Form 990 for tax year 2023
Filed by PROMEDICA CHILDRENS SPECIALISTS.
Totals
- Total revenue
- $8,225,593
- Total expenses
- $18,042,382
- Contributions and grants received
- $580
- Grants paid
- $0
- Program services expenses (Part IX)
- $18,042,382
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $18,042,382
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ARTURO POLIZZI
TRUSTEE/CEO
- Total calculated
- $2,127,450
- From this org
- $0
- From related orgs
- $2,121,593
- Other
- $5,857
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $1,315,647 related
- Bonus
- $0 + $789,979 related
- Other
- $0 + $15,967 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $5,857 related
- Filer's total
- $0 + $2,127,450 related
-
LOUIS ROBICHAUX
TREASURER - PART YEAR
- Total calculated
- $0
- Hours/week
- 1 + 54 related
-
TERRENCE METZGER
TRUSTEE/TREASURER
- Total calculated
- $1,059,169
- From this org
- $0
- From related orgs
- $1,055,090
- Other
- $4,079
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $480,090 related
- Bonus
- $0 + $575,000 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $4,079 related
- Filer's total
- $0 + $1,059,169 related
-
STEVE SADOWSKI
TRUSTEE/SECRETARY
- Total calculated
- $1,413,208
- From this org
- $0
- From related orgs
- $1,407,180
- Other
- $6,028
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $625,095 related
- Bonus
- $0 + $774,925 related
- Other
- $0 + $7,160 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $6,028 related
- Filer's total
- $0 + $1,413,208 related
-
LISA HAWKER
TRUSTEE
- Total calculated
- $40,000
- From this org
- $0
- From related orgs
- $40,000
- Other
- $0
- Hours/week
- 1 + 14 related
-
BILL MCDONNELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 15 related
-
NANCY KABAT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 15 related
-
MARCY BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
LISA MILLER
TRUSTEE/DIRECTOR
- Total calculated
- $95,170
- From this org
- $0
- From related orgs
- $90,513
- Other
- $4,657
- Hours/week
- 1 + 14 related
-
KATHLEEN MERRILL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
LAURA KLINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
AMANDA KISSNER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
LINDA THIEL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
BARRY LUSE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
SUE VANISACKER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
KRISTINE BRENNER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
JIM BRENNAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 15 related
-
VICTOR CHERFAN
TRUSTEE/PHYSICIAN
- Total calculated
- $659,149
- From this org
- $0
- From related orgs
- $659,149
- Other
- $0
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $383,348 related
- Bonus
- $0 + $274,961 related
- Other
- $0 + $840 related
- Deferred
- $0 + $5,857 related
- Nontaxable benefits
- $0 + $3,307 related
- Filer's total
- $0 + $668,313 related
-
DONALD CRESCENZO
TRUSTEE/PHYSICIAN
- Total calculated
- $918,456
- From this org
- $0
- From related orgs
- $918,456
- Other
- $0
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $887,550 related
- Bonus
- $0 + $25,800 related
- Other
- $0 + $5,106 related
- Deferred
- $0 + $9,766 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $928,222 related
-
TIM BUBLICK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
EVON EBEID
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
ALEX GERKEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
KEVIN PIROZEK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
DAVE SNAVELY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
DAWN BUSKEY
TRUSTEE/PRESIDENT
- Total calculated
- $1,417,737
- From this org
- $0
- From related orgs
- $1,412,400
- Other
- $5,337
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $658,750 related
- Bonus
- $0 + $751,150 related
- Other
- $0 + $2,500 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $5,337 related
- Filer's total
- $0 + $1,417,737 related
-
KENT BISHOP
TRUSTEE/PRESIDENT
- Total calculated
- $1,441,883
- From this org
- $0
- From related orgs
- $1,437,763
- Other
- $4,120
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $679,900 related
- Bonus
- $0 + $752,663 related
- Other
- $0 + $5,200 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $4,120 related
- Filer's total
- $0 + $1,441,883 related
-
ROBERT LACLAIR
TRUSTEE
- Total calculated
- $30,000
- From this org
- $0
- From related orgs
- $30,000
- Other
- $0
- Hours/week
- 1 + 23 related
-
SANJOY BANERJEE
PHYSICIAN
- Total calculated
- $636,819
- From this org
- $629,847
- From related orgs
- $0
- Other
- $6,972
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $488,092
- Bonus
- $141,037
- Other
- $718
- Deferred
- $0
- Nontaxable benefits
- $6,972
- Filer's total
- $636,819
-
AARON BUERK
PHYSICIAN
- Total calculated
- $841,553
- From this org
- $834,658
- From related orgs
- $0
- Other
- $6,895
- Hours/week
- 43 + 2 related
Schedule J breakdown matched by us
- Base
- $812,858
- Bonus
- $21,500
- Other
- $300
- Deferred
- $0
- Nontaxable benefits
- $6,895
- Filer's total
- $841,553
-
ADRIAN LEWIS
PHYSICIAN
- Total calculated
- $775,585
- From this org
- $769,457
- From related orgs
- $0
- Other
- $6,128
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $753,950
- Bonus
- $15,058
- Other
- $449
- Deferred
- $0
- Nontaxable benefits
- $6,128
- Filer's total
- $775,585
-
ALICE BONNELL
PHYSICIAN
- Total calculated
- $642,267
- From this org
- $635,000
- From related orgs
- $0
- Other
- $7,267
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $635,000
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $7,267
- Filer's total
- $642,267
-
SUSAN TOURNER
PHYSICIAN
- Total calculated
- $553,899
- From this org
- $552,088
- From related orgs
- $0
- Other
- $1,811
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $543,000
- Bonus
- $9,000
- Other
- $88
- Deferred
- $0
- Nontaxable benefits
- $1,811
- Filer's total
- $553,899
-
STEVEN M CAVANAUGH
TREASURER, CFO - FORMER
- Total calculated
- $1,340,837
- From this org
- $0
- From related orgs
- $1,335,180
- Other
- $5,657
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $1,335,180 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $5,657 related
- Filer's total
- $0 + $1,340,837 related
-
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER - FORMER
- Total calculated
- $779,348
- From this org
- $0
- From related orgs
- $748,426
- Other
- $30,922
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $26,526 related
- Bonus
- $0
- Other
- $0 + $721,900 related
- Deferred
- $0 + $26,526 related
- Nontaxable benefits
- $0 + $4,396 related
- Filer's total
- $0 + $779,348 related
-
GARY AKENBERGER
SR VP FINANCE - FORMER
- Total calculated
- $572,179
- From this org
- $0
- From related orgs
- $528,647
- Other
- $43,532
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $246,095 related
- Bonus
- $0 + $83,570 related
- Other
- $0 + $198,982 related
- Deferred
- $0 + $36,639 related
- Nontaxable benefits
- $0 + $6,893 related
- Filer's total
- $0 + $572,179 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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, INC., USES AN INDEPENDENT CONSULTANT, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES.
- PART I, LINES 4A-B
- ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. STEVEN CAVANAUGH RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $1,335,180 DURING 2023. JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $721,900 DURING 2023. MATTHEW KANG RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $583,664 DURING 2023. GARY AKENBERGER RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, THE TOLEDO HOSPITAL, IN THE AMOUNT OF $195,150 DURING 2023.
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.
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
501(C)(3) · HOSPITAL · MI · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
501(C)(3) · HOSPITAL / FOUNDATION SUPPORT · OH · controlled entity
Directly controlled by DEFIANCE HOSPITAL INC
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
501(C)(3) · HOSPITAL · MI · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
EMMA L BIXBY MEDICAL CENTER AUXILIARY
501(C)(3) · HOSPITAL / FOUNDATION SUPPORT · MI · controlled entity
Directly controlled by EMMA L BIXBY MEDICAL CENTER
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
501(C)(3) · HOSPITAL / FOUNDATION SUPPORT · OH · controlled entity
Directly controlled by FOSTORIA HOSPITAL ASSOCIATION
-
501(C)(3) · FOUNDATION · OH · controlled entity
Directly controlled by PROMEDICA FOUNDATION
-
501(C)(3) · SKILLED NURSING FACILITIES · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
HEARTLAND HOSPICE MEMORIAL FUND INC
501(C)(3) · FOUNDATION · OH · controlled entity
Directly controlled by PROMEDICA FOUNDATION
-
HERRICK MEDICAL CENTER AUXILIARY
501(C)(3) · HOSPITAL / FOUNDATION SUPPORT · MI · controlled entity
Directly controlled by HERRICK MEMORIAL HOSPITAL INC
-
501(C)(3) · HOSPITAL · MI · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
501(C)(3) · RESPITE CARE · OH · controlled entity
Directly controlled by DEFIANCE HOSPITAL INC
-
501(C)(3) · LONG TERM CARE · MI · controlled entity
Directly controlled by HCR MANORCARE INC
-
MANOR CARE OF GIG HARBOR WA ASSOCIATION
501(C)(3) · SKILLED NURSING FACILITY · DE · controlled entity
Directly controlled by HCR MANORCARE INC
-
MANOR CARE OF LACEY WA ASSOCIATION
501(C)(3) · SKILLED NURSING FACILITY · DE · controlled entity
Directly controlled by HCR MANORCARE INC
-
MANOR CARE OF LYNNWOOD WA ASSOCIATION
501(C)(3) · SKILLED NURSING FACILITY · DE · controlled entity
Directly controlled by HCR MANORCARE INC
-
MANOR CARE OF SALMON CREEK WA ASSOCIATION
501(C)(3) · SKILLED NURSING FACILITY · DE · controlled entity
Directly controlled by HCR MANORCARE INC
-
MANOR CARE OF SPOKANE WA ASSOCIATION
501(C)(3) · SKILLED NURSING FACILITY · DE · controlled entity
Directly controlled by HCR MANORCARE INC
-
MANOR CARE OF TACOMA WA ASSOCIATION
501(C)(3) · SKILLED NURSING FACILITY · DE · controlled entity
Directly controlled by HCR MANORCARE INC
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
MEMORIAL PROFESSIONAL SERVICES
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
MERCY MEMORIAL HOSPITAL CORPORATION
501(C)(3) · HOSPITAL · MI · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
MONROE COMMUNITY HEALTH SERVICES
501(C)(3) · LONG TERM CARE · MI · controlled entity
Directly controlled by HCR MANORCARE INC
-
501(C)(3) · HEALTH INSURANCE · OH · controlled entity
Directly controlled by PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
-
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
PROMEDICA CONTINUING CARE SERVICES CORP
501(C)(3) · LONG TERM AND HOME HEALTH CARE · OH · controlled entity
Directly controlled by PROMEDICA CONTINUUM SERVICES
-
501(C)(3) · PHYSICIAN MANAGEMENT SERVICES · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
PROMEDICA COURIER SERVICES INC
501(C)(3) · COURIER SERVICE · OH · controlled entity
Directly controlled by PROMEDICA CONTINUUM SERVICES
-
501(C)(3) · FOUNDATION · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
PROMEDICA GENITO-URINARY SURGEONS
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
501(C)(3) · PROFESSIONAL & GENERAL LIABILITY · VT · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · OH · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
PROMEDICA PHYSICIANS AT HOME INC
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
PROMEDICA PRIMARY CARE PROVIDERS
501(C)(3) · PHYSICIAN HEALTH CARE SERVICES · MI · controlled entity
Directly controlled by PROMEDICA PHYSICIAN GROUP INC
-
501(C)(3) · FOUNDATION · OH · controlled entity
Directly controlled by PROMEDICA FOUNDATION
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
VISITING NURSE HOSPICE AND HEALTH CARE
501(C)(3) · HOSPICE HOME CARE · OH · controlled entity
Directly controlled by HCR MANORCARE INC
-
501(C)(3) · PARENT COMPANY OF HEALTH SERVICES · OH
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 7 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433179349302543
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