Beaumont Health paid CEO $2.6 million bonus weeks before bailout

Beaumont Health paid CEO John Fox a bonus  on the same day that the nonprofit health system got its first COVID-19 patient. (Courtesy photo)

Beaumont Health paid its chief executive a $2.6 million bonus weeks before the state'slargest hospital system turned to the federal government for a financial bailout.

The bonus for CEO John Fox — a 63% increase over his prior year bonus — was awarded on the same day that the nonprofit health system got its first COVID-19 patient. Details about the bonus were revealed Monday as Beaumont released copies of the tax returns the health system filed with the IRS for 2019. 

Those returns, which are available to the public upon request, show Fox's total compensation for his work in 2019 was $6.75 million. ($1.6 million of that total had been reported on prior returns.)

Overall, spending on bonuses for top executives at Beaumont appeared to fall. Royal Oak-based Beaumont awarded a total of $9 million on bonuses for Fox and 33 other top executives and doctors for their work in 2019, down from the $12 million in bonuses for work in 2018, and $11 million for 2017, according to a Free Press analysis of tax records. But Fox's $2.6 million bonus eclipsed his 2018 bonus of $1.6 million.


The slew of scheduled bonuses arrived just before one of the most tumultuous times in Beaumont's history. The novel coronavirus led to a massive influx of new, and very sick hospital patients at Beaumont and elsewhere, while draining millions of dollars in other revenue. Beaumont also struggled, but failed to keep aloft merger talks with an out-of-state hospital system while fending off criticism from its own doctors and others insiders over allegations of poor management. 

Separately, Beaumont Health reported on Monday that its overall financial picture remains gloomy. While officials said patient volumes, operating income and non-operating income rebounded better than expected, as of Sept. 30, Beaumont’s net income fell to $61.2 million, a decrease of $197.4 million over the same period in 2019. Operating revenues also dropped to $3.29 billion, a $200.6 million decrease over the $3.49 billion reported at the end of the third quarter of 2019.

Still, the health system recently sought to assuage its front-line employees by offering new measures, including a tax-free $1,000 recognition payment for full-time employees and increasing its employee minimum wage to $15 per hour.

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The Free Press reported in October that both Beaumont and the Henry Ford Health System had paid its regularly scheduled bonuses in March, but neither system would say at the time how much those bonuses had cost. Another nonprofit health system, however, forwent paying out executive bonuses on the eve of a massive pandemic. Henry Ford did not respond to a request for its tax documents on Monday.

As a nonprofit, tax-exempt health system, Beaumont is required to provide the government and interested parties detailed information regarding executive compensation on an annual basis.

In an open letter about the public disclosure of Beaumont's tax returns, Aaron Gillingham, the health system's chief human resources officer, wrote that "compensation must be considered 'reasonable' and within an acceptable range compared to similar organizations." 

He said the compensation committee of Beaumont's board of directors reviews and approves executive compensation for Beaumont executives, including the CEO, with the assistance of a national, independent compensation consultant. Beaumont is compared against similar health systems across the nation in determining executive compensation, he wrote.

While the executive bonuses at Beaumont are regularly scheduled, the go-ahead for payment came as its top leaders said they were preparing for a financial and operational crisis the likes of which few had seen.

Beaumont had paid bonuses March 13, the same day as it admitted its first COVID-19 patient. Beaumont had its first COVID-19 related death on March 18.

In an opinion piece published four days later in the Free Press, Fox wrote that an "immediate healthcare financial crisis is looming." He also detailed that Beaumont had eliminated 80% of its surgeries and significant portions of its imaging procedures, such as mammograms and X-rays, to make way for less lucrative COVID-19 patient care.

The financial crisis, Fox wrote, "will be large and come on faster than people expect and could cripple the core of America’s hospital systems during this pandemic." 

Fox also wrote that Beaumont had spent weeks converting much of the eight-hospital system into a coronavirus testing and treatment organization. He called for a nationwide superfund of as much as $600 billion to offset a "revenue implosion.”

The next month, Beaumont requested — and received —  federal help under the Coronavirus Aid, Relief and Economic Security (CARES) Act, which included $175 billion for health care providers nationwide.

Beaumont received $377 million through the CARES Act.

Contact Jennifer Dixon: 313-223-4410 or

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GOP socialism
Tue, 11/17/2020 - 2:08pm

It's a great gig, if you can get it!

Tue, 11/17/2020 - 11:38pm

So selfish, greedy.

Despicable Greed
Tue, 11/17/2020 - 11:44pm

John Fox is like the two incumbent Republicans running for the US Senate in Georgia who had insider information, told everyone the market was doing well, then dumped their stocks before the stock market crash. Yeah, those two demons who are running in the Georgia runoff election this January. That election alone will decide if the US Senate remains in GOP hands, with Moscow Mitch in charge for six more years. Who said greed is good? The Bible says it's a sin.

Jake K.
Wed, 11/18/2020 - 9:06am

Just another example of "us and them." So, four days after he received his bonus, "Fox also wrote that Beaumont had spent weeks converting much of the eight-hospital system into a coronavirus testing and treatment organization. He called for a nationwide superfund of as much as $600 billion to offset a "revenue implosion.” If Beaumont had already been preparing for "weeks" why would the compensation committee go ahead with the bonuses? And, how could Beaumont in good conscience then submit for federal aid? The bonuses should be rescinded and funds should be returned to the federal government. There are crooks everywhere you look.

Wed, 11/18/2020 - 10:12am

You also need to also examine all the other large "NFP" hospital and and medical service providers in the other corners of the state.
I'm confident that the "biggies" in the SE area are not the only ones in the industry. I suspect bloated "competitive" administrative/management costs infect all of them