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Nonprofiteer
← HENRY FORD HEALTH ST JOHN HOSPITAL

Form 990 for tax year 2022

Filed by HENRY FORD HEALTH ST JOHN HOSPITAL.

Totals

Total revenue
$1,098,976,598
Total expenses
$1,018,377,239
Contributions and grants received
$5,391,238
Grants paid
$4,831,228
Program service revenue
$988,134,941
Investment income
$94,704,971
Other revenue
$10,745,448
Total assets, end of year
$576,278,269
Total liabilities, end of year
$231,522,735
Net assets or fund balances, end of year
$344,755,534
Program services expenses (Part IX)
$820,807,915
Management and general expenses
$197,569,324
Fundraising expenses
$0
Program service expenses (Part III)
$820,807,915

Program services were 80.6% 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
  • GAYLE F NOVACK RN

    CHIEF NURSING OFFICER

    Total calculated
    $341,864
    From this org
    $320,173
    From related orgs
    $0
    Other
    $21,691
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $252,722
    Bonus
    $51,000
    Other
    $16,451
    Deferred
    $18,194
    Nontaxable benefits
    $3,497
    Filer's total
    $341,864
  • KEITH ALLAN BELLOVICH DO

    CHIEF MEDICAL OFFICER

    Total calculated
    $617,874
    From this org
    $574,564
    From related orgs
    $0
    Other
    $43,310
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $504,692
    Bonus
    $65,000
    Other
    $4,872
    Deferred
    $15,250
    Nontaxable benefits
    $28,060
    Filer's total
    $617,874
  • ROLAND CRUICKSHANK

    CHIEF OPERATING OFFICER

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

    Schedule J breakdown matched by us

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

    PHYSICIAN

    Total calculated
    $889,536
    From this org
    $849,270
    From related orgs
    $0
    Other
    $40,266
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $777,503
    Bonus
    $57,289
    Other
    $14,478
    Deferred
    $15,250
    Nontaxable benefits
    $25,016
    Filer's total
    $889,536
  • AHMED MEGUID MD

    SECTION CHIEF

    Total calculated
    $691,399
    From this org
    $643,363
    From related orgs
    $0
    Other
    $48,036
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $567,549
    Bonus
    $73,192
    Other
    $2,622
    Deferred
    $16,775
    Nontaxable benefits
    $31,261
    Filer's total
    $691,399
  • MARC L CULLEN MD

    PHYSICIAN

    Total calculated
    $671,145
    From this org
    $626,651
    From related orgs
    $0
    Other
    $44,494
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $598,685
    Bonus
    $13,488
    Other
    $14,478
    Deferred
    $18,300
    Nontaxable benefits
    $26,194
    Filer's total
    $671,145
  • MOUTAMN SADOUN MD

    PHYSICIAN

    Total calculated
    $785,973
    From this org
    $739,307
    From related orgs
    $0
    Other
    $46,666
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $507,961
    Bonus
    $230,206
    Other
    $1,140
    Deferred
    $15,250
    Nontaxable benefits
    $31,416
    Filer's total
    $785,973
  • SALEM M SAYAR MD

    PHYSICIAN

    Total calculated
    $850,753
    From this org
    $811,613
    From related orgs
    $0
    Other
    $39,140
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $736,665
    Bonus
    $73,238
    Other
    $1,710
    Deferred
    $8,100
    Nontaxable benefits
    $31,040
    Filer's total
    $850,753
  • BRANT M RUSSELL

    FORMER KEY EMPLOYEE (END 12/2020)

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

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $238,669 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $238,669 related
  • KEVIN GRADY MD

    FORMER OFFICER (END 6/2022)

    Total calculated
    $863,503
    From this org
    $818,392
    From related orgs
    $0
    Other
    $45,111
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $537,969
    Bonus
    $196,000
    Other
    $84,423
    Deferred
    $19,825
    Nontaxable benefits
    $25,286
    Filer's total
    $863,503

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

  • 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 in CALENDAR 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.

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
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202441349349308194

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