Skip to content
Nonprofiteer
← PROMEDICA MULTI SPECIALTY PHYSICIANS LLC

Form 990 for tax year 2023

Filed by PROMEDICA MULTI SPECIALTY PHYSICIANS LLC.

Totals

Total revenue
$18,003,623
Total expenses
$33,655,940
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$17,973,280
Investment income
$0
Other revenue
$30,343
Total assets, end of year
$2,846,193
Total liabilities, end of year
$19,762,916
Net assets or fund balances, end of year
-$16,916,723
Program services expenses (Part IX)
$33,655,940
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$33,655,940

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • 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

  • 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

  • STEVE SADOWSKI

    TRUSTEE/SECRETARY

    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

  • LISA HAWKER

    TRUSTEE

    Total calculated
    $40,000
    From this org
    $0
    From related orgs
    $40,000
    Other
    $0
    Hours/week
    1 + 14 related

  • BILL MCDONNELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • NANCY KABAT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • MARCY BROWN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • LISA MILLER

    TRUSTEE/DIRECTOR

    Total calculated
    $95,170
    From this org
    $0
    From related orgs
    $90,513
    Other
    $4,657
    Hours/week
    1 + 14 related

  • KATHLEEN MERRILL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • LAURA KLINE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • AMANDA KISSNER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • LINDA THIEL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • BARRY LUSE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • SUE VANISACKER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • KRISTINE BRENNER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 14 related

  • JIM BRENNAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 15 related

  • VICTOR CHERFAN

    TRUSTEE/PHYSICIAN

    Total calculated
    $659,149
    From this org
    $0
    From related orgs
    $659,149
    Other
    $0
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,348 related
    Bonus
    $0 + $274,961 related
    Other
    $0 + $840 related
    Deferred
    $0 + $5,857 related
    Nontaxable benefits
    $0 + $3,307 related
    Filer's total
    $0 + $668,313 related

  • DONALD CRESCENZO

    TRUSTEE/PHYSICIAN

    Total calculated
    $918,456
    From this org
    $0
    From related orgs
    $918,456
    Other
    $0
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $887,550 related
    Bonus
    $0 + $25,800 related
    Other
    $0 + $5,106 related
    Deferred
    $0 + $9,766 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $928,222 related

  • TIM BUBLICK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 13 related

  • EVON EBEID

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 13 related

  • ALEX GERKEN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 13 related

  • KEVIN PIROZEK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 13 related

  • DAVE SNAVELY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 13 related

  • 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

  • KENT BISHOP

    TRUSTEE/PRESIDENT

    Total calculated
    $1,441,883
    From this org
    $0
    From related orgs
    $1,437,763
    Other
    $4,120
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $679,900 related
    Bonus
    $0 + $752,663 related
    Other
    $0 + $5,200 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,120 related
    Filer's total
    $0 + $1,441,883 related

  • ROBERT LACLAIR

    TRUSTEE

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

  • KANCHAN PILLAI

    PHYSICIAN

    Total calculated
    $738,479
    From this org
    $735,651
    From related orgs
    $0
    Other
    $2,828
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $365,460
    Bonus
    $369,787
    Other
    $404
    Deferred
    $0
    Nontaxable benefits
    $2,828
    Filer's total
    $738,479

  • AMJAD SHIDYAK

    PHYSICIAN

    Total calculated
    $639,357
    From this org
    $632,957
    From related orgs
    $0
    Other
    $6,400
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $299,636
    Bonus
    $333,021
    Other
    $300
    Deferred
    $0
    Nontaxable benefits
    $6,400
    Filer's total
    $639,357

  • SAMER OBRI

    PHYSICIAN

    Total calculated
    $748,117
    From this org
    $742,417
    From related orgs
    $0
    Other
    $5,700
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $432,709
    Bonus
    $309,408
    Other
    $300
    Deferred
    $0
    Nontaxable benefits
    $5,700
    Filer's total
    $748,117

  • AMER ARSHAD

    PHYSICIAN

    Total calculated
    $734,260
    From this org
    $730,140
    From related orgs
    $0
    Other
    $4,120
    Hours/week
    44 + 1 related

    Schedule J breakdown matched by us

    Base
    $459,770
    Bonus
    $269,944
    Other
    $426
    Deferred
    $0
    Nontaxable benefits
    $4,120
    Filer's total
    $734,260

  • RAVI POTHIREDDY

    PHYSICIAN

    Total calculated
    $700,679
    From this org
    $694,444
    From related orgs
    $0
    Other
    $6,235
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $680,600
    Bonus
    $13,552
    Other
    $292
    Deferred
    $0
    Nontaxable benefits
    $6,235
    Filer's total
    $700,679

  • 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

    SR VP FINANCE - 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
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
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.

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
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202423179349302817

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.