Totals
- Total revenue
- $66,631,454
- Total expenses
- $65,917,850
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $65,802,834
- Management and general expenses
- $115,016
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $65,802,834
Program services were 99.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ALEX J GERKEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
ANGELA M SHEETS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
ANN RHEE
TRUSTEE
- Total calculated
- $787,590
- From this org
- $0
- From related orgs
- $755,303
- Other
- $32,287
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $489,061 related
- Bonus
- $0 + $265,000 related
- Other
- $0 + $1,242 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $32,287 related
- Filer's total
- $0 + $787,590 related
-
BARBARA A PHIBBS RN LAC
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
BARRY F LUSE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
DAVID A SNAVELY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
DAWN M BUSKEY
TRUSTEE
- Total calculated
- $761,858
- From this org
- $0
- From related orgs
- $750,062
- Other
- $11,796
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $650,606 related
- Bonus
- $0 + $96,246 related
- Other
- $0 + $3,210 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $11,796 related
- Filer's total
- $0 + $761,858 related
-
DONALD G CRESCENZO MD
TRUSTEE
- Total calculated
- $924,063
- From this org
- $0
- From related orgs
- $910,472
- Other
- $13,591
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $877,697 related
- Bonus
- $0 + $28,911 related
- Other
- $0 + $3,864 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $13,591 related
- Filer's total
- $0 + $924,063 related
-
EDWARD J BARDI PHD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
EMMETT T BOYLE JR MD
TRUSTEE
- Total calculated
- $602,363
- From this org
- $0
- From related orgs
- $595,480
- Other
- $6,883
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $563,584 related
- Bonus
- $0 + $27,405 related
- Other
- $0 + $4,491 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $6,883 related
- Filer's total
- $0 + $602,363 related
-
EVON M EBEID MBA JD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
IRACEMA AREVALO MD
TRUSTEE
- Total calculated
- $385,453
- From this org
- $0
- From related orgs
- $353,774
- Other
- $31,679
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $339,583 related
- Bonus
- $0 + $12,649 related
- Other
- $0 + $1,542 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $31,679 related
- Filer's total
- $0 + $385,453 related
-
JAMES H BRENNAN JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
KENNETH A MYERS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
KENT EDWARD BISHOP MD
TRUSTEE
- Total calculated
- $780,640
- From this org
- $0
- From related orgs
- $768,811
- Other
- $11,829
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $674,591 related
- Bonus
- $0 + $92,255 related
- Other
- $0 + $1,965 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $11,829 related
- Filer's total
- $0 + $780,640 related
-
KEVIN M PIROZEK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
LAURA W KLINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
LESLIE A CHAPMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
LINDA S THIEL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
LISA G HAWKER
CHAIRMAN
- Total calculated
- $40,000
- From this org
- $0
- From related orgs
- $40,000
- Other
- $0
- Hours/week
- 1 + 13 related
-
LISA P LOEHR MILLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
MARCY L BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 14 related
-
MARK S BARNES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
NANCY P KABAT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
ROBERT W LACLAIR
TRUSTEE
- Total calculated
- $50,000
- From this org
- $0
- From related orgs
- $50,000
- Other
- $0
- Hours/week
- 1 + 16 related
-
SUSAN P BERNARD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
TIMOTHY BUBLICK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
VICTOR J CHERFAN DO
TRUSTEE
- Total calculated
- $735,749
- From this org
- $0
- From related orgs
- $705,626
- Other
- $30,123
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $374,215 related
- Bonus
- $0 + $330,571 related
- Other
- $0 + $840 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $30,123 related
- Filer's total
- $0 + $735,749 related
-
WILLIAM R MCDONNELL
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
ARTURO POLIZZI
PRESIDENT AND CEO
- Total calculated
- $1,618,580
- From this org
- $0
- From related orgs
- $1,605,830
- Other
- $12,750
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $1,003,178 related
- Bonus
- $0 + $597,348 related
- Other
- $0 + $5,304 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $12,750 related
- Filer's total
- $0 + $1,618,580 related
-
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER - PART YEAR
- Total calculated
- $971,690
- From this org
- $0
- From related orgs
- $927,467
- Other
- $44,223
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $390,988 related
- Bonus
- $0 + $196,494 related
- Other
- $0 + $339,985 related
- Deferred
- $0 + $23,904 related
- Nontaxable benefits
- $0 + $20,319 related
- Filer's total
- $0 + $971,690 related
-
LOUIS ROBICHAUX
TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 54 related
-
RANDALL OOSTRA
PHS PRES. & CEO - PART YEAR
- Total calculated
- $5,479,619
- From this org
- $0
- From related orgs
- $5,476,040
- Other
- $3,579
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $1,664,907 related
- Bonus
- $0 + $2,628,840 related
- Other
- $0 + $1,182,293 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $3,579 related
- Filer's total
- $0 + $5,479,619 related
-
STEPHEN M SADOWSKI
CHIEF LEGAL OFFICER
- Total calculated
- $689,717
- From this org
- $0
- From related orgs
- $683,615
- Other
- $6,102
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $596,289 related
- Bonus
- $0 + $86,275 related
- Other
- $0 + $1,051 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $6,102 related
- Filer's total
- $0 + $689,717 related
-
STEVEN M CAVANAUGH
TREASURER, CFO - PART YEAR
- Total calculated
- $2,497,252
- From this org
- $0
- From related orgs
- $2,435,815
- Other
- $61,437
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $604,206 related
- Bonus
- $0 + $1,107,251 related
- Other
- $0 + $724,358 related
- Deferred
- $0 + $28,986 related
- Nontaxable benefits
- $0 + $32,451 related
- Filer's total
- $0 + $2,497,252 related
-
BRYAN COEHRS
DIRECTOR, OPERATIONS PHARMACY
- Total calculated
- $140,353
- From this org
- $136,812
- From related orgs
- $0
- Other
- $3,541
- Hours/week
- 40
-
JULIE GYURGYAK
PHARMACIST
- Total calculated
- $112,024
- From this org
- $108,781
- From related orgs
- $0
- Other
- $3,243
- Hours/week
- 40
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
- UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. 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 $688,132 DURING 2022. JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $333,184 DURING 2022.
- SCHEDULE J, SUPPLEMENTAL INFORMATION:
- IN ADDITION, HCR MANORCARE, INC., A RELATED ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.
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 CHILDRENS SPECIALISTS
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
-
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) · PARENT COMPANY OF HEALTH SYSTEM · OH · controlled entity
-
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
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313189349315146
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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