BAY PARK COMMUNITY HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BAY PARK COMMUNITY HOSPITAL (EIN 34-1883132)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-12
- IRS object ID
- 202423179349302447
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-12T10:19:45-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341883132 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY PARK COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAYP | BusinessNameControlTxt |
| Phone | 4192525772 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MADISON AVE ATTN TAX DEPARTM | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43604 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRENCE METZGER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4192525772 | PhoneNum |
| Signature | 2024-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY CIMINELLO | PreparerPersonNm |
| PTIN | P00796388 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2024-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERRENCE METZGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MADISON AVE ATTN TAX DEPARTMENT | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $123,622,834 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PROMEDICA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | BAY PARK COMMUNITY HOSPITAL IS DEDICATED TO PREMIER SERVICE, COMMITTED TO SUPERIOR QUALITY, AND DEVOTED TO OUR PATIENTS AND FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 667 | TotalEmployeeCnt |
| Total Volunteers | 63 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $148,647 | PYContributionsGrantsAmt |
| CY Contributions Grants | $210,487 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $114,578,126 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $123,295,344 | CYProgramServiceRevenueAmt |
| PY Investment Income | $94,989 | PYInvestmentIncomeAmt |
| CY Investment Income | $79,574 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40 | PYOtherRevenueAmt |
| CY Other Revenue | $3,410 | CYOtherRevenueAmt |
| PY Total Revenue | $114,821,802 | PYTotalRevenueAmt |
| CY Total Revenue | $123,588,815 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $56,410 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,125,697 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,080,560 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $72,823,243 | PYOtherExpensesAmt |
| CY Other Expenses | $69,790,945 | CYOtherExpensesAmt |
| PY Total Expenses | $104,005,350 | PYTotalExpensesAmt |
| CY Total Expenses | $102,871,505 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,816,452 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,717,310 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $67,164,090 | TotalAssetsBOYAmt |
| Total Assets EOY | $55,668,281 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $62,356,920 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,099,081 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,807,170 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,569,200 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BAY PARK COMMUNITY HOSPITAL IS DEDICATED TO PREMIER SERVICE, COMMITTED TO SUPERIOR QUALITY, AND DEVOTED TO OUR PATIENTS AND FAMILIES. OUR VALUES INCLUDE: COLLABORATION - WORKING TOGETHER AS A TEAM, INTERNALLY WITH EMPLOYEES, PHYSICIANS, PATIENTS, AND FAMILIES, AND EXTERNALLY WITH OTHER COMMUNITY AND HEALTH-RELATED ORGANIZATIONS; COMMUNITY-BASED - A LOCALLY OWNED COMMUNITY RESOURCE, GUIDED BY CONSTITUENT NEEDS; COMPASSION - CONCERN AND UNDERSTANDING FOR OTHERS WITH COMMITMENT TO HELP; EXCELLENCE - SUPERIOR PERFORMANCE AND OUTCOMES; INTEGRITY - HONESTY, SINCERITY, AND ACCOUNTABILITY; STEWARDSHIP - SOUND MANAGEMENT OR RESOURCES FOR THE BENEFIT OF THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $74,249,254 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $123,295,344 | RevenueAmt |
| Desc | BAY PARK COMMUNITY HOSPITAL (D/B/A PROMEDICA BAY PARK HOSPITAL) 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. PROMEDICA BAY PARK HOSPITAL (BPH) IS LOCATED EAST OF THE MAUMEE RIVER. FOUNDED IN 2001, THE 276,000-SQUARE-FOOT FACILITY INCLUDES A TREATMENT AND DIAGNOSTIC CENTER FOR GENERAL MEDICAL/SURGICAL AND CRITICAL CARE SERVICES, OBSTETRICS, PEDIATRICS, ORTHOPAEDIC SURGERY, LABORATORY AND IMAGING SERVICES, CARDIOPULMONARY SERVICES, A CENTER FOR SLEEP DISORDERS, AN OUTPATIENT DIABETES PROGRAM, ENDOSCOPY CENTER, AND A FULL-SERVICE EMERGENCY CENTER. IN ADDITION TO 72 PRIVATE INPATIENT BEDS, BPH'S CAMPUS ALSO INCLUDES A PROFESSIONAL OFFICE BUILDING FOR PHYSICIAN OFFICES, A WOUND CARE CLINIC AND OUTPATIENT REHABILITATION. THE CAMPUS ALSO INCLUDES, A CANCER AND INFUSION CENTER TO PROVIDE OUTPATIENT INFUSION SERVICES, INCLUDING CHEMOTHERAPY. THE CENTER INCLUDES THREE PRIVATE EXAM ROOMS AND SIX PRIVATE INFUSION BAYS WITH ENOUGH SPACE AND SEATING FOR FAMILIES TO KEEP LOVED ONE'S COMPANY DURING TREATMENTS. IN 2023, BPH RECEIVED RECOGNITION BY HEALTHGRADES WITH A PULMONARY CARE EXCELLENCE AWARD, BY NEWSWEEK WITH A 5-STAR RATING FOR THE LABOR AND DELIVERY DEPARTMENT, AND BY THE AMERICAN HEART ASSOCIATION AS A GET WITH THE GUIDELINES-STROKE SILVER PLUS AWARDEE. BPH RECEIVED THE PULMONARY CARE EXCELLENCE AWARD.IN 2023, THE HOSPITAL SERVED 2,694 INPATIENTS AND 119,180 OUTPATIENTS. ADDITIONALLY, 22,070 PEOPLE SOUGHT CARE THROUGH BPH'S EMERGENCY CENTER IN 2023. THE HOSPITAL CONTRIBUTED $25,644,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONAL EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BENEFIT OPERATIONS, BPH CONTRIBUTED $2,700,000 TO THE COMMUNITY DURING 2023. INCLUDED IN THIS AMOUNT ARE THE FOLLOWING: STROKE RISK ASSESSMENTS AND EDUCATION AT THE AMERICAN HEART ASSOCIATION GO RED FOR WOMEN LUNCHEON PROVIDED BLOOD PRESSURE SCREENINGS AND SELF-MONITORING EDUCATION AT COMMUNITY EVENTS, SENIOR CENTERS, AND OTHER COMMUNITY-BASED LOCATIONS. CONTINUED TO OFFER THE HOSPITAL'S NO COST FOOD CLINIC AND MEALS AT DISCHARGE INITIATIVES PROVIDING FOOD ACCESS TO PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY. CONTINUED TO OFFER FINANCIAL COACHING TO PATIENTS SCREENING POSITIVE FOR FINANCIAL STRAIN. PROVIDED HEALTH LITERACY EDUCATION PERTAINING TO CHRONIC DISEASES AND CRISIS INTERVENTION WITH STOP THE BLEED EDUCATION. BPH EMPLOYEES SUPPORTED EVENTS INCLUDING THE WALK TO END ALZHEIMER'S, THE MARCH OF DIMES WALK FOR BABIES, THE AMERICAN HEART ASSOCIATION HEART WALK, AND THE SUSAN G. KOMEN RACE FOR THE CURE. BPH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2023, OF WHICH $5,870,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. BPH COST OF BAD DEBT FOR 2023 WAS $5,563,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $25,644,000 NOTED ABOVE. FURTHER, BPH PROVIDED $2,699,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS.DURING 2023, BPH EXPENDED $31,115,000 IN NET PAYROLL, PROVIDING 973 JOBS . A TOTAL OF $1,966,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, BPH 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, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. | Desc |
| Total Program Service Expenses | $74,249,254 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 667 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRENCE METZGER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4192525772 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MADISON AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| DAWN BUSKEY | |||||||||
| TRUSTEE/TREASURER | 1.00 | 54.00 | Yes (X) | Yes (X) | $0 | $1,412,400 | $5,337 | ||
| STEVE SADOWSKI | |||||||||
| TREASURER/CHIEF LEGAL OFFICER | 1.00 | 54.00 | Yes (X) | Yes (X) | $0 | $1,407,180 | $6,028 | ||
| THOMAS PADANILAM | |||||||||
| TRUSTEE/PHYSICIAN - PART YEAR | 1.00 | 44.00 | Yes (X) | $0 | $1,128,717 | $0 | |||
| TERRENCE METZGER | |||||||||
| TRUSTEE/CFO | 1.00 | 54.00 | Yes (X) | Yes (X) | $0 | $1,055,090 | $4,079 | ||
| AARON BUERK MD | |||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 44.00 | Yes (X) | $0 | $834,658 | $0 | |||
| BRIAN DOLSEY | |||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 44.00 | Yes (X) | $0 | $703,046 | $0 | |||
| RAVI ADUSUMILLI MD | |||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 44.00 | Yes (X) | $0 | $474,270 | $0 | |||
| THADIUS WADSWORTH MBA BSN RN C | |||||||||
| SECRETARY | 1.00 | 44.00 | Yes (X) | Yes (X) | $0 | $352,154 | $0 | ||
| GREGORY BRAYLOCK | |||||||||
| TRUSTEE/VICE PRESIDENT | 1.00 | 44.00 | Yes (X) | $0 | $264,412 | $552 | |||
| DARRELL WACHOWIAK | |||||||||
| TRUSTEE/PRESIDENT | 1.00 | 44.00 | Yes (X) | Yes (X) | $0 | $241,671 | $0 | ||
| MARLON KISER | |||||||||
| TRUSTEE - PART YEAR | 1.00 | 1.00 | Yes (X) | $0 | $68,019 | $6,819 | |||
| AMIR KHAN | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY PACKO | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL MCDONNELL | |||||||||
| CHAIRMAN - PART YEAR | 1.00 | 15.00 | Yes (X) | $0 | $0 | $0 | |||
| C MICHAEL SMITH | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERICH WEINLANDER | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACKIE HYLANT BERENZWEIG | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BRENNAN JR | |||||||||
| TRUSTEE | 1.00 | 15.00 | Yes (X) | $0 | $0 | $0 | |||
| LOUIS ROBICHAUX | |||||||||
| TREASURER - PART YEAR | 1.00 | 54.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARK FOX | |||||||||
| TRUSTEE/PARAMEDIC | 1.00 | 44.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY KABAT | |||||||||
| CHAIR | 1.00 | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PETE VAVRINEK | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RODENY EASON JR | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SARA SWISHER | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SARAH MCHUGH | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY HUSTED MD | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS WINSTON | |||||||||
| TRUSTEE/ AUDIT / COMPLIANCE CHAIR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ARTURO POLIZZI | |||||||||
| PRESIDENT AND CEO | 1.00 | 54.00 | Yes (X) | $0 | $2,121,593 | $5,857 | |||
| BRANDON VER VAET | |||||||||
| PHARMACY DIRECTOR | 45.00 | 0.00 | $156,369 | $0 | $2,148 | Yes (X) | |||
| DANIEL DEVITO | |||||||||
| PHARMACY DIRECTOR | 45.00 | 0.00 | $149,361 | $0 | $3,165 | Yes (X) | |||
| WILLIAM YENRICK | |||||||||
| AVP NON CLINICAL | 45.00 | 0.00 | $145,054 | $0 | $4,247 | Yes (X) | |||
| EMILY WILLMAN | |||||||||
| PHARMACIST | 45.00 | 0.00 | $137,662 | $0 | $6,757 | Yes (X) | |||
| RUSSELL CARPENTER | |||||||||
| ADM SUPERVISOR | 45.00 | 0.00 | $133,400 | $0 | $1,912 | Yes (X) | |||
| STEVEN M CAVANAUGH | |||||||||
| TREASURER, CFO - FORMER | 0.00 | 0.00 | $0 | $1,335,180 | $995 | Yes (X) | |||
| JEFFREY C KUHN | |||||||||
| SECRETARY, CHIEF LEGAL OFFICER - FORMER | 0.00 | 0.00 | $0 | $721,900 | $33,822 | Yes (X) | |||
| GARY AKENBERGER | |||||||||
| SR VP FINANCE - FORMER | 0.00 | 0.00 | $0 | $528,647 | $36,639 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $721,846 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,648,937 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $118,357 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $183,520 | RelatedOrganizationsAmt |
| Government Grants | $26,967 | GovernmentGrantsAmt |
| Total Contributions | $210,487 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES | 622110 | $122,734,638 | $122,734,638 |
| AFFIL. ORG. RENT REV. | 531120 | $560,706 | $560,706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $123,295,344 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,593 | TotalRevenueColumnAmt |
| Exclusion | $113,593 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,410 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,410 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,410 | TotalRevenueColumnAmt |
| Exclusion | $3,410 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $34,019 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$34,019 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$34,019 | TotalRevenueColumnAmt |
| Exclusion | -$34,019 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,588,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $123,295,344 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $82,984 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,434,574 | TotalAmt |
| Program Services | $22,355,209 | ProgramServicesAmt |
| Management And General | $5,079,365 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,680,481 | TotalAmt |
| Program Services | $2,999,060 | ProgramServicesAmt |
| Management And General | $681,421 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,965,505 | TotalAmt |
| Program Services | $1,601,602 | ProgramServicesAmt |
| Management And General | $363,903 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,999 | TotalAmt |
| Management And General | $49,999 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,179 | TotalAmt |
| Management And General | $10,179 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,284,013 | TotalAmt |
| Program Services | $9,839,728 | ProgramServicesAmt |
| Management And General | $444,285 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,587 | TotalAmt |
| Program Services | $939 | ProgramServicesAmt |
| Management And General | $2,648 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,867,972 | TotalAmt |
| Program Services | $1,012,702 | ProgramServicesAmt |
| Management And General | $2,855,270 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,051,546 | TotalAmt |
| Program Services | $17,841 | ProgramServicesAmt |
| Management And General | $2,033,705 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,857 | TotalAmt |
| Program Services | $10,435 | ProgramServicesAmt |
| Management And General | $29,422 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,351,050 | TotalAmt |
| Program Services | $1,351,050 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,194,153 | TotalAmt |
| Program Services | $2,779,666 | ProgramServicesAmt |
| Management And General | $414,487 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTERCOMPANY SERVICES | $22,117,078 | $5,790,644 | $16,326,434 |
| MEDICAL SUPPLIES | $17,677,348 | $17,677,348 | |
| PROVISION FOR BAD DEBT | $5,563,430 | $5,563,430 | |
| PROVIDER TAX | $3,132,154 | $3,132,154 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,579 | TotalAmt |
| Program Services | $117,446 | ProgramServicesAmt |
| Management And General | $331,133 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,871,505 | TotalAmt |
| Program Services | $74,249,254 | ProgramServicesAmt |
| Management And General | $28,622,251 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,573,663 | BOYAmt |
| EOY | $3,382,115 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,482,724 | BOYAmt |
| EOY | $15,712,545 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,707,331 | BOYAmt |
| EOY | $1,906,850 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,805 | BOYAmt |
| EOY | $104,829 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $116,329,698 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $84,356,431 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,077,488 | BOYAmt |
| EOY | $31,973,267 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,150 | BOYAmt |
| EOY | $111,295 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,127 | BOYAmt |
| EOY | $1,092,914 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $823,802 | BOYAmt |
| EOY | $1,384,466 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,164,090 | BOYAmt |
| EOY | $55,668,281 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,793,353 | BOYAmt |
| EOY | $9,118,444 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,236 | BOYAmt |
| EOY | $117,618 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,326,331 | BOYAmt |
| EOY | $17,863,019 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,356,920 | BOYAmt |
| EOY | $27,099,081 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,796,650 | BOYAmt |
| EOY | $28,558,680 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,520 | BOYAmt |
| EOY | $10,520 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,807,170 | BOYAmt |
| EOY | $28,569,200 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,164,090 | BOYAmt |
| EOY | $55,668,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,717,310 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,044,720 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,179 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,179 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | BAY PARK COMMUNITY HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ORGANIZATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,969,814 | OtherCostOrOtherBasisAmt |
| Book Value | $4,969,814 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,937,698 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,175,430 | DepreciationAmt |
| Book Value | $22,762,268 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $71,866 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,866 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,872,797 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,156,382 | DepreciationAmt |
| Book Value | $3,716,415 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,477,523 | OtherCostOrOtherBasisAmt |
| Depreciation | $952,753 | DepreciationAmt |
| Book Value | $524,770 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,973,267 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $14,695,878 |
| ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE | $2,332,763 |
| OPERATING LEASE LIABILITY | $834,378 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,863,019 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $952,481 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $952,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00980 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,983,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,284,939 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,698,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02770 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,936,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,284,939 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,651,262 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03750 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,055,075 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,055,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,627,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $933,899 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $693,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,707,722 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $933,899 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,773,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,643,923 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,218,838 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,425,085 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05570 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,563,430 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $238,992 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,374,376 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,637,724 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,263,348 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC | |||
| PHYSICIAN SERVICES | 0.05800 | 0.00000 | 0.47600 |
| 2 PROMEDICA ORTHOPEDIC CO-MGMT COMPANY LLC | |||
| PHYSICIAN SERVICES | 0.04700 | 0.00000 | 0.62300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY PARK COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2801 BAY PARK DRIVE | AddressLine1Txt |
| City | OREGON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43616 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PROMEDICA.ORG | WebsiteAddressTxt |
| State License | 1178 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY PARK COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BAY PARK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY. A RESOURCE ASSESSMENT AND GAP ANALYSIS WERE COMPLETED AS PART OF THIS PROCESS. IN 2022, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, BAY PARK, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED SEPARATE CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, THAT INCLUDED GAP AND RESOURCE ASSESSMENTS. EACH COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THE DEFINED COMMUNITY AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED:ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AREA OFFICE ON AGING OF NORTHWESTERN OHIO, BOARD OF LUCAS COUNTY COMMISSIONERS, CITY OF TOLEDO, CONNECTING KIDS TO MEALS, CWA LOCAL 4319, HEALTH PARTNERS OF WESTERN OHIO, HOSPITAL COUNCIL OF NORTHWEST OHIO, LISC TOLEDO, LIVE WELL GREATER TOLEDO, LUCAS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES, LUCAS METROPOLITAN HOUSING AUTHORITY, MCLAREN ST. LUKE'S, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NAACP #3204, NEIGHBORHOOD HEALTH ASSOCIATION, TOLEDO FIRE & RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO LUCAS COUNTY HOMELESSNESS BOARD, TOLEDO PUBLIC SCHOOLS, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO. |
| BAY PARK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, FLOWER HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH. |
| BAY PARK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO. |
| BAY PARK COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: BAY PARK COMMUNITY HOSPITAL CONDUCTED AND ADOPTED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - CHRONIC DISEASE COPD, HEART DISEASE, STROKE AND DIABETES - SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY AND FINANCIAL STRAIN- TRAUMA PREVENTION FALL PREVENTION AND STOP THE BLEEDTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2022; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2023-2025. BAY PARK COMMUNITY HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2022 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2022 IMPLEMENTATION PLAN INCLUDE: ADULT HEALTHCARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS; YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE, YOUTH PERCEPTIONS, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.BAY PARK COMMUNITY HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2023 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2022: HEALTH NEED IDENTIFIED: CHRONIC DISEASE COPD, HEART DISEASE, STROKE AND DIABETES STRATEGY #1 PROVIDE AND DISTRIBUTE TOBACCO AND VAPING CESSATION EDUCATION AND RESOURCES TO THE COMMUNITY.ACTIONS TAKEN: - 1200 COMMUNITY MEMBERS RECEIVED EDUCATION ABOUT TOBACCO AND VAPING CESSATION IN 2023 AT LOCAL EVENTS THE HOSPITAL ATTENDED. - 9 EDUCATIONAL MESSAGES ABOUT RESPIRATORY HEALTH WERE POSTED TO THE HOSPITAL'S FACEBOOK PAGE WITH 1,300 PEOPLE FOLLOWING. STRATEGY #2 PROVIDE FREE BLOOD PRESSURES AND BLOOD PRESSURE EDUCATION TO THE COMMUNITY. ACTIONS TAKEN:- 900 COMMUNITY MEMBERS RECEIVED BLOOD PRESSURE SCREENINGS AND EDUCATION IN 2023 AT LOCAL EVENTS THE HOSPITAL ATTENDED. STRATEGY #3 PROVIDE AND DISTRIBUTE DIABETES EDUCATION AND RESOURCES TO THE COMMUNITY.ACTIONS TAKEN:- 1200 COMMUNITY MEMBERS RECEIVED DIABETES EDUCATION IN 2023 AT LOCAL EVENTS THE HOSPITAL ATTENDED. - 5 EDUCATIONAL MESSAGES ABOUT DIABETES MANAGEMENT AND PREVENTION WERE POSTED TO THE HOSPITAL'S FACEBOOK PAGE WITH 1,300 PEOPLE FOLLOWING.STRATEGY #4 PROVIDE AND DISTRIBUTE STROKE EDUCATION AND RESOURCES TO THE COMMUNITY, INCLUDING SPOTLIGHT ON STROKE AND FAST EDUCATION.ACTIONS TAKEN:- 500 COMMUNITY MEMBERS RECEIVED STROKE AND BE FAST RESOURCES IN 2023 AT LOCAL COMMUNITY EVENTS THE HOSPITAL ATTENDED. HEALTH NEED IDENTIFIED: SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY AND FINANCIAL STRAINSTRATEGY #1 PROVIDE NO COST FOOD CLINIC FOR FOOD INSECURE PATIENTS REFERRED BY PROVIDER, AT THE BAY PARK LOCATION. ACTIONS TAKEN: - 1205 PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY RECEIVED FOOD FROM THE BAY PARK FOOD CLINIC IN 2023. STRATEGY #2 PROVIDE AND DISTRIBUTE HEALTHY RECIPES AND NUTRITION EDUCATION TO PATIENTS AT THE BAY PARK FOOD CLINIC. ACTIONS TAKEN: - 600 RECIPES AND NUTRITION EDUCATION RESOURCES WERE PROVIDED TO PATIENTS AT THE BAY PARK FOOD CLINIC. STRATEGY #3 SCREEN INPATIENTS FOR FOOD INSECURITY AND OFFER FOOD AT DISCHARGE, WITH COMMUNITY FOOD RESOURCE LISTING, FOR PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ON ADMISSION. ACTIONS TAKEN: - 53 PATIENTS SCREENING POSITIVE IN THE INPATIENT SETTING RECEIVED FOOD AT DISCHARGE IN 2023. - 198 EMPLOYEES EXPERIENCING FOOD INSECURITY RECEIVED FOOD IN 2023. STRATEGY #4 PROVIDE AND DISTRIBUTE INFORMATION REGARDING NO COST FINANCIAL OPPORTUNITY CENTER PROGRAMS, TO IMPROVE FINANCIAL WELL-BEING. ACTIONS TAKEN: - 523 EDUCATIONAL MATERIALS WERE DISTRIBUTED TO PATIENTS AND COMMUNITY MEMBERS ABOUT RESOURCES AVAILABLE AT THE PROMEDICA FINANCIAL OPPORTUNITY CENTER. - 302 PATIENTS WERE REFERRED TO THE FINANCIAL OPPORTUNITY CENTER TO WORK DIRECTLY WITH A FINANCIAL COACH. HEALTH NEED IDENTIFIED: TRAUMA PREVENTION STRATEGY #1 PROVIDE AND DISTRIBUTE FALL PREVENTION EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN:- 900 COMMUNITY MEMBERS RECEIVED EDUCATION ABOUT INJURY AND FALL PREVENTION IN 2023 AT LOCAL EVENTS THE HOSPITAL ATTENDED. STRATEGY #2 PROVIDE AND DISTRIBUTE HOME FITNESS EDUCATION AND RESOURCES TO THE COMMUNITY, INCLUDING TAI CHI THAT IMPROVES BALANCE. ACTIONS TAKEN: - 17 EDUCATIONAL MESSAGES ABOUT PHYSICAL ACTIVITY, INCLUDING TAI CHI, WERE POSTED TO THE HOSPITAL'S FACEBOOK PAGE WITH 1,300 PEOPLE FOLLOWING. STRATEGY #3 PROVIDE STOP THE BLEED EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN: - 150 COMMUNITY MEMBERS RECEIVED STOP THE BLEED EDUCATION AND TRAINING IN 2023. |
| PART V, SECTION B, LINE 7A | THE 2022 CHNA CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY |
| PART V, SECTION B, LINE 10A | THE 2023-2025 CHNA IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY |
| PART V, SECTION B, LINE 16A: | THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16B: | THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16C: | A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PROMEDICA ROSSFORD RADIOLOGY IMAGING | ||||
| 1215 GRASSY LN | ROSSFORD | OH | 43460 | IMAGING |
| 2 - BAY PARK WOMEN'S SERVICES CERTIFIED NURSE | ||||
| 1854 E PERRY ST STE 304 | PORT CLINTON | OH | 43452 | OB MIDWIVES PORT CLINTON |
| 3 - PROMEDICA BAY PARK HOSPITAL - PULMONARY RE | ||||
| 2751 BAY PARK DR | OREGON | OH | 43616 | PULMONARY REHAB |
| 4 - PROMEDICA BAY PARK TOTAL REHAB | ||||
| 2751 BAY PARK DR | OREGON | OH | 43616 | TOTAL REHAB |
| 5 - PROMEDICA WOUND CARE | ||||
| 2751 BAY PARK DR | OREGON | OH | 43616 | WOUND CARE CLINIC |
| 6 - PROMEDICA BAY PARK HOSPITAL - JOBST MEDICA | ||||
| 2751 BAY PARK DR STE 110 | OREGON | OH | 43616 | JOBST MTM |
| 7 - BAY PARK HEART FAILURE CLINIC | ||||
| 2751 BAY PARK DR STE 130 | OREGON | OH | 43616 | HEART FAILURE CLINIC |
| 8 - BAY PARK WOMEN'S SERVICES | ||||
| 2751 BAY PARK DR STE 300 | OREGON | OH | 43616 | WOMENS CLINIC |
| 9 - PROMEDICA BAY PARK HOSPITAL - CARDIAC REHA | ||||
| 2801 BAY PARK DR | OREGON | OH | 43616 | CARDIAC REHAB |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 7: | BAY PARK COMMUNITY HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,563,430. |
| PART III, LINE 2: | BAY PARK COMMUNITY HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. |
| PART III, LINE 3: | BAY PARK COMMUNITY HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT. |
| PART III, LINE 4: | PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 16 AND 17 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION. |
| PART III, LINE 9B: | FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING. |
| PART VI, LINE 2: | PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THIS DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE. |
| PART VI, LINE 3: | THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS. |
| PART VI, LINE 4: | BAY PARK COMMUNITY HOSPITAL, LOCATED IN OREGON, OHIO, SERVES AN AREA PRIMARILY AROUND LUCAS AND WOOD COUNTIES. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 429,000 WITH APPROXIMATELY 25% OF FAMILIES BELOW THE POVERTY LEVEL. OUT OF THAT POPULATION APPROXIMATELY 60% ARE 18-64 YEARS OLD AND 17% ARE 65+. APPROXIMATELY, 8% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2023 WAS 6.2%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, COVID, UNINTENTIONAL INJURIES/ACCIDENTS, LUNG DISEASE, ALZHEIMER'S, AND DIABETES. ACCORDING TO 2023 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 79 OF 88 COUNTIES FOR HEALTH OUTCOMES AND 62 OF 88 FOR HEALTH FACTORS. WOOD COUNTY HAS A POPULATION OF APPROXIMATELY 132,000 WITH APPROXIMATELY 10% OF FAMILIES BELOW THE POVERTY LEVEL. OUT OF THAT POPULATION APPROXIMATELY 64% ARE 18-64 YEARS OLD AND 16% ARE 65+. APPROXIMATELY, 7% OF WOOD COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR WOOD COUNTY IN 2023 WAS 4.3%. ACCORDING TO 2023 COUNTY HEALTH RANKINGS, WOOD COUNTY RANKED 8 OF 88 COUNTIES FOR HEALTH OUTCOMES AND 11 OF 88 FOR HEALTH FACTORS. THERE ARE TWELVE HOSPITALS WITHIN A 30-MILE RADIUS OF BAY PARK COMMUNITY HOSPITAL: ST. CHARLES MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, THE TOLEDO HOSPITAL, UNIVERSITY OF TOLEDO MEDICAL CENTER, ST. ANNE MERCY HOSPITAL, ST. LUKE'S HOSPITAL, FLOWER HOSPITAL, WOOD COUNTY HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, MONROE REGIONAL HOSPITAL, MEMORIAL HOSPITAL, AND H.B. MAGRUDER HOSPITAL. |
| PART VI, LINE 5: | BAY PARK COMMUNITY HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2023:- THERE WERE APPROXIMATELY 300 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), SERVING ON MORE THAN 25 DIFFERENT BOARDS, COMMITTEES, COUNCILS AND FOUNDATIONS. OF THOSE BOARD MEMBERS, MOST LIVE WITHIN PROMEDICA'S OHIO AND MICHIGAN ACUTE CARE SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN THE GREATER TOLEDO AREA WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. - PROMEDICA NON-PARENT BOARD MEMBERS' DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, WERE PERFORMED ON A VOLUNTEER BASIS. - PROMEDICA'S MEDICAL STAFF PRIVILEGES WERE EXTENDED TO ALL QUALIFIED PHYSICIANS AT OUR METRO TOLEDO AND REGIONAL HOSPITALS. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MET THOSE QUALIFICATIONS WAS GRANTED PRIVILEGES, UPON THEIR REQUEST.- AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED TWO SYSTEM-WIDE UPGRADES TO THE EPIC PLATFORM. THE UPGRADES ALLOW PROMEDICA TO TAKE ADVANTAGE OF SOME OF THE MANY ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT.- PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE.- PROMEDICA CANCER INSTITUTE (PCI) COMPLETED LUNG CANCER SCREENINGS, SCREENING MAMMOGRAMS AND SCREENING COLONOSCOPIES. ADDITIONALLY, PCI CONTINUES TO BE INSTRUMENTAL IN HELPING PROMEDICA IMPLEMENT MONOCLONAL ANTIBODY TREATMENT AT ITS INFUSION CENTERS FOR COVID-19 PATIENTS TO IMPROVE SYMPTOM MANAGEMENT. - PROMEDICA SENIOR CARE SKILLED NURSING FACILITIES AND HOME HEALTH AND HOSPICE AGENCIES PROVIDE UNIQUE SERVICES TO VETERANS, HOLIDAY SUPPORT, SUPPORT GROUPS, AND WORKSHOPS TO ANYONE IN THE COMMUNITY WHO NEEDS ADDITIONAL HELP TO GET THROUGH THE LOSS OF A LOVED ONE. PATIENTS AND RESIDENTS' WISHES ARE GRANTED THROUGH THE ORGANIZATION'S HEART'S DESIRE PROGRAM. THROUGH GRANTS FROM THE HOSPICE MEMORIAL FUND, GRIEF CAMPS FOR CHILDREN AND ADULTS ARE OFFERED AS WELL AS EDUCATIONAL SESSIONS AND LIFE CELEBRATION EVENTS. THE FUND ALSO PROVIDES STABILIZING RESOURCES FOR HOSPICE PATIENTS AND FAMILIES IN FINANCIAL DISTRESS DUE TO THE LACK OF OR REDUCTION IN INCOME FROM TERMINAL ILLNESS OR DISEASE.- PROMEDICA CONTINUES TO EXPAND ITS OPTIONS FOR HOSPITAL-LEVEL CARE IN THE COMFORT OF A PATIENT'S HOME. PROMEDICA ACUTE CARE AT HOME COMBINES PROMEDICA'S EXTENSIVE NETWORK OF IN-HOME CARE PROVIDERS WITH A SOPHISTICATED TECHNOLOGY PLATFORM TO DELIVER SEAMLESS AND EFFECTIVE CARE AT HOME FOR PATIENTS WITH SELECT CHRONIC CONDITIONS OR DIAGNOSES SUCH AS HEART FAILURE, PNEUMONIA OR COPD. RECENTLY, PROMEDICA ACUTE CARE AT HOME EXPANDED ITS SERVICES TO INCLUDE CARE FOR SELECT ONCOLOGY PATIENTS BY COLLABORATING THE PROMEDICA CANCER CENTER. THE CARE TEAM CONSISTS OF PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, AND MAY INCLUDE OTHER HEALTHCARE PROFESSIONALS, SUCH AS PHYSICAL OR OCCUPATIONAL THERAPISTS, AS NEEDED. |
| PART VI, LINE 6: | PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A NATIONWIDE, MISSION-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2023 PROMEDICA WAS COMPRISED OF MORE THAN 45,000 EMPLOYEES, NEARLY 850 VOLUNTEERS AND MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERSINCLUDING APPROXIMATELY 1,200 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP (PPG) WHO FORM A PROVIDER NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. IN 2023:- PROMEDICA MEMBERS AND AFFILIATE HOSPITALS INCLUDED: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL (D/B/A PROMEDICA BAY PARK HOSPITAL); EMMA L. BIXBY MEDICAL CENTER (D/B/A PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL); FOSTORIA HOSPITAL ASSOCIATION (D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL); DEFIANCE HOSPITAL, INC. (D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL); MERCY MEMORIAL HOSPITAL CORPORATION (D/B/A PROMEDICA MONROE REGIONAL HOSPITAL); MEMORIAL HOSPITAL (D/B/A PROMEDICA MEMORIAL HOSPITAL); AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY (D/B/A PROMEDICA COLDWATER REGIONAL HOSPITAL). PROMEDICA ALSO INCLUDES PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION AS WELL AS HUNDREDS OF SKILLED NURSING AND REHABILITATION CENTERS, ASSISTED LIVING FACILITIES AND MEMORY CARE COMMUNITIES, ALL UNDER THE PROMEDICA SENIOR CARE/HCR MANORCARE UMBRELLA.- PROMEDICA CONTINUED TO OPERATE THREE COMMUNITY FOOD CLINICS, LOCATED AT PROMEDICA BAY PARK HOSPITAL, THE PROMEDICA HEALTH AND WELLNESS CENTER AND PROMEDICA'S CENTER FOR HEALTH SERVICES, TO SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEMSELVES AND THEIR FAMILY FROM ONE OF THESE FOOD CLINICS. AS PART OF THE PROGRAM, PATIENTS CAN RECEIVE TWO TO THREE DAYS OF SUPPLEMENTAL FOOD. - FOR ITS MICHIGAN PATIENTS, PROMEDICA PARTNERED WITH THE SOUTH MICHIGAN FOOD BANK TO DISTRIBUTE FOOD RESOURCES TO PROMEDICA PHYSICIANS GROUP OFFICES FOR PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY. PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL PROVIDE THE $5 VOUCHERS AT DISCHARGE SO PATIENTS CAN REDEEM FRESH PRODUCE FROM THE VEGGIE MOBILE THAT IS SOURCED FROM PROMEDICA FARMS, LOCAL GROWERS, AND A WHOLESALER. - PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDED BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES AND A FINANCIAL OPPORTUNITY CENTER TO PROVIDE FINANCIAL COUNSELING FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. ADDITIONALLY, TWO NEW FINANCIAL OPPORTUNITY CENTERS (FOC) WERE OPENED IN FREMONT AND DEFIANCE, OHIO. MUCH LIKE THE FOC LOCATED IN UPTOWN TOLEDO, THE NEW LOCATIONS OFFER SERVICES AND ASSIST LOW TO MODERATE-INCOME FAMILIES WITH SECURING LIVING WAGE JOBS, BUILDING CREDIT, REDUCING DEBT, AND GAINING WEALTH. THE FOC ALSO HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING AS WELL AS FREE TAX PREPARATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTURO POLIZZI | ||||||||||||||
| PRESIDENT AND CEO | $0 | $1,315,647 | $0 | $789,979 | $0 | $15,967 | $0 | $0 | $0 | $5,857 | $0 | $2,127,450 | $0 | $0 |
| DAWN BUSKEY | ||||||||||||||
| TRUSTEE/TREASURER | $0 | $658,750 | $0 | $751,150 | $0 | $2,500 | $0 | $0 | $0 | $5,337 | $0 | $1,417,737 | $0 | $0 |
| STEVE SADOWSKI | ||||||||||||||
| TREASURER/CHIEF LEGAL OFFICER | $0 | $625,095 | $0 | $774,925 | $0 | $7,160 | $0 | $0 | $0 | $6,028 | $0 | $1,413,208 | $0 | $0 |
| STEVEN M CAVANAUGH | ||||||||||||||
| TREASURER, CFO - FORMER | $0 | $0 | $0 | $0 | $0 | $1,335,180 | $0 | $0 | $0 | $995 | $0 | $1,336,175 | $0 | $0 |
| THOMAS PADANILAM | ||||||||||||||
| TRUSTEE/PHYSICIAN - PART YEAR | $0 | $839,106 | $0 | $286,989 | $0 | $2,622 | $0 | $0 | $0 | $2,425 | $0 | $1,131,142 | $0 | $0 |
| TERRENCE METZGER | ||||||||||||||
| TRUSTEE/CFO | $0 | $480,090 | $0 | $575,000 | $0 | $0 | $0 | $0 | $0 | $4,079 | $0 | $1,059,169 | $0 | $0 |
| AARON BUERK MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $0 | $812,858 | $0 | $21,500 | $0 | $300 | $0 | $6,895 | $0 | $88 | $0 | $841,641 | $0 | $0 |
| JEFFREY C KUHN | ||||||||||||||
| SECRETARY, CHIEF LEGAL OFFICER - FOR | $0 | $0 | $0 | $0 | $0 | $721,900 | $0 | $26,526 | $0 | $7,296 | $0 | $755,722 | $0 | $0 |
| BRIAN DOLSEY | ||||||||||||||
| TRUSTEE/PHYSICIAN | $0 | $572,900 | $0 | $128,364 | $0 | $1,782 | $0 | $6,957 | $0 | $3,709 | $0 | $713,712 | $0 | $0 |
| GARY AKENBERGER | ||||||||||||||
| SR VP FINANCE - FORMER | $0 | $246,095 | $0 | $83,570 | $0 | $198,982 | $0 | $6,893 | $0 | $7,184 | $0 | $542,724 | $0 | $0 |
| RAVI ADUSUMILLI MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $0 | $387,750 | $0 | $82,656 | $0 | $3,864 | $0 | $3,897 | $0 | $2,907 | $0 | $481,074 | $0 | $0 |
| THADIUS WADSWORTH MBA BSN RN C | ||||||||||||||
| SECRETARY | $0 | $236,462 | $0 | $114,500 | $0 | $1,192 | $0 | $0 | $0 | $2,022 | $0 | $354,176 | $0 | $0 |
| GREGORY BRAYLOCK | ||||||||||||||
| TRUSTEE/VICE PRESIDENT | $0 | $235,082 | $0 | $26,010 | $0 | $3,320 | $0 | $0 | $0 | $552 | $0 | $264,964 | $0 | $0 |
| DARRELL WACHOWIAK | ||||||||||||||
| TRUSTEE/PRESIDENT | $0 | $225,340 | $0 | $13,875 | $0 | $2,456 | $0 | $10,156 | $0 | $6,650 | $0 | $258,477 | $0 | $0 |
| BRANDON VER VAET | ||||||||||||||
| PHARMACY DIRECTOR | $150,906 | $0 | $5,463 | $0 | $0 | $0 | $0 | $0 | $2,148 | $0 | $158,517 | $0 | $0 | $0 |
| DANIEL DEVITO | ||||||||||||||
| PHARMACY DIRECTOR | $144,345 | $0 | $0 | $0 | $5,016 | $0 | $0 | $0 | $3,165 | $0 | $152,526 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF BAY PARK COMMUNITY HOSPITAL, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. -STEVEN CAVANAUGH RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $1,335,180 DURING 2023. -JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $721,900 DURING 2023. -MATTHEW KANG RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $583,664 DURING 2023. -GARY AKENBERGER RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, THE TOLEDO HOSPITAL, IN THE AMOUNT OF $195,150 DURING 2023. ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BHAVANI KONERU | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF R. ADUSUMILLI | RelationshipDescriptionTxt |
| Transaction | $120,149 | TransactionAmt |
| Transaction | EMPLOYED BY BAY PARK COMMUNITY HOSPITAL | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF BAY PARK COMMUNITY HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF BAY PARK COMMUNITY HOSPITAL, AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN IS REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS FROM THE BOARD ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. FINAL RETURNS ARE PROVIDED TO A PRINCIPAL OFFICER FOR SIGNATURE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER STATEMENT OF CONFLICT (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 TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PROVIDERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PROVIDER CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER FOR PROMEDICA PHYSICIAN GROUP, INC. (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE OFFICE OF THE PROMEDICA HEALTH SYSTEM, INC. ("PHS") V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PROVIDER CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE PHS AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PROVIDERS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PROVIDER STANDARD OF CONDUCT AND THE PROVIDER CERTIFICATION STATEMENT WHICH THE NEW PROVIDER IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE PHS V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PROVIDER AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE IDENTIFIED PROVIDER BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, WILL PROVIDE THE PROVIDER-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. |
| FORM 990, PART VI, SECTION B, LINE 15 | BAY PARK COMMUNITY HOSPITAL'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. |
| FORM 990, PART VI, SECTION B, LINE 16B: | JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES. |
| 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. |
| 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 XI, LINE 9: | REVERSE OF BOOK ENTRY FOR AUXILIARY ACTIVITY 109,104. TRANSFERS BETWEEN RELATED ENTITIES 2,935,616. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH CENTER OF BRANCH COUNTY | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 386108110 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| DEFIANCE HOSPITAL AUXILIARY | |||||||||||
| 1200 RALSTON | DEFIANCE | OH | 43512 | 510173779 | HOSPITAL / FOUNDATION SUPPORT | OH | 501(C)(3) | 10 | DEFIANCE HOSPITAL INC | Yes (1) | |
| DEFIANCE HOSPITAL INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344446484 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| EMMA L BIXBY MEDICAL CENTER | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 382796005 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| EMMA L BIXBY MEDICAL CENTER AUXILIARY | |||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 43604 | 382149602 | HOSPITAL / FOUNDATION SUPPORT | MI | 501(C)(3) | 12B, II | EMMA L BIXBY MEDICAL CENTER | Yes (1) | |
| FOSTORIA HOSPITAL ASSOCIATION | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 340898745 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| FOSTORIA HOSPITAL AUXILIARY | |||||||||||
| PO BOX 907 | FOSTORIA | OH | 44830 | 346517634 | HOSPITAL / FOUNDATION SUPPORT | OH | 501(C)(3) | 10 | FOSTORIA HOSPITAL ASSOCIATION | Yes (1) | |
| HCR MANORCARE FOUNDATION INC | |||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 43604 | 522031975 | FOUNDATION | OH | 501(C)(3) | 12B, II | PROMEDICA FOUNDATION | Yes (1) | |
| HCR MANORCARE INC | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 825373223 | SKILLED NURSING FACILITIES | OH | 501(C)(3) | 10 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| HEARTLAND HOSPICE MEMORIAL FUND INC | |||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 43604 | 270497199 | FOUNDATION | OH | 501(C)(3) | 12B, II | PROMEDICA FOUNDATION | Yes (1) | |
| HERRICK MEDICAL CENTER AUXILIARY | |||||||||||
| 500 E POTTAWATAMIE ST | TECUMSEH | MI | 49286 | 383076105 | HOSPITAL / FOUNDATION SUPPORT | MI | 501(C)(3) | 12B, II | HERRICK MEMORIAL HOSPITAL INC | Yes (1) | |
| HERRICK MEMORIAL HOSPITAL INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383049015 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| KAITLYN'S COTTAGE INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 454781053 | RESPITE CARE | OH | 501(C)(3) | 10 | DEFIANCE HOSPITAL INC | Yes (1) | |
| LENAWEE LONG TERM CARE | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 382879330 | LONG TERM CARE | MI | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| MANOR CARE OF GIG HARBOR WA ASSOCIATION | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624719 | SKILLED NURSING FACILITY | DE | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| MANOR CARE OF LACEY WA ASSOCIATION | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624391 | SKILLED NURSING FACILITY | DE | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| MANOR CARE OF LYNNWOOD WA ASSOCIATION | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624675 | SKILLED NURSING FACILITY | DE | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| MANOR CARE OF SALMON CREEK WA ASSOCIATION | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624375 | SKILLED NURSING FACILITY | DE | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| MANOR CARE OF SPOKANE WA ASSOCIATION | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624687 | SKILLED NURSING FACILITY | DE | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| MANOR CARE OF TACOMA WA ASSOCIATION | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624696 | SKILLED NURSING FACILITY | DE | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| MEMORIAL HOSPITAL | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344430849 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| MEMORIAL PROFESSIONAL SERVICES | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 273763993 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| MERCY MEMORIAL HOSPITAL CORPORATION | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 381984289 | HOSPITAL | MI | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| MONROE COMMUNITY HEALTH SERVICES | |||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 382934134 | LONG TERM CARE | MI | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| PARAMOUNT ADVANTAGE | |||||||||||
| 1901 INDIAN WOOD CIR | MAUMEE | OH | 43537 | 203376102 | HEALTH INSURANCE | OH | 501(C)(3) | 10 | PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES | Yes (1) | |
| PROMEDICA CENTRAL PHYSICIANS | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341881137 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA CHILDRENS SPECIALISTS | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 208734161 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA CONTINUING CARE SERVICES CORP | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344492440 | LONG TERM AND HOME HEALTH CARE | OH | 501(C)(3) | 10 | PROMEDICA CONTINUUM SERVICES | Yes (1) | |
| PROMEDICA CONTINUUM SERVICES | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341880767 | PHYSICIAN MANAGEMENT SERVICES | OH | 501(C)(3) | 12B, II | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| PROMEDICA COURIER SERVICES INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 260324790 | COURIER SERVICE | OH | 501(C)(3) | 12B, II | PROMEDICA CONTINUUM SERVICES | Yes (1) | |
| PROMEDICA FOUNDATION | |||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 43604 | 341517672 | FOUNDATION | OH | 501(C)(3) | 12B, II | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| PROMEDICA GENITO-URINARY SURGEONS | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461120436 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA INDEMNITY CORP | |||||||||||
| ONE CHURCH ST 5TH FLOOR | BURLINGTON | VT | 05401 | 341931936 | PROFESSIONAL & GENERAL LIABILITY | VT | 501(C)(3) | 12B, II | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| PROMEDICA MONROE CARDIOLOGY | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 272920342 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA MONROE PHYSICIANS | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461111822 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 454976786 | PHYSICIAN HEALTH CARE SERVICES | OH | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 263888045 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA PHYSICIAN GROUP INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341899439 | PHYSICIAN HEALTH CARE SERVICES | OH | 501(C)(3) | 10 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| PROMEDICA PHYSICIANS AT HOME INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 852181349 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| PROMEDICA PRIMARY CARE PROVIDERS | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 831731861 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) | |
| THE HUG FUND | |||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 43604 | 202272848 | FOUNDATION | OH | 501(C)(3) | 12B, II | PROMEDICA FOUNDATION | Yes (1) | |
| THE TOLEDO HOSPITAL | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344428256 | HOSPITAL | OH | 501(C)(3) | 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) | |
| VISITING NURSE HOSPICE AND HEALTH CARE | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341831624 | HOSPICE HOME CARE | OH | 501(C)(3) | 10 | HCR MANORCARE INC | Yes (1) | |
| PROMEDICA HEALTH SYSTEM INC | |||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341517671 | PARENT COMPANY OF HEALTH SERVICES | OH | 501(C)(3) | 12B, II | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| NORMAN SPECIALTY HOSPITAL LLC | |||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43604 | 421627672 | HEALTH CARE | DE | N/A | 0 | Yes (1) |
| MERCYMANOR PARTNERSHIP | |||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43604 | 521931012 | SKILLED NURSING | PA | N/A | 0 | Yes (1) |
| THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC | |||||||||
| 1051 S TELEGRAPH RD | MONROE | MI | 48161 | 270843485 | AMBULATORY SURGICAL CENTER | MI | N/A | 0 | 0 |
| PROMEDICA SENIOR CARE OF GEORGIA LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 871802834 | SKILLED NURSING | OH | N/A | 0 | Yes (1) |
| PROMEDICA VENTURES INNOVATION FUND III LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 873197533 | HOLDING COMPANY | OH | N/A | 0 | 0 |
| ROCKET VENTURE FUND II LLC | |||||||||
| 2865 N REYNOLDS RD STE 220 | TOLEDO | OH | 43615 | 475603627 | INVESTMENT FUND | OH | N/A | 0 | 0 |
| SENIOR & REHAB CARE AT METROHEALTH LLC | |||||||||
| 100 MADISON AVE ATTN TAX DEPT | TOLEDO | OH | 43604 | 872465544 | SKILLED NURSING | OH | N/A | 0 | Yes (1) |
| AIR DIVERTER SOLUTIONS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 853725776 | DEVELOPMENT | OH | N/A | 0 | 0 |
| PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 473163945 | REAL ESTATE | OH | N/A | 0 | Yes (1) |
| NORTHWEST OHIO DEDICATED BREAST MRI LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 260679898 | MEDICAL DIAGNOSTICS | OH | N/A | 0 | Yes (1) |
| PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 852085627 | HEALTH CARE | MI | N/A | 0 | 0 |
| REYNOLDS ROAD SURGICAL CENTER LTD | |||||||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | 311569454 | FREESTANDING AMBULATORY SURGICAL CENTER | OH | N/A | 0 | 0 |
| WEST CENTRAL SURGICAL CENTER LLC | |||||||||
| 7055 W CENTRAL | TOLEDO | OH | 43617 | 200088459 | AMBULATORY SURGICAL CENTER | OH | N/A | 0 | Yes (1) |
| PROMEDICA MASTER TENANT LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475288490 | REAL ESTATE | OH | N/A | 0 | Yes (1) |
| ARROWHEAD BEHAVIORAL HEALTH LLC | |||||||||
| 367 SOUTH GULPH ROAD PO BOX 61558 | KING OF PRUSSIA | PA | 19406 | 270608044 | HEALTH CARE | PA | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HERRICK MEMORIAL DEVELOPMENT CORP | |||||||||
| 500 E POTTAWATAMIE TR | ADRIAN | MI | 49221 | 383146907 | FACILITY LEASING | MI | N/A | C | Yes (1) |
| LENAWEE CLINICAL PARTNERS | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 821072356 | PHYSICIAN SUPPORT | OH | N/A | C | Yes (1) |
| PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC | |||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 861179270 | SKILLED NURSING | NJ | N/A | C | Yes (1) |
| HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION | |||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383639616 | FACILITY MANAGEMENT | MI | N/A | C | Yes (1) |
| MONROE HEALTH VENTURES INC | |||||||||
| 718 N MACOMB | MONROE | MI | 48164 | 382704426 | PHARMACY | MI | N/A | C | Yes (1) |
| PROMEDICA MANAGER MEMBER LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475168737 | REAL ESTATE | OH | N/A | C | Yes (1) |
| PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES | |||||||||
| 1901 INDIAN WOOD CIR | MAUMEE | OH | 43537 | 341570675 | HEALTH CARE INSURANCE | OH | N/A | C | Yes (1) |
| PROMEDICA INNOVATIONS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 301221601 | INVESTMENT COMPANY | OH | N/A | C | Yes (1) |
| PROMEDICA HEALTH NETWORK INC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 474006496 | PHYSICIAN MANAGEMENT SERVICES | OH | N/A | C | Yes (1) |
| PHS TOLEDO INNOVATION CENTER HOLDINGS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 871433009 | HOLDING COMPANY | OH | N/A | C | Yes (1) |
| FORT INDUSTRY JV PARTNER LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 844675266 | REAL ESTATE | OH | N/A | C | Yes (1) |
| PROMEDICA NORTH PHYSICIAN CORPORATION | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383482148 | PHYSICIAN HEALTH CARE SERVICES | OH | N/A | C | Yes (1) |
| PROMEDICA AT HOME INC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 852320857 | PHYSICIAN SUPPORT | MI | N/A | C | Yes (1) |
| PROMEDICA CENTRAL CORPORATION OF MICHIGAN | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383322278 | PHYSICIAN HEALTH CARE SERVICES | OH | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |