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Nonprofiteer
← MANOR CARE OF SPOKANE WA ASSOCIATION

Form 990 for tax year 2023

Filed by MANOR CARE OF SPOKANE WA ASSOCIATION.

Totals

Total revenue
$2,759,374
Total expenses
$3,773,298
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$3,664,191
Management and general expenses
$109,107
Fundraising expenses
$0
Program service expenses (Part III)
$3,664,191

Program services were 97.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANGELA BRANDT

    TRUSTEE-PART YEAR

    Total calculated
    $1,236,230
    From this org
    $0
    From related orgs
    $1,233,231
    Other
    $2,999
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $630,060 related
    Bonus
    $0 + $597,921 related
    Other
    $0 + $5,250 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,999 related
    Filer's total
    $0 + $1,236,230 related
  • JAMES F WHITE JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 7 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
  • MARY JANE WURTH

    TRUSTEE - PART YEAR

    Total calculated
    $30,000
    From this org
    $0
    From related orgs
    $30,000
    Other
    $0
    Hours/week
    1 + 7 related
  • RAVI NARRA

    TRUSTEE/PHYSICIAN

    Total calculated
    $556,676
    From this org
    $0
    From related orgs
    $550,819
    Other
    $5,857
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $319,380 related
    Bonus
    $0 + $229,897 related
    Other
    $0 + $1,542 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,857 related
    Filer's total
    $0 + $556,676 related
  • ROBERT LACLAIR

    TRUSTEE

    Total calculated
    $30,000
    From this org
    $0
    From related orgs
    $30,000
    Other
    $0
    Hours/week
    1 + 23 related
  • STEPHEN STAELIN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 7 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-PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 54 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

    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
  • GARY AKENBERGER

    CHIEF EXECUTIVE OFFICER-FORMER

    Total calculated
    $551,730
    From this org
    $0
    From related orgs
    $548,330
    Other
    $3,400
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $243,969 related
    Bonus
    $0 + $300,000 related
    Other
    $0 + $4,361 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,400 related
    Filer's total
    $0 + $551,730 related
  • JEFFREY C KUHN

    CHIEF LEGAL OFFICER - FORMER

    Total calculated
    $752,822
    From this org
    $0
    From related orgs
    $721,900
    Other
    $30,922
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $721,900 related
    Deferred
    $0 + $26,526 related
    Nontaxable benefits
    $0 + $4,396 related
    Filer's total
    $0 + $752,822 related
  • STEVEN M CAVANAUGH

    TREASURER, CFO - FORMER

    Total calculated
    $1,336,175
    From this org
    $0
    From related orgs
    $1,335,180
    Other
    $995
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,335,180 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $995 related
    Filer's total
    $0 + $1,336,175 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

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 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 4A
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. DELAINE RICE-WHITE RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $164,769 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.
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.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202433179349302848

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

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