Totals
- Total revenue
- $86,272,614
- Total expenses
- $80,955,481
- Contributions and grants received
- $250,041
- Grants paid
- $0
- Program service revenue
- $84,623,533
- Investment income
- -$60,485
- Other revenue
- $1,459,525
- Total assets, end of year
- $65,046,432
- Total liabilities, end of year
- $35,887,052
- Net assets or fund balances, end of year
- $29,159,380
- Program services expenses (Part IX)
- $53,788,204
- Management and general expenses
- $27,167,277
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $53,788,204
Program services were 66.4% 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
$250,041
-
2a · Program service revenue: NET PATIENT SERVICES
total $84,017,268 · related or exempt $84,017,268
-
2b · Program service revenue: AFFILIATED ORG RENT RE
total $606,265 · related or exempt $606,265
-
3 · Investment income
total -$9,450 · excluded -$9,450
-
6a · Gross rents
real property $70,551
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $70,551
-
6d · Net rental income or loss
total $70,551 · excluded $70,551
-
7b · Less cost or other basis and sales expenses
other assets $51,035
-
7c · Gain or loss
other assets -$51,035
-
7d · Net gain or loss
total -$51,035 · excluded -$51,035
-
11a · Other revenue: SUPPORT SERVICES
total $1,388,974 · excluded $1,388,974
-
11e · Other revenue, total
$1,388,974
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $18,985,234 · program services $16,721,032 · management and general $2,264,202
-
9 · Other employee benefits
total $3,183,902 · program services $2,804,186 · management and general $379,716
-
10 · Payroll taxes
total $1,408,185 · program services $1,240,243 · management and general $167,942
-
11b · Fees: legal
total $61,152 · management and general $61,152
-
11d · Fees: lobbying
total $6,640 · management and general $6,640
-
11g · Fees: other
total $12,674,204 · program services $8,676,085 · management and general $3,998,119
-
12 · Advertising and promotion
total $58,450 · program services $9,462 · management and general $48,988
-
13 · Office expenses
total $1,043,343 · program services $168,899 · management and general $874,444
-
14 · Information technology
total $68,061 · program services $45,404 · management and general $22,657
-
16 · Occupancy
total $2,802,181 · program services $34,724 · management and general $2,767,457
-
17 · Travel
total $70,968 · program services $11,489 · management and general $59,479
-
20 · Interest
total $1,062,065 · program services $1,062,065
-
22 · Depreciation, depletion and amortization
total $4,534,996 · program services $3,889,425 · management and general $645,571
-
23 · Insurance
total $35,116 · management and general $35,116
-
24a · Other expenses: INTERCOMPANY SERVICES
total $14,384,471 · program services $2,328,606 · management and general $12,055,865
-
24b · Other expenses: DRUGS
total $9,018,867 · program services $9,018,867
-
24c · Other expenses: MEDICAL SUPPLIES
total $4,499,067 · program services $4,499,067
-
24d · Other expenses: PROVISION FOR BAD DEBTS
total $4,075,846 · program services $659,812 · management and general $3,416,034
-
24e · All other expenses
total $2,982,733 · program services $2,618,838 · management and general $363,895
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $7,065,020 · end of year $11,485,750
-
4 · Accounts receivable
beginning of year $9,804,494 · end of year $10,643,619
-
8 · Inventories for sale or use
beginning of year $1,374,170 · end of year $1,082,886
-
9 · Prepaid expenses and deferred charges
beginning of year $215,832 · end of year $183,377
-
10a · Land, buildings and equipment: cost or other basis
$69,087,101
-
10b · Land, buildings and equipment: accumulated depreciation
$36,071,421
-
10c · Land, buildings and equipment, net
beginning of year $34,993,593 · end of year $33,015,680
-
12 · Investments: other securities
beginning of year $256,033 · end of year $232,836
-
14 · Intangible assets
beginning of year $843,538 · end of year $731,647
-
15 · Other assets
beginning of year $9,081,325 · end of year $7,670,637
-
17 · Accounts payable and accrued expenses
beginning of year $10,360,862 · end of year $6,077,304
-
23 · Secured mortgages and notes payable
beginning of year $3,793,804 · end of year $61,888
-
25 · Other liabilities
beginning of year $33,182,292 · end of year $29,747,860
-
27 · Net assets without donor restrictions
beginning of year $8,213,217 · end of year $22,139,480
-
28 · Net assets with donor restrictions
beginning of year $8,083,830 · end of year $7,019,900
Mission and programs · 2022
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 HEALTHSYSTEM 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 2022, MH RECEIVED AN 'A' RATING FROM THE LEAPFROG GROUP FOR PROTECTING PATIENTS FROM ERRORS, INJURIES, ACCIDENTS AND INFECTIONS. MH ALSO WAS RECOGNIZED BY BECKER'S HOSPITAL REVIEW AS ONE OF ITS TOP 100 RURAL & COMMUNITY HOSPITALS, BY SATE, BASED ON INPATIENT AND OUTPATIENT MARKET SHARE AS WELL AS QUALITY OUTCOMES, PATIENT EXPERIENCE, COSTS AND FINANCIAL EFFICIENCY.IN 2022, MH SERVED 1,241 INPATIENTS AND 78,544 OUTPATIENTS. FURTHER, 19,322 INDIVIDUALS SOUGHT EMERGENCY CARE AT MH. THE HOSPITAL CONTRIBUTED $14,749,000 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 $496,000 TO THE COMMUNITY DURING 2022. 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. MH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE DURING 2022, OF WHICH $2,516,000 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 2022 WAS $4,075,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $14,749,000 NOTED ABOVE.FURTHERMORE, MH PROVIDED $3,542,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. MH EXPENDED $19,525,000 IN NET PAYROLL, PROVIDING 441 JOBS IN NORTHWEST OHIO IN 2022. A TOTAL OF $1,240,000 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 $53,788,204 · Revenue $84,623,533
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Jodi RuckerJODI RUCKER
TRUSTEE - PRES. MEMORIAL
- Total calculated
- $259,572
- From this org
- $0
- From related orgs
- $254,113
- Other
- $5,459
- Hours/week
- 15 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $211,675 related
- Bonus
- $0 + $42,222 related
- Other
- $0 + $216 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $5,459 related
- Filer's total
- $0 + $259,572 related
-
Barry F LuseBARRY F LUSE
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1 + 7 related
-
Kenneth A MyersKENNETH A MYERS
CHAIRMAN - PART YEAR
- Total calculated
- $0
- Hours/week
- 1 + 13 related
-
Amy J AnwayAMY J ANWAY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Iracema Arevalo MDIRACEMA AREVALO MD
TRUSTEE
- Total calculated
- $412,394
- From this org
- $0
- From related orgs
- $380,715
- Other
- $31,679
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $366,524 related
- Bonus
- $0 + $12,649 related
- Other
- $0 + $1,542 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $31,679 related
- Filer's total
- $0 + $412,394 related
-
Kristie A BilgerKRISTIE A BILGER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Thomas M Bowlus EsqTHOMAS M BOWLUS ESQ
TRUSTEE - PART YEAR
- Total calculated
- $0
- Hours/week
- 1
-
Bethany S Brown Msn RNBETHANY S BROWN MSN RN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Julie ChudzinskiJULIE CHUDZINSKI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Dasa A DzierwaDASA A DZIERWA
TRUSTEE
- Total calculated
- $158,080
- From this org
- $0
- From related orgs
- $158,080
- Other
- $0
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $137,896 related
- Bonus
- $0 + $19,934 related
- Other
- $0 + $250 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $158,080 related
-
Michael E Grillis DoMICHAEL E GRILLIS DO
TRUSTEE
- Total calculated
- $750,431
- From this org
- $0
- From related orgs
- $717,570
- Other
- $32,861
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $634,452 related
- Bonus
- $0 + $79,254 related
- Other
- $0 + $3,864 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $32,861 related
- Filer's total
- $0 + $750,431 related
-
Robert GrossROBERT GROSS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Paul HershyPAUL HERSHY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Dorothy KernDOROTHY KERN
TRUSTEE - PART YEAR
- Total calculated
- $0
- Hours/week
- 1
-
Roger KunsROGER KUNS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Scott D LangSCOTT D LANG
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Vincent MilitelloVINCENT MILITELLO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Scott MillerSCOTT MILLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Christian R MooreCHRISTIAN R MOORE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Dennis S NewmanDENNIS S NEWMAN
TRUSTEE - PART YEAR
- Total calculated
- $0
- Hours/week
- 1
-
James L North MDJAMES L NORTH MD
TRUSTEE
- Total calculated
- $492,264
- From this org
- $0
- From related orgs
- $465,007
- Other
- $27,257
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $377,240 related
- Bonus
- $0 + $83,903 related
- Other
- $0 + $3,864 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $27,257 related
- Filer's total
- $0 + $492,264 related
-
Robin J RichterROBIN J RICHTER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Anthony RusherANTHONY RUSHER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Regina Vincent-Williams EdDREGINA VINCENT-WILLIAMS EDD
TRUSTEE - PART YEAR
- Total calculated
- $0
- Hours/week
- 1
-
James WilliamsJAMES WILLIAMS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Randall OostraRANDALL 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 CavanaughSTEVEN 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 PolizziARTURO 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 KuhnJEFFREY 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 SadowskiSTEPHEN 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
-
Louis RobichauxLOUIS ROBICHAUX
TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 54 related
-
Deana SievertDEANA SIEVERT
SR VP, PAT CARE/CNO, SYSTEM
- Total calculated
- $159,900
- From this org
- $0
- From related orgs
- $157,458
- Other
- $2,442
- Hours/week
- 1 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $122,359 related
- Bonus
- $0 + $34,717 related
- Other
- $0 + $382 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $2,442 related
- Filer's total
- $0 + $159,900 related
-
Randal KochRANDAL KOCH
DIRECTOR OF PHARMACY
- Total calculated
- $182,624
- From this org
- $162,825
- From related orgs
- $0
- Other
- $19,799
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $151,997
- Bonus
- $10,828
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $19,799
- Filer's total
- $182,624
-
Marlo MayleMARLO MAYLE
NURSING ADMIN SUPERVISOR
- Total calculated
- $178,526
- From this org
- $149,994
- From related orgs
- $0
- Other
- $28,532
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $133,925
- Bonus
- $12,653
- Other
- $3,416
- Deferred
- $0
- Nontaxable benefits
- $28,532
- Filer's total
- $178,526
-
Nathan PerkinsNATHAN PERKINS
AVP, OPERATIONS RADIOLOGY
- Total calculated
- $167,630
- From this org
- $152,429
- From related orgs
- $0
- Other
- $15,201
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $141,888
- Bonus
- $10,241
- Other
- $300
- Deferred
- $0
- Nontaxable benefits
- $15,201
- Filer's total
- $167,630
-
Patricia BeaschlerPATRICIA BEASCHLER
PHARMACIST
- Total calculated
- $146,580
- From this org
- $134,041
- From related orgs
- $0
- Other
- $12,539
- Hours/week
- 40
-
Matthew GoetzMATTHEW GOETZ
PHARMACIST
- Total calculated
- $146,441
- From this org
- $138,427
- From related orgs
- $0
- Other
- $8,014
- Hours/week
- 40
-
Gary W AkenbergerGARY W AKENBERGER
COO, ACUTE CARE & SVP, DIAG-FORMER
- Total calculated
- $499,897
- From this org
- $0
- From related orgs
- $466,247
- Other
- $33,650
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $391,743 related
- Bonus
- $0 + $68,216 related
- Other
- $0 + $6,288 related
- Deferred
- $0 + $9,317 related
- Nontaxable benefits
- $0 + $24,333 related
- Filer's total
- $0 + $499,897 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
- 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
-
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
-
501(C)(3) · PHYSICIAN MANAGEMENT SERVICES · OH · controlled entity
Directly controlled by PROMEDICA HEALTH SYSTEM INC
-
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
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.
-
EAST-WEST HOLDINGS LTD
RELATED · REAL ESTATE · OH · 50% owned · share of income -$23,318 · share of assets $258,392
Directly controlled by MEMORIAL HOSPITAL
-
AIR DIVERTER SOLUTIONS LLC
DEVELOPMENT · OH
-
MERCYMANOR PARTNERSHIP
SKILLED NURSING · PA · general or managing partner
-
NORMAN SPECIALTY HOSPITAL LLC
HEALTH CARE · DE · general or managing partner
-
NORTHWEST OHIO DEDICATED BREAST MRI LLC
MEDICAL DIAGNOSTICS · OH
-
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
REAL ESTATE · OH · general or managing partner
-
PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC
HEALTH CARE · MI
-
PROMEDICA PATHOLOGY LABORATORIES LLC
CLINICAL LABORATORY · DE
-
PROMEDICA SENIOR CARE OF GEORGIA LLC
SKILLED NURSING · OH · general or managing partner
-
PROMEDICA VENTURES INNOVATION FUND III LLC
HOLDING COMPANY · OH
-
REYNOLDS ROAD SURGICAL CENTER LTD
FREESTANDING AMBULATORY SURGICAL CENTER · OH
-
ROCKET VENTURE FUND II LLC
INVESTMENT FUND · OH
-
SENIOR & REHAB CARE AT METROHEALTH LLC
SKILLED NURSING · OH · general or managing partner
-
THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
AMBULATORY SURGICAL CENTER · MI
-
WEST CENTRAL SURGICAL CENTER LLC
AMBULATORY SURGICAL CENTER · OH · general or managing partner
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
CEC ASSOCIATES INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
FORT INDUSTRY JV PARTNER LLC
C · REAL ESTATE · OH · controlled entity
-
HEALTH MANAGEMENT SOLUTIONS INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
HEALTH RESOURCES INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
HERRICK MEMORIAL DEVELOPMENT CORP
C · FACILITY LEASING · MI · controlled entity
-
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
C · FACILITY MANAGEMENT · MI · controlled entity
-
LENAWEE CLINICAL PARTNERS
C · PHYSICAN SUPPORT · OH · controlled entity
-
MONROE HEALTH VENTURES INC
C · PHARMACY · MI · controlled entity
-
PHS TOLEDO INNOVATION CENTER HOLDINGS LLC
C · HOLDING COMPANY · OH · controlled entity
-
PARAMOUNT BENEFITS AGENCY INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF CONNECTICUT INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF FLORIDA INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF INDIANA INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF KENTUCKY INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF MARYLAND INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF MICHIGAN INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF NEW JERSEY INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT CARE OF VIRGINIA INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT INSURNACE COMPANY
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT PREFERRED OPTIONS INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PARAMOUNT PREFERRED SOLUTIONS INC
C · HEALTH CARE INSURANCE · OH · controlled entity
-
C · PHYSICAN SUPPORT · MI · controlled entity
-
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
C · PHYSICIAN HEALTH CARE SERVICES · OH · controlled entity
-
PROMEDICA HEALTH NETWORK INC
C · PHYSICIAN MANAGEMENT SERVICES · OH · controlled entity
-
PROMEDICA INNOVATIONS LLC
C · INVESTMENT COMPANY · OH · controlled entity
-
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
C · HEALTH CARE INSURANCE · OH · controlled entity
-
PROMEDICA MANAGER MEMBER LLC
C · REAL ESTATE · OH · controlled entity
-
PROMEDICA NORTH PHYSICIAN CORPORATION
C · PHYSICIAN HEALTH CARE SERVICES · OH · controlled entity
-
PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC
C · SKILLED NURSING · NJ · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343189349315504
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