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Nonprofiteer
← HENRY FORD HEALTH ROCHESTER HOSPITAL

Form 990 for tax year 2022

Filed by HENRY FORD HEALTH ROCHESTER HOSPITAL.

Totals

Total revenue
$256,103,093
Total expenses
$260,778,832
Contributions and grants received
$321,426
Grants paid
$198,260
Program service revenue
$250,947,085
Investment income
$3,316,680
Other revenue
$1,517,902
Total assets, end of year
$247,170,683
Total liabilities, end of year
$215,798,424
Net assets or fund balances, end of year
$31,372,259
Program services expenses (Part IX)
$203,974,183
Management and general expenses
$56,804,649
Fundraising expenses
$0
Program service expenses (Part III)
$203,974,183

Program services were 78.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $202,426

  • 1e · Government grants (contributions)

    $119,000

  • 1f · All other contributions, gifts and grants

    $0

  • 2a · Program service revenue: Net Patient Service Revenue

    total $249,901,933 · related or exempt $249,346,900 · unrelated business $555,033

  • 2b · Program service revenue: Value Based Revenue

    total $722,226 · related or exempt $722,226

  • 2c · Program service revenue: Rental Income from Affiliates

    total $305,243 · related or exempt $305,243

  • 2d · Program service revenue: Interest Income from Patient Accounts

    total $17,683 · related or exempt $17,683

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $32,581 · excluded $32,581

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · excluded $0

  • 5 · Royalties

    total $0 · excluded $0

  • 6a · Gross rents

    real property $736,178 · personal property $0

  • 6b · Less rental expenses

    real property $668,958

  • 6c · Rental income or loss

    real property $67,220 · personal property $0

  • 6d · Net rental income or loss

    total $67,220 · excluded $67,220

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $3,284,099

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $3,284,099

  • 7d · Net gain or loss

    total $3,284,099 · excluded $3,284,099

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · excluded $0

  • 10a · Gross sales of inventory

    $106,813

  • 10b · Cost of goods sold

    $87,384

  • 10c · Net income from sales of inventory

    total $19,429 · excluded $19,429

  • 11a · Other revenue: Cafeteria/Vending Revenue

    total $572,287 · excluded $572,287

  • 11b · Other revenue: Community Services

    total $265,608 · related or exempt $265,608

  • 11c · Other revenue: Education Revenue

    total $199,200 · related or exempt $199,200

  • 11d · All other revenue

    total $394,158 · related or exempt $266,620 · unrelated business $0 · excluded $127,538

  • 11e · Other revenue, total

    $1,431,253

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $198,260 · program services $198,260

  • 5 · Compensation of officers, directors and key employees

    total $450,660 · program services $450,660 · fundraising $0

  • 7 · Other salaries and wages

    total $99,131,498 · program services $91,501,351 · management and general $7,630,147

  • 8 · Pension plan contributions

    total $3,493,700 · program services $3,224,790 · management and general $268,910

  • 9 · Other employee benefits

    total $3,327,982 · program services $3,071,827 · management and general $256,155

  • 10 · Payroll taxes

    total $6,614,339 · program services $6,079,088 · management and general $535,251

  • 11a · Fees: management

    total $1,411 · management and general $1,411

  • 11b · Fees: legal

    total $5,257 · management and general $5,257

  • 11c · Fees: accounting

    total $11,997 · management and general $11,997

  • 11d · Fees: lobbying

    total $4,367 · management and general $4,367

  • 11g · Fees: other

    total $14,769,200 · program services $14,242,060 · management and general $527,140 · fundraising $0

  • 12 · Advertising and promotion

    total $115,135 · program services $8,822 · management and general $106,313

  • 13 · Office expenses

    total $809,879 · program services $482,628 · management and general $327,251

  • 14 · Information technology

    total $491,466 · program services $161,001 · management and general $330,465

  • 16 · Occupancy

    total $6,080,564 · program services $5,588,507 · management and general $492,057

  • 17 · Travel

    total $175,585 · program services $169,212 · management and general $6,373

  • 19 · Conferences, conventions and meetings

    total $59,957 · program services $57,197 · management and general $2,760

  • 22 · Depreciation, depletion and amortization

    total $13,572,275 · program services $12,473,967 · management and general $1,098,308

  • 23 · Insurance

    total $525,611 · program services $516,288 · management and general $9,323

  • 24a · Other expenses: Medical Supplies

    total $42,206,031 · program services $41,803,592 · management and general $402,439

  • 24b · Other expenses: Purchased Services

    total $33,900,051 · program services $19,483,553 · management and general $14,416,498

  • 24c · Other expenses: Management Fee to Affiliate

    total $29,428,611 · management and general $29,428,611

  • 24d · Other expenses: UBI Tax Expense

    total $9,044 · management and general $9,044

  • 24e · All other expenses

    total $5,395,952 · program services $4,461,380 · management and general $934,572 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,133 · end of year $20,481,731

  • 2 · Savings and temporary cash investments

    beginning of year $16,033,079 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $33,713,283 · end of year $35,626,664

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $6,187,151 · end of year $6,008,630

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $265,964,377

  • 10b · Land, buildings and equipment: accumulated depreciation

    $99,484,518

  • 10c · Land, buildings and equipment, net

    beginning of year $169,670,958 · end of year $166,479,859

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $5,965,904

  • 14 · Intangible assets

    beginning of year $2,245,617 · end of year $1,943,350

  • 15 · Other assets

    beginning of year $11,702,917 · end of year $16,630,449

  • 17 · Accounts payable and accrued expenses

    beginning of year $17,253,723 · end of year $15,330,095

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $5,091 · end of year $17,817

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $215,307,855 · end of year $200,450,512

  • 27 · Net assets without donor restrictions

    beginning of year $12,955,373 · end of year $31,372,259

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

Rooted in the loving ministry of Jesus ashealer, we commit ourselves to serving all persons with special attention to thosewho are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustainsand improves the health of individualsand communities. We are advocates for acompassionate and just society throughour actions and our words.

Activities or mission (Part I)

To improve the health and well-being of all people in the communities we serve.

  • The filing organization is a part of the Ascension Catholic Health Ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. ASCENSION PROVIDENCE ROCHESTER HOSPITAL is a 226-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2023, ASCENSION PROVIDENCE ROCHESTER HOSPITAL treated 11,420 adults and children for a total of 52,141 patient days of service. The hospital also provided services for 175,077 outpatient visits, which included 5,287 outpatient surgeries and 29,888 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

    Expenses $203,974,183 · Grants $198,260 · Revenue $251,678,513

As filed on the 2022 return.

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

  • 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

  • SHERYL ANN WISSMAN MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $450,660
    From this org
    $426,362
    From related orgs
    $0
    Other
    $24,298
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $350,046
    Bonus
    $50,000
    Other
    $26,316
    Deferred
    $16,775
    Nontaxable benefits
    $7,523
    Filer's total
    $450,660

  • DEEPIKA KUMARI RN

    REGISTERED NURSE

    Total calculated
    $288,012
    From this org
    $279,623
    From related orgs
    $0
    Other
    $8,389
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $279,623
    Bonus
    $0
    Other
    $0
    Deferred
    $8,389
    Nontaxable benefits
    $0
    Filer's total
    $288,012

  • EWA JOLANTA KULESZA RN

    REGISTERED NURSE

    Total calculated
    $403,647
    From this org
    $392,748
    From related orgs
    $0
    Other
    $10,899
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $380,685
    Bonus
    $0
    Other
    $12,063
    Deferred
    $10,675
    Nontaxable benefits
    $224
    Filer's total
    $403,647

  • LEELAWATIE CARVER RN

    REGISTERED NURSE

    Total calculated
    $280,496
    From this org
    $271,011
    From related orgs
    $0
    Other
    $9,485
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $271,011
    Bonus
    $0
    Other
    $0
    Deferred
    $9,485
    Nontaxable benefits
    $0
    Filer's total
    $280,496

  • NANG B KUE RN

    REGISTERED NURSE

    Total calculated
    $287,316
    From this org
    $280,308
    From related orgs
    $0
    Other
    $7,008
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $280,308
    Bonus
    $0
    Other
    $0
    Deferred
    $7,008
    Nontaxable benefits
    $0
    Filer's total
    $287,316

  • STEVEN A GIBSON RN

    REGISTERED NURSE

    Total calculated
    $324,142
    From this org
    $298,748
    From related orgs
    $0
    Other
    $25,394
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $294,939
    Bonus
    $2,000
    Other
    $1,809
    Deferred
    $9,150
    Nontaxable benefits
    $16,244
    Filer's total
    $324,142

  • CHRISTOPHER J PALAZZOLO

    FORMER OFFICER (END 4/2022)

    Total calculated
    $938,840
    From this org
    $0
    From related orgs
    $899,776
    Other
    $39,064
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $347,760 related
    Bonus
    $0 + $402,518 related
    Other
    $0 + $149,498 related
    Deferred
    $0 + $18,059 related
    Nontaxable benefits
    $0 + $21,005 related
    Filer's total
    $0 + $938,840 related

  • DEBORAH KING RN

    FORMER KEY EMPLOYEE (END 12/2020)

    Total calculated
    $302,514
    From this org
    $0
    From related orgs
    $265,445
    Other
    $37,069
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $218,381 related
    Bonus
    $0 + $45,000 related
    Other
    $0 + $2,064 related
    Deferred
    $0 + $17,550 related
    Nontaxable benefits
    $0 + $19,519 related
    Filer's total
    $0 + $302,514 related

  • GARY MICHAEL DRUSKOVICH MD

    FORMER OFFICER (END 6/2022)

    Total calculated
    $758,887
    From this org
    $0
    From related orgs
    $715,960
    Other
    $42,927
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $495,211 related
    Bonus
    $0 + $157,500 related
    Other
    $0 + $63,249 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $26,152 related
    Filer's total
    $0 + $758,887 related

  • NANCY A HAYWOOD

    FORMER OFFICER (END 6/2022)

    Total calculated
    $525,459
    From this org
    $0
    From related orgs
    $482,060
    Other
    $43,399
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,916 related
    Bonus
    $0 + $105,000 related
    Other
    $0 + $37,144 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $23,574 related
    Filer's total
    $0 + $525,459 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

  • 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)

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 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
202431349349308633

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