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← HENRY FORD PHYSICIAN PARTNERS

Form 990 for tax year 2023

Filed by HENRY FORD PHYSICIAN PARTNERS.

Totals

Total revenue
$23,372,019
Total expenses
$23,372,019
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)
$23,372,019
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$23,372,019

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

  • ADNAN R MUNKARAH MD

    DIRECTOR/CHAIR/PRESIDENT

    Total calculated
    $2,403,542
    From this org
    $0
    From related orgs
    $2,335,257
    Other
    $68,285
    Hours/week
    2 + 63 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

  • 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

  • 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

  • MARJORIE A STATEN JD

    DIRECTOR/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

  • 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 370,240 - - 370,240 MICHELLE JOHNSON TIDJANI 220,161 - - 220,161 ADNAN MUNKARAH, M.D. 359,641 - - 359,641 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 ROBIN DAMSCHRODER 22,500 - - 22,500 ADNAN R. MUNKARAH, M.D. 22,500 - - 22,500 MICHELLE JOHNSON TIDJANI 19,904 - - 19,904

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.

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.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202403129349303365

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