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← HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES

Form 990 for tax year 2022

Filed by HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES.

Totals

Total revenue
$1,155,658
Total expenses
$1,184,577
Contributions and grants received
$0
Grants paid
$25,000
Program service revenue
$1,155,031
Investment income
$627
Other revenue
$0
Total assets, end of year
$54,499
Total liabilities, end of year
$3,478
Net assets or fund balances, end of year
$51,021
Program services expenses (Part IX)
$1,184,577
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$1,184,577

Program services were 100.0% 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.

  • 2a · Program service revenue: ADVOCACY SERVICES

    total $1,155,031 · related or exempt $1,155,031

  • 3 · Investment income

    total $627 · excluded $627

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $25,000 · program services $25,000

  • 7 · Other salaries and wages

    total $671,792 · program services $671,792

  • 8 · Pension plan contributions

    total $20,918 · program services $20,918

  • 9 · Other employee benefits

    total $64,311 · program services $64,311

  • 10 · Payroll taxes

    total $43,464 · program services $43,464

  • 11b · Fees: legal

    total $6,306 · program services $6,306

  • 11g · Fees: other

    total $213,708 · program services $213,708

  • 13 · Office expenses

    total $76,000 · program services $76,000

  • 14 · Information technology

    total $261 · program services $261

  • 17 · Travel

    total $41,422 · program services $41,422

  • 19 · Conferences, conventions and meetings

    total $6,940 · program services $6,940

  • 24a · Other expenses: MEMBERSHIP DUES

    total $8,254 · program services $8,254

  • 24b · Other expenses: DEPARTMENTAL SERVICES

    total $3,478 · program services $3,478

  • 24c · Other expenses: PHOTOGRAPHY/MEDICAL ART

    total $2,723 · program services $2,723

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $94,836 · end of year $54,499

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,896 · end of year $3,478

  • 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 $79,940 · end of year $51,021

Mission and programs · 2022

Mission

THE PURPOSE OF THE HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES IS TO PROTECT THE ECONOMIC VIABILITY OF HENRY FORD HEALTH SYSTEM AND ITS RELATED ENTITIES BY ADVOCATING AT THE LOCAL, STATE, AND FEDERAL LEVELS OF GOVERNMENT FOR ANY AND ALL MATTERS THAT IMPACT COSTS, OPERATIONS, STRATEGIC PLAN AND/OR ITS ABILITY TO PROVIDE BENEFITS TO THE COMMUNITY.

Activities or mission (Part I)

TO ENGAGE IN LEGISLATIVE AND REGULATORY ADVOCACY ON BEHALF OF HENRY FORD HEALTH SYSTEM-SEE SCH O AND ITS RELATED ENTITIES TO IMPROVE ACCESS TO QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES AND ITS ABILITY TO PROVIDE COMMUNITY BENEFITS

  • ADVOCACY TO SUPPORT THE VIABILITY OF HF HEALTH TO PROVIDE COMMUNITY BENEFITS.

    Expenses $1,184,577 · Grants $25,000 · Revenue $1,155,031

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Wright L Lassiter III

    DIRECTOR (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,CHAIR,PRESIDENT

    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

  • Adnan R Munkarah MD

    DIRECTOR

    Total calculated
    $2,805,880
    From this org
    $0
    From related orgs
    $2,740,661
    Other
    $65,219
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $977,733 related
    Bonus
    $0 + $629,552 related
    Other
    $0 + $1,133,376 related
    Deferred
    $0 + $27,698 related
    Nontaxable benefits
    $0 + $37,521 related
    Filer's total
    $0 + $2,805,880 related

  • Richard O Davis Ph D

    DIRECTOR (THRU 3/2022)

    Total calculated
    $663,726
    From this org
    $0
    From related orgs
    $655,928
    Other
    $7,798
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $110,458 related
    Bonus
    $0 + $541,159 related
    Other
    $0 + $4,311 related
    Deferred
    $0 + $2,056 related
    Nontaxable benefits
    $0 + $5,742 related
    Filer's total
    $0 + $663,726 related

  • Barbara W Rossmann

    DIRECTOR

    Total calculated
    $1,045,768
    From this org
    $0
    From related orgs
    $990,990
    Other
    $54,778
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $523,998 related
    Bonus
    $0 + $358,710 related
    Other
    $0 + $108,282 related
    Deferred
    $0 + $29,222 related
    Nontaxable benefits
    $0 + $25,556 related
    Filer's total
    $0 + $1,045,768 related

  • Michelle Johnson Tidjani Esq

    DIRECTOR, 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

  • Robin S Damschroder

    DIRECTOR, 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

  • Denise Brooks-Williams

    DIRECTOR

    Total calculated
    $1,439,156
    From this org
    $0
    From related orgs
    $1,395,321
    Other
    $43,835
    Hours/week
    1 + 62 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

  • Carladenise A Edwards PhD

    DIRECTOR (THRU 8/2022)

    Total calculated
    $1,342,637
    From this org
    $0
    From related orgs
    $1,314,538
    Other
    $28,099
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $563,879 related
    Bonus
    $0 + $379,836 related
    Other
    $0 + $370,823 related
    Deferred
    $0 + $5,338 related
    Nontaxable benefits
    $0 + $22,761 related
    Filer's total
    $0 + $1,342,637 related

  • Michael A Genord MD

    DIRECTOR

    Total calculated
    $1,687,368
    From this org
    $0
    From related orgs
    $1,650,588
    Other
    $36,780
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $853,051 related
    Bonus
    $0 + $547,533 related
    Other
    $0 + $250,004 related
    Deferred
    $0 + $5,750 related
    Nontaxable benefits
    $0 + $31,030 related
    Filer's total
    $0 + $1,687,368 related

  • Veronica M Hall RN

    DIRECTOR

    Total calculated
    $956,639
    From this org
    $0
    From related orgs
    $841,586
    Other
    $115,053
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $544,596 related
    Bonus
    $0 + $262,517 related
    Other
    $0 + $34,473 related
    Deferred
    $0 + $101,514 related
    Nontaxable benefits
    $0 + $13,539 related
    Filer's total
    $0 + $956,639 related

  • Bruce K Muma MD

    DIRECTOR

    Total calculated
    $671,466
    From this org
    $0
    From related orgs
    $606,599
    Other
    $64,867
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $416,216 related
    Bonus
    $0 + $135,023 related
    Other
    $0 + $55,360 related
    Deferred
    $0 + $29,222 related
    Nontaxable benefits
    $0 + $35,645 related
    Filer's total
    $0 + $671,466 related

  • Paula Autry

    DIRECTOR (THRU 2/2022)

    Total calculated
    $1,027,551
    From this org
    $0
    From related orgs
    $1,020,599
    Other
    $6,952
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $75,796 related
    Bonus
    $0 + $280,355 related
    Other
    $0 + $664,448 related
    Deferred
    $0 + $1,430 related
    Nontaxable benefits
    $0 + $5,522 related
    Filer's total
    $0 + $1,027,551 related

  • Jennifer M Eslinger

    DIRECTOR (THRU 9/2022)

    Total calculated
    $490,249
    From this org
    $0
    From related orgs
    $464,141
    Other
    $26,108
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $243,016 related
    Bonus
    $0 + $206,245 related
    Other
    $0 + $14,880 related
    Deferred
    $0 + $4,657 related
    Nontaxable benefits
    $0 + $21,451 related
    Filer's total
    $0 + $490,249 related

  • Shanna Johnson

    DIRECTOR (START 4/2022)

    Total calculated
    $307,716
    From this org
    $0
    From related orgs
    $283,475
    Other
    $24,241
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $233,122 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $353 related
    Deferred
    $0 + $21,136 related
    Nontaxable benefits
    $0 + $3,105 related
    Filer's total
    $0 + $307,716 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

  • William A Conway MD

    FORMER DIRECTOR

    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

  • Eric E Wallis Dnp

    FORMER DIRECTOR

    Total calculated
    $961,292
    From this org
    $0
    From related orgs
    $815,261
    Other
    $146,031
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,588 related
    Bonus
    $0 + $298,913 related
    Other
    $0 + $21,760 related
    Deferred
    $0 + $112,938 related
    Nontaxable benefits
    $0 + $33,093 related
    Filer's total
    $0 + $961,292 related

  • Mark Corriveau

    FORMER PRESIDENT

    Total calculated
    $410,343
    From this org
    $0
    From related orgs
    $353,434
    Other
    $56,909
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $244,812 related
    Bonus
    $0 + $85,500 related
    Other
    $0 + $23,122 related
    Deferred
    $0 + $24,270 related
    Nontaxable benefits
    $0 + $32,639 related
    Filer's total
    $0 + $410,343 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

  • 1a · First-class or charter travel
  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 1b · Written policy on the line-1a expenses
  • 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. 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. 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, LINES 4A-B
SCH J, LINE 4B, PERSON PARTICIPATING IN HFHS NONQUALIFIED RETIREMENT PLANS PART I, LINES 4A: SEVERANCE PAYMENTS PAULA AUTRY $492,602 CARLADENISE EDWARDS $250,195 SEC 457(F) - HFHS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE PARTICIPANT ACCRUAL DISTRIBUTION DISTRIBUTION NON-VESTED W-2 WRIGHT LASSITER 523,447 107,645 1,947,928 - 631,092 ROBERT G. RINEY 463,649 - - - 463,649 BARBARA W. ROSSMANN 105,125 - - - 105,125 DENISE BROOKS-WILLIAMS,MD 176,267 - - 176,267 ROBIN DAMSCHRODER 827,133 - - - 827,133 MICHELLE JOHNSON TIDJANI 211,041 - - - 211,041 ADNAN MUNKARAH, M.D. 991,756 - - - 991,756 MICHAEL GENORD, M.D. 224,188 - - - 224,188 CARLADENISE EDWARDS - 105,509 - - 105,509 PAULA AUTRY - 167,535 - - 167,535 SHANNA JOHNSON - - - 17,611 - CONTRIBUTIONS TO HFHS SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN: EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS ROBERT G. RINEY 20,500 - - 20,500 BARBARA W. ROSSMANN 3,157 - - 3,157 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 WRIGHT L. LASSITER III 12,616 - - 12,616 MARC CORRIVEAU 20,500 - - 20,500 BRUCE K. MUMA 12,521 7,979 192 20,692 ROBIN DAMSCHRODER 20,500 - - 20,500 RICHARD O. DAVIS, PH.D 3,154 - - 3,154 ADNAN R. MUNKARAH, M.D. 20,500 - - 20,500 VERONICA M. HALL, R.N. 4,950 - - 4,950 MICHAEL GENORD, M.D. 20,500 - - 20,500 MICHELLE JOHNSON TIDJANI 20,500 - - 20,500 PAULA AUTRY 3,154 - - 3,154 JENNIFER ESLINGER 13,468 - - 13,468 CARLADENISE EDWARDS 13,404 - - 13,404 ERIC WALLIS 20,500 - - 20,500

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.

  • NORTHWEST DETROIT DIALYSIS

    N/A · OPERATE DIALYSIS CLINIC · MI

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • MACOMB REGIONAL DIALYSIS CENTERS

    N/A · OPERATE DIALYSIS CLINIC · MI

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • FOOTE HEALTH CENTER ASSOCIATES

    N/A · LESSOR OF MEDICAL CONDOMINIUMS · MI

    Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP

  • HFHS-SCA HOLDINGS LLC

    N/A · OUTPATIENT SURGERY CLINICS · MI

    Directly controlled by HENRY FORD HEALTH SYSTEM

Related corporations and trusts

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

  • SHA REALTY INC

    C · REAL ESTATE HOLDING · MI · controlled entity

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • FAIRLANE HEALTH SERVICES

    C · HEALTHCARE MANAGEMENT · MI · controlled entity

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • ALLIANCE HEALTH AND LIFE INSURANCE

    C · HEALTH INSURANCE PROVIDER · MI · controlled entity

    Directly controlled by HEALTH ALLIANCE PLAN

  • HAP PREFERRED INC

    C · PROVIDER NETWORK LEASING · MI · controlled entity

    Directly controlled by HEALTH ALLIANCE PLAN

  • ONIKA INSURANCE LTD

    C · CAPTIVE INSURANCE · MI · controlled entity

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • HENRY FORD PHYSICIAN NETWORK

    C · PHYSICIAN NETWORK · MI · controlled entity

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • ADMINISTRATION SYSTEMS RESEARCH CORPORATION

    C · THIRD PARTY INSURANCE ADMINISTRATOR · MI · controlled entity

    Directly controlled by HEALTH ALLIANCE PLAN

  • HAP CARESOURCE

    C · HEALTH INSURANCE PROVIDER · MI · controlled entity

    Directly controlled by HEALTH ALLIANCE PLAN

  • HENRY FORD ALLEGIANCE PHARMACY

    C · PHARMACY · MI · controlled entity

    Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP

  • HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION

    C · CONDOMINIUM ASSOCIATION · 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
202333149349304283

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