Civic Intelligence

Lenawee Long Term Care

EIN 38-2879330 • 501(c)3 • Toledo, OH

Profile

Lenawee long term care will support promedica health system, inc. By providing access to a seamless continuum of services in the communities we serve.

PO Box 10086 Attn Tax-5Toledo, OH 43699-0086

www.promedicaseniorcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

20th percentile

0.00x

Higher debt load relative to assets than 20% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

26th percentile

0.01x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

83rd percentile

35%

Higher net margin than 83% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

81st percentile

24%

Faster asset growth than 81% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

1st percentile

-99%

Faster revenue growth than 1% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$2,512,995

Up $482,535 (+24%) from 2023

Liabilities

Down

$611

Down $1,704,769 (-100%) from 2023

Net Assets

Up

$2,512,384

Up $2,187,304 (+673%) from 2023

Revenue

Down

$104,719

Down $7,524,392 (-99%) from 2023

Expenses

Down

$68,402

Down $5,177,421 (-99%) from 2023

Net Income

Down

$36,317

Down $2,346,971 (-98%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$10M$0-$10MAssets 2010: $11,119,149Liabilities 2010: $3,464,495Net Assets 2010: $7,654,6542010Assets 2011: $11,475,388Liabilities 2011: $3,650,913Net Assets 2011: $7,824,4752011Assets 2012: $12,682,233Liabilities 2012: $3,492,174Net Assets 2012: $9,190,0592012Assets 2013: $14,280,231Liabilities 2013: $3,562,156Net Assets 2013: $10,718,0752013Assets 2014: $15,402,570Liabilities 2014: $3,908,386Net Assets 2014: $11,494,1842014Assets 2015: $16,452,877Liabilities 2015: $3,637,999Net Assets 2015: $12,814,8782015Assets 2016: $17,482,639Liabilities 2016: $3,936,500Net Assets 2016: $13,546,1392016Assets 2017: $19,125,416Liabilities 2017: $4,350,079Net Assets 2017: $14,775,3372017Assets 2018: $18,376,194Liabilities 2018: $4,508,495Net Assets 2018: $13,867,6992018Assets 2019: $8,578,607Liabilities 2019: $4,689,737Net Assets 2019: $3,888,8702019Assets 2020: $5,871,648Liabilities 2020: $4,523,596Net Assets 2020: $1,348,0522020Assets 2021: $6,082,029Liabilities 2021: $6,687,840Net Assets 2021: -$605,8112021Assets 2022: $3,743,036Liabilities 2022: $5,795,440Net Assets 2022: -$2,052,4042022Assets 2023: $2,030,460Liabilities 2023: $1,705,380Net Assets 2023: $325,0802023Assets 2024: $2,512,995Liabilities 2024: $611Net Assets 2024: $2,512,3842024

Highlighted filing

2024

Assets$2,512,995
Liabilities$611
Net Assets$2,512,384

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $9,157,1082010Expenses 2011: $9,334,4652011Expenses 2012: $9,059,0902012Revenue 2013: $10,732,379Expenses 2013: $9,166,114Net Income 2013: $1,566,2652013Revenue 2014: $9,416,872Expenses 2014: $8,639,869Net Income 2014: $777,0032014Revenue 2015: $10,483,224Expenses 2015: $9,131,895Net Income 2015: $1,351,3292015Revenue 2016: $9,786,183Expenses 2016: $9,336,101Net Income 2016: $450,0822016Revenue 2017: $11,659,202Expenses 2017: $10,547,638Net Income 2017: $1,111,5642017Revenue 2018: $11,685,166Expenses 2018: $11,382,012Net Income 2018: $303,1542018Revenue 2019: $9,880,090Expenses 2019: $10,441,715Net Income 2019: -$561,6252019Revenue 2020: $7,766,331Expenses 2020: $8,318,331Net Income 2020: -$552,0002020Revenue 2021: $8,401,202Expenses 2021: $10,349,666Net Income 2021: -$1,948,4642021Revenue 2022: $9,351,139Expenses 2022: $10,797,732Net Income 2022: -$1,446,5932022Revenue 2023: $7,629,111Expenses 2023: $5,245,823Net Income 2023: $2,383,2882023Revenue 2024: $104,719Expenses 2024: $68,402Net Income 2024: $36,3172024

Highlighted filing

2024

Revenue$104,719
Expenses$68,402
Net Income$36,317

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.51$0.00$2.51$0.10$0.07$0.04
2023Detailed filing. Detailed filing data is available for this year.$2.03$1.71$0.33$7.63$5.25$2.38
2022Detailed filing. Detailed filing data is available for this year.$3.74$5.80$2.05$9.35$10.8$1.45
2021Detailed filing. Detailed filing data is available for this year.$6.08$6.69$0.61$8.40$10.3$1.95
2020Detailed filing. Detailed filing data is available for this year.$5.87$4.52$1.35$7.77$8.32$0.55
2019Detailed filing. Detailed filing data is available for this year.$8.58$4.69$3.89$9.88$10.4$0.56
2018Detailed filing. Detailed filing data is available for this year.$18.4$4.51$13.9$11.7$11.4$0.30
2017Detailed filing. Detailed filing data is available for this year.$19.1$4.35$14.8$11.7$10.5$1.11
2016Detailed filing. Detailed filing data is available for this year.$17.5$3.94$13.5$9.79$9.34$0.45
2015Detailed filing. Detailed filing data is available for this year.$16.5$3.64$12.8$10.5$9.13$1.35
2014Detailed filing. Detailed filing data is available for this year.$15.4$3.91$11.5$9.42$8.64$0.78
2013Detailed filing. Detailed filing data is available for this year.$14.3$3.56$10.7$10.7$9.17$1.57
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.7$3.49$9.19$9.06
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.5$3.65$7.82$9.33
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.1$3.46$7.65$9.16
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 9, 2025
Return Version
2024v5.2
Gross Receipts
$121,246
Mission and Program Overview

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.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$2,015,102$2,155,617▲ $140,515
Accounts Receivable$13,528$6,752▼ $6,776
Total Assets$2,030,460$2,512,995▲ $482,535
Other Assets Total$1,830$350,626▲ $348,796
Liabilities
Other Liabilities$1,663,324$0▼ $1,663,324
Accounts Payable and Accrued Expenses$42,056$611▼ $41,445
Total Liabilities$1,705,380$611▼ $1,704,769
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$325,080$2,512,384▲ $2,187,304
Total Net Assets Fund Balance$325,080$2,512,384▲ $2,187,304
Total Liabilities and Net Assets / Fund Balance$2,030,460$2,512,995▲ $482,535

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$347,738--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Justin SkiverTrustee/president - Senior Care
Martin AllenTrustee
Arturo PolizziCEO
Luke PileCOO - Senior Care
Stephen SadowskiSecretary/chief Legal Officer
Terrence MetzgerTreasurer/CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$112,799
Investment Income
$-16,530
Other Revenue
$8,450
Change in Net Assets
$36,317
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$56,798
Salaries, Compensation, and Employee Benefits$11,604
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal-$21,178-$21,178
Other Salaries and Wages$8,637--$8,637
Other Employee Benefits$2,158--$2,158
Fees for Services Accounting-$1,058-$1,058
Occupancy$909--$909
Payroll Taxes$809--$809
Fees for Services Other$455--$455
Other Expenses$307--$307
All Other Expenses$134--$134
Total Functional Expenses$46,166$22,236$0$68,402
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
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 a michigan non-profit organization, this corporation has a corporate member.

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

Promedica health system, inc. (phs) is the ultimate member/parent corporation of lenawee long term care and as the ultimate member/parent corporation, phs has the right to (a) elect and remove the members of the board of trustees of lenawee long term care; and (b) fill any vacancy.

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

Compensation of lenawee long term care's top management official and other officers was determined by a compensation committee of promedica health system, inc. (phs), a related tax-exempt organization. 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.

Form 990, 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.

Filing and Contact Details

Filer

Filer Name
Lenawee Long Term Care
EIN
38-2879330
Phone
4192525772
Address
PO BOX 10086 ATTN TAX-5, TOLEDO, OH 43699-0086
Doing Business As
Provincial House of Adrian

Signing Officer

Name
Terrence Metzger
Title
CFO
Phone
4192525772
Signed
2025-10-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terrence Metzger
Formed
1989
Legal Domicile
Mi
Voting Board Members
3
Independent Board Members
1
Employees
0
Volunteers
1

Preparer

Firm
Plante & Moran Pllc
Address
250 S HIGH ST SUITE 100, COLUMBUS, OH 43215
Preparer
Amy Ciminello
Phone
6148493000
Supplemental Narrative

Additional Explanations

Form 990, 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:

Transfer between related entities 2,150,035. Actuary liability insurance adjustment 952.

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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/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0LENAWEE LONG TERM CARE WILL SUPPORT PROMEDICA HEALTH SYSTEM, INC. BY PROVIDING ACCESS TO A SEAMLESS CONTINUUM OF SERVICES IN THE COMMUNITIES WE SERVE.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0325080
IRS990/NetAssetsOrFundBalancesEOYAmt02512384
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IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-16527
IRS990/NetUnrelatedBusTxblIncmAmt00
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IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0909
IRS990/OccupancyGrp/TotalAmt0909
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01830
IRS990/OtherAssetsTotalGrp/EOYAmt0350626
IRS990/OtherChangesInNetAssetsAmt02150987
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt02158
IRS990/OtherEmployeeBenefitsGrp/TotalAmt02158
IRS990/OtherExpensesGrp/Desc0RESTRUCTURING COSTS
IRS990/OtherExpensesGrp/Desc1DUES & SUBSCRIPTIONS
IRS990/OtherExpensesGrp/Desc2STORAGE EXPENSE
IRS990/OtherExpensesGrp/Desc3RECRUITMENT
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IRS990/OtherExpensesGrp/ProgramServicesAmt16638
IRS990/OtherExpensesGrp/ProgramServicesAmt22347
IRS990/OtherExpensesGrp/ProgramServicesAmt3307
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IRS990/OtherExpensesGrp/TotalAmt16638
IRS990/OtherExpensesGrp/TotalAmt22347
IRS990/OtherExpensesGrp/TotalAmt3307
IRS990/OtherLiabilitiesGrp/BOYAmt01663324
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0REBATES/REFUNDS
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IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt08450
IRS990/OtherRevenueTotalAmt08450
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt08637
IRS990/OtherSalariesAndWagesGrp/TotalAmt08637
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0809
IRS990/PayrollTaxesGrp/TotalAmt0809
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0TERRENCE METZGER
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0623000
IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT SERVICES
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0112799
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0126767
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt03174250
IRS990/PYOtherExpensesAmt02818060
IRS990/PYOtherRevenueAmt086180
IRS990/PYProgramServiceRevenueAmt04241914
IRS990/PYRevenuesLessExpensesAmt02383288
IRS990/PYSalariesCompEmpBnftPaidAmt02427763
IRS990/PYTotalExpensesAmt05245823
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt07629111
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt036317
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0112799
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0BEAUTY SHOP REVENUE - TELEVISION - DIETARY GUEST TRAYS - 2020 AMOUNT: $ 125. MEDICAL RECORDS - OTHER REVENUE - 2020 AMOUNT: $ 225. RESPITE CARE - CLASS ACTION SETTLEMENT - VENDING MACHINE INCOME - 2020 AMOUNT: $ 887. 2021 AMOUNT: $ 530. 2022 AMOUNT: $ 1,002. 2023 AMOUNT: $ 257. MISCELLANEOUS REVENUE - 2022 AMOUNT: $ 4,473. 2023 AMOUNT: $ 33. ASBESTOS REMEDIATION - 2023 AMOUNT: $ 85,890. REBATES/REFUNDS - 2024 AMOUNT: $ 8,450.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0580147
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0831421
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0972272
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt02510607
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0667
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt04067
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt04734
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0112799
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt04241914
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt08765517
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt07569251
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt06788755
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt027478236
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0667
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt04067
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt04734
IRS990ScheduleA/InvestmentIncomeCYPct00.00020
IRS990ScheduleA/InvestmentIncomePYPct00.00190
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt08450
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt086180
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt05475
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt0530
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt01237
IRS990ScheduleA/OtherIncome509Grp/TotalAmt0101872
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99650
IRS990ScheduleA/PublicSupportPY509Pct00.99570
IRS990ScheduleA/PublicSupportTotal509Amt029988843
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0112799
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt04368681
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt09345664
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt08400672
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt07761027
IRS990ScheduleA/Total509Grp/TotalAmt029988843
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0121249
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt04455528
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt09351139
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt08401202
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt07766331
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt030095449
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt02888
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt1347738
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0DUE FROM NEW OPERATOR
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1ESTIMATED THIRD PARTY SETTLEMENTS RECEIVABLE
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0350626
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt01530880
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1438060
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt2561679
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt3154164
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt4130305
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt01585940
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1771258
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2618697
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3501406
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt4361247
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt014012
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt16610
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt26038
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt37144
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt411053
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt02500
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt41587
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ARTURO POLIZZI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1TERRENCE METZGER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2STEPHEN SADOWSKI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3JUSTIN SKIVER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4LUKE PILE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER/CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SECRETARY/CHIEF LEGAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3TRUSTEE/PRESIDENT - SENIOR CARE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4COO - SENIOR CARE
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt03133332
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt11215928
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt21186414
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3662714
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt4504192
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0A 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1ELIGIBLE 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2IN 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.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE J, SUPPLEMENTAL INFORMATION:
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AS A MICHIGAN NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE ULTIMATE MEMBER/PARENT CORPORATION OF LENAWEE LONG TERM CARE AND AS THE ULTIMATE MEMBER/PARENT CORPORATION, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF LENAWEE LONG TERM CARE; AND (B) FILL ANY VACANCY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3WHILE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PROMEDICA 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
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6COMPENSATION OF LENAWEE LONG TERM CARE'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS WAS DETERMINED BY A COMPENSATION COMMITTEE OF PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. 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.

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