Skip to content
Nonprofiteer
← WA FOOTE MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by WA FOOTE MEMORIAL HOSPITAL.

Totals

Total revenue
$794,122,795
Total expenses
$764,590,573
Contributions and grants received
$10,833,229
Grants paid
$352,336
Program services expenses (Part IX)
$709,175,196
Management and general expenses
$55,300,058
Fundraising expenses
$115,319
Program service expenses (Part III)
$709,175,196

Program services were 92.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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
    60 + 5 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

  • EMILY MOORHEAD

    TRUSTEE- PRESIDENT & CEO (START 2/2022)

    Total calculated
    $513,731
    From this org
    $421,370
    From related orgs
    $86,392
    Other
    $5,969
    Hours/week
    56 + 9 related

    Schedule J breakdown matched by us

    Base
    $273,937 + $30,305 related
    Bonus
    $92,077 + $52,946 related
    Other
    $55,356 + $3,141 related
    Deferred
    $4,575
    Nontaxable benefits
    $1,287 + $107 related
    Filer's total
    $427,232 + $86,499 related

  • DANIEL J PHELAN PHD

    TRUSTEE - VICE CHAIR

    Total calculated
    $30,000
    From this org
    $0
    From related orgs
    $30,000
    Other
    $0
    Hours/week
    2 + 5 related

  • MARTHA A FUERSTENAU

    TRUSTEE- CHAIR

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • ROBERT G RINEY

    TRUSTEE (THRU 6/2022)

    Total calculated
    $3,051,952
    From this org
    $0
    From related orgs
    $2,993,892
    Other
    $58,060
    Hours/week
    1 + 64 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

  • DENISE BROOKS-WILLIAMS

    TRUSTEE (START 7/2022)

    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

  • ADNAN R MUNKARAH MD

    PHYSICIAN TRUSTEE

    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

  • MOHAN G KULKARNI MD

    PHYSICIAN TRUSTEE

    Total calculated
    $1,109,807
    From this org
    $1,065,980
    From related orgs
    $0
    Other
    $43,827
    Hours/week
    60 + 2 related

    Schedule J breakdown matched by us

    Base
    $432,122
    Bonus
    $399,034
    Other
    $234,824
    Deferred
    $6,863
    Nontaxable benefits
    $36,964
    Filer's total
    $1,109,807

  • DAVID CRAFT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • KEVIN E OXLEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • AARON S BOATIN

    TRUSTEE - SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • MUMTAZ MEMON MD

    PHYSICIAN TRUSTEE

    Total calculated
    $681,950
    From this org
    $647,045
    From related orgs
    $0
    Other
    $34,905
    Hours/week
    60 + 1 related

    Schedule J breakdown matched by us

    Base
    $466,333
    Bonus
    $101,891
    Other
    $78,821
    Deferred
    $5,338
    Nontaxable benefits
    $29,567
    Filer's total
    $681,950

  • LAWRENCE NARKIEWICZMD

    PHYSICIAN TRUSTEE

    Total calculated
    $563,444
    From this org
    $528,880
    From related orgs
    $0
    Other
    $34,564
    Hours/week
    60 + 1 related

    Schedule J breakdown matched by us

    Base
    $381,915
    Bonus
    $28,950
    Other
    $118,015
    Deferred
    $5,338
    Nontaxable benefits
    $29,226
    Filer's total
    $563,444

  • CHRISTINA M SIDERS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CATHERINE A HENDRIAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK OLSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MONICA MOSER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SAIRIA DASS RAMCHARAN MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RAMI ABDEL RAHEEM ALZEBDEH MD

    TRUSTEE

    Total calculated
    $60,975
    From this org
    $60,975
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 1 related

  • KENNETH W EMPEY

    GENERAL COUNSEL

    Total calculated
    $388,944
    From this org
    $0
    From related orgs
    $365,184
    Other
    $23,760
    Hours/week
    55 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $270,216 related
    Bonus
    $0 + $74,468 related
    Other
    $0 + $20,500 related
    Deferred
    $0 + $8,258 related
    Nontaxable benefits
    $0 + $15,502 related
    Filer's total
    $0 + $388,944 related

  • JIM BONGIORNO

    CENTRAL MARKET CFO, VP FIN

    Total calculated
    $306,996
    From this org
    $0
    From related orgs
    $263,593
    Other
    $43,403
    Hours/week
    55 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $208,664 related
    Bonus
    $0 + $54,621 related
    Other
    $0 + $308 related
    Deferred
    $0 + $17,062 related
    Nontaxable benefits
    $0 + $26,341 related
    Filer's total
    $0 + $306,996 related

  • MARK A SMITH MD

    CMO/CEO HFAHMG

    Total calculated
    $614,042
    From this org
    $573,443
    From related orgs
    $0
    Other
    $40,599
    Hours/week
    55 + 5 related

    Schedule J breakdown matched by us

    Base
    $423,612
    Bonus
    $136,170
    Other
    $13,661
    Deferred
    $5,338
    Nontaxable benefits
    $35,261
    Filer's total
    $614,042

  • FRANK LAMARCA MD

    PHYSICIAN

    Total calculated
    $2,946,450
    From this org
    $2,910,318
    From related orgs
    $0
    Other
    $36,132
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $1,055,812
    Bonus
    $1,130,319
    Other
    $724,187
    Deferred
    $5,338
    Nontaxable benefits
    $30,794
    Filer's total
    $2,946,450

  • AZAM BASHEER MD

    PHYSICIAN

    Total calculated
    $2,550,055
    From this org
    $2,512,408
    From related orgs
    $0
    Other
    $37,647
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $743,570
    Bonus
    $1,258,038
    Other
    $510,800
    Deferred
    $5,338
    Nontaxable benefits
    $32,309
    Filer's total
    $2,550,055

  • AMRITRAJ G LOGANATHAN MD

    PHYSICIAN

    Total calculated
    $1,161,071
    From this org
    $1,127,196
    From related orgs
    $0
    Other
    $33,875
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $362,566
    Bonus
    $237,839
    Other
    $526,791
    Deferred
    $4,575
    Nontaxable benefits
    $29,300
    Filer's total
    $1,161,071

  • VISHAL GUPTA MD

    PHYSICIAN

    Total calculated
    $1,214,834
    From this org
    $1,189,553
    From related orgs
    $0
    Other
    $25,281
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $737,325
    Bonus
    $351,993
    Other
    $100,235
    Deferred
    $5,338
    Nontaxable benefits
    $19,943
    Filer's total
    $1,214,834

  • RYAN A BEEKMANMD

    PHYSICIAN

    Total calculated
    $1,174,075
    From this org
    $1,166,627
    From related orgs
    $0
    Other
    $7,448
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $560,738
    Bonus
    $307,231
    Other
    $298,658
    Deferred
    $5,338
    Nontaxable benefits
    $2,110
    Filer's total
    $1,174,075

  • MICHAEL GRISDELA

    FORMER INTERIM CENTRAL MAR

    Total calculated
    $554,546
    From this org
    $0
    From related orgs
    $518,134
    Other
    $36,412
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $373,966 related
    Bonus
    $0 + $118,049 related
    Other
    $0 + $26,119 related
    Deferred
    $0 + $5,338 related
    Nontaxable benefits
    $0 + $31,074 related
    Filer's total
    $0 + $554,546 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 · 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. 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, LINE 3
THE CHIEF EXECUTIVE OFFICER FOR HENRY FORD HEALTH JACKSON HOSPITAL IS AN EMPLOYEE OF HENRY FORD HEALTH (THE SOLE MEMBER OF HENRY FORD ALLEGIANCE HEALTH GROUP). HENRY FORD HEALTH ("HF HEALTH") HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ALL INDEPENDENT TRUSTEES. THE COMMITTEE MEETS THROUGHOUT THE YEAR AND IS CHARGED WITH THE APPROVAL OF THE ORGANIZATION'S OVERALL COMPENSATION AND BENEFIT PROGRAMS AS WELL AS THE SPECIFIC REVIEW AND APPROVAL OF THE COMPENSATION OF CERTAIN EMPLOYEES INCLUDING THE CHIEF EXECUTIVE OFFICER OF HENRY FORD HEALTH JACKSON HOSPITAL. THE COMMITTEE DIRECTLY ENGAGES AN INDEPENDENT COMPENSATION ADVISOR TO ASSIST WITH THIS PROCESS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE, UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTH CARE ORGANIZATIONS. THE REASONABLENESS OF COMPENSATION IS EVALUATED BASED UPON THESE AND OTHER FACTORS. THE CEO IS ACCOUNTABLE FOR ENSURING THAT HENRY FORD HEALTH JACKSON HOSPITAL'S MISSION IS EFFICIENTLY CARRIED OUT WITH THE HIGHEST LEVELS OF QUALITY, SAFETY AND SERVICE, WHILE AT THE SAME TIME ENSURING THAT THE ORGANIZATION IS FINANCIALLY HEALTHY. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT HENRY FORD HEALTH JACKSON HOSPITAL COMPENSATION PRACTICES ARE CONSISTENT WITH INDUSTRY STANDARDS AND THAT COMPENSATION LEVELS ARE FAIR COMPARED TO SIMILAR HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION CONSULTANT BENCHMARKS HENRY FORD HEALTH JACKSON HOSPITAL'S POSITIONS AGAINST DATA FROM MULTIPLE PUBLISHED SURVEYS OF HEALTH CARE EXECUTIVE COMPENSATION IN THE NATIONAL HEALTH CARE LABOR MARKET. BASED UPON THE CONSULTANTS RECOMMENDATIONS, THE EXECUTIVE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR APPROVAL OF THE EXECUTIVE COMPENSATION PROGRAM. ONLY INDEPENDENT TRUSTEES VOTE ON THIS RECOMMENDATION.
PART I, LINES 4A-B
4B. 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 ROBERT G. RINEY 463,649 - - 463,649 ADNAN R. MUNKARAH 991,756 - - - 991,756 PAULA AUTRY - 167,535 - 167,535 DENISE BROOKS-WILLIAMS 176,267 - - 176,267 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 ROBERT G. RINEY 20,500 - - 20,500 DENISE BROOKS-WILLIAMS 16,900 - - 16,900 ADNAN R. MUNKARAH 20,500 - - 20,500 PAULA AUTRY 3,154 - - 3,154 EMILY MOORHEAD 465 - - 465 MICHAEL GRISDELA 17,403 3,097 75 20,575 KENNETH EMPEY 20,500 - - 20,500 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 FRANK LAMARCA, M.D. - 20,500 493 20,993 AZAM BASHEER, M.D - 15,575 375 15,950 AMRITRAJ LOGANATHAN, M.D. - 2,100 51 2,151 MOHAN KULKARNI, M.D. 13,300 7,200 173 20,673 RYAN BEEKMAN, M.D. 8,575 9,275 223 18,073 MUMTAZ MEMON, M.D. 13,675 6,825 164 20,664 LAWRENCE NARKIEWICZ, M.D. 16,825 3,675 88 20,588 MARK SMITH, M.D. 11,039 - - 11,039 EMILY MOORHEAD 11,160 - - 11,160 VISHAL GUPTA, M.D. 4,925 15,575 375 20,875 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -W.A. FOOTE MEMORIAL HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 FRANK LAMARCA, M.D. 198,899 - - 198,899 AZAM BASHEER, M.D. 157,495 - - 157,495 RYAN BEEKMAN, M.D. 120,305 - - 120,305
PART I, LINE 7
COLUMN B(II) OF PART II, SCHEDULE J INCLUDES NON-FIXED PAYMENTS TO CERTAIN PHYSICIANS BASED ON THEIR PRODUCTIVITY AND OTHER PERFORMANCE METRICS.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202333149349304368

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.