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Nonprofiteer
← MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by MEMORIAL HOSPITAL.

Totals

Total revenue
$93,890,973
Total expenses
$78,843,430
Contributions and grants received
$942,869
Grants paid
$0
Program service revenue
$91,920,546
Investment income
$329,040
Other revenue
$698,518
Total assets, end of year
$59,012,522
Total liabilities, end of year
$41,665,386
Net assets or fund balances, end of year
$17,347,136
Program services expenses (Part IX)
$55,503,406
Management and general expenses
$23,340,024
Fundraising expenses
$0
Program service expenses (Part III)
$55,503,406

Program services were 70.4% 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.

  • 1d · Related organizations

    $86,806

  • 1e · Government grants (contributions)

    $856,063

  • 2a · Program service revenue: NET PATIENT SERVICES

    total $91,283,192 · related or exempt $91,283,192

  • 2b · Program service revenue: AFFILIATED ORG RENT RE

    total $637,354 · related or exempt $637,354

  • 3 · Investment income

    total $19,681 · excluded $19,681

  • 6a · Gross rents

    real property $48,189

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $48,189

  • 6d · Net rental income or loss

    total $48,189 · excluded $48,189

  • 7b · Less cost or other basis and sales expenses

    other assets -$309,359

  • 7c · Gain or loss

    other assets $309,359

  • 7d · Net gain or loss

    total $309,359 · excluded $309,359

  • 11a · Other revenue: SUPPORT SERVICES

    total $650,329 · excluded $650,329

  • 11e · Other revenue, total

    $650,329

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $19,838,694 · program services $17,472,708 · management and general $2,365,986

  • 9 · Other employee benefits

    total $3,093,798 · program services $2,724,828 · management and general $368,970

  • 10 · Payroll taxes

    total $1,401,874 · program services $1,234,685 · management and general $167,189

  • 11b · Fees: legal

    total $74,446 · management and general $74,446

  • 11d · Fees: lobbying

    total $7,601 · management and general $7,601

  • 11g · Fees: other

    total $10,507,895 · program services $7,530,036 · management and general $2,977,859

  • 12 · Advertising and promotion

    total $93,049 · program services $15,063 · management and general $77,986

  • 13 · Office expenses

    total $2,146,374 · program services $347,461 · management and general $1,798,913

  • 14 · Information technology

    total $78,012 · program services $52,043 · management and general $25,969

  • 16 · Occupancy

    total $2,660,115 · program services $32,963 · management and general $2,627,152

  • 17 · Travel

    total $68,242 · program services $11,048 · management and general $57,194

  • 20 · Interest

    total $1,006,297 · program services $1,006,297

  • 22 · Depreciation, depletion and amortization

    total $4,191,308 · program services $3,594,662 · management and general $596,646

  • 23 · Insurance

    total $21,664 · management and general $21,664

  • 24a · Other expenses: INTERCOMPANY SERVICES

    total $14,518,757 · program services $2,350,345 · management and general $12,168,412

  • 24b · Other expenses: DRUGS

    total $8,530,877 · program services $8,530,877

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $4,330,422 · program services $4,330,422

  • 24d · Other expenses: PROVISION FOR BAD DEBTS

    total $3,687,909 · program services $3,687,909

  • 24e · All other expenses

    total $2,586,096 · program services $2,582,059 · management and general $4,037

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $11,485,750 · end of year $4,923,596

  • 4 · Accounts receivable

    beginning of year $10,643,619 · end of year $11,062,072

  • 8 · Inventories for sale or use

    beginning of year $1,082,886 · end of year $1,272,332

  • 9 · Prepaid expenses and deferred charges

    beginning of year $183,377 · end of year $306,241

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

    $70,920,689

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

    $40,262,857

  • 10c · Land, buildings and equipment, net

    beginning of year $33,015,680 · end of year $30,657,832

  • 12 · Investments: other securities

    beginning of year $232,836 · end of year $153,191

  • 14 · Intangible assets

    beginning of year $731,647 · end of year $282,000

  • 15 · Other assets

    beginning of year $7,670,637 · end of year $10,355,258

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,077,304 · end of year $6,448,623

  • 23 · Secured mortgages and notes payable

    beginning of year $61,888 · end of year $30,944

  • 25 · Other liabilities

    beginning of year $29,747,860 · end of year $35,185,819

  • 27 · Net assets without donor restrictions

    beginning of year $22,139,480 · end of year $10,419,499

  • 28 · Net assets with donor restrictions

    beginning of year $7,019,900 · end of year $6,927,637

Mission and programs · 2023

Mission

OUR MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

MEMORIAL HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY AND SURROUNDING AREAS REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY, AND OUTPATIENT CARE. OUR MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES WE SERVE.

  • MEMORIAL HOSPITAL (D/B/A PROMEDICA MEMORIAL HOSPITAL) IS A MEMBER OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. A 100-BED HOSPITAL IN FREMONT, OHIO, PROMEDICA MEMORIAL HOSPITAL (MH) PROVIDES EXTENSIVE HEALTHCARE SERVICES SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; OUTPATIENT PHYSICAL REHABILITATION; HEART, VASCULAR AND PULMONARY CARE; LABOR AND DELIVERY; MENTAL HEALTH SERVICES; A WOUND CARE CLINIC, AND A FULL RANGE OF LABORATORY AND RADIOLOGY SERVICES. THE DOROTHY L. KERN CANCER CENTER ,ON THE CAMPUS OF MH, EXPANDS CANCER CARE TO PATIENTS IN THE FREMONT, OHIO, AREA. THE CANCER CENTER OFFERS OUTPATIENT RADIATION, CHEMOTHERAPY, AND INFUSION SERVICES AS WELL AS COMPLEMENTARY SERVICES SUCH AS GENETIC TESTING AND COUNSELING, HEALING CARE, AND SURVIVORSHIP CARE PLANNING. MH ALSO IS A DESIGNATED LUNG CANCER SCREENING CENTER BY THE AMERICAN COLLEGE OF RADIOLOGY. MH IS ALSO DESIGNATED AS A NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS (NICHE). THE NICHE PROGRAM IS DESIGNED TO HELP IMPROVE CARE FOR PATIENTS THAT ARE 65 YEARS AND OLDER THROUGH RESEARCH AND IMPLEMENTATION SPECIFIC INDUSTRY BEST PRACTICES. IN 2023, MH RECEIVED AN 'A' RATING FROM THE LEAPFROG GROUP FOR PROTECTING PATIENTS FROM ERRORS, INJURIES, ACCIDENTS AND INFECTIONS. MH ALSO WAS RECOGNIZED BY CENTERS FOR MEDICARE AND MEDICAID (CMS) WITH A FIVE STAR RATING FOR OUTCOMES IN MORTALITY, SAFETY, READMISSIONS, PATIENT EXPERIENCE, AND TIMELY AND EFFECTIVE CARE. MH ALSO WAS RECOGNIZED BY BECKER'S HOSPITAL REVIEW AS ONE OF ITS TOP 100 RURAL & COMMUNITY HOSPITALS, BY STATE, BASED ON INPATIENT AND OUTPATIENT MARKET SHARE AS WELL AS QUALITY OUTCOMES, PATIENT EXPERIENCE, COSTS AND FINANCIAL EFFICIENCY.IN 2023, MH SERVED 1,580 INPATIENTS AND 80,468 OUTPATIENTS. FURTHER, 19,834 INDIVIDUALS SOUGHT EMERGENCY CARE AT MH. THE HOSPITAL CONTRIBUTED $13,934,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE.THROUGH COMMUNITY HEALTH SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS, MH CONTRIBUTED $382,000 TO THE COMMUNITY DURING 2023. INCLUDED IN THIS FIGURE ARE PROGRAMS AND EVENTS SUCH AS: -USE APPROVED AND FUNDED RESOURCES FROM SUSAN G. KOMEN TO PROVIDE BREAST EXAMS AND MAMMOGRAMS.-PROVIDING CARE PACKAGES AND HOMEMADE COOKIES FROM NUTRITION SERVICES TO PATIENTS RECEIVING CARE THROUGH HOSPICE, HOME HEALTH, DIALYSIS, MOBILE MEALS, THE CANCER CENTER, AND PAIN CLINIC AS WELL AS SEVERAL SENIOR HOUSING COMMUNITIES. - PARTNERSHIP WITH STACEY PLACE AND GREAT LAKES COMMUNITY ACTION PARTNERSHIP TO PROVIDE COMMUNITY MEMBERS WITH EDUCATION ABOUT COOKING HEALTHY RECIPES. THIS EVENT DISTRIBUTED FOOD SCALES AND INFORMATION ABOUT HOW TO READ NUTRITION LABELS FOR PARTICIPANTS. MH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE DURING 2023, OF WHICH $3,391,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. MH COST OF BAD DEBT FOR 2023 WAS $3,688,000 . THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $13,934,000 NOTED ABOVE.FURTHERMORE, MH PROVIDED $1,307,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. MH EXPENDED $21,432,000 IN NET PAYROLL, PROVIDING 403 JOBS IN NORTHWEST OHIO IN 2023. A TOTAL OF $1,235,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES.IN SUMMARY, MH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.

    Expenses $55,503,406 · Revenue $91,920,546

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Steve Sadowski

    SECRETARY/CHIEF LEGAL OFFICER

    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

  • 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

  • Michael Grillis

    TRUSTEE/PHYSICIAN

    Total calculated
    $635,653
    From this org
    $0
    From related orgs
    $630,007
    Other
    $5,646
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $534,800 related
    Bonus
    $0 + $91,343 related
    Other
    $0 + $3,864 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,646 related
    Filer's total
    $0 + $635,653 related

  • David Sommers MD

    TRUSTEE/PHYSICIAN

    Total calculated
    $456,442
    From this org
    $0
    From related orgs
    $456,442
    Other
    $0
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $445,099 related
    Bonus
    $0 + $11,293 related
    Other
    $0 + $50 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $456,442 related

  • Iracema Arevalo MD

    TRUSTEE/PHYSICIAN - PART YEAR

    Total calculated
    $354,332
    From this org
    $0
    From related orgs
    $348,475
    Other
    $5,857
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $333,381 related
    Bonus
    $0 + $13,552 related
    Other
    $0 + $1,542 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,857 related
    Filer's total
    $0 + $354,332 related

  • James Williams MD PhD

    TRUSTEE/PHYSICIAN

    Total calculated
    $269,745
    From this org
    $0
    From related orgs
    $265,058
    Other
    $4,687
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,918 related
    Bonus
    $0 + $6,702 related
    Other
    $0 + $3,438 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,687 related
    Filer's total
    $0 + $269,745 related

  • Jodi Rucker

    TRUSTEE/PRESIDENT

    Total calculated
    $267,370
    From this org
    $0
    From related orgs
    $263,653
    Other
    $3,717
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $229,112 related
    Bonus
    $0 + $33,750 related
    Other
    $0 + $791 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,717 related
    Filer's total
    $0 + $267,370 related

  • Dasa Dzierwa

    TRUSTEE/ASSOCIATE VP, NON CLINICAL

    Total calculated
    $196,857
    From this org
    $0
    From related orgs
    $194,061
    Other
    $2,796
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,116 related
    Bonus
    $0 + $26,620 related
    Other
    $0 + $325 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,796 related
    Filer's total
    $0 + $196,857 related

  • Lisa Davis MD MBA

    TRUSTEE/PHYSICIAN

    Total calculated
    $164,736
    From this org
    $0
    From related orgs
    $164,736
    Other
    $0
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $151,126 related
    Bonus
    $0 + $13,310 related
    Other
    $0 + $300 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $164,736 related

  • Barry Luse

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Louis Robichaux

    TREASURER - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 54 related

  • Vince Militello

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Paul Hershey

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Robert Gross

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Robin Richter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Roger Kuns

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Ronald M Schumacher EdD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Scott Lang

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Scott Miller

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Anthony Rusher MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Joseph Liszak III

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Bethany Brown

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Julie Chudzinski

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Christian Moore

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Jim North MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Kristie Bilger

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Arturo Polizzi

    PRESIDENT AND 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

  • Randal Koch

    DIRECTOR OF PHARMACY

    Total calculated
    $170,138
    From this org
    $165,116
    From related orgs
    $0
    Other
    $5,022
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $159,297
    Bonus
    $5,819
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $5,022
    Filer's total
    $170,138

  • Marlo Mayle

    NURSING ADMIN SUPERVISOR

    Total calculated
    $161,400
    From this org
    $154,338
    From related orgs
    $0
    Other
    $7,062
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $147,381
    Bonus
    $3,405
    Other
    $3,552
    Deferred
    $0
    Nontaxable benefits
    $7,062
    Filer's total
    $161,400

  • Nathan Perkins

    ASSOCIATE VP CLINICAL

    Total calculated
    $153,200
    From this org
    $149,419
    From related orgs
    $0
    Other
    $3,781
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $143,852
    Bonus
    $5,267
    Other
    $300
    Deferred
    $0
    Nontaxable benefits
    $3,781
    Filer's total
    $153,200

  • Cathy Dull

    NURSE MANAGER

    Total calculated
    $149,143
    From this org
    $144,779
    From related orgs
    $0
    Other
    $4,364
    Hours/week
    45

  • Patricia Beaschler

    PHARMACIST

    Total calculated
    $147,800
    From this org
    $146,135
    From related orgs
    $0
    Other
    $1,665
    Hours/week
    45

  • 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

    CHIEF OFFICER - 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, 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

  • 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
PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF MEMORIAL HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
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. -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. 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

  • MERCYMANOR PARTNERSHIP

    SKILLED NURSING · PA · 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

  • PROMEDICA MASTER TENANT LLC

    REAL ESTATE · 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
2023
Filed
8 November 2024
IRS schema version
2023v5.1
Source object
202423179349302657

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