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Nonprofiteer
← EMMA L BIXBY MEDICAL CENTER

Form 990 for tax year 2023

Filed by EMMA L BIXBY MEDICAL CENTER.

Totals

Total revenue
$135,607,293
Total expenses
$130,303,035
Contributions and grants received
$972,844
Grants paid
$0
Program service revenue
$132,915,911
Investment income
$72,831
Other revenue
$1,645,707
Total assets, end of year
$202,967,096
Total liabilities, end of year
$169,385,389
Net assets or fund balances, end of year
$33,581,707
Program services expenses (Part IX)
$112,780,692
Management and general expenses
$17,522,343
Fundraising expenses
$0
Program service expenses (Part III)
$112,780,692

Program services were 86.6% 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

    $688,724

  • 1e · Government grants (contributions)

    $284,120

  • 2a · Program service revenue: NET PATIENT SERVICES

    total $131,979,175 · related or exempt $131,979,175

  • 2b · Program service revenue: AFFILIATED ORG RENT

    total $936,736 · related or exempt $936,736

  • 3 · Investment income

    total $72,831 · excluded $72,831

  • 6a · Gross rents

    real property $81,922

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $81,922

  • 6d · Net rental income or loss

    total $81,922 · excluded $81,922

  • 11a · Other revenue: AUXILARY INCOME

    total $1,563,785 · excluded $1,563,785

  • 11e · Other revenue, total

    $1,563,785

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $31,624,188 · program services $25,005,304 · management and general $6,618,884

  • 9 · Other employee benefits

    total $4,903,819 · program services $3,877,459 · management and general $1,026,360

  • 10 · Payroll taxes

    total $2,237,643 · program services $1,769,308 · management and general $468,335

  • 11b · Fees: legal

    total $79,997 · management and general $79,997

  • 11d · Fees: lobbying

    total $5,543 · management and general $5,543

  • 11g · Fees: other

    total $16,863,332 · program services $11,425,006 · management and general $5,438,326

  • 12 · Advertising and promotion

    total $3,083 · program services $296 · management and general $2,787

  • 13 · Office expenses

    total $2,576,530 · program services $246,983 · management and general $2,329,547

  • 14 · Information technology

    total $13,394 · program services $8,236 · management and general $5,158

  • 16 · Occupancy

    total $3,646,150 · program services $3,536,766 · management and general $109,384

  • 17 · Travel

    total $177,296 · program services $16,995 · management and general $160,301

  • 20 · Interest

    total $2,966,316 · program services $2,966,316

  • 22 · Depreciation, depletion and amortization

    total $7,705,766 · program services $6,861,339 · management and general $844,427

  • 24a · Other expenses: INTERCOMPANY SERVICES

    total $24,799,371 · program services $24,799,371

  • 24b · Other expenses: DRUGS

    total $15,240,646 · program services $15,240,646

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $8,234,008 · program services $8,234,008

  • 24d · Other expenses: PROVISION FOR BAD DEBT

    total $5,793,215 · program services $5,793,215

  • 24e · All other expenses

    total $3,432,738 · program services $2,999,444 · management and general $433,294

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $26,220,159 · end of year $8,996,491

  • 4 · Accounts receivable

    beginning of year $18,155,916 · end of year $17,823,720

  • 8 · Inventories for sale or use

    beginning of year $2,695,744 · end of year $2,661,854

  • 9 · Prepaid expenses and deferred charges

    beginning of year $225,851 · end of year $264,891

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

    $164,813,514

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

    $31,524,484

  • 10c · Land, buildings and equipment, net

    beginning of year $140,293,382 · end of year $133,289,030

  • 14 · Intangible assets

    beginning of year $1,736,886 · end of year $1,531,709

  • 15 · Other assets

    beginning of year $34,294,317 · end of year $38,399,401

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,494,807 · end of year $6,930,694

  • 23 · Secured mortgages and notes payable

    beginning of year $49,389,706 · end of year $49,417,548

  • 25 · Other liabilities

    beginning of year $96,633,242 · end of year $113,037,147

  • 27 · Net assets without donor restrictions

    beginning of year $70,181,253 · end of year $32,798,286

  • 28 · Net assets with donor restrictions

    beginning of year $923,247 · end of year $783,421

Mission and programs · 2023

Mission

EMMA L. BIXBY MEDICAL CENTER IS DEDICATED TO IMPROVING HUMAN LIFE AND DEVOTED TO THE PATIENTS AND FAMILIES WE SERVE THROUGH INNOVATIVE CARE, SUPERIOR QUALITY, AND PREMIER CUSTOMER SERVICE.

Activities or mission (Part I)

PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL IS AN ACUTE CARE HOSPITAL THAT PROVIDES HEALTHCARE SERVICES PRIMARILY TO INDIVIDUALS OF LENAWEE COUNTY.

  • EMMA L. BIXBY MEDICAL CENTER IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. FOUNDED IN 1911, EMMA L. BIXBY MEDICAL CENTER (D/B/A PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL CONTINUES TO MEET THE HEALTHCARE NEEDS OF ADRIAN, MICHIGAN AND SURROUNDING SOUTHEAST MICHIGAN COMMUNITIES AS THE LARGEST ACUTE CARE FACILITY IN LENAWEE COUNTY. IT 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 HEALTH CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL (CVHH) IS A 50-BED, FULL-SERVICE, ACUTE CARE HOSPITAL STAFFED BY MORE THAN 120 ACTIVE PROVIDERS WORKING TO MEET IDENTIFIED NEEDS OF THE COMMUNITY. THE FACILITY IS MORE THAN 200,000 SQUARE FEET, CONSISTING OF 40 MEDICAL-SURGICAL BEDS, 10 CRITICAL CARE BED, FOUR OPERATING ROOMS WITH THREE MINOR PROCEDURE ROOMS, 27 EMERGENCY ROOMS AND EIGHT LABOR AND DELIVERY ROOMS AS WELL AS A FULL ARRAY OF DIAGNOSTIC SERVICES. THE HOSPITAL ALSO PROVIDES NUMEROUS INPATIENT AND OUTPATIENT SERVICES, WITH ITS STAFF OF PROFESSIONALS OFFERING CARE IN GENERAL SURGERY, HEART AND VASCULAR CARE, WOMEN'S HEALTH, ORTHOPAEDICS, PEDIATRICS, FAMILY MEDICINE, CRITICAL CARE, AND CANCER TREATMENT SERVICES. IN 2023, CVHH WAS NAMED A TOP RURAL HOSPITAL FOR THE THIRD YEAR IN A ROW BY THE LEAPFROG GROUP FOR OUTSTANDING QUALITY AND SAFETY. CVHH WAS ONE OF JUST 23 RURAL HOSPITALS NATIONWIDE TO RECEIVE THE HONOR.IN 2023, CVHH SERVED 2,807 INPATIENTS; 86,660 OUTPATIENTS; AND 28,259 EMERGENCY CENTER PATIENTS. THE HICKMAN CANCER CENTER, ON THE HICKMAN HOSPITAL CAMPUS, IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. AS PART OF THE PROMEDICA CANCER INSTITUTE, HICKMAN CANCER CENTER OFFERS DIAGNOSTIC SERVICES, AS WELL AS RADIATION AND MEDICAL ONCOLOGY TREATMENT FOR HUNDREDS OF NEW PATIENTS ANNUALLY. AS A MEMBER OF THE TOLEDO COMMUNITY HOSPITAL ONCOLOGY PROGRAM, HICKMAN CANCER CENTER OFFERS PATIENTS THE OPPORTUNITY TO PARTICIPATE IN NATIONAL CANCER TRIALS. FURTHER, CVHH'S CARDIAC AND PULMONARY REHABILITATION PROGRAM IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. ADDITIONALLY, CVHH OFFERS TELEMEDICINE SERVICE TO ITS INPATIENT CARE UNITS TO HELP PROVIDE REAL-TIME PATIENT DIAGNOSIS AND TREATMENT FROM A PHYSICIAN. THE SERVICE ALLOWS A DOCTOR'S VISIT TO BE CONDUCTED WITH A SPECIAL COMPUTER AND INTERNET CONNECTION AND HELPS THE HOSPITAL PROVIDE SAFE, QUALITY CARE WHEN IT'S NEEDED DURING NIGHT SHIFTS WHEN FEWER PHYSICIANS MAY BE AVAILABLE. CVHH HAS ALSO RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES GOLD PLUS ACHIEVEMENT FOR ITS COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED STANDARDS OF CARE.THE HOSPITAL CONTRIBUTED $22,540,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE IN 2023.THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONAL EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BENEFIT OPERATIONS, CVHH CONTRIBUTED $503,000 TO THE COMMUNITY DURING 2023. THE FOLLOWING ARE EXAMPLES OF SUCH CONTRIBUTIONS: -FOOD SECURITY PROGRAMS PROVIDING FOOD AT DISCHARGE AND OUT IN THE COMMUNITY THROUGH PROMEDICA, FARMS, VEGGIE MOBILE AND PARTNERSHIP WITH THE SOUTH MICHIGAN FOOD BANK. - COMPLEMENTARY TRANSPORTATION AT DISCHARGE FOR PATIENTS EXPERIENCING TRANSPORTATION AND FINANCIAL STRAIN BARRIERS. - SUPPORT GROUPS FOR INDIVIDUALS WITH CHRONIC DISEASES, FOCUSED ON PATIENTS' EMOTIONAL, PHYSIOLOGICAL AND PSYCHOLOGICAL NEEDS; - CHILDHOOD AND ADULT IMMUNIZATIONS AND ASTHMA CARE - COMMUNITY HEALTH AND WELLNESS SERVICES, WHICH INCLUDED TOBACCO CESSATION PROGRAMS, NUTRITION AND HEALTHY LIFESTYLES CLASSES, PRENATAL CLASSES, AND CPR TRAINING; COLLABORATION WITH THE UNITED WAY OF MONROE AND LENAWEE COUNTIES HEALTH CHECK EVENTS - COLLECTION AND RESPONSIBLE DISPOSAL OF UNUSED MEDICATIONS THROUGH TWO COMMUNITY TAKE BACK EVENTS AND MEDSAFE COLLECTION BINS WITH THE EMERGENCY DEPARTMENT.CVHH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2023, OF WHICH $4,939,000 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. CVHH'S COST OF BAD DEBT FOR 2023 WAS $5,793,000 . THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $22,540,000 NOTED ABOVE.FURTHER, CVHH PROVIDED $5,688,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. ALSO, IN 2023, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $1,065,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $22,540,000 NOTED ABOVE.CVHH PROVIDED 474 JOBS THROUGH DIRECT EMPLOYMENT IN 2023, EXPENDING $28,883,000 IN NET PAYROLL. A TOTAL OF $1,769,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, CVHH 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 OUTREACH ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.

    Expenses $112,780,692 · Revenue $132,915,911

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

Listed in Part VII

  • Dawn Buskey

    TRUSTEE/PRESIDENT

    Total calculated
    $1,417,737
    From this org
    $0
    From related orgs
    $1,412,400
    Other
    $5,337
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $658,750 related
    Bonus
    $0 + $751,150 related
    Other
    $0 + $2,500 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,337 related
    Filer's total
    $0 + $1,417,737 related

  • 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

  • Darrin Arquette

    TRUSTEE/PRESIDENT

    Total calculated
    $442,979
    From this org
    $0
    From related orgs
    $439,707
    Other
    $3,272
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $378,559 related
    Bonus
    $0 + $58,262 related
    Other
    $0 + $2,886 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,272 related
    Filer's total
    $0 + $442,979 related

  • Julie Yaroch Do

    TRUSTEE/PRESIDENT

    Total calculated
    $394,960
    From this org
    $0
    From related orgs
    $390,716
    Other
    $4,244
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $322,281 related
    Bonus
    $0 + $67,193 related
    Other
    $0 + $1,242 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,244 related
    Filer's total
    $0 + $394,960 related

  • Paul Gietzen

    TRUSTEE/PHYSICIAN

    Total calculated
    $336,883
    From this org
    $0
    From related orgs
    $332,763
    Other
    $4,120
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $286,544 related
    Bonus
    $0 + $43,130 related
    Other
    $0 + $3,089 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,120 related
    Filer's total
    $0 + $336,883 related

  • Christi Ansberg

    TRUSTEE/VP PHILANTHROPY

    Total calculated
    $236,562
    From this org
    $0
    From related orgs
    $236,562
    Other
    $0
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $191,661 related
    Bonus
    $0 + $40,375 related
    Other
    $0 + $4,526 related
    Deferred
    $0 + $3,803 related
    Nontaxable benefits
    $0 + $4,009 related
    Filer's total
    $0 + $244,374 related

  • Michael Adams

    TRUSTEE/RESPIRATORY THERAPIST

    Total calculated
    $111,981
    From this org
    $0
    From related orgs
    $110,362
    Other
    $1,619
    Hours/week
    1 + 44 related

  • Marcy Brown

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • Louis Robichaux

    TREASURER - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 54 related

  • Marcia Boynton JD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Marsha Davis

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Brandon Farver

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Rudy Flores

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Mark Haag

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Katie E Mattison

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Gary McDowell

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Dennis Smoke

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Aaron Swiggum

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Jennifer Hunter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Elizabeth Kennedy

    TRUSTEE - PART YEAR

    Total calculated
    $0
    Hours/week
    1

  • Arturo Polizzi

    CHIEF OPERATING OFFICER

    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

  • Christina Bell

    DIRECTOR OF PHARMACY

    Total calculated
    $167,749
    From this org
    $156,652
    From related orgs
    $0
    Other
    $11,097
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $150,986
    Bonus
    $5,591
    Other
    $75
    Deferred
    $0
    Nontaxable benefits
    $11,097
    Filer's total
    $167,749

  • Melissa Thompson

    CLINICAL PHARMACIST

    Total calculated
    $152,285
    From this org
    $149,739
    From related orgs
    $0
    Other
    $2,546
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $149,432
    Bonus
    $0
    Other
    $307
    Deferred
    $0
    Nontaxable benefits
    $2,546
    Filer's total
    $152,285

  • Gary Austin

    RN, HOSPITAL

    Total calculated
    $149,671
    From this org
    $145,576
    From related orgs
    $0
    Other
    $4,095
    Hours/week
    45

  • Lisa Bachmayer

    PHYSICAL-THERAPIST

    Total calculated
    $148,181
    From this org
    $145,979
    From related orgs
    $0
    Other
    $2,202
    Hours/week
    45

  • Hani Blaih

    PHARMACIST

    Total calculated
    $138,753
    From this org
    $136,942
    From related orgs
    $0
    Other
    $1,811
    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 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. -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.

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.

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 $120,703 · assets $2,065,934

    Directly controlled by EMMA L BIXBY MEDICAL CENTER

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 · 100% owned · share of income $184,186 · share of assets $1,206,924 · controlled entity

    Directly controlled by EMMA L BIXBY MEDICAL CENTER

  • LENAWEE CLINICAL PARTNERS

    C · PHYSICIAN SUPPORT · OH · 50% owned · share of income $122,344 · share of assets $301,940 · controlled entity

    Directly controlled by EMMA L BIXBY MEDICAL CENTER

  • 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
202433179349302818

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