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Nonprofiteer
← EMMA L BIXBY MEDICAL CENTER

Form 990 for tax year 2022

Filed by EMMA L BIXBY MEDICAL CENTER.

Totals

Total revenue
$134,953,302
Total expenses
$125,691,744
Contributions and grants received
$1,477,078
Grants paid
$1,072,641
Program service revenue
$131,691,698
Investment income
$135,856
Other revenue
$1,648,670
Total assets, end of year
$223,622,255
Total liabilities, end of year
$152,517,755
Net assets or fund balances, end of year
$71,104,500
Program services expenses (Part IX)
$108,393,904
Management and general expenses
$17,297,840
Fundraising expenses
$0
Program service expenses (Part III)
$108,393,904

Program services were 86.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • 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

  • MARCY L BROWN

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • DE'ANGELO BOONE

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • PAULA K HOLTZ

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • LOUIS ROBICHAUX

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 54 related

  • AARON SWIGGUM

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BRANDON FARVER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CHRISTI L ANSBERG

    TRUSTEE

    Total calculated
    $306,677
    From this org
    $0
    From related orgs
    $300,364
    Other
    $6,313
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,767 related
    Bonus
    $0 + $55,646 related
    Other
    $0 + $2,951 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,313 related
    Filer's total
    $0 + $306,677 related

  • DARRIN ARQUETTE

    TRUSTEE

    Total calculated
    $422,945
    From this org
    $0
    From related orgs
    $387,645
    Other
    $35,300
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $327,854 related
    Bonus
    $0 + $57,069 related
    Other
    $0 + $2,722 related
    Deferred
    $0 + $5,846 related
    Nontaxable benefits
    $0 + $29,454 related
    Filer's total
    $0 + $422,945 related

  • DENNIS M SMOKE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ELIZABETH A KENNEDY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • FRANK DICK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • GARY E MCDOWELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • GRACE M GARNO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOHN C AKENS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JULIE K YAROCH DO

    TRUSTEE

    Total calculated
    $411,831
    From this org
    $392,736
    From related orgs
    $0
    Other
    $19,095
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $314,974
    Bonus
    $75,729
    Other
    $2,033
    Deferred
    $1,300
    Nontaxable benefits
    $17,795
    Filer's total
    $411,831

  • MARCIA J BOYNTON JD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK HAAG

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARSHA L DAVIS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MICHAEL B ADAMS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MICHAEL J UCKELE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • PAUL E GIETZEN MD

    TRUSTEE

    Total calculated
    $395,326
    From this org
    $0
    From related orgs
    $369,146
    Other
    $26,180
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,908 related
    Bonus
    $0 + $90,149 related
    Other
    $0 + $3,089 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $26,180 related
    Filer's total
    $0 + $395,326 related

  • RICK K KNIERIM

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RUDY FLORES

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • RUSSELL L DEMPSEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 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

  • STEVEN M CAVANAUGH

    TREASURER, CFO-PART YEAR

    Total calculated
    $2,477,340
    From this org
    $0
    From related orgs
    $2,435,815
    Other
    $41,525
    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 + $12,539 related
    Filer's total
    $0 + $2,477,340 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

  • 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

  • CHRISTINA BELL

    DIRECTOR OF PHARMACY

    Total calculated
    $174,716
    From this org
    $144,143
    From related orgs
    $0
    Other
    $30,573
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,500
    Bonus
    $4,568
    Other
    $75
    Deferred
    $762
    Nontaxable benefits
    $29,811
    Filer's total
    $174,716

  • ALEXA SIMKOW

    DIR-SURGICAL SVCS.

    Total calculated
    $161,484
    From this org
    $137,819
    From related orgs
    $0
    Other
    $23,665
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $120,045
    Bonus
    $9,299
    Other
    $8,475
    Deferred
    $1,084
    Nontaxable benefits
    $22,581
    Filer's total
    $161,484

  • VERONICA HARTZELL

    RN, HOSPITAL

    Total calculated
    $160,969
    From this org
    $131,358
    From related orgs
    $0
    Other
    $29,611
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $106,597
    Bonus
    $24,761
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $29,611
    Filer's total
    $160,969

  • MELISSA THOMPSON

    CLINICAL PHARMACIST

    Total calculated
    $153,981
    From this org
    $144,438
    From related orgs
    $0
    Other
    $9,543
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,138
    Bonus
    $0
    Other
    $300
    Deferred
    $0
    Nontaxable benefits
    $9,543
    Filer's total
    $153,981

  • LISA BACHMAYER

    THERAPIST-PHYSICAL

    Total calculated
    $147,669
    From this org
    $145,689
    From related orgs
    $0
    Other
    $1,980
    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, 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 EMMA L. BIXBY MEDICAL CENTER, 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
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. IN ADDITION, THE ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR. 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

  • PROMEDICA FOUNDATION

    $584,000

    OPERATING GRANT

  • MICHIGAN CENTER FOR RURAL HEALTH

    $257,853

    RURAL HEALTH RESEARCH CENTERS

  • HEALTH RESOURCES AND SERVICES ADMINISTRATION

    $230,788

    RURAL HEALTH, CARE SERVICES, OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • WOLF CREEK ASSOCIATES LLC

    FACILITY LEASE · MI · income $119,918 · assets $1,992,168

    Directly controlled by EMMA L BIXBY MEDICAL CENTER

Related partnerships

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202333189349311493

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