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Nonprofiteer
← PROMEDICA COLDWATER REGIONAL HOSPITAL

Form 990 for tax year 2022

Filed by PROMEDICA COLDWATER REGIONAL HOSPITAL.

Totals

Total revenue
$77,431,587
Total expenses
$90,534,189
Contributions and grants received
$157,534
Grants paid
$0
Program service revenue
$76,130,086
Investment income
-$6,160
Other revenue
$1,150,127
Total assets, end of year
$42,693,296
Total liabilities, end of year
$26,265,084
Net assets or fund balances, end of year
$16,428,212
Program services expenses (Part IX)
$76,552,963
Management and general expenses
$13,946,604
Fundraising expenses
$34,622
Program service expenses (Part III)
$76,552,963

Program services were 84.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DARRIN ARQUETTE

    TRUSTEE

    Total calculated
    $399,518
    From this org
    $0
    From related orgs
    $387,645
    Other
    $11,873
    Hours/week
    1 + 54 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 + $6,027 related
    Filer's total
    $0 + $399,518 related

  • KATHLEEN D MERRILL MBA LEAN WOSB

    TRUSTEE

    Total calculated
    $373,959
    From this org
    $0
    From related orgs
    $364,360
    Other
    $9,599
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $269,018 related
    Bonus
    $0 + $91,284 related
    Other
    $0 + $4,058 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,599 related
    Filer's total
    $0 + $373,959 related

  • EDELWINA R DY

    TRUSTEE

    Total calculated
    $364,421
    From this org
    $0
    From related orgs
    $352,803
    Other
    $11,618
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,785 related
    Bonus
    $0 + $12,718 related
    Other
    $0 + $300 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $11,618 related
    Filer's total
    $0 + $364,421 related

  • JERED J WILSON

    TRUSTEE

    Total calculated
    $351,467
    From this org
    $0
    From related orgs
    $347,356
    Other
    $4,111
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $243,511 related
    Bonus
    $0 + $102,392 related
    Other
    $0 + $1,453 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,111 related
    Filer's total
    $0 + $351,467 related

  • DASA A DZIERWA

    TRUSTEE

    Total calculated
    $173,445
    From this org
    $0
    From related orgs
    $173,445
    Other
    $0
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $153,211 related
    Bonus
    $0 + $19,934 related
    Other
    $0 + $300 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $173,445 related

  • LAURA J CAYWOOD RN BSN

    TRUSTEE

    Total calculated
    $93,499
    From this org
    $0
    From related orgs
    $86,137
    Other
    $7,362
    Hours/week
    1 + 54 related

  • ALICIA COLE

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • LISA P LOEHR MILLER

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 13 related

  • MICHAEL BECKWITH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JOUDAT M DAOUD MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • HILLARY P ELEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • RONALD C GIBSON MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JOESPEH HUGHES

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JAYLEN T JOHNSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CINDY L LONGSTREET

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DEBORA LOUNDS-BOWERS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JOHN D MORRELL JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • RONALD E SAMPSEL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • 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

  • DANIEL P SCHWANKE

    PRESIDENT

    Total calculated
    $284,068
    From this org
    $0
    From related orgs
    $274,568
    Other
    $9,500
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $240,639 related
    Bonus
    $0 + $29,936 related
    Other
    $0 + $3,993 related
    Deferred
    $0 + $5,485 related
    Nontaxable benefits
    $0 + $4,015 related
    Filer's total
    $0 + $284,068 related

  • LOUIS ROBICHAUX

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 54 related

  • DEANA 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

  • BARBARA MCGRATH

    PHYSICIAN

    Total calculated
    $739,948
    From this org
    $717,034
    From related orgs
    $0
    Other
    $22,914
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $702,041
    Bonus
    $14,693
    Other
    $300
    Deferred
    $3,813
    Nontaxable benefits
    $19,101
    Filer's total
    $739,948

  • CHRISTOPHER HOFF

    PHYSICIAN

    Total calculated
    $666,968
    From this org
    $635,685
    From related orgs
    $0
    Other
    $31,283
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $635,685
    Bonus
    $0
    Other
    $0
    Deferred
    $1,525
    Nontaxable benefits
    $29,758
    Filer's total
    $666,968

  • MICHAEL DELONG

    CRH PHYSICIAN

    Total calculated
    $597,079
    From this org
    $597,079
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $595,023
    Bonus
    $2,056
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $597,079

  • EDWARD JANKOWSKI

    PHYSICIAN

    Total calculated
    $437,248
    From this org
    $412,326
    From related orgs
    $0
    Other
    $24,922
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $412,230
    Bonus
    $96
    Other
    $0
    Deferred
    $2,288
    Nontaxable benefits
    $22,634
    Filer's total
    $437,248

  • KANWAR RANA

    PHYSICIAN

    Total calculated
    $426,589
    From this org
    $422,462
    From related orgs
    $0
    Other
    $4,127
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $422,462
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $4,127
    Filer's total
    $426,589

  • GARY 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 COMMUNITY HEALTH CENTER OF BRANCH COUNTY, 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.

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.

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
202303189349313035

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