Skip to content
Nonprofiteer
← PROMEDICA INDEMNITY INSURANCE CORPORATION

Form 990 for tax year 2024

Filed by PROMEDICA INDEMNITY INSURANCE CORPORATION.

Totals

Total revenue
$29,942,171
Total expenses
$16,654,904
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$15,178,617
Management and general expenses
$1,476,287
Fundraising expenses
$0
Program service expenses (Part III)
$15,178,617

Program services were 91.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ELAINE CANNING

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DAN FARRELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BOB GAGLIARDI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BOB LACLAIR

    TRUSTEE

    Total calculated
    $42,500
    From this org
    $0
    From related orgs
    $42,500
    Other
    $0
    Hours/week
    1 + 19 related

  • LARRY PETERSON

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • ARTURO POLIZZI

    TRUSTEE/CEO

    Total calculated
    $3,133,332
    From this org
    $0
    From related orgs
    $3,119,320
    Other
    $14,012
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,585,940 related
    Bonus
    $0 + $1,530,880 related
    Other
    $0 + $2,500 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $14,012 related
    Filer's total
    $0 + $3,133,332 related

  • THOMAS WINSTON

    TRUSTEE - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BENJAMIN GOULD

    ASSISTANT SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN SADOWSKI

    PRESIDENT/SECRETARY/CHIEF LEGAL OFFICER

    Total calculated
    $1,186,414
    From this org
    $0
    From related orgs
    $1,180,376
    Other
    $6,038
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $618,697 related
    Bonus
    $0 + $561,679 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,038 related
    Filer's total
    $0 + $1,186,414 related

  • SCOTT FOUGHT

    TREASURER/VP - ACUTE CARE

    Total calculated
    $493,904
    From this org
    $0
    From related orgs
    $486,760
    Other
    $7,144
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $334,276 related
    Bonus
    $0 + $152,484 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,144 related
    Filer's total
    $0 + $493,904 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 — 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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
A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, INC., USES AN INDEPENDENT CONSULTANT, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES.
PART I, LINE 4B
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.

Provenance

Return type
form_990
Tax year
2024
Filed
9 October 2025
IRS schema version
2024v5.2
Source object
202502879349301845

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.