Form 990 for tax year 2022
Filed by HENRY FORD MACOMB HOSPITAL CORPORATION.
Totals
- Total revenue
- $640,577,842
- Total expenses
- $631,913,679
- Contributions and grants received
- $8,992,133
- Grants paid
- $124,268
- Program services expenses (Part IX)
- $616,672,345
- Management and general expenses
- $15,096,138
- Fundraising expenses
- $145,196
- Program service expenses (Part III)
- $616,672,345
Program services were 97.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
WRIGHT L LASSITER III
DIRECTOR/ PRESIDENT/CEO (THRU 7/2022)
- Total calculated
- $6,023,327
- From this org
- $0
- From related orgs
- $4,029,820
- Other
- $1,993,507
- Hours/week
- 2 + 63 related
Schedule J breakdown matched by us
- Base
- $0 + $1,210,232 related
- Bonus
- $0 + $2,172,864 related
- Other
- $0 + $646,724 related
- Deferred
- $0 + $1,974,100 related
- Nontaxable benefits
- $0 + $19,407 related
- Filer's total
- $0 + $6,023,327 related
-
ROBERT G RINEY
DIRECTOR/ PRESIDENT/CEO (START 7/2022)
- Total calculated
- $3,051,952
- From this org
- $0
- From related orgs
- $2,993,892
- Other
- $58,060
- Hours/week
- 2 + 63 related
Schedule J breakdown matched by us
- Base
- $0 + $1,617,376 related
- Bonus
- $0 + $808,535 related
- Other
- $0 + $567,981 related
- Deferred
- $0 + $29,223 related
- Nontaxable benefits
- $0 + $28,837 related
- Filer's total
- $0 + $3,051,952 related
-
DAVID J BREEN
DIRECTOR-CHAIR
- Total calculated
- $40,000
- From this org
- $0
- From related orgs
- $40,000
- Other
- $0
- Hours/week
- 2 + 4 related
-
LYNN FORD ALANDT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
BARRY G PORTER
DIRECTOR
- Total calculated
- $25,000
- From this org
- $0
- From related orgs
- $25,000
- Other
- $0
- Hours/week
- 1 + 3 related
-
JACALYN S GOFORTH
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 + 2 related
-
DANIEL J PHELAN PHD
DIRECTOR
- Total calculated
- $30,000
- From this org
- $0
- From related orgs
- $30,000
- Other
- $0
- Hours/week
- 1 + 6 related
-
DAVID M HEMPSTEAD
DIRECTOR
- Total calculated
- $15,000
- From this org
- $0
- From related orgs
- $15,000
- 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 + 2 related
-
CHARLES G MCCLURE JR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
JAMES O PEABODY MD
DIRECTOR/PHYSICIAN
- Total calculated
- $572,041
- From this org
- $0
- From related orgs
- $507,650
- Other
- $64,391
- Hours/week
- 1 + 61 related
Schedule J breakdown matched by us
- Base
- $0 + $484,535 related
- Bonus
- $0
- Other
- $0 + $23,115 related
- Deferred
- $0 + $29,222 related
- Nontaxable benefits
- $0 + $35,169 related
- Filer's total
- $0 + $572,041 related
-
PATRICIA A MARYLAND DRPH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
FREDERIEK TONEY
DIRECTOR
- Total calculated
- $35,000
- From this org
- $0
- From related orgs
- $35,000
- Other
- $0
- Hours/week
- 1 + 2 related
-
ANDREA L ZOPPJD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
JOSEPH J RICHARDSON JR
DIRECTOR
- Total calculated
- $35,000
- From this org
- $0
- From related orgs
- $35,000
- Other
- $0
- Hours/week
- 1 + 3 related
-
EDGAR L VANN II
DIRECTOR
- Total calculated
- $35,000
- From this org
- $0
- From related orgs
- $35,000
- Other
- $0
- Hours/week
- 1 + 3 related
-
ROBIN S DAMSCHRODER
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
-
MICHELLE JOHNSON TIDJANI ESQ
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
-
MARJORIE A STATEN JD
ASSISTANT SECRETARY
- Total calculated
- $226,160
- From this org
- $0
- From related orgs
- $212,050
- Other
- $14,110
- Hours/week
- 2 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $175,106 related
- Bonus
- $0 + $35,360 related
- Other
- $0 + $1,584 related
- Deferred
- $0 + $3,119 related
- Nontaxable benefits
- $0 + $10,991 related
- Filer's total
- $0 + $226,160 related
-
BARBARA W ROSSMANN
CEO MACOMB HOSPITAL
- Total calculated
- $1,045,768
- From this org
- $990,990
- From related orgs
- $0
- Other
- $54,778
- Hours/week
- 60 + 1 related
Schedule J breakdown matched by us
- Base
- $523,998
- Bonus
- $358,710
- Other
- $108,282
- Deferred
- $29,222
- Nontaxable benefits
- $25,556
- Filer's total
- $1,045,768
-
DENISE BROOKS-WILLIAMS
EVP- CARE DELIVERY SYSTEMS
- Total calculated
- $1,439,156
- From this org
- $0
- From related orgs
- $1,395,321
- Other
- $43,835
- Hours/week
- 20 + 43 related
Schedule J breakdown matched by us
- Base
- $0 + $745,812 related
- Bonus
- $0 + $383,946 related
- Other
- $0 + $265,563 related
- Deferred
- $0 + $26,173 related
- Nontaxable benefits
- $0 + $17,662 related
- Filer's total
- $0 + $1,439,156 related
-
TERRY A GOODBALIAN
CFO NORTH MARKET
- Total calculated
- $448,211
- From this org
- $0
- From related orgs
- $391,439
- Other
- $56,772
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $0 + $300,902 related
- Bonus
- $0 + $80,546 related
- Other
- $0 + $9,991 related
- Deferred
- $0 + $29,222 related
- Nontaxable benefits
- $0 + $27,550 related
- Filer's total
- $0 + $448,211 related
-
CHRISTOPHER MILBACK MD
CMO
- Total calculated
- $589,461
- From this org
- $547,834
- From related orgs
- $0
- Other
- $41,627
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $411,138
- Bonus
- $129,530
- Other
- $7,166
- Deferred
- $5,338
- Nontaxable benefits
- $36,289
- Filer's total
- $589,461
-
MICHAEL MARKEL JR RN
VP-OPERATIONS/CNO
- Total calculated
- $448,003
- From this org
- $398,230
- From related orgs
- $0
- Other
- $49,773
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $282,622
- Bonus
- $95,095
- Other
- $20,513
- Deferred
- $27,697
- Nontaxable benefits
- $22,076
- Filer's total
- $448,003
-
KENNETH A SCOTT DO
PHYSICIAN
- Total calculated
- $1,202,291
- From this org
- $1,144,950
- From related orgs
- $0
- Other
- $57,341
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $921,777
- Bonus
- $114,554
- Other
- $108,619
- Deferred
- $27,698
- Nontaxable benefits
- $29,643
- Filer's total
- $1,202,291
-
MARK T RYAN DO
PHYSICIAN
- Total calculated
- $980,155
- From this org
- $942,378
- From related orgs
- $0
- Other
- $37,777
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $905,575
- Bonus
- $0
- Other
- $36,803
- Deferred
- $26,172
- Nontaxable benefits
- $11,605
- Filer's total
- $980,155
-
RONALD LEVIN MD
PHYSICIAN
- Total calculated
- $948,182
- From this org
- $891,009
- From related orgs
- $0
- Other
- $57,173
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $561,355
- Bonus
- $0
- Other
- $329,654
- Deferred
- $29,222
- Nontaxable benefits
- $27,951
- Filer's total
- $948,182
-
EDDIE EL-YUSSIF DO
PHYSICIAN
- Total calculated
- $1,013,447
- From this org
- $954,425
- From related orgs
- $0
- Other
- $59,022
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $868,327
- Bonus
- $0
- Other
- $86,098
- Deferred
- $26,173
- Nontaxable benefits
- $32,849
- Filer's total
- $1,013,447
-
RAED M ALNAJJAR MD
PHYSICIAN
- Total calculated
- $1,698,769
- From this org
- $1,644,815
- From related orgs
- $0
- Other
- $53,954
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $779,712
- Bonus
- $608,726
- Other
- $256,377
- Deferred
- $26,172
- Nontaxable benefits
- $27,782
- Filer's total
- $1,698,769
-
WILLIAM A CONWAY MD
FORMER DIRECTOR/PHYSICIAN
- Total calculated
- $203,850
- From this org
- $0
- From related orgs
- $166,393
- Other
- $37,457
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $166,393 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $14,535 related
- Nontaxable benefits
- $0 + $22,922 related
- Filer's total
- $0 + $203,850 related
-
KATHLEEN L YAREMCHUK MD
FORMER DIRECTOR/PHYSICIAN
- Total calculated
- $1,039,829
- From this org
- $0
- From related orgs
- $989,026
- Other
- $50,803
- Hours/week
- 0 + 60 related
Schedule J breakdown matched by us
- Base
- $0 + $841,292 related
- Bonus
- $0 + $124,541 related
- Other
- $0 + $23,193 related
- Deferred
- $0 + $29,222 related
- Nontaxable benefits
- $0 + $21,581 related
- Filer's total
- $0 + $1,039,829 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
- 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. THERE WERE NO PAYMENTS OR REIMBURSEMENTS OF FIRST CLASS DURING 2022. 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. ADDITIONALLY, 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
- SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE 2022 ACCRUAL NON-VESTED DISTRIBUTIONS DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT BARBARA W. ROSSMANN 105,125 - - - 105,125 MICHELLE JOHNSON TIDJANI 211,041 - - - 211,041 WRIGHT L. LASSITER III 523,447 - 107,645 1,947,928 631,092 DENISE BROOKS-WILLIAMS 176,267 - - - 176,267 ROBIN DAMSCHRODER 827,133 - - - 827,133 ROBERT RINEY 463,649 - - - 463,649 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTRIBUTIONS 2022 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS BARBARA W. ROSSMANN 3,157 - - 3,157 RONALD LEVIN, M.D. 4,632 15,482 373 20,487 MARK RYAN, M.D. - 20,500 493 20,993 KENNETH A. SCOTT - 20,500 493 20,993 TERRY A. GOODBALIAN - 945 23 968 EDDIE EL-YUSSIF - 20,500 493 20,993 WRIGHT L. LASSITER III 12,616 - - 12,616 ROBIN S. DAMSCHRODER 20,500 - - 20,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 MICHELLE JOHNSON TIDJANI 20,500 - - 20,500 KATHLEEN YAREMCHUK, M.D. - 20,500 493 20,993 CHRISTOPHER MILBACK, M.D. - 4,437 107 4,544 RAED ALAJJAR, M.D. 3,175 17,325 417 20,917 ROBERT RINEY 20,500 - - 20,500 JAMES PEABODY - 11,236 270 11,506
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
-
ORGANIZATIONAL SUPPORT
-
$13,250
ORGANIZATIONAL SUPPORT
-
$6,300
ORGANIZATIONAL SUPPORT
-
ORGANIZATIONAL SUPPORT
-
ORGANIZATIONAL SUPPORT
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 HEALTH SYSTEM FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · 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
-
501(C)(3) · SCIENTIFIC RESEARCH · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES
501(C)(4) · ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD ALLEGIANCE HEALTH GROUP
501(C)(3) · EXEMPT ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(3) · SUPPORTING ORGANIZATION · 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
-
WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL
501(C)(3) · HEALTHCARE SERVICE PROVIDER · 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
-
501(C)(3) · PHYSICIAN SERVICES · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343149349304474
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