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Nonprofiteer
← PROMEDICA PHYSICIANS AT HOME INC

Form 990 for tax year 2024

Filed by PROMEDICA PHYSICIANS AT HOME INC.

Totals

Total revenue
$494
Total expenses
$229
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$229
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$229

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

  • MIKE ADAMS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • KENT BISHOP

    TRUSTEE/ PRESIDENT - PPG/CMO

    Total calculated
    $1,466,293
    From this org
    $0
    From related orgs
    $1,452,904
    Other
    $13,389
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $735,129 related
    Bonus
    $0 + $717,775 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $13,389 related
    Filer's total
    $0 + $1,466,293 related
  • JAMES BRENNAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • KRISTINE BRENNER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • MARCY BROWN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • DAWN BUSKEY

    TRUSTEE/CHIEF ACUTE CARE OFFICER

    Total calculated
    $1,354,936
    From this org
    $0
    From related orgs
    $1,340,164
    Other
    $14,772
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $645,947 related
    Bonus
    $0 + $692,842 related
    Other
    $0 + $1,375 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $14,772 related
    Filer's total
    $0 + $1,354,936 related
  • VICTOR CHERFAN

    TRUSTEE/PHYSICIAN - PART YEAR

    Total calculated
    $634,296
    From this org
    $0
    From related orgs
    $625,202
    Other
    $9,094
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $422,414 related
    Bonus
    $0 + $201,678 related
    Other
    $0 + $1,110 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,094 related
    Filer's total
    $0 + $634,296 related
  • DONALD CRESCENZO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 15 related
  • LISA HAWKER

    CHAIRPERSON

    Total calculated
    $65,000
    From this org
    $0
    From related orgs
    $65,000
    Other
    $0
    Hours/week
    1 + 16 related
  • NANCY KABAT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • AMANDA KISSNER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • BOB LACLAIR

    TRUSTEE

    Total calculated
    $42,500
    From this org
    $0
    From related orgs
    $42,500
    Other
    $0
    Hours/week
    1 + 19 related
  • BARRY LUSE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • KATHLEEN MERRILL

    TRUSTEE/CHIEF MARKETING OFFICER

    Total calculated
    $540,807
    From this org
    $0
    From related orgs
    $528,138
    Other
    $12,669
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $285,891 related
    Bonus
    $0 + $239,700 related
    Other
    $0 + $2,547 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $12,669 related
    Filer's total
    $0 + $540,807 related
  • ARTURO POLIZZI

    TRUSTEE/CEO

    Total calculated
    $3,133,332
    From this org
    $0
    From related orgs
    $3,119,320
    Other
    $14,012
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,585,940 related
    Bonus
    $0 + $1,530,880 related
    Other
    $0 + $2,500 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $14,012 related
    Filer's total
    $0 + $3,133,332 related
  • DAVE SNAVELY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 15 related
  • LINDA THIEL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related
  • TERRENCE METZGER

    TREASURER/CFO

    Total calculated
    $1,215,928
    From this org
    $0
    From related orgs
    $1,209,318
    Other
    $6,610
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $771,258 related
    Bonus
    $0 + $438,060 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,610 related
    Filer's total
    $0 + $1,215,928 related
  • STEPHEN SADOWSKI

    SECRETARY/CHIEF LEGAL OFFICER

    Total calculated
    $1,186,414
    From this org
    $0
    From related orgs
    $1,180,376
    Other
    $6,038
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $618,697 related
    Bonus
    $0 + $561,679 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,038 related
    Filer's total
    $0 + $1,186,414 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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, LINE 4B
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.

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.

Provenance

Return type
form_990
Tax year
2024
Filed
10 October 2025
IRS schema version
2024v5.2
Source object
202542879349301799

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