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Nonprofiteer
← HENRY FORD MACOMB HOSPITAL CORPORATION

Form 990 for tax year 2024

Filed by HENRY FORD MACOMB HOSPITAL CORPORATION.

Totals

Total revenue
$651,632,688
Total expenses
$641,598,489
Contributions and grants received
$5,837,114
Grants paid
$39,332
Program service revenue
$638,171,757
Investment income
$4,907,415
Other revenue
$2,716,402
Total assets, end of year
$728,839,953
Total liabilities, end of year
$253,224,809
Net assets or fund balances, end of year
$475,615,144
Program services expenses (Part IX)
$617,872,156
Management and general expenses
$23,606,645
Fundraising expenses
$119,688
Program service expenses (Part III)
$617,872,156

Program services were 96.3% 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.

  • 1c · Fundraising events

    $226,729

  • 1e · Government grants (contributions)

    $4,266,639

  • 1f · All other contributions, gifts and grants

    $1,343,746

  • 1g · Noncash contributions included above

    $88,923

  • 2a · Program service revenue: HOSPITAL SERVICES

    total $396,964,128 · related or exempt $396,964,128

  • 2b · Program service revenue: OUTPATIENT SERVICES

    total $153,047,403 · related or exempt $153,047,403

  • 2c · Program service revenue: EMERGENCY SERVICES

    total $59,508,991 · related or exempt $59,508,991

  • 2d · Program service revenue: MEDICAL EDUCATION-GME

    total $7,877,235 · related or exempt $7,877,235

  • 2f · All other program service revenue

    total $20,774,000 · related or exempt $20,774,000

  • 3 · Investment income

    total $1,730,070 · excluded $1,730,070

  • 6a · Gross rents

    real property $588,586

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $588,586

  • 6d · Net rental income or loss

    total $588,586 · excluded $588,586

  • 7a · Gross sales of assets other than inventory

    securities $21,771,545 · other assets $40,862

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

    securities $18,198,199 · other assets $436,863

  • 7c · Gain or loss

    securities $3,573,346 · other assets -$396,001

  • 7d · Net gain or loss

    total $3,177,345 · related or exempt $3,573,346 · excluded -$396,001

  • 8a · Fundraising events: gross income

    $111,537

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

    $226,729

  • 8b · Fundraising events: direct expenses

    $197,269

  • 8c · Net income from fundraising events

    total -$85,732 · excluded -$85,732

  • 9a · Gaming: gross income

    $33,010

  • 9b · Gaming: direct expenses

    $5,871

  • 9c · Net income from gaming

    total $27,139 · excluded $27,139

  • 11a · Other revenue: CAFETERIA

    total $1,699,263 · related or exempt $1,699,263

  • 11b · Other revenue: GIFT SHOP

    total $362,435 · related or exempt $362,435

  • 11d · All other revenue

    total $124,711 · related or exempt $124,711

  • 11e · Other revenue, total

    $2,186,409

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $39,332 · program services $39,332

  • 5 · Compensation of officers, directors and key employees

    total $1,628,397 · program services $1,087,381 · management and general $459,596 · fundraising $81,420

  • 7 · Other salaries and wages

    total $228,580,529 · program services $222,084,251 · management and general $6,496,278

  • 8 · Pension plan contributions

    total $4,439,775 · program services $4,304,055 · management and general $134,150 · fundraising $1,570

  • 9 · Other employee benefits

    total $24,898,477 · program services $24,137,351 · management and general $752,320 · fundraising $8,806

  • 10 · Payroll taxes

    total $15,657,480 · program services $15,178,844 · management and general $473,098 · fundraising $5,538

  • 11g · Fees: other

    total $23,517,985 · program services $21,431,407 · management and general $2,085,844 · fundraising $734

  • 12 · Advertising and promotion

    total $46,407 · program services $22,223 · management and general $24,184

  • 13 · Office expenses

    total $14,182,902 · program services $12,278,385 · management and general $1,904,517

  • 14 · Information technology

    total $1,417,110 · program services $1,382,687 · management and general $34,423

  • 16 · Occupancy

    total $5,195,192 · program services $4,561,405 · management and general $633,642 · fundraising $145

  • 17 · Travel

    total $287,127 · program services $280,313 · management and general $6,814

  • 19 · Conferences, conventions and meetings

    total $717,743 · program services $646,296 · management and general $71,447

  • 20 · Interest

    total $10,816,381 · program services $10,816,381

  • 22 · Depreciation, depletion and amortization

    total $23,940,529 · program services $16,771,096 · management and general $7,169,433

  • 23 · Insurance

    total $9,143,480 · program services $9,143,480

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $81,903,805 · program services $81,840,959 · management and general $62,846

  • 24b · Other expenses: CORPORATION ALLOCATION

    total $72,693,938 · program services $72,693,938

  • 24c · Other expenses: PHARMACEUTICAL SUPPLIES

    total $33,333,119 · program services $33,333,119

  • 24d · Other expenses: QAAP TAX

    total $28,959,502 · program services $28,959,502

  • 24e · All other expenses

    total $60,199,279 · program services $56,879,751 · management and general $3,298,053 · fundraising $21,475

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,446 · end of year $3,863

  • 2 · Savings and temporary cash investments

    beginning of year -$6,947,343 · end of year $45,871,152

  • 3 · Pledges and grants receivable

    beginning of year $3,445,052 · end of year $3,197,565

  • 4 · Accounts receivable

    beginning of year $54,392,288 · end of year $80,367,557

  • 8 · Inventories for sale or use

    beginning of year $16,531,242 · end of year $14,439,892

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,693,466 · end of year $2,139,781

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

    $608,595,546

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

    $271,757,787

  • 10c · Land, buildings and equipment, net

    beginning of year $340,181,151 · end of year $336,837,759

  • 11 · Investments: publicly traded securities

    beginning of year $194,504,244 · end of year $216,055,946

  • 15 · Other assets

    beginning of year $29,581,509 · end of year $29,926,438

  • 17 · Accounts payable and accrued expenses

    beginning of year $51,211,937 · end of year $53,286,817

  • 20 · Tax-exempt bond liabilities

    beginning of year $121,108,456 · end of year $117,180,940

  • 25 · Other liabilities

    beginning of year $79,323,631 · end of year $82,757,052

  • 27 · Net assets without donor restrictions

    beginning of year $366,532,992 · end of year $459,418,686

  • 28 · Net assets with donor restrictions

    beginning of year $15,209,039 · end of year $16,196,458

Mission and programs · 2024

Mission

HENRY FORD HEALTH MACOMB HOSPITAL (HFMH) IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM DBA HENRY FORD HEALTH ("HF HEALTH") SERVING THE NORTHEASTERN METROPOLITAN DETROIT MICHIGAN COMMUNITIES. AS AN INTEGRATED COMPONENT OF ONE OF THE NATION'S LEADING COMPREHENSIVE, INTEGRATED HEALTH SYSTEMS, IT IS THE MISSION OF HFMH TO IMPROVE HUMAN LIFE THROUGH THE EXCELLENCE OF THE SCIENCE AND ART OF HEALTH CARE AND HEALING. HFMH IS COMMITTED TO PROVIDING HEALTH SERVICES AND IMPROVING THE QUALITY OF LIFE OF THE CITIZENS OF THE COMMUNITIES IT SERVES REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. THE ORGANIZATION PROVIDES FINANCING AND HEALTH CARE DELIVERY, INCLUDING ACUTE, SPECIALTY, PRIMARY AND PREVENTATIVE CARE SERVICES BACKED BY EXCELLENCE IN RESEARCH AND EDUCATION.

Activities or mission (Part I)

WE IMPROVE PEOPLE'S LIVES THROUGH EXCELLENCE IN THE SCIENCE AND ART OF HEALTH CARE AND HEALING.VISION: WE WILL BE THE TRUSTED PARTNER IN HEALTH, LEADING THE NATION IN SUPERIOR CARE AND VALUE-ONE PERSON AT A TIME.

  • HENRY FORD HEALTH MACOMB HOSPITAL (HFMH) IS RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING INPATIENT CARE TO THE RESIDENTS OF MACOMB COUNTY MICHIGAN AS WELL AS OTHER COMMUNITIES LOCATED NORTHEAST OF THE CITY OF DETROIT. DURING 2024, HFMH HAD 20,583 DISCHARGES.HFMH PROVIDES COMPREHENSIVE ACUTE AND TERTIARY CARE. SPECIALTY SERVICES INCLUDE A HEART & VASCULAR INSTITUTE, HENRY FORD CANCER INSTITUTE, A WOMEN'S HEALTH CENTER, ALONG WITH A BIRTHING CENTER THAT FEATURES 17 LABOR, DELIVERY, RECOVERY AND POST-PARTUM SUITES. THE HOSPITAL ALSO HAS A 32-BED INPATIENT REHABILITATION PROGRAM, AN AMBULATORY AND MINIMALLY INVASIVE SURGERY CENTER AND LEADING DIAGNOSTIC IMAGING, ALONG WITH ADVANCED TRAUMA CAPABILITIES AND EMERGENCY SERVICES.MEDICAL EDUCATION:HENRY FORD HEALTH MACOMB HOSPITAL HAS AN OSTEOPATHIC GRADUATE MEDICAL EDUCATION PROGRAM, OFFERING ROTATIONS TO RESIDENTS, INTERNS AND THIRD-AND-FOUTH-YEAR MEDICAL STUDENTS.HENRY FORD HEALTH MACOMB HOSPITAL TRAINS OVER 170 MEDICAL STUDENTS AND 155 RESIDENTS IN 8 PROGRAMS.

    Expenses $432,387,916 · Grants $39,332 · Revenue $396,964,128

  • HFMH PROVIDES OUTPATIENT SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE NORTH EASTERN METROPOLITAN COMMUNITIES OF DETROIT. IN TOTAL THIS REPRESENTED 480,805 TOTAL OUTPATIENT ENCOUNTERS DURING 2024.

    Expenses $139,192,896 · Revenue $153,047,403

  • HFMH OPERATES A LEVEL II EMERGENCY FACILITY. EMERGENCY SERVICES REPRESENTED 62,294 PATIENT VISITS DURING 2024.

    Expenses $30,061,644 · Revenue $59,508,991

  • OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES LOCATED WITHIN THE MEDICAL FACILITIES.

    Expenses $16,229,700 · Revenue $34,410,990

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Lynn Ford Alandt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Jacalyn S Goforth

    DIRECTOR

    Total calculated
    $25,000
    From this org
    $0
    From related orgs
    $25,000
    Other
    $0
    Hours/week
    1 + 5 related

  • David J Breen

    DIRECTOR-CHAIR

    Total calculated
    $50,000
    From this org
    $0
    From related orgs
    $50,000
    Other
    $0
    Hours/week
    2 + 6 related

  • John F Harris

    DIRECTOR

    Total calculated
    $30,000
    From this org
    $0
    From related orgs
    $30,000
    Other
    $0
    Hours/week
    1 + 3 related

  • David M Hempstead

    DIRECTOR

    Total calculated
    $15,000
    From this org
    $0
    From related orgs
    $15,000
    Other
    $0
    Hours/week
    1 + 4 related

  • Patricia A Maryland Drph

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Charles G McClure Jr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Daniel J Phelan PhD

    DIRECTOR

    Total calculated
    $30,000
    From this org
    $0
    From related orgs
    $30,000
    Other
    $0
    Hours/week
    1 + 7 related

  • Barry G Porter

    DIRECTOR

    Total calculated
    $35,000
    From this org
    $0
    From related orgs
    $35,000
    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 + 3 related

  • Joseph J Richardson Jr

    DIRECTOR

    Total calculated
    $35,000
    From this org
    $0
    From related orgs
    $35,000
    Other
    $0
    Hours/week
    1 + 4 related

  • Robert G Riney

    DIRECTOR/ PRESIDENT/CEO

    Total calculated
    $7,081,174
    From this org
    $0
    From related orgs
    $7,019,469
    Other
    $61,705
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,387,193 related
    Bonus
    $0 + $3,700,757 related
    Other
    $0 + $931,519 related
    Deferred
    $0 + $29,501 related
    Nontaxable benefits
    $0 + $32,204 related
    Filer's total
    $0 + $7,081,174 related

  • Frederiek Toney

    DIRECTOR

    Total calculated
    $35,000
    From this org
    $0
    From related orgs
    $35,000
    Other
    $0
    Hours/week
    1 + 4 related

  • Edgar L Vann II

    DIRECTOR

    Total calculated
    $35,000
    From this org
    $0
    From related orgs
    $35,000
    Other
    $0
    Hours/week
    1 + 4 related

  • Gerardo Norcia

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Farzan Siddiqui MD PhD

    DIRECTOR/PHYSICIAN

    Total calculated
    $754,807
    From this org
    $0
    From related orgs
    $721,637
    Other
    $33,170
    Hours/week
    1 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $556,460 related
    Bonus
    $0 + $124,000 related
    Other
    $0 + $41,177 related
    Deferred
    $0 + $29,500 related
    Nontaxable benefits
    $0 + $3,670 related
    Filer's total
    $0 + $754,807 related

  • Robin S Damschroder

    TREASURER

    Total calculated
    $3,410,190
    From this org
    $0
    From related orgs
    $3,345,654
    Other
    $64,536
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,578,028 related
    Bonus
    $0 + $1,327,919 related
    Other
    $0 + $439,707 related
    Deferred
    $0 + $29,501 related
    Nontaxable benefits
    $0 + $35,035 related
    Filer's total
    $0 + $3,410,190 related

  • Steven B Bender Esq

    SECRETARY (START 10/2024)

    Total calculated
    $325,354
    From this org
    $0
    From related orgs
    $319,725
    Other
    $5,629
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $169,566 related
    Bonus
    $0 + $150,000 related
    Other
    $0 + $159 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,629 related
    Filer's total
    $0 + $325,354 related

  • Marjorie A Staten JD

    SECRETARY (THRU 10/2024)

    Total calculated
    $262,958
    From this org
    $0
    From related orgs
    $247,026
    Other
    $15,932
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $204,635 related
    Bonus
    $0 + $40,500 related
    Other
    $0 + $1,891 related
    Deferred
    $0 + $3,642 related
    Nontaxable benefits
    $0 + $12,290 related
    Filer's total
    $0 + $262,958 related

  • Shanna Johnson

    INTERIM CEO

    Total calculated
    $1,007,230
    From this org
    $0
    From related orgs
    $931,485
    Other
    $75,745
    Hours/week
    30 + 31 related

    Schedule J breakdown matched by us

    Base
    $0 + $449,568 related
    Bonus
    $0 + $436,302 related
    Other
    $0 + $45,615 related
    Deferred
    $0 + $70,768 related
    Nontaxable benefits
    $0 + $4,977 related
    Filer's total
    $0 + $1,007,230 related

  • Terry A Goodbalian

    CFO NORTH MARKET (THRU 10/24)

    Total calculated
    $483,785
    From this org
    $438,336
    From related orgs
    $0
    Other
    $45,449
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $245,230
    Bonus
    $117,798
    Other
    $75,308
    Deferred
    $16,610
    Nontaxable benefits
    $28,839
    Filer's total
    $483,785

  • Michael Markel Jr RN

    VP-OPERATIONS/CNO

    Total calculated
    $480,162
    From this org
    $449,480
    From related orgs
    $0
    Other
    $30,682
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $306,224
    Bonus
    $120,256
    Other
    $23,000
    Deferred
    $28,939
    Nontaxable benefits
    $1,743
    Filer's total
    $480,162

  • Christopher Milback MD

    CMO

    Total calculated
    $640,738
    From this org
    $607,246
    From related orgs
    $0
    Other
    $33,492
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $431,570
    Bonus
    $163,802
    Other
    $11,874
    Deferred
    $6,038
    Nontaxable benefits
    $27,454
    Filer's total
    $640,738

  • Kenneth A Scott Do

    PHYSICIAN

    Total calculated
    $1,261,145
    From this org
    $1,199,360
    From related orgs
    $0
    Other
    $61,785
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $919,628
    Bonus
    $147,245
    Other
    $132,487
    Deferred
    $29,501
    Nontaxable benefits
    $32,284
    Filer's total
    $1,261,145

  • Mark T Ryan Do

    PHYSICIAN

    Total calculated
    $984,141
    From this org
    $941,848
    From related orgs
    $0
    Other
    $42,293
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $900,555
    Bonus
    $2,000
    Other
    $39,293
    Deferred
    $29,500
    Nontaxable benefits
    $12,793
    Filer's total
    $984,141

  • Peter P Lopez MD

    PHYSICIAN

    Total calculated
    $934,202
    From this org
    $874,912
    From related orgs
    $0
    Other
    $59,290
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $310,130
    Bonus
    $152,424
    Other
    $412,358
    Deferred
    $6,038
    Nontaxable benefits
    $53,252
    Filer's total
    $934,202

  • Eddie El-Yussif Do

    PHYSICIAN

    Total calculated
    $1,004,358
    From this org
    $939,366
    From related orgs
    $0
    Other
    $64,992
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $862,339
    Bonus
    $2,000
    Other
    $75,027
    Deferred
    $29,501
    Nontaxable benefits
    $35,491
    Filer's total
    $1,004,358

  • Raed M Alnajjar MD

    PHYSICIAN

    Total calculated
    $2,081,987
    From this org
    $2,015,674
    From related orgs
    $0
    Other
    $66,313
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $870,916
    Bonus
    $912,777
    Other
    $231,981
    Deferred
    $29,500
    Nontaxable benefits
    $36,813
    Filer's total
    $2,081,987

  • Barbara W Rossmann

    FORMER CEO

    Total calculated
    $135,699
    From this org
    $135,699
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $135,699
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $135,699

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
  • 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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 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 2023. 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, LINES 4A-B
SCH J, LINE 4B, PERSONS PARTICIPATING IN NONQUALIFIED RETIREMENT PLANS PART I, LINES 4A: SEVERANCE PAYMENTS TERRY A. GOODBALIAN $63,832 SEC 457(F) - SUPPLEMENTAL HFHS EXECUTIVE RETIREMENT PLAN (SERP) TAXABLE NON TAXABLE REPORTABLE 2024 ACCRUAL NON-VESTED DISTRIBUTIONS DISTRIBUTIONS W-2 AMOUNTS PARTICIPANT ROBIN DAMSCHRODER 414,385 - - - 414,385 ROBERT RINEY 894,040 - - - 894,040 SHANNA JOHNSON - 64,730 - - - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2024 CONTRIBUTIONS 2024 CONTRIBUTIONS TAX GROSS-UP W-2 AMOUNTS MARK RYAN, M.D. 2,945 20,055 483 23,483 KENNETH A. SCOTT - 23,000 554 23,554 EDDIE EL-YUSSIF 3,838 19,162 461 23,461 ROBIN S. DAMSCHRODER 23,000 - - 23,000 CHRISTOPHER MILBACK, M.D. 5,200 3,957 95 9,252 RAED ALAJJAR, M.D. 7,075 15,925 383 23,383 ROBERT RINEY 23,000 - - 23,000 MICHAEL J MARKEL, JR. 23,000 - - 23,000 PETER P LOPEZ, M.D. 21,688 1,312 32 23,032 FARZAN SIDDIQUI, M.D. 12,537 10,463 252 23,252
PART I, LINE 7
CERTAIN PHYSICIANS EMPLOYED BY THE ORGANIZATION RECEIVE COMPENSATION BASED ON A BASE SALARY AND AN INCENTIVE PAYMENT WHEN SERVICE VOLUMES EXCEED A PREDETERMINED LEVEL. THE ORGANIZATION MAY ALSO PROVIDE SUPPLEMENTAL COMPENSATION TO LEADERS ASKED TO ASSUME TEMPORARY EXPANDED SCOPES OF RESPONSIBILTIES. IN ALL SUCH CASES TOTAL COMPENSATION IS CONSIDERED IN THE EVALUATION OF REASONABLE COMPENSATION.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

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 CLINICS · MI

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • FOOTE HEALTH CENTER ASSOCIATES

    N/A · LESSOR OF MEDICAL CONDOMINIUM · MI

    Directly controlled by HENRY FORD HEALTH JACKSON HOSPITAL

  • HFHS-SCA HOLDINGS LLC

    N/A · OUTPATIENT SURGERY CLINICS · MI

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • HAP EMPOWERED HOLDING LLC

    N/A · HOLDING COMPANY · DE

    Directly controlled by HEALTH ALLIANCE PLAN OF MICHIGAN

  • THE MICHIGAN INSTITUTE FOR ADVANCED SURGERY CENTER LLC

    RELATED · AMBULATORY SURGERY CENTER · MI

    Directly controlled by CRITTENTON DEVELOPMENT CORPORATION

Related corporations and trusts

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

  • HENRY FORD ELIJAH MCCOY CONDOMINIUM ASSOCIATION

    C · CONDOMINIUM ASSOCIATION · 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

  • SHA REALTY INC

    C · REAL ESTATE HOLDING · MI · controlled entity

    Directly controlled by HENRY FORD HEALTH SYSTEM

  • ONIKA INSURANCE LTD

    C · CAPTIVE INSURANCE · CJ · 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

  • CRITTENTON DEVELOPMENT CORPORATION

    C · REAL ESTATE · MI · controlled entity

    Directly controlled by HENRY FORD HEALTH ROCHESTER HOSPITAL

  • AFFILIATED HEALTH SERVICES INC

    C · MEDICAL SERVICES · MI · controlled entity

    Directly controlled by ST JOHN PROVIDENCE

  • BEECHER BALLENGER SERVICES INC

    C · HOLDING COMPANY · MI · controlled entity

    Directly controlled by GENESYS AMBULATORY HEALTH SERVICES INC

Provenance

Return type
form_990
Tax year
2024
Filed
14 November 2025
IRS schema version
2024v5.2
Source object
202533189349305898

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