Totals
- Total revenue
- $0
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Listed in Part VII
-
PAULA AUTRY
TRUSTEE/PRESIDENT & CEO (THRU 2/2022)
- Total calculated
- $1,027,551
- From this org
- $0
- From related orgs
- $1,020,599
- Other
- $6,952
- Hours/week
- 2 + 63 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
-
AARON BOATIN
TRUSTEE/SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 2 + 4 related
-
EMILY MOORHEAD
TRUSTEE/PRESIDENT & CEO (START 2/2022) CHAIRMAN
- Total calculated
- $513,732
- From this org
- $0
- From related orgs
- $507,762
- Other
- $5,970
- Hours/week
- 2 + 63 related
Schedule J breakdown matched by us
- Base
- $0 + $304,242 related
- Bonus
- $0 + $145,023 related
- Other
- $0 + $58,497 related
- Deferred
- $0 + $4,575 related
- Nontaxable benefits
- $0 + $1,395 related
- Filer's total
- $0 + $513,732 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 — 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 · Tax indemnification and gross-up payments
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing 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, LINES 4A-B
- CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN SUPPLEMENTAL RETIREMENT PROGRAMS THAT RESULT IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, AND/OR AS PAID. IT IS AN ELEMENT OF SOME PLAN DESIGNS 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. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: PART I, LINES 4A: SEVERANCE PAYMENTS PAULA AUTRY $492,602 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) - HENRY FORD HEALTH SYSTEM PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 PAULA AUTRY - 167,535 - - CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN- HENRY FORD HEALTH SYSTEM EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS PAULA AUTRY 3,154 - - 3,154 EMILY MOORHEAD 465 - - 465 SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2022 CONTR. 2022 CONTR. TAX GROSS-UP W-2 AMOUNTS EMILY MOORHEAD 11,160 - - 11,160
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.
-
WA FOOTE MEMORIAL HOSPITAL DBA HENRY FORD HEALTH JACKSON HOSPITAL
501(C)(3) · HEALTHCARE SERVICE PROVIDER · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
HENRY FORD ALLEGIANCE HEALTH GROUP
501(C)(3) · EXEMPT ORGANIZATION · MI
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(3) · SUPPORTING ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
HOSPICE OF JACKSON DBA HENRY FORD ALLEGIANCE HOSPICE
501(C)(3) · HOSPICE CARE · MI · controlled entity
Directly controlled by HEATHLINK
-
501(C)(3) · LONG TERM ACUTE CARE HOSPITAL · MI · controlled entity
Directly controlled by HENRY FORD ALLEGIANCE HEALTH GROUP
-
501(C)(3) · HEALTHCARE SERVICE PROVIDER · MI
-
501(C)(3) · HEALTHCARE SERVICE PROVIDER · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD HEALTH SYSTEM FOUNDATION
501(C)(3) · SUPPORTING ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(4) · HEALTH MAINTENANCE ORGANIZATION · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(3) · SCIENTIFIC RESEARCH · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
HENRY FORD HEALTH SYSTEM GOVERNMENT AFFAIRS SERVICES
501(C)(4) · ADVOCACY SERVICES FOR HF HEALTH AND AFFILIATES · MI · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(3) · HEALTHCARE SERVICE PROVIDER · DE · controlled entity
Directly controlled by HENRY FORD HEALTH SYSTEM
-
THE CLARENCE S LIVINGOOD LECTURESHIP AND EDUCATION FUND
501(C)(3) · SUPPORTING ORGANIZATION · MI
Directly controlled by HENRY FORD HEALTH SYSTEM
-
501(C)(3) · PHYSICIAN SERVICES · 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
- 202313149349304296
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