Civic Intelligence

Lenawee Long Term Care

990 • Fiscal year 2022 • EIN 38-2879330

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

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

(419) 252-5772

Siviq Scores

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

Liabilities / Assets

98th percentile

1.55x

Higher debt load relative to assets than 98% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2022

Liabilities / Revenue

77th percentile

0.62x

Higher debt load relative to revenue than 77% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2022

Net Margin

15th percentile

-15%

Higher net margin than 15% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2022

Asset Growth

2nd percentile

-38%

Faster asset growth than 2% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2021 to 2022

Revenue Growth

60th percentile

11%

Faster revenue growth than 60% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2021 to 2022

Assets

Flat

$3,743,036

Flat from 2022

Net Assets

Flat

-$2,052,404

Flat from 2022

Liabilities

Flat

$5,795,440

Flat from 2022

Revenue

Flat

$9,351,139

Flat from 2022

Expenses

Flat

$10,797,732

Flat from 2022

Net Income

Flat

-$1,446,593

Flat from 2022

Historical Trend

Balance Sheet Trend

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

$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 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

2022

Assets$3,743,036
Liabilities$5,795,440
Net Assets-$2,052,404

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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 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

2022

Revenue$9,351,139
Expenses$10,797,732
Net Income-$1,446,593
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 10, 2023
Return Version
2022v5.0
Gross Receipts
$9,351,139
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$4,139,917$2,070,153▼ $2,069,764
Land, Buildings, and Equipment, Net$1,023,379$1,109,979▲ $86,600
Accounts Receivable$854,269$562,904▼ $291,365
Total Assets$6,082,029$3,743,036▼ $2,338,993
Other Assets Total$64,464$0▼ $64,464
Liabilities
Other Liabilities$5,695,874$4,509,250▼ $1,186,624
Accounts Payable and Accrued Expenses$991,966$1,286,190▲ $294,224
Total Liabilities$6,687,840$5,795,440▼ $892,400
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-605,811$-2,052,404▼ $1,446,593
Total Net Assets Fund Balance$-605,811$-2,052,404▼ $1,446,593
Total Liabilities and Net Assets / Fund Balance$6,082,029$3,743,036▼ $2,338,993

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$548,733$529,759$1,078,492
Leasehold Improvements$306,621$38,743$345,364
Equipment$160,706$171,840$332,546
Land$93,919-$93,919
Compensation and Service Providers

Employees

NameTitleOtherTotal
Jeffrey C KuhnSecretary, Chief Legal Officer-part Year$971,690$971,690

Board Members and Trustees

NameTitle
Luke PilePresident
Arturo PolizziPresident and CEO
Justin SkiverTrustee
Martin AllenTrustee
Robert SharonTrustee
Stephen M SadowskiChief Legal Officer
Randall OostraPhs Pres. & CEO-part Year
Jeffrey C KuhnSecretary, Chief Legal Officer-part
Louis RobichauxTreasurer
Steven M CavanaughTreasurer, CFO-part Year
Revenue and Support

Revenue Composition

Contributions and Grants
$580,147
Program Service Revenue
$8,765,517
Investment Income
$0
Other Revenue
$5,475
All Other Contributions
$580,147
Change in Net Assets
$-1,446,593
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,210,973
Salaries, Compensation, and Employee Benefits$3,586,759
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$4,658,576--$4,658,576
Other Salaries and Wages$3,207,940--$3,207,940
Fees for Services Management-$335,376-$335,376
All Other Expenses$254,193--$254,193
Depreciation Depletion$218,829--$218,829
Occupancy$210,621--$210,621
Payroll Taxes$201,607--$201,607
Office Expenses$132,639--$132,639
Other Expenses$112,428--$112,428
Other Employee Benefits$103,039--$103,039
Pension Plan Contributions$74,173--$74,173
Insurance$45,436--$45,436
Travel$18,280--$18,280
Fees for Services Accounting-$10,887-$10,887
Advertising$6,055--$6,055
Fees for Services Legal-$2,258-$2,258
Fees for Services Lobbying-$1,236-$1,236
Total Functional Expenses$10,447,975$349,757$0$10,797,732
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$3,998,417
Environmental Liability$228,163
Provider Taxes Payable$159,287
Estimated Third Party Settlements Payable$123,383
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.

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
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
2023-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terrence Metzger
Formed
1989
Legal Domicile
Mi
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
38

Preparer

Firm
Plante & Moran Pllc
Address
10 S RIVERSIDE PLAZA 9TH FLOOR, CHICAGO, IL 60606
Preparer
Amy Ciminello
Phone
3122071040
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 IX, Line 11G

Contracted medical professionals: program service expenses 3,555,703. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,555,703. Medical transport: program service expenses 234,152. Management and general expenses 0. Fundraising expenses 0. Total expenses 234,152. Purchased services: program service expenses 868,721. Management and general expenses 0. Fundraising expenses 0. Total expenses 868,721.

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IRS990/Desc0LENAWEE 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.IN 2022, LLTC PROVIDED OVER 27,690 LONG-TERM CARE DAYS TO ITS RESIDENTS.LLTC CONTRIBUTED $5,308,765 IN COMMUNITY BENEFIT IN 2022, ALL OF WHICH WAS ATTRIBUTED TO THE COSTSNOT REIMBURSED BY THE GOVERNMENTFOR TREATING MEDICAID PATIENTS. LLTC'S COST OF BAD DEBT FOR 2022 WAS $235,509. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $5,308,765 NOTED ABOVE.DURING 2022, LLTC EXPENDED $3,586,759 IN NET PAYROLL, PROVIDING XXX JOBS IN SOUTHEAST MICHIGAN. A TOTAL OF $201,607 WAS WITHHELD IN EMPLOYEE STATE AND LOCAL TAXES.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.
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd6X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt05680
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt116506
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt214286
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt312750
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt444223
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt613465
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt73579
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt86102
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt941525
IRS990/Form990PartVIISectionAGrp/PersonNm0JUSTIN SKIVER
IRS990/Form990PartVIISectionAGrp/PersonNm1MARTIN ALLEN
IRS990/Form990PartVIISectionAGrp/PersonNm2ROBERT SHARON
IRS990/Form990PartVIISectionAGrp/PersonNm3ARTURO POLIZZI
IRS990/Form990PartVIISectionAGrp/PersonNm4JEFFREY C KUHN
IRS990/Form990PartVIISectionAGrp/PersonNm5LOUIS ROBICHAUX
IRS990/Form990PartVIISectionAGrp/PersonNm6LUKE PILE
IRS990/Form990PartVIISectionAGrp/PersonNm7RANDALL OOSTRA
IRS990/Form990PartVIISectionAGrp/PersonNm8STEPHEN M SADOWSKI
IRS990/Form990PartVIISectionAGrp/PersonNm9STEVEN M CAVANAUGH
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0579491
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1312085
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2283127
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt31605830
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt4927467
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt6635225
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt75476040
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt8683615
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt92435815
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt4SECRETARY, CHIEF LEGAL OFFICER-PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt6PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt7PHS PRES. & CEO-PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt8CHIEF LEGAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt9TREASURER, CFO-PART YEAR
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01989
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt03
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt09351139
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt045436
IRS990/InsuranceGrp/TotalAmt045436
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0740342
IRS990/LandBldgEquipBasisNetGrp/BOYAmt01023379
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01109979
IRS990/LandBldgEquipCostOrOtherBssAmt01850321
IRS990/LegalDomicileStateCd0MI
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd01
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
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/NetAssetsOrFundBalancesBOYAmt0-605811
IRS990/NetAssetsOrFundBalancesEOYAmt0-2052404
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-605811
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-2052404
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0210621
IRS990/OccupancyGrp/TotalAmt0210621
IRS990/OfficeExpensesGrp/ProgramServicesAmt0132639
IRS990/OfficeExpensesGrp/TotalAmt0132639
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt064464
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0103039
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0103039
IRS990/OtherExpensesGrp/Desc0PROVIDER TAXES
IRS990/OtherExpensesGrp/Desc1DRUGS
IRS990/OtherExpensesGrp/Desc2IC ALLOCATED EXPENSE
IRS990/OtherExpensesGrp/Desc3MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/ProgramServicesAmt0666467
IRS990/OtherExpensesGrp/ProgramServicesAmt1335689
IRS990/OtherExpensesGrp/ProgramServicesAmt2202003
IRS990/OtherExpensesGrp/ProgramServicesAmt3112428
IRS990/OtherExpensesGrp/TotalAmt0666467
IRS990/OtherExpensesGrp/TotalAmt1335689
IRS990/OtherExpensesGrp/TotalAmt2202003
IRS990/OtherExpensesGrp/TotalAmt3112428
IRS990/OtherLiabilitiesGrp/BOYAmt05695874
IRS990/OtherLiabilitiesGrp/EOYAmt04509250
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/BusinessCd1900099
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS REVENUE
IRS990/OtherRevenueMiscGrp/Desc1VENDING MACHINE REVENU
IRS990/OtherRevenueMiscGrp/ExclusionAmt04473
IRS990/OtherRevenueMiscGrp/ExclusionAmt11002
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt04473
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt11002
IRS990/OtherRevenueTotalAmt05475
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt03207940
IRS990/OtherSalariesAndWagesGrp/TotalAmt03207940
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0201607
IRS990/PayrollTaxesGrp/TotalAmt0201607
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt074173
IRS990/PensionPlanContributionsGrp/TotalAmt074173
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0TERRENCE METZGER
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0623000
IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT SERVICES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt08765517
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt08765517
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0831421
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt05835569
IRS990/PYOtherRevenueAmt0530
IRS990/PYProgramServiceRevenueAmt07569251
IRS990/PYRevenuesLessExpensesAmt0-1948464
IRS990/PYSalariesCompEmpBnftPaidAmt04514097
IRS990/PYTotalExpensesAmt010349666
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt08401202
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-1446593
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt08765517
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0BEAUTY SHOP REVENUE - 2018 AMOUNT: $ 8,473. 2019 AMOUNT: $ 1,535. TELEVISION - DIETARY GUEST TRAYS - 2018 AMOUNT: $ 672. 2019 AMOUNT: $ 101. 2020 AMOUNT: $ 125. MEDICAL RECORDS - 2019 AMOUNT: $ 184. OTHER REVENUE - 2018 AMOUNT: $ 72. 2020 AMOUNT: $ 225. RESPITE CARE - CLASS ACTION SETTLEMENT - 2018 AMOUNT: $ 600. VENDING MACHINE INCOME - 2020 AMOUNT: $ 887. 2021 AMOUNT: $ 530. 2022 AMOUNT: $ 1,002. MISCELLANEOUS REVENUE - 2022 AMOUNT: $ 4,473.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0580147
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0831421
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0972272
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt02383840
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt04067
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt072890
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0426979
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0503936
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt08765517
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt07569251
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt06788755
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt09779670
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt010915670
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt043818863
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt04067
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt072890
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0426979
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0503936
IRS990ScheduleA/InvestmentIncomeCYPct00.01080
IRS990ScheduleA/InvestmentIncomePYPct00.01390
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt05475
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt0530
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt01237
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt01820
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt09817
IRS990ScheduleA/OtherIncome509Grp/TotalAmt018879
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.98880
IRS990ScheduleA/PublicSupportPY509Pct00.98570
IRS990ScheduleA/PublicSupportTotal509Amt046202703
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt09345664
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt08400672
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt07761027
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt09779670
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt010915670
IRS990ScheduleA/Total509Grp/TotalAmt046202703
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt09351139
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt08401202
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt07766331
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt09854380
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt011352466
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt046725518
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleC/DirectContactLegislatorsInd00
IRS990ScheduleC/GrantsOtherOrganizationsInd00
IRS990ScheduleC/MailingsMembersInd00
IRS990ScheduleC/MediaAdvertisementsInd00
IRS990ScheduleC/NotDescribedSection501c3Ind00
IRS990ScheduleC/OtherActivitiesAmt01236
IRS990ScheduleC/OtherActivitiesInd01
IRS990ScheduleC/PaidStaffOrManagementInd00
IRS990ScheduleC/PublicationsOrBroadcastInd00
IRS990ScheduleC/RalliesDemonstrationsInd00
IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0LENAWEE LONG TERM CARE PAYS DUES TO LEADINGAGE MICHIGAN - A PORTION OF WHICH IS ALLOCATED TO LOBBYING.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0PART II-B, LINE 1:
IRS990ScheduleC/TotalLobbyingExpendituresAmt01236
IRS990ScheduleC/VolunteersInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0548733
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0529759
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01078492
IRS990ScheduleD/EquipmentGrp/BookValueAmt0160706
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0171840
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0332546
IRS990ScheduleD/LandGrp/BookValueAmt093919
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt093919
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0306621
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt038743
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0345364
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0123383
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1228163
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt2159287
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt33998417
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1ENVIRONMENTAL LIABILITY
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2PROVIDER TAXES PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3DUE TO AFFILIATES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01109979
IRS990ScheduleD/TotalLiabilityAmt04509250
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/BaseCompensationFilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt70

Document Assets

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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
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