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Nonprofiteer
← LENAWEE LONG TERM CARE

Form 990 for tax year 2023

Filed by LENAWEE LONG TERM CARE.

Totals

Total revenue
$7,629,111
Total expenses
$5,245,823
Contributions and grants received
$126,767
Grants paid
$0
Program service revenue
$4,241,914
Investment income
$3,174,250
Other revenue
$86,180
Total assets, end of year
$2,030,460
Total liabilities, end of year
$1,705,380
Net assets or fund balances, end of year
$325,080
Program services expenses (Part IX)
$5,068,889
Management and general expenses
$176,934
Fundraising expenses
$0
Program service expenses (Part III)
$5,068,889

Program services were 96.6% 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.

  • 1e · Government grants (contributions)

    $126,767

  • 2a · Program service revenue: NET PATIENT SERVICES

    total $4,241,914 · related or exempt $4,241,914

  • 3 · Investment income

    total $667 · excluded $667

  • 7a · Gross sales of assets other than inventory

    other assets $4,100,710

  • 7b · Less cost or other basis and sales expenses

    other assets $927,127

  • 7c · Gain or loss

    other assets $3,173,583

  • 7d · Net gain or loss

    total $3,173,583 · excluded $3,173,583

  • 11a · Other revenue: ASBESTOS REMEDIATION

    total $85,890 · excluded $85,890

  • 11b · Other revenue: VENDING MACHINE REVENU

    total $257 · excluded $257

  • 11c · Other revenue: MISCELLANEOUS REVENUE

    total $33 · excluded $33

  • 11e · Other revenue, total

    $86,180

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $2,184,280 · program services $2,184,280

  • 8 · Pension plan contributions

    total $42,706 · program services $42,706

  • 9 · Other employee benefits

    total $88,121 · program services $88,121

  • 10 · Payroll taxes

    total $112,656 · program services $112,656

  • 11a · Fees: management

    total $155,202 · management and general $155,202

  • 11b · Fees: legal

    total $18,544 · management and general $18,544

  • 11c · Fees: accounting

    total $3,188 · management and general $3,188

  • 11g · Fees: other

    total $1,648,780 · program services $1,648,780

  • 12 · Advertising and promotion

    total $3,176 · program services $3,176

  • 13 · Office expenses

    total $60,786 · program services $60,786

  • 17 · Travel

    total $15,547 · program services $15,547

  • 22 · Depreciation, depletion and amortization

    total $128,314 · program services $128,314

  • 23 · Insurance

    total $31,886 · program services $31,886

  • 24a · Other expenses: PROVIDER TAXES

    total $388,068 · program services $388,068

  • 24b · Other expenses: IC ALLOCATED EXPENSE

    total $140,977 · program services $140,977

  • 24c · Other expenses: DRUGS

    total $79,438 · program services $79,438

  • 24d · Other expenses: MEDICAL SUPPLIES

    total $26,748 · program services $26,748

  • 24e · All other expenses

    total $117,406 · program services $117,406

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,070,153 · end of year $2,015,102

  • 4 · Accounts receivable

    beginning of year $562,904 · end of year $13,528

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $1,109,979 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $1,830

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,286,190 · end of year $42,056

  • 25 · Other liabilities

    beginning of year $4,509,250 · end of year $1,663,324

  • 27 · Net assets without donor restrictions

    beginning of year -$2,052,404 · end of year $325,080

Mission and programs · 2023

Mission

LENAWEE LONG TERM CARE WILL SUPPORT PROMEDICA HEALTH SYSTEM, INC. BY PROVIDING ACCESS TO A SEAMLESS CONTINUUM OF SERVICES IN THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

LENAWEE LONG TERM CARE IS A LONG-TERM CARE FACILITY DESIGNED TO PROVIDE ASSISTANCE TO INDIVIDUALS WHO ARE NO LONGER ABLE TO CARE FOR THEMSELVES DUE TO PHYSICAL LIMITATIONS, CHRONIC CONDITIONS, DISABILITIES, OR OTHER CHANGES. LENAWEE LONG TERM CARE STAFF PROVIDES SKILLED NURSING SERVICES TO LONG-TERM CARE RESIDENTS AND PATIENTS WHO REQUIRE POST-HOSPITAL CARE IN ORDER TO RETURN TO A HOME SETTING.

  • LENAWEE LONG TERM CARE (LLTC, D/B/A PROVINCIAL HOUSE OF ADRIAN) A 117-BED SKILLED NURSING FACILITY LOCATED IN ADRIAN, MICHIGAN. LLTC IS PART 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. LLTC IS A LONG-TERM CARE FACILITY DESIGNED TO PROVIDE ASSISTANCE TO INDIVIDUALS WHO NO LONGER ARE ABLE TO CARE FOR THEMSELVES BECAUSE OF PHYSICAL LIMITATIONS, CHRONIC CONDITIONS, DISABILITIES, OR OTHER CHANGES IN PERSONAL HEALTH. ITS STAFF PROVIDES SKILLED NURSING SERVICES TO LONG-TERM CARE RESIDENTS AS WELL AS PATIENTS WHO REQUIRE POST-HOSPITAL CARE SO THEY MAY RETURN TO A HOME SETTING. REHABILITATION SERVICES INCLUDE CARDIAC AND STROKE REHABILITATION, TREATMENT FOR ORTHOPAEDIC CONDITIONS SUCH AS HIP FRACTURES OR JOINT REPLACEMENT, LYMPHEDEMA TREATMENT AND MORE. IN A TYPICAL YEAR, LONG-TERM RESIDENTS ARE ABLE TO ENJOY SPECIAL EVENTS SUCH AS COOKOUTS, HOLIDAY CELEBRATIONS, PICNICS, TRIPS TO LOCAL RESTAURANTS, COMMUNITY EVENTS, AND SIGHTSEEING TOURS. MANY OF THESE EVENTS WERE POSTPONED IN 2021 TO PROTECT THE HEALTH AND WELL-BEING OF RESIDENTS DURING THE COVID-19 PANDEMIC.LLTC 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, PROMEDICA PROVIDES THESE HEALTHCARE SERVICES; RECRUITS AND TRAINS HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDES APPROPRIATE FINANCIAL ASSISTANCE; OFFERS SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENTS FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.IN JULY 2023, LENAWEE LONG TERM CARE WAS SOLD TO A NEW OWNER.

    Expenses $5,068,889 · Revenue $4,241,914

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

Listed in Part VII

  • Stephen 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

    CHIEF FINANCIAL OFFICER

    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

  • Justin Skiver

    TRUSTEE/PRESIDENT

    Total calculated
    $921,709
    From this org
    $0
    From related orgs
    $914,603
    Other
    $7,106
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $509,605 related
    Bonus
    $0 + $404,998 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,106 related
    Filer's total
    $0 + $921,709 related

  • Luke Pile

    TRUSTEE/PRESIDENT

    Total calculated
    $617,232
    From this org
    $0
    From related orgs
    $610,537
    Other
    $6,695
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $372,019 related
    Bonus
    $0 + $238,518 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,695 related
    Filer's total
    $0 + $617,232 related

  • Martin Allen

    TRUSTEE/VICE PRESIDENT

    Total calculated
    $314,125
    From this org
    $0
    From related orgs
    $310,690
    Other
    $3,435
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $56,798 related
    Bonus
    $0 + $14,400 related
    Other
    $0 + $239,492 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,435 related
    Filer's total
    $0 + $314,125 related

  • Damian Rodgers

    TRUSTEE/SECRETARY - PART YEAR

    Total calculated
    $220,879
    From this org
    $0
    From related orgs
    $218,167
    Other
    $2,712
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $168,843 related
    Bonus
    $0 + $49,324 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,712 related
    Filer's total
    $0 + $220,879 related

  • Tim Roberts

    TREASURER - PART YEAR

    Total calculated
    $624,891
    From this org
    $0
    From related orgs
    $619,519
    Other
    $5,372
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $305,769 related
    Bonus
    $0 + $313,750 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,372 related
    Filer's total
    $0 + $624,891 related

  • Arturo Polizzi

    PRESIDENT AND CEO

    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

  • Louis Robichaux

    TREASURER/CFO - PART TIME

    Total calculated
    $0
    Hours/week
    1 + 54 related

  • 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

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
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, LINES 4A-B
UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. 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. MARTIN ALLEN RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $216,683 DURING 2023. GARY AKENBERGER RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, THE TOLEDO HOSPITAL, IN THE AMOUNT OF $195,150 DURING 2023. 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.

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.

  • 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 · controlled entity

  • LENAWEE CLINICAL PARTNERS

    C · PHYSICIAN SUPPORT · OH · controlled entity

  • 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

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

  • ADRIAN BAY PROPERTY

    $4,520,000

    Disposition · SKILLED NURSING FACILITIES · Jul 31, 2023 · LIMITED LIABILITY COMPANY

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202443179349302979

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