,905 related
    Filer's total
    $0 + $3,857,281 related

  • LESLIE A MURPHY CPA

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • RENEE BRANCH CANADY

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • AVEC O'BRIEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • DAVID SAUNDERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • JAMES BAILEY BABEL MD

    DIRECTOR

    Total calculated
    $6,600
    From this org
    $0
    From related orgs
    $6,600
    Other
    $0
    Hours/week
    1 + 15 related

  • JEFFERY ZAKS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 16 related

  • KENNETH STREIBEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • PHYLLIS D MEADOWS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • RAJESH U KOTHARI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • SUSAN POZO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • DOUGLAS TODD MYERS

    CFO, MINISTRY MARKET (START 7/2022 - END 3/2023)

    Total calculated
    $333,808
    From this org
    $0
    From related orgs
    $313,904
    Other
    $19,904
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,927 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $57,977 related
    Deferred
    $0 + $6,635 related
    Nontaxable benefits
    $0 + $13,269 related
    Filer's total
    $0 + $333,808 related

  • DOUGLAS W WINNER

    VP, FINANCE (END 7/2022)

    Total calculated
    $566,298
    From this org
    $0
    From related orgs
    $533,194
    Other
    $33,104
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $373,150 related
    Bonus
    $0 + $121,350 related
    Other
    $0 + $38,694 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $14,804 related
    Filer's total
    $0 + $566,298 related

  • MICHAEL MCCULLOUGH

    CFO, MINISTRY MARKET (START 3/2023)

    Total calculated
    $705,557
    From this org
    $0
    From related orgs
    $670,046
    Other
    $35,511
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,339 related
    Bonus
    $0 + $214,389 related
    Other
    $0 + $57,318 related
    Deferred
    $0 + $11,015 related
    Nontaxable benefits
    $0 + $24,496 related
    Filer's total
    $0 + $705,557 related

  • LYNN M CHIESA RN

    CHIEF NURSING OFFICER

    Total calculated
    $310,447
    From this org
    $272,004
    From related orgs
    $0
    Other
    $38,443
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $220,812
    Bonus
    $48,000
    Other
    $3,192
    Deferred
    $17,943
    Nontaxable benefits
    $20,500
    Filer's total
    $310,447

  • MANHAL TOBIA MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $525,334
    From this org
    $505,535
    From related orgs
    $0
    Other
    $19,799
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $416,913
    Bonus
    $86,000
    Other
    $2,622
    Deferred
    $15,250
    Nontaxable benefits
    $4,549
    Filer's total
    $525,334

  • MICHAEL A BADALI MD

    CHIEF OPERATING OFFICER

    Total calculated
    $376,182
    From this org
    $263,957
    From related orgs
    $67,418
    Other
    $44,807
    Hours/week
    50 + 50 related

    Schedule J breakdown matched by us

    Base
    $202,357 + $66,887 related
    Bonus
    $60,000
    Other
    $1,600 + $531 related
    Deferred
    $13,789 + $4,270 related
    Nontaxable benefits
    $18,713 + $8,035 related
    Filer's total
    $296,459 + $79,723 related

  • KRISTOPHER MAHLON GEORGE MD

    PHYSICIAN

    Total calculated
    $1,272,995
    From this org
    $1,232,143
    From related orgs
    $0
    Other
    $40,852
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,012,274
    Bonus
    $217,247
    Other
    $2,622
    Deferred
    $15,250
    Nontaxable benefits
    $25,602
    Filer's total
    $1,272,995

  • MICHAEL BOUSAMRA MD

    PHYSICIAN

    Total calculated
    $920,474
    From this org
    $880,139
    From related orgs
    $0
    Other
    $40,335
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $810,115
    Bonus
    $62,500
    Other
    $7,524
    Deferred
    $15,250
    Nontaxable benefits
    $25,085
    Filer's total
    $920,474

  • MICHAEL WON KYU LEE MD

    PHYSICIAN

    Total calculated
    $946,139
    From this org
    $906,120
    From related orgs
    $0
    Other
    $40,019
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $854,018
    Bonus
    $47,200
    Other
    $4,902
    Deferred
    $6,100
    Nontaxable benefits
    $33,919
    Filer's total
    $946,139

  • PHILLIP LORANE ROBINSON MD

    PHYSICIAN

    Total calculated
    $941,098
    From this org
    $922,746
    From related orgs
    $0
    Other
    $18,352
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $911,479
    Bonus
    $0
    Other
    $11,267
    Deferred
    $7,150
    Nontaxable benefits
    $11,202
    Filer's total
    $941,098

  • REZA ROBERT DABIR MD

    PHYSICIAN

    Total calculated
    $1,205,308
    From this org
    $1,163,350
    From related orgs
    $0
    Other
    $41,958
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,147,472
    Bonus
    $0
    Other
    $15,878
    Deferred
    $15,250
    Nontaxable benefits
    $26,708
    Filer's total
    $1,205,308

  • BRANT M RUSSELL

    FORMER OFFICER (END 4/2022)

    Total calculated
    $238,669
    From this org
    $238,669
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $238,669
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $238,669

  • GARY MICHAEL DRUSKOVICH MD

    FORMER OFFICER (END 6/2022)

    Total calculated
    $758,887
    From this org
    $555,955
    From related orgs
    $160,005
    Other
    $42,927
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $356,730 + $138,481 related
    Bonus
    $157,500
    Other
    $41,725 + $21,524 related
    Deferred
    $11,294 + $5,481 related
    Nontaxable benefits
    $18,329 + $7,823 related
    Filer's total
    $585,578 + $173,309 related

  • ROLAND CRUICKSHANK

    FORMER KEY EMPLYOEE (END 12/2022)

    Total calculated
    $579,473
    From this org
    $145,322
    From related orgs
    $388,098
    Other
    $46,053
    Hours/week
    50 + 50 related

    Schedule J breakdown matched by us

    Base
    $127,076 + $284,373 related
    Bonus
    $0 + $79,192 related
    Other
    $18,246 + $24,533 related
    Deferred
    $5,113 + $4,857 related
    Nontaxable benefits
    $11,050 + $25,033 related
    Filer's total
    $161,485 + $417,988 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2022: BRANT M: RUSSELL: $237,077
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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

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
11 May 2024
IRS schema version
2022v5.0
Source object
202411319349304866

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

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