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Nonprofiteer
← PROMEDICA MONROE CARDIOLOGY PLLC

Form 990 for tax year 2024

Filed by PROMEDICA MONROE CARDIOLOGY PLLC.

Totals

Total revenue
$106,175
Total expenses
$429,661
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$100,893
Investment income
$0
Other revenue
$5,282
Total assets, end of year
$124,657
Total liabilities, end of year
$5,290
Net assets or fund balances, end of year
$119,367
Program services expenses (Part IX)
$429,661
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$429,661

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: NET PATIENT SERVICES

    total $100,893 · related or exempt $100,893

  • 11a · Other revenue: BAD DEBT RECOVERY

    total $5,282 · excluded $5,282

  • 11e · Other revenue, total

    $5,282

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $347,907 · program services $347,907

  • 9 · Other employee benefits

    total $34,964 · program services $34,964

  • 10 · Payroll taxes

    total $19,894 · program services $19,894

  • 11g · Fees: other

    total $11,077 · program services $11,077

  • 13 · Office expenses

    total $607 · program services $607

  • 14 · Information technology

    total $47 · program services $47

  • 16 · Occupancy

    total $221 · program services $221

  • 17 · Travel

    total $384 · program services $384

  • 23 · Insurance

    total $2,192 · program services $2,192

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $6,402 · program services $6,402

  • 24b · Other expenses: INTERCOMPANY SERVICES

    total $3,128 · program services $3,128

  • 24c · Other expenses: SUPPLIES

    total $1,773 · program services $1,773

  • 24d · Other expenses: EQUIPMENT

    total $1,065 · program services $1,065

Balance sheet

Part X, book values.

  • 4 · Accounts receivable

    beginning of year $174,823 · end of year $124,657

  • 10a · Land, buildings and equipment: cost or other basis

    $15,000

  • 10b · Land, buildings and equipment: accumulated depreciation

    $15,000

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,065 · end of year $5,290

  • 25 · Other liabilities

    beginning of year $116,925 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $54,833 · end of year $119,367

Mission and programs · 2024

Mission

AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE WILL BE THE PREMIER COMMUNITY-BASED MANAGEMENT SERVICES ORGANIZATION AND PROVIDER OF RELATED HEALTHCARE SERVICES FOR NORTHWEST OHIO/SOUTHEAST MICHIGAN, OFFERING QUALITY, COST-EFFECTIVE, EFFICIENT, AND VALUE-ADDED SERVICES TO ACHIEVE SUPERIOR PATIENT SATISFACTION AND A FINANCIALLY VIABLE NETWORK OF PHYSICIANS SUPPORTING THE MEDICAL NEEDS OF THE COMMUNITY.

Activities or mission (Part I)

PROMEDICA MONROE CARDIOLOGY IS PART OF THE PHYSICIAN SERVICES COMPONENT OF PROMEDICA HEALTH SYSTEM, INC.'S INTEGRATED DELIVERY SYSTEM AND PROVIDES SERVICES TO IMPROVE THE HEALTH CARE OF THE COMMUNITY IN AN EFFICIENT AND COST-EFFECTIVE MANNER.

  • DURING 2024, PHYSICIAN PRACTICES EXISTING IN PROMEDICA MONROE CARDIOLOGY MOVED TO OTHER PROMEDICA ENTITIES. PROMEDICA MONROE CARDIOLOGY IS NOW WORKING TO WRAP UP AND FINALIZE REMAINING BUSINESS OPERATIONS.

    Expenses $429,661 · Revenue $100,893

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Amanda Kissner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 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

  • Barry Luse

    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

  • Dave Snavely

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 15 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

  • Donald Crescenzo

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • James Brennan

    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

  • 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

  • Kristine Brenner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related

  • Linda Thiel

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related

  • Lisa Hawker

    CHAIRPERSON

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

  • Marcy Brown

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related

  • Mike Adams

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 related

  • Nancy Kabat

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 16 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

  • 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

  • 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

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, and on a Form 990-PF Part VIII's — 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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • NORMAN SPECIALTY HOSPITAL LLC

    HEALTH CARE · DE · general or managing partner

  • THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC

    AMBULATORY SURGICAL CENTER · MI

  • PROMEDICA SENIOR CARE OF GEORGIA LLC

    SKILLED NURSING · OH · general or managing partner

  • PROMEDICA VENTURES INNOVATION FUND III LLC

    HOLDING COMPANY · OH

  • ROCKET VENTURE FUND II LLC

    INVESTMENT FUND · OH

  • SENIOR & REHAB CARE AT METROHEALTH LLC

    SKILLED NURSING · OH · general or managing partner

  • AIR DIVERTER SOLUTIONS LLC

    DEVELOPMENT · OH

  • PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC

    REAL ESTATE · OH · general or managing partner

  • NORTHWEST OHIO DEDICATED BREAST MRI LLC

    MEDICAL DIAGNOSTICS · OH · general or managing partner

  • PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC

    HEALTH CARE · MI

  • REYNOLDS ROAD SURGICAL CENTER LTD

    FREESTANDING AMBULATORY SURGICAL CENTER · OH

  • WEST CENTRAL SURGICAL CENTER LLC

    AMBULATORY SURGICAL CENTER · OH · general or managing partner

  • ARROWHEAD BEHAVIORAL HEALTH LLC

    HEALTH CARE · PA · general or managing partner

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HERRICK MEMORIAL DEVELOPMENT CORP

    C · FACILITY LEASING · MI · controlled entity

  • LENAWEE CLINICAL PARTNERS

    C · PHYSICIAN SUPPORT · OH · controlled entity

  • PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC

    C · SKILLED NURSING · NJ · controlled entity

  • HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION

    C · FACILITY MANAGEMENT · MI · controlled entity

  • MONROE HEALTH VENTURES INC

    C · PHARMACY · MI · controlled entity

  • PROMEDICA MANAGER MEMBER LLC

    C · REAL ESTATE · OH · controlled entity

  • PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES

    C · HEALTH CARE INSURANCE · OH · controlled entity

  • PROMEDICA INNOVATIONS LLC

    C · INVESTMENT COMPANY · OH · controlled entity

  • PROMEDICA HEALTH NETWORK INC

    C · PHYSICIAN MANAGEMENT SERVICES · OH · controlled entity

  • PHS TOLEDO INNOVATION CENTER HOLDINGS LLC

    C · HOLDING COMPANY · OH · controlled entity

  • FORT INDUSTRY JV PARTNER LLC

    C · REAL ESTATE · OH · controlled entity

  • PROMEDICA NORTH PHYSICIAN CORPORATION

    C · PHYSICIAN HEALTH CARE SERVICES · OH · controlled entity

  • PROMEDICA AT HOME INC

    C · PHYSICIAN SUPPORT · MI · controlled entity

  • PROMEDICA CENTRAL CORPORATION OF MICHIGAN

    C · PHYSICIAN HEALTH CARE SERVICES · OH · controlled entity

Provenance

Return type
form_990
Tax year
2024
Filed
9 October 2025
IRS schema version
2024v5.2
Source object
202522879349301827

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