Civic Intelligence

Promedica Physicians and Continuum Services

990 • Fiscal year 2022 • EIN 34-1880767

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 10, 2023

100 Madison Ave Attn Tax DepartmToledo, OH 43604

(419) 252-5772

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

3.32x

Higher debt load relative to assets than 99% of similar nonprofits.

2022 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2022

Liabilities / Revenue

58th percentile

0.47x

Higher debt load relative to revenue than 58% of similar nonprofits.

2022 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2022

Net Margin

34th percentile

1.1%

Higher net margin than 34% of similar nonprofits.

2022 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2022

Top Officer Pay

99th percentile

$5,479,619

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 8.2% of source-year revenue.

2022 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2022

Asset Growth

1st percentile

-87%

Faster asset growth than 1% of similar nonprofits.

2022 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2021 to 2022

Revenue Growth

55th percentile

7.0%

Faster revenue growth than 55% of similar nonprofits.

2022 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2021 to 2022

Assets

Down

$9,387,795

Down $63,919,860 (-87%) from 2021

Net Assets

Up

-$21,758,757

Up $22,244,414 (+51%) from 2021

Liabilities

Down

$31,146,552

Down $86,164,274 (-73%) from 2021

Revenue

Up

$66,631,454

Up $4,346,954 (+7.0%) from 2021

Expenses

Up

$65,917,850

Up $5,112,961 (+8.4%) from 2021

Net Income

Down

$713,604

Down $766,007 (-52%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0-$50M-$100MAssets 2011: $27,818,129Liabilities 2011: $17,389,898Net Assets 2011: $10,428,2312011Assets 2012: $29,374,048Liabilities 2012: $16,910,751Net Assets 2012: $12,463,2972012Assets 2013: $76,118,344Liabilities 2013: $72,072,007Net Assets 2013: $4,046,3372013Assets 2014: $17,542,071Liabilities 2014: $67,750,644Net Assets 2014: -$50,208,5732014Assets 2015: $26,853,628Liabilities 2015: $102,210,285Net Assets 2015: -$75,356,6572015Assets 2016: $24,025,396Liabilities 2016: $10,933,937Net Assets 2016: $13,091,4592016Assets 2018: $13,173,390Liabilities 2018: $1,811,939Net Assets 2018: $11,361,4512018Assets 2019: $8,061,642Liabilities 2019: $491,998Net Assets 2019: $7,569,6442019Assets 2020: $1,238,171Liabilities 2020: $8,446Net Assets 2020: $1,229,7252020Assets 2021: $73,307,655Liabilities 2021: $117,310,826Net Assets 2021: -$44,003,1712021Assets 2022: $9,387,795Liabilities 2022: $31,146,552Net Assets 2022: -$21,758,7572022Assets 2023: $10,297,170Liabilities 2023: $30,807,432Net Assets 2023: -$20,510,2622023Assets 2024: $14,895,178Liabilities 2024: $1,898,840Net Assets 2024: $12,996,3382024

Highlighted filing

2022

Assets$9,387,795
Liabilities$31,146,552
Net Assets-$21,758,757

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50M-$100MExpenses 2011: $55,629,5572011Expenses 2012: $36,102,4422012Revenue 2013: $35,689,887Expenses 2013: $44,106,847Net Income 2013: -$8,416,9602013Revenue 2014: $39,476,454Expenses 2014: $93,731,364Net Income 2014: -$54,254,9102014Revenue 2015: $58,558,994Expenses 2015: $83,707,078Net Income 2015: -$25,148,0842015Revenue 2016: $88,615,174Expenses 2016: $83,340,429Net Income 2016: $5,274,7452016Revenue 2018: $4,255,665Expenses 2018: $9,805,608Net Income 2018: -$5,549,9432018Revenue 2019: $5,948,961Expenses 2019: $2,232,780Net Income 2019: $3,716,1812019Revenue 2020: $50,000Expenses 2020: $261,140Net Income 2020: -$211,1402020Revenue 2021: $62,284,500Expenses 2021: $60,804,889Net Income 2021: $1,479,6112021Revenue 2022: $66,631,454Expenses 2022: $65,917,850Net Income 2022: $713,6042022Revenue 2023: $74,779,654Expenses 2023: $72,645,774Net Income 2023: $2,133,8802023Revenue 2024: $87,616,138Expenses 2024: $90,752,356Net Income 2024: -$3,136,2182024

Highlighted filing

2022

Revenue$66,631,454
Expenses$65,917,850
Net Income$713,604
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 10, 2023
Return Version
2022v5.0
Gross Receipts
$66,739,110
Mission and Program Overview

Mission

Promedica physicians and continuum services is an integral part of promedica health system, inc. We will be the premier community-based managed services organization and provider of related healthcare services to northwest ohio / southeast michigan, offering quality, cost-effective, efficient, and value-added services to achieve superior patient satisfaction and a financially viable network of physicians supporting the medical needs of the community.

Promedica continuum services is a medical service organization that was created to manage the physician services component of promedica health system, inc.'s integrated delivery network.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$10,475,268$4,870,729▼ $5,604,539
Inventories for Sale or Use$4,255,018$3,510,367▼ $744,651
Investments Other Securities$292,642$561,636▲ $268,994
Land, Buildings, and Equipment, Net$677,118$444,294▼ $232,824
Cash and Non-Interest-Bearing Accounts$57,607,609$435▼ $57,607,174
Total Assets$73,307,655$9,387,795▼ $63,919,860
Other Assets Total$0$334▲ $334
Liabilities
Accounts Payable and Accrued Expenses$66,506,575$26,884,286▼ $39,622,289
Other Liabilities$50,804,251$4,262,266▼ $46,541,985
Total Liabilities$117,310,826$31,146,552▼ $86,164,274
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-44,003,171$-21,758,757▲ $22,244,414
Total Net Assets Fund Balance$-44,003,171$-21,758,757▲ $22,244,414
Total Liabilities and Net Assets / Fund Balance$73,307,655$9,387,795▼ $63,919,860

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$381,999$2,860,609$3,242,608
Buildings$52,784$93,617$146,401
Leasehold Improvements$9,511$37,862$47,373
Other Land Buildings$0$5,083$5,083
Other Securities$561,636--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeffrey C KuhnSecretary, Chief Legal Officer - Part Year--$971,690$971,690
Bryan CoehrsDirector, Operations PharmacyFT$136,812$3,541$140,353
Julie GyurgyakPharmacistFT$108,781$3,243$112,024
Robert W LaclairTrustee--$50,000$50,000
Lisa G HawkerChairman--$40,000$40,000

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$37,552,120
Investment Income
$-107,656
Other Revenue
$29,186,990
Change in Net Assets
$713,604
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$64,244,262
Salaries, Compensation, and Employee Benefits$1,673,588
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,354,375--$1,354,375
All Other Expenses$388,910--$388,910
Fees for Services Other$238,440--$238,440
Depreciation Depletion$209,541$23,282-$232,823
Other Employee Benefits$181,229--$181,229
Payroll Taxes$101,268--$101,268
Travel$17,777$56,295-$74,072
Other Expenses$70,948--$70,948
Office Expenses$11,186$35,422-$46,608
Pension Plan Contributions$36,716--$36,716
Occupancy$26,086--$26,086
Information Technology$6$17-$23
Total Functional Expenses$65,802,834$115,016$0$65,917,850
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$4,262,266
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

As an ohio non-profit organization, this corporation has a corporate member.

Form 990, Part VI, Section A, Line 7A

Promedica health system, inc. (phs) is the parent corporation and sole member of promedica continuum services. As the member, phs has the right to (a) elect and remove the members of the board of trustees of promedica continuum services and (b) fill any vacancy on the board of trustees.

Form 990, Part VI, Section A, Line 7B

While the board of trustees of each business unit is granted certain powers with respect to such business unit's operations, as the member, promedica health system, inc. Retains approval rights with respect to certain corporate actions such as (i) adoption of the business unit's strategic plans and financial plans, (ii) expenditures for non-budgeted items in excess of certain dollar limits set from time to time by the member, (iii) expenditures for items which are included in the business unit's annual budgets but which exceed the budgeted amount by an amount in excess of certain dollar limits set from time to time by the member, (iv) incurrence, assumption or guarantee of any indebtedness, (v) sale, lease or other disposition of real property or assets with a value in excess of certain dollar limits set from time to time by the member and (vi) any merger, consolidation, reorganization, dissolution or liquidation.

Form 990, Part VI, Section B, Line 11B

The return is reviewed by management before being provided to the board of trustees prior to filing. Any comments or questions from the board are reviewed and incorporated into the return if appropriate. Final returns are provided to a principal officer for signature prior to filing with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Promedica health system, inc. And affiliates (phs) have standards of conduct that apply to all phs board members and employees. Board members and employees are expected to certify their compliance with the applicable standards prior to election/appointment or prior to beginning employment. Board members annually (or immediately if new potential conflicts of interest arise), all board members are required to complete and return the board member soc survey within 30 days of dissemination. Board member soc surveys are reviewed by the v.p., audit & compliance/chief compliance officer (cco). Summarized information is forwarded for review to the chief financial officer, general counsel, business unit presidents and the president and chief executive officer (president/ceo), based upon their respective knowledge of the board members. The purpose of this review is to both inform management of the disclosed conflicts and to allow them to identify to the v.p., audit & compliance, any potential undisclosed conflicts. The audit & compliance department then conducts an audit of all board member soc surveys (along with any relationships noted through the above review) to identify any positional conflicts of interest and to test material transactions with board members/their affiliates for fair market value. The results of the audit are reported directly to the chair of the audit & compliance committee with a copy to the president/ceo. The report includes a summary of the audit procedures performed, any significant concerns identified, and their resolution. Any unresolved conflicts are addressed by the audit committee with recommendations to the full board as needed. Failure to complete the survey or the submission of a false or incomplete survey, or failure to disclose immediately any new conflicts of interest that may arise, or failure to cooperate without condition, honestly and completely with any investigation or review of the board member's survey results or his/her actions or circumstances shall be grounds for sanction by the board of trustees up to and including removal from the board/committee/council. Employees, excluding employed providers annually (or immediately if new conflicts of interest arise), all bonus-eligible senior leadership and specifically identified additional employees, are required to complete and submit an electronic employee certification questionnaire by an established deadline that is communicated to the employee. The human resources department ensures that all questionnaires, which are stored electronically, are completed and provides notification to the v.p., audit & compliance of the number of annual employee certification questionnaires sent and received and copies of any questionnaires containing disclosures that warrant further review by the audit & compliance department. All new employees, excluding employed providers, are provided either an electronic or paper copy of the employee standard of conduct and the employee certification statement which the new employee is required to complete prior to beginning employment. The audit & compliance department has access to a report that identifies all new hires. A sample of employees is identified and an audit is conducted to ensure that required documentation is on file. Identified conflicts are initially reviewed by the v.p., audit & compliance and if necessary discussed with the business unit president in which the employee works, the chief human resource officer, and general counsel. If the conflict is considered a significant exposure risk for phs, a recommendation will be prepared for final approval of the phs president/ceo. Results of the employee process audit are included in the above report to the chair of the audit & compliance committee. Failure to complete the certification questionnaire, or the completion of a false or incomplete certification questionnaire, or failure to disclose immediately any new conflicts of interest that may arise, or failure

Form 990, Part VI, Section B, Line 15

Promedica continuum service's top management official and other officers are compensated by promedica health system, inc. (phs), a related tax-exempt organization. Compensation determinations of promedica foundation's top management official and other officers are made by a compensation committee of phs. Each year independent consultants conduct an annual survey and recommend executive payroll base salary ranges based upon the market. The data is reviewed and approved by the promedica health system compensation committee every october. Salary adjustments are determined at the december meeting of the compensation committee. The compensation committee approves other forms of compensation based upon the prior year performance at the january meeting each year.

Form 990, Part VI, Section C, Line 19

Promedica health system, inc. And subsidiaries provide any document open to public inspection upon request.

Part VII, Section B

Promedica health system processes all accounts payable through one pay company, promedica health system, inc. The independent contractors over $100,000 will be listed on the 990 filed for promedica health system, inc. Fein 34-1517671.

Form 990, Part VII, Section A

Louis robichaux is employed by a management agency that is under a contract to provide management services to promedica health services.

Filing and Contact Details

Filer

Filer Name
Promedica Continuum Services
EIN
34-1880767
Phone
4192525772
Address
100 MADISON AVE ATTN TAX DEPARTM, TOLEDO, OH 43604

Signing Officer

Name
Terrence Metzger
Title
CFO
Phone
4192525772
Signed
2023-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terrence Metzger
Formed
1998
Legal Domicile
Oh
Voting Board Members
30
Independent Board Members
21
Employees
23
Volunteers
22

Preparer

Firm
Plante & Moran Pllc
Address
10 S RIVERSIDE PLAZA 9TH FLOOR, CHICAGO, IL 60606
Preparer
Amy Ciminello
Phone
3122071040
Supplemental Narrative

Additional Explanations

Part V, Line 1A

The promedica health system processes all accounts payable through one pay company. All 1099 forms for promedica health system, inc. And subsidiaries are filed under promedica health system, inc. Fein 34-1517671.

FORM 990, PART XI, LINE 9:

Transfers between affiliates 21,403,729. Reverse of book entry for auxiliary activity 127,081.

Form 990, Part XII, Line 2C

The process has not changed from the prior year.

Raw XML AppendixShowing 400 of 2,093 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm0ALEX J GERKEN
IRS990/Form990PartVIISectionAGrp/PersonNm1ANGELA M SHEETS
IRS990/Form990PartVIISectionAGrp/PersonNm2ANN RHEE
IRS990/Form990PartVIISectionAGrp/PersonNm3BARBARA A PHIBBS RN LAC
IRS990/Form990PartVIISectionAGrp/PersonNm4BARRY F LUSE
IRS990/Form990PartVIISectionAGrp/PersonNm5DAVID A SNAVELY
IRS990/Form990PartVIISectionAGrp/PersonNm6DAWN M BUSKEY
IRS990/Form990PartVIISectionAGrp/PersonNm7DONALD G CRESCENZO MD
IRS990/Form990PartVIISectionAGrp/PersonNm8EDWARD J BARDI PHD
IRS990/Form990PartVIISectionAGrp/PersonNm9EMMETT T BOYLE JR MD
IRS990/Form990PartVIISectionAGrp/PersonNm10EVON M EBEID MBA JD
IRS990/Form990PartVIISectionAGrp/PersonNm11IRACEMA AREVALO MD
IRS990/Form990PartVIISectionAGrp/PersonNm12JAMES H BRENNAN JR
IRS990/Form990PartVIISectionAGrp/PersonNm13KENNETH A MYERS
IRS990/Form990PartVIISectionAGrp/PersonNm14KENT EDWARD BISHOP MD
IRS990/Form990PartVIISectionAGrp/PersonNm15KEVIN M PIROZEK
IRS990/Form990PartVIISectionAGrp/PersonNm16LAURA W KLINE
IRS990/Form990PartVIISectionAGrp/PersonNm17LESLIE A CHAPMAN
IRS990/Form990PartVIISectionAGrp/PersonNm18LINDA S THIEL
IRS990/Form990PartVIISectionAGrp/PersonNm19LISA G HAWKER
IRS990/Form990PartVIISectionAGrp/PersonNm20LISA P LOEHR MILLER
IRS990/Form990PartVIISectionAGrp/PersonNm21MARCY L BROWN
IRS990/Form990PartVIISectionAGrp/PersonNm22MARK S BARNES
IRS990/Form990PartVIISectionAGrp/PersonNm23NANCY P KABAT
IRS990/Form990PartVIISectionAGrp/PersonNm24ROBERT W LACLAIR
IRS990/Form990PartVIISectionAGrp/PersonNm25SUSAN P BERNARD
IRS990/Form990PartVIISectionAGrp/PersonNm26TIMOTHY BUBLICK
IRS990/Form990PartVIISectionAGrp/PersonNm27VICTOR J CHERFAN DO
IRS990/Form990PartVIISectionAGrp/PersonNm28WILLIAM R MCDONNELL
IRS990/Form990PartVIISectionAGrp/PersonNm29ARTURO POLIZZI
IRS990/Form990PartVIISectionAGrp/PersonNm30JEFFREY C KUHN
IRS990/Form990PartVIISectionAGrp/PersonNm31LOUIS ROBICHAUX
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IRS990/Form990PartVIISectionAGrp/PersonNm33STEPHEN M SADOWSKI
IRS990/Form990PartVIISectionAGrp/PersonNm34STEVEN M CAVANAUGH
IRS990/Form990PartVIISectionAGrp/PersonNm35BRYAN COEHRS
IRS990/Form990PartVIISectionAGrp/PersonNm36JULIE GYURGYAK
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IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt16TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt17TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt18TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt19CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt21TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt22TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt23TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt24TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt25TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt26TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt27TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt28CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt29PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt30SECRETARY, CHIEF LEGAL OFFICER - PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt31TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt32PHS PRES. & CEO - PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt33CHIEF LEGAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt34TREASURER, CFO - PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt35DIRECTOR, OPERATIONS PHARMACY
IRS990/Form990PartVIISectionAGrp/TitleTxt36PHARMACIST
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