Civic Intelligence

Promedica at Home Inc

EIN 85-2320857 • 501(c)3 • Toledo, OH

Profile

As an integral part of promedica health system, inc., we will be the premier community-based management services organization and provider of related healthcare services for northwest ohio/sourtheast 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.

100 Madison Ave Attn Tax DepartmToledo, OH 43604

www.promedica.org

Siviq Scores

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

Liabilities / Assets

75th percentile

0.06x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2020

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2020

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Assets

$167,000

No earlier filing loaded for comparison.

Liabilities

$9,961

No earlier filing loaded for comparison.

Net Assets

$157,039

No earlier filing loaded for comparison.

Revenue

$0

No earlier filing loaded for comparison.

Expenses

$48,207

No earlier filing loaded for comparison.

Net Income

-$48,207

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$200K$150K$100K$50K$0Assets 2020: $167,000Liabilities 2020: $9,961Net Assets 2020: $157,0392020

Highlighted filing

2020

Assets$167,000
Liabilities$9,961
Net Assets$157,039

Operations Trend

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

$50K$0-$50KRevenue 2020: $0Expenses 2020: $48,207Net Income 2020: -$48,2072020

Highlighted filing

2020

Revenue$0
Expenses$48,207
Net Income-$48,207

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Detailed filing. Detailed filing data is available for this year.$1.67$0.10$1.57$0.00$0.48$0.48
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 28, 2020 to Dec 31, 2020
Signed
Nov 11, 2021
Return Version
2020v4.1
Gross Receipts
$0
Mission and Program Overview

Mission

As an integral part of promedica health system, inc., we will be the premier community-based management services organization and provider of related healthcare services for northwest ohio/sourtheast 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 at home, inc. Is part of the physician services component of promedica health system, inc.'s integrated delivery system and provides services to improve the health care of the community in an efficient and cost-effective manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Prepaid Expenses and Deferred Charges-$167,000-
Total Assets$0$167,000▲ $167,000
Liabilities
Other Liabilities$0$9,961▲ $9,961
Total Liabilities$0$9,961▲ $9,961
Net Assets / Fund Balance
Net Assets Without Donor Restrictions-$157,039-
Total Net Assets Fund Balance$0$157,039▲ $157,039
Total Liabilities and Net Assets / Fund Balance$0$167,000▲ $167,000
Compensation and Service Providers

Employees

NameTitleOtherTotal
Lisa G HawkerChairman$40,000$40,000
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-48,207
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$48,207
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$47,808--$47,808
All Other Expenses$399--$399
Total Functional Expenses$48,207$0$0$48,207
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 Affiliates$9,961
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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 sole member of promedica physician group, inc. Which is the sole member of promedica at home, inc. Phs has the right to (a) elect and remove the members of the board of trustees of memorial professional services, 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 990 returns of promedica health system, inc. (phs) and its subsidiaries are prepared by the phs tax department with the assistance of finance. The returns are reviewed by the avp of tax before being provided to the respective company's 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 physicians 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 physicians, 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 failu

Form 990, Part VI, Section B, Line 15

Promedica at home, inc.'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.

Filing and Contact Details

Filer

Filer Name
Promedica at Home Inc
EIN
85-2320857
Phone
4192525772
Address
100 MADISON AVE ATTN TAX DEPARTM, TOLEDO, OH 43604

Signing Officer

Name
Steven M Cavanaugh
Title
Treasurer
Phone
4192525772
Signed
2021-11-11
Discuss with paid preparer
No

Organization Details

Principal Officer
Steven M Cavanaugh
Formed
2012
Legal Domicile
Mi
Voting Board Members
33
Independent Board Members
24
Employees
0
Volunteers
24
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A

Promedica at home, inc. Program service accomplishments promedica at home, inc. Was formed in 2020 as an innovative response to the need to provide hospital-level care in the comfort of a patient's home during the covid-19 pandemic. Promedica at home, inc. Will partner with promedica's extensive network of in-home care providers with a sophisticated technology program to deliver seamless and effective care at home for patients with select chronic conditions or diagnoses such as heart failure, pneumonia or copd. The care team consists of physicians, nurse practitioners, registered nurses, and may include other healthcare professionals, such as physical or occupational therapists, as needed.

FORM 990, PART XI, LINE 9:

Transfer between entities 205,246.

Form 990, Part XII, Line 2C

This process has not changed from the prior year.

Form 990, Part XII, Line 3B

The required single audit as set forth in the single audit act and omb circular a-133 has not yet been completed. Plans have been made to have the required single audit completed by the extended due date as established in omb m-20-26.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PHS PRES. & CEO, EX OFFICIO
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IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6PRESIDENT, PROMEDICA AT HOME
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IRS990/Form990PartVIISectionAGrp/TitleTxt9CHAIRMAN
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IRS990/MissionDesc0AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE WILL BE THE PREMIER COMMUNITY-BASED MANAGEMENT SERVICES ORGANIZATION AND PROVIDER OF RELATED HEALTHCARE SERVICES FOR NORTHWEST OHIO/SOURTHEAST 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.
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