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TOLEDO HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
TOLEDO HOSPITAL (EIN 34-4428256)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202423199349305847
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T11:23:02-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344428256EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE TOLEDO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTOLEBusinessNameControlTxt
Phone4192525772PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVE ATTN TAX DEPARTMAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRENCE METZGERPersonNm
Person TitleCFOPersonTitleTxt
Phone4192525772PhoneNum
Signature2024-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone3122071040PhoneNum
Preparation2024-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRENCE METZGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVE ATTN TAX DEPARTMENTAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,050,060,057GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND THE ADULT TERTIARY FACILITY OF PROMEDICA HEALTH SYSTEM, INC. PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC OF NORTHWEST OHIO AND SOUTHEAST MICHIGAN.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee8471TotalEmployeeCnt
Total Volunteers212TotalVolunteersCnt
Total Gross UBI$1,046,665TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$5,373NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,315,680PYContributionsGrantsAmt
CY Contributions Grants$8,006,039CYContributionsGrantsAmt
PY Program Service Revenue$1,400,045,499PYProgramServiceRevenueAmt
CY Program Service Revenue$1,559,013,592CYProgramServiceRevenueAmt
PY Investment Income$54,848,745PYInvestmentIncomeAmt
CY Investment Income$3,749,647CYInvestmentIncomeAmt
PY Other Revenue$12,567,578PYOtherRevenueAmt
CY Other Revenue$15,277,828CYOtherRevenueAmt
PY Total Revenue$1,475,777,502PYTotalRevenueAmt
CY Total Revenue$1,586,047,106CYTotalRevenueAmt
PY Grants And Similar Paid$20,716PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$468,663,251PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$483,341,475CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$958,798,500PYOtherExpensesAmt
CY Other Expenses$981,958,298CYOtherExpensesAmt
PY Total Expenses$1,427,482,467PYTotalExpensesAmt
CY Total Expenses$1,465,299,773CYTotalExpensesAmt
PY Revenues Less Expenses$48,295,035PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$120,747,333CYRevenuesLessExpensesAmt
Total Assets BOY$1,558,803,587TotalAssetsBOYAmt
Total Assets EOY$1,627,180,659TotalAssetsEOYAmt
Total Liabilities BOY$2,341,882,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,145,248,340TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$783,078,671NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$518,067,681NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION, AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION, AND SUPERIOR SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,066,199,465ExpenseAmt
Grant$0GrantAmt
Revenue$1,558,816,701RevenueAmt
DescTHE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL 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 27 COUNTIES ACROSS NORTHWEST OHIO & SOUTHEAST MICHIGAN & IS ONE OF THE REGIONS LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, & FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS & AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. FOR MORE THAN 150 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METROPOLITAN TOLEDO & SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, & SURGICAL SERVICES. THE 794-BED HOSPITAL OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 1,000 PRIMARY CARE & SPECIALTY PHYSICIANS AS WELL AS ADVANCE PRACTICE PROVIDERS, OFFERING THE LARGEST BOARD-CERTIFIED MEDICAL STAFF IN THE AREA. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICES TO THE METRO-TOLEDO AREA, SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES MATERNAL-FETAL MEDICINE FOR HIGH-RISK PREGNANCIES & A LEVEL III PERINATAL UNIT; JOBST VASCULAR INSTITUTE; PROMEDICA BREAST CARE; & A LEVEL I TRAUMA CENTER. OTHER PROGRAMS & SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR & ORTHOPAEDIC DEPARTMENTS, A NATIONALLY RECOGNIZED BARIATRIC PROGRAM, A CERTIFIED COMPREHENSIVE STROKE CENTER, & AN EMERGENCY CENTER THAT TREATS MORE THAN 100,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY, RADIOLOGY, AS WELL AS PHYSICAL, SPEECH, & OCCUPATIONAL THERAPIES.THE PROMEDICA RUSSELL J. EBEID CHILDREN'S HOSPITAL (ECH) OPERATES AS PART OF TH, PROVIDING PEDIATRIC TERTIARY CARE. ECH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN & ADOLESCENTS UNDER THE AGE OF 18. ECH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS & ADVANCE PRACTICE PROVIDERS, WHILE A NEWBORN INTENSIVE CARE UNIT INCLUDES A NEONATAL PHYSICIAN & PEDIATRIC HOSPITALIST WHO ARE ON DUTY 24 HOURS A DAY. OTHER ECH SPECIALTY SERVICES INCLUDE A PEDIATRIC CANCER CENTER, ASTHMA TREATMENT & EDUCATION SERVICES, PEDIATRIC PSYCHIATRY, & A DEDICATED LEVEL II PEDIATRIC TRAUMA CENTER. IN 2023, PROMEDICA TOLEDO HOSPITAL EARNED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AS PART OF ITS UPDATED OVERALL HOSPITAL QUALITY STAR RATING. THE TH RECOGNITION WAS EARNED IN A COLLABORATIVE EFFORT WITH PROMEDICA FLOWER & WILDWOOD ORTHOPAEDIC & SPINE HOSPITALS. TH WAS RATED THE NUMBER 1 HOSPITAL IN THE METRO TOLEDO AREA BY U.S. NEWS & WORLD REPORT & IS ONE OF AMERICA'S 50 BEST HOSPITALS BY HEALTHGRADES, WHICH PUTS PROMEDICA TOLEDO HOSPITAL IN THE TOP 1% OF HOSPITALS NATIONWIDE FOR OVERALL CLINICAL PERFORMANCE ACROSS THE MOST COMMON CONDITIONS & PROCEDURES. IN 2023, PROMEDICA TOLEDO & EBEID CHILDREN'S HOSPITALS CONTINUED ITS PARTNERSHIP WITH LUCAS COUNTY HEALTH DEPARTMENT, WIC & OTHER PARTNERS IN SUPPORT OF MATERNAL & INFANT HEALTH OUTCOMES. THESE PARTNERSHIPS IMPROVE ACCESS TO RESOURCES & EDUCATION PROVIDED BY THE HELP ME GROW, PATHWAYS, & SAFE SLEEP CRIB PROGRAMS. AS A RESULT, COMMUNITY MEMBERS HAVE IMPROVED ACCESS TO KNOWLEDGE, TOOLS, & SKILL BUILDING OPPORTUNITIES. THESE PROGRAMS PROVIDE ASSESSMENTS OF CRIBS, CAR SEATS, DISTRIBUTE SLEEP SACKS, & DIRECT CONTACT TO WIC BREASTFEEDING COUNSELORS. PROMEDICA FLOWER HOSPITAL (FH), A DIVISION OF TH, IS A 315-BED FACILITY IN SYLVANIA, OHIO, WHICH PROVIDES EXTENSIVE HEALTHCARE SERVICES INCLUDING EMERGENCY MEDICINE, INPATIENT REHABILITATION, SURGICAL SERVICES, CARDIAC & PULMONARY REHABILITATION, LABOR & DELIVERY, INPATIENT ONCOLOGY CARE, OUTPATIENT ONCOLOGY SERVICES THROUGH THE HICKMAN CANCER CENTER, & A FULL RANGE OF DIAGNOSTIC, LABORATORY & RADIOLOGY SERVICES. FH ALSO HOUSES THE LARGEST ADULT INPATIENT PSYCHIATRIC UNIT IN NORTHWEST OHIO & SOUTHEAST MICHIGAN.IN 2023, FH COMPLETED A RENOVATION OF ITS OPERATING ROOMS TO IMPROVE ACCESS TO ENDOSCOPY PROCEDURES & SURGICAL PROCEDURES COMPLETED BY DAVINCI ROBOT. TWO NEW MRI UNITS WERE INSTALLED TO EXPAND ACCESS TO MRI SERVICES FOR THE COMMUNITY. PROMEDICA WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL (WOSH), ALSO A DIVISION OF TH, IS AN ALL-DIGITAL, 42-BED ACUTE CARE FACILITY THAT PROVIDES INPATIENT & OUTPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS & OTHERS WHO EXPERIENCE CHRONIC PAIN FROM JOINT DISEASE. THIS UNIQUE, FREE-STANDING HOSPITAL SERVES ONLY ORTHOPAEDIC & SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL & REHABILITATION SERVICES ALL IN ONE CONVENIENT & EASILY ACCESSIBLE LOCATION. IN 2023, TH SERVED 36,790 INPATIENTS; 632,632 OUTPATIENTS; & 122,491 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $350,337,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE & GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE.THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH & IN-KIND CONTRIBUTIONS, & OTHER COMMUNITY BENEFIT OPERATIONS, TH CONTRIBUTED $55,087,000 TO THE COMMUNITY DURING 2023. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: -THE COME TO THE TABLE INITIATIVE THAT PROVIDES 24 HOURS' WORTH OF FOOD TO PATIENTS WHO QUALIFY FOR FOOD INSECURITY BY COMPLETING A QUESTIONNAIRE UPON DISCHARGE FOLLOWING AN INPATIENT STAY. -THE AUTISM COLLABORATIVE, A COLLABORATION BETWEEN ECH & LOCAL AUTISM ORGANIZATIONS & UNIVERSITIES TO PROVIDE EXPERT KNOWLEDGE & SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM & THEIR FAMILIES TO RESEARCH & FIND THE BEST POSSIBLE CARE.-SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH MANAGING CHRONIC DISEASE & TO OFFER SOCIAL SERVICES INFORMATION.-WITH THE GOAL OF IMPROVING INFANT MORTALITY RATES IN OUR REGION, A NURSING MOTHERS SUPPORT GROUP IS OFFERED AT NO CHARGE THROUGHOUT THE YEAR.-THE TEEN PEP (PEERS EDUCATING PEERS) PROGRAM PARTNERS WITH LOCAL SCHOOLS TO PROVIDE VIOLENCE PREVENTION EDUCATION TO SCHOOL AGED CHILDREN & YOUTH. THE PROGRAM PROVIDES MENTORSHIP & ENCOURAGES TEENS TO CHOOSE HEALTHY TEEN DATING RELATIONSHIPS, INCREASE KINDNESS, REDUCE BULLYING, PROMOTE MENTAL HEALTH, & PREVENT SEXUAL VIOLENCE.-THE INJURY PREVENTION PROGRAM PARTNERS WITH ECH EMERGENCY DEPARTMENT TO DISTRIBUTES FREE GUN LOCKS & PROVIDE EDUCATION ON HOW TO STORE FIREARMS SAFELY VIA PEDIATRIC EMERGENCY DEPARTMENT SCREENING & ENCOUNTERS.-THE INJURY PREVENTION & COMMUNITY OUTREACH DEPARTMENT PROVIDES FREE CAR SEAT EDUCATION & INSTALLATION TO FAMILIES NEEDING ASSISTANCE, BOTH IN THE HOSPITAL SETTING & OUT IN THE COMMUNITY. IN 2023, WE DISTRIBUTED 122 FREE OR REDUCED-COST CONVENTIONAL CAR SEATS & 63 ADAPTIVE NEEDS CAR SEATS (IN-HOUSE TO PATIENTS). IN ADDITION, WE ALSO DISTRIBUTED 509 FREE OR REDUCED-COST CAR SEATS & CHECKED 274 CAR SEATS FOR PROPER USE (AT CAR SEAT CLINICS & EVENTS IN THE COMMUNITY).-ECH IS THE LEAD AGENCY FOR SAFE KIDS GREATER TOLEDO, A COMMUNITY COALITION DEDICATED TO PREVENTING UNINTENTIONAL INJURY & DEATH TO CHILDREN. WE COLLABORATE WITH 100 MEMBERS FROM 52 ORGANIZATIONS & PROVIDE EDUCATION & SAFETY DEVICES SUCH AS BIKE HELMETS, LIFE JACKETS, SMOKE ALARMS, CO DETECTORS, HOME SAFETY ITEMS, & CAR SEATS.-THE PATHWAYS PROGRAM UTILIZES COMMUNITY HEALTH WORKERS TO IMPROVE BIRTH OUTCOMES & REDUCE INFANT MORTALITY BY EDUCATING HIGH RISK, LOW INCOME, MOTHERS ABOUT THE IMPORTANCE OF SAFE SLEEP, BREASTFEEDING & REGULAR PRENATAL CHECKS TO REDUCE INFANT MORTALITY.-THE HELP ME GROW HOME VISITATION PROGRAM PROVIDES PARENT EDUCATION & RESOURCES TO SUPPORT FIRST TIME & LOW-INCOME FAMILIES VIA HEALTHY FAMILIES AMERICA & GROWING GREAT KIDS CURRICULUM & ACTIVITIES. THIS PROGRAM HAS BEEN PROVEN EFFECTIVE AT REDUCING CHILD ABUSE.-VIRTUAL PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR & DELIVERY, & OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE & HEALTHY BABY EDUCATION.-FREE SCREENING MAMMOGRAMS & BREAST CARE EDUCATION THAT EMPHASIZES THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED & UNDERINSURED WOMEN IN THE TOLEDO AREA.-IN-KIND DONATIONS & GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES.Desc
Total Program Service Expenses$1,066,199,465TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee8471EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRENCE METZGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4192525772PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVEAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AARON BUERK MD
TRUSTEE/PHYSICIAN1.0044.00Yes (X)$0$834,658$0
AMIR KHAN
TRUSTEE1.000.00Yes (X)$0$0$0
ANTHONY PACKO
TRUSTEE1.000.00Yes (X)$0$0$0
BILL MCDONNELL
CHAIRMAN - PART YEAR1.0015.00Yes (X)$0$0$0
BRIAN DOLSEY
TRUSTEE/PHYSICIAN1.0044.00Yes (X)$0$703,046$0
C MICHAEL SMITH
TRUSTEE1.000.00Yes (X)$0$0$0
DARRELL WACHOWIAK
PRESIDENT - FLOWER HOSPITAL44.001.00Yes (X)$241,671$0$0Yes (X)
DAWN BUSKEY
TRUSTEE/TREASURER1.0054.00Yes (X)$0$1,412,400$5,337Yes (X)
ERICH WEINLANDER
TRUSTEE1.000.00Yes (X)$0$0$0
GREGORY BRAYLOCK
TRUSTEE/VICE PRESIDENT0.000.00Yes (X)$0$264,412$552
JACKIE HYLANT BERENZWEIG
TRUSTEE1.000.00Yes (X)$0$0$0
JAMES BRENNAN JR
TRUSTEE1.0015.00Yes (X)$0$0$0
LOUIS ROBICHAUX
TREASURER - PART YEAR1.0054.00Yes (X)$0$0$0Yes (X)
MARK FOX
TRUSTEE/PARAMEDIC44.001.00Yes (X)$68,019$0$6,819
MARLON KISER
TRUSTEE - PART YEAR1.000.00Yes (X)$0$0$0
NANCY KABAT
CHAIR1.0015.00Yes (X)$0$0$0Yes (X)
PETE VAVRINEK
TRUSTEE1.000.00Yes (X)$0$0$0
RAVI ADUSUMILLI MD
TRUSTEE/PHYSICIAN1.0044.00Yes (X)$0$474,270$0
RODENY EASON JR
TRUSTEE1.000.00Yes (X)$0$0$0
SARA SWISHER
TRUSTEE1.000.00Yes (X)$0$0$0
SARAH MCHUGH
TRUSTEE1.000.00Yes (X)$0$0$0
STEVE SADOWSKI
TREASURER/CHIEF LEGAL OFFICER1.0054.00Yes (X)$0$1,407,180$6,028Yes (X)
TERRENCE METZGER
TRUSTEE/CFO1.0054.00Yes (X)$0$1,055,090$4,079Yes (X)
THADIUS WADSWORTH
SECRETARY44.001.00Yes (X)$352,154$0$0Yes (X)
THOMAS PADANILAM
TRUSTEE/PHYSICIAN - PART YEAR1.0044.00Yes (X)$0$1,706,204$2,422
TIMOTHY HUSTED MD
TRUSTEE1.000.00Yes (X)$0$0$0
THOMAS WINSTON
TRUSTEE/AUDIT / COMPLIANCE CHAIR1.003.00Yes (X)$0$0$0
ARTURO POLIZZI
PRESIDENT AND CEO1.0054.00$0$2,121,593$5,857Yes (X)
BRIAN MILLER
VICE PRESIDENT45.000.00$453,923$0$0Yes (X)
DARRIN ARQUETTE
PRESIDENT - HOSPITAL42.003.00$371,858$0$0Yes (X)
JULIE YAROCH
PRESIDENT - HICKMAN HOSPITAL44.001.00$390,716$0$0Yes (X)
MATTHEW HAMMOND
CHIEF OPERATING OFFICER44.001.00$445,193$0$1,619Yes (X)
ONDREA WILLIAMS
VICE PRESIDENT45.000.00$578,723$0$0Yes (X)
GARY AKENBERGER
CHIEF OPERATING OFFICER-FORMER0.000.00$528,647$0$36,639Yes (X)
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER - FORMER0.000.00$0$721,900$33,822Yes (X)
STEVEN M CAVANAUGH
TREASURER, CFO - FORMER0.000.00$0$1,335,180$995Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,430,904TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,035,933TotReportableCompRltdOrgAmt
Total Other Compensation$104,169TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K685IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$4,734,000RelatedOrganizationsAmt
Government Grants$2,136,971GovernmentGrantsAmt
All Other Contributions$1,135,068AllOtherContributionsAmt
Total Contributions$8,006,039TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES621110$1,533,450,947$1,533,425,209$25,738
AFFIL. ORG. RENT REV.531120$14,994,942$14,994,942
PHARMACY456110$10,396,550$10,396,550
MANAGEMENT FEES541610$171,153$171,153
FieldValueIRS element (for citing)
Total Program Service Revenue$1,559,013,592TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$322,698TotalRevenueColumnAmt
Exclusion$322,698ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,588,823RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,588,823RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,588,823TotalRevenueColumnAmt
Exclusion$2,588,823ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$467,439,900SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$457,061,094SecuritiesAmt
Other$6,951,857OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,378,806SecuritiesAmt
Other-$6,951,857OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,426,949TotalRevenueColumnAmt
Exclusion$3,426,949ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
AUXILIARY DEPARTMENTAL900099$2,402,704$2,402,704
HEALTH CLUB MEMBERSHIP713940$849,774$849,774
TUITION REVENUE900099$393,579$393,579

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,042,948TotalRevenueColumnAmt
Exclusion$9,042,948ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,689,005OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,586,047,106TotalRevenueColumnAmt
Related Or Exempt Func Income$1,558,816,701RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,046,665UnrelatedBusinessRevenueAmt
Exclusion$18,177,701ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$403,995,361TotalAmt
Program Services$344,293,875ProgramServicesAmt
Management And General$59,701,486ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$876,250TotalAmt
Program Services-$746,760ProgramServicesAmt
Management And General-$129,490ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$50,849,796TotalAmt
Program Services$43,335,332ProgramServicesAmt
Management And General$7,514,464ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,372,568TotalAmt
Program Services$25,031,959ProgramServicesAmt
Management And General$4,340,609ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,039,274TotalAmt
Management And General$11,039,274ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$622,258TotalAmt
Management And General$622,258ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$39,087TotalAmt
Management And General$39,087ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,705TotalAmt
Management And General$2,705ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$186,497,673TotalAmt
Program Services$130,991,554ProgramServicesAmt
Management And General$55,506,119ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$276,406TotalAmt
Program Services$15,727ProgramServicesAmt
Management And General$260,679ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,102,334TotalAmt
Program Services$2,428,963ProgramServicesAmt
Management And General$13,673,371ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,053,704TotalAmt
Program Services$93,724ProgramServicesAmt
Management And General$959,980ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,263,954TotalAmt
Program Services$14,800,197ProgramServicesAmt
Management And General$1,463,757ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,334,658TotalAmt
Program Services$189,735ProgramServicesAmt
Management And General$3,144,923ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,357,016TotalAmt
Program Services$32,357,016ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$70,698,182TotalAmt
Program Services$61,863,673ProgramServicesAmt
Management And General$8,834,509ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$339,858TotalAmt
Program Services$309,271ProgramServicesAmt
Management And General$30,587ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$296,006,228$296,006,228
INTERCOMPANY EXPENSES$247,961,494$15,865,504$232,095,990
BAD DEBT EXPENSE$55,312,863$55,312,863
TAXES$40,816,230$40,816,230

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,234,374TotalAmt
Program Services$3,234,374ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,465,299,773TotalAmt
Program Services$1,066,199,465ProgramServicesAmt
Management And General$399,100,308ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$55,953,437BOYAmt
EOY$224,405,344EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,490,453BOYAmt
EOY$6,729,993EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$163,532,864BOYAmt
EOY$197,779,281EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$19,516,918BOYAmt
EOY$22,053,411EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,555,049BOYAmt
EOY$3,747,394EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,865,238,923LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,111,565,041LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$796,885,126BOYAmt
EOY$753,673,882EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$97,217,798BOYAmt
EOY$43,444,268EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$40,880,700BOYAmt
EOY$35,706,142EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$375,771,242BOYAmt
EOY$339,640,944EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,558,803,587BOYAmt
EOY$1,627,180,659EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$145,668,606BOYAmt
EOY$140,842,346EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$873,100BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$613,352,217BOYAmt
EOY$301,729,641EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,442,956,929BOYAmt
EOY$1,408,803,089EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,031,406BOYAmt
EOY$293,873,264EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,341,882,258BOYAmt
EOY$2,145,248,340EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,090,747,342BOYAmt
EOY-$829,933,638EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$307,668,671BOYAmt
EOY$311,865,957EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$783,078,671BOYAmt
EOY-$518,067,681EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,558,803,587BOYAmt
EOY$1,627,180,659EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$120,747,333ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$527,885NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$143,735,772OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$39,087OtherActivitiesAmt
Total Lobbying Expenditures$39,087TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE TOLEDO 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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,135,019BeginningYearBalanceAmt
Investment Earnings Or Losses$3,280,987InvestmentEarningsOrLossesAmt
Other Expenditures$474,704OtherExpendituresAmt
End Year Balance$32,941,302EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$36,451,512BeginningYearBalanceAmt
Investment Earnings Or Losses-$6,316,213InvestmentEarningsOrLossesAmt
Other Expenditures$280OtherExpendituresAmt
End Year Balance$30,135,019EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,317,596BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$3,131,916InvestmentEarningsOrLossesAmt
End Year Balance$36,451,512EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$32,425,291BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$890,305InvestmentEarningsOrLossesAmt
End Year Balance$33,317,596EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,747,861BeginningYearBalanceAmt
Contributions$8,000ContributionsAmt
Investment Earnings Or Losses$3,669,430InvestmentEarningsOrLossesAmt
End Year Balance$32,425,291EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,586,655OtherCostOrOtherBasisAmt
Book Value$44,586,655BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,285,613,191OtherCostOrOtherBasisAmt
Depreciation$692,223,068DepreciationAmt
Book Value$593,390,123BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,764,347OtherCostOrOtherBasisAmt
Depreciation$3,756,795DepreciationAmt
Book Value$7,552BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$437,877,020OtherCostOrOtherBasisAmt
Depreciation$367,533,492DepreciationAmt
Book Value$70,343,528BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,397,710OtherCostOrOtherBasisAmt
Depreciation$48,051,686DepreciationAmt
Book Value$45,346,024BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$753,673,882TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$4,280,286
BENEFICIAL INTEREST IN FOUNDATION$257,131,906
OTHER SEGREGATED INVESTMENTS$1,202,471
INTERCOMPANY DEBT FROM RELATED ENTITIES$36,070,683
THIRD PARTY PAYER RECEIVABLE$17,719,540
DEFERRED COMPENSATION$3,644,067
INVESTMENT IN AFFILIATE$19,594,991
OTHER ASSETS-$3,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$339,640,944TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATES$239,347,256
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$26,085,140
ASSET REMEDIATION OBLIGATION$11,520,127
DEFERRED COMPENSATION$3,644,067
OPERATING LEASE LIABILITY$13,276,674
FieldValueIRS element (for citing)
Total Liability$293,873,264TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT THE TOLEDO HOSPITAL CONSISTENT WITH DONOR INTENT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,613,516TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,613,516NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$284,636,387TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$227,148,645DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,487,742NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$295,249,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$227,148,645DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,101,258NetCommunityBenefitExpnsAmt
Total Expense0.04830TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,445,350TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,445,350NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,177,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,471,297DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,706,054NetCommunityBenefitExpnsAmt
Total Expense0.02600TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,339,665TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,092,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,246,934NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$125,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$125,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,087,366TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,564,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,523,338NetCommunityBenefitExpnsAmt
Total Expense0.03010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$350,337,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$239,712,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$110,624,596NetCommunityBenefitExpnsAmt
Total Expense0.07840TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$55,312,863BadDebtExpenseAmt
Bad Debt Expense Attributable$2,867,710BadDebtExpenseAttributableAmt
Reimbursed By Medicare$201,023,483ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$220,684,048CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,660,565MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC
PHYSICIAN SERVICES0.350000.060000.51000
2 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT
PHYSICIAN SERVICES0.452800.009400.40560
3 REYNOLD ROAD SURGICAL CENTER LLC
SURGICAL CENTER0.630000.049900.27020
4 NORTHWEST OHIO DEDICATED BREAST MRI LLC
MEDICAL DIAGNOSTIC0.500000.000000.50000
5 WEST CENTRAL SURGICAL CENTER LLC
SURGICAL CENTER0.500000.000000.25000
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
THE TOLEDO HOSPITAL
12142 NORTH COVE BLVDTOLEDOOH43606WWW.PROMEDICA.ORG1226Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
FLOWER HOSPITAL
25200 HARROUN RDSYLVANIAOH43560WWW.PROMEDICA.ORG1227Yes (X)Yes (X)Yes (X)Yes (X)A
WILDWOOD ORTHOPAEDIC HOSPITAL
32901 N REYNOLDS RDTOLEDOOH43615WWW.PROMEDICA.ORG1501Yes (X)Yes (X)B
ARROWHEAD BEHAVIORAL HEALTH
41725 TIMBERLINE RDMAUMEEOH43537WWW.ARROWHEADBEHAVIORAL.COM1543Yes (X)CPSYCHIATRIC/ SUBSTANCE ABUSE FACILITY

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

First Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther Actions TakenOtherActionsTakenIndNo Emergency CareNoEmergencyCareIndProspective Medicare MedicaidProspectiveMedicareMedicaidInd
REPORTING GROUP A
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)Yes (1)22Yes (1)SEE PART V, SECTION C0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)SEE PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
REPORTING GROUP B
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)Yes (1)22Yes (1)SEE PART V, SECTION C0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISYes (X)WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISYes (X)WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSISYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
REPORTING GROUP C
00Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, SECTION CYes (X)Yes (1)22Yes (1)SEE PART V, SECTION C0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)000Yes (X)Yes (X)Yes (X)

Supplemental Information SupplementalInformationGrp (28 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: FLOWER HOSPITAL
GROUP A-FACILITY 1 -- THE TOLEDO 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
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: FLOWER HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, BAY PARK HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 11:THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: -BEHAVIORAL HEALTH - MENTAL HEALTH-HEALTHY BEHAVIORS - RELATED OBESITY-SOCIAL DETERMINANTS OF HEALTH - FOOD INSECURITY -TRAUMA PREVENTION THIS 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. THE TOLEDO 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 COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2023 IMPLEMENTATION PLAN, INCLUDE ADULT: HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, , ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERCEPTIONS OF SUBSTANCE ABUSE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, YOUTH VIOLENCE; CHILD; HEALTH AND FUNCTION STATUS, CHILD CARE HEALTH ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2023 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2022: HEALTH NEED IDENTIFIED: BEHAVIORAL HEALTH MENTAL HEALTH STRATEGY #1 - DISTRIBUTE MENTAL HEALTH RESOURCE GUIDES TO THE COMMUNITY TO IMPROVE ACCESS TO CARE.ACTIONS TAKEN: -IN 2023, PROMEDICA MENTAL HEALTH RESOURCE GUIDES WERE UPDATED AND REPOSTED TO PROMEDICA'S WEBSITE FOR DIGITAL DOWNLOAD. DISTRIBUTION OF MATERIALS HAS SHIFTED TO DIGITAL AND ELECTRONIC MEANS TO ENSURE THE MOST UPDATED VERSION OF THE GUIDE IS ALWAYS AVAILABLE. PRINT COPIES ARE AVAILABLE UPON REQUEST. STRATEGY #2 - PROVIDE AND DISTRIBUTE MENTAL HEALTH FIRST AID (MHFA) EDUCATION AND RESOURCES TO THE COMMUNITY.ACTIONS TAKEN:-IN 2023, IN LIEU OF MENTAL HEALTH FIRST AID TRAININGS AVAILABLE, THE TEAM PROVIDED MENTAL HEALTH EDUCATION AND RESOURCES TO 90 COMMUNITY MEMBERS.STRATEGY #3 - PROVIDE AND DISTRIBUTE TRAUMA INFORMED CARE (TIC) EDUCATION AND RESOURCES TO THE COMMUNITY.ACTIONS TAKEN: -IN 2023, PROMEDICA TEAMS ATTENDED SEVEN (7) EDUCATIONAL MEETINGS THROUGH THE LUCAS COUNTY TRAUMA INFORMED CARE COALITION ON USING A TRAUMA INFORMED LENSE WITH LGBTQ INDIVIDUALS WHOM EXPERIENCED TRAUMA, GREIF, DISABILITIES, AND ANXIETY. HEALTH NEED IDENTIFIED: HEALTH BEHAVIORS RELATED TO OBESITY STRATEGY #1 - PROVIDE AND DISTRIBUTE HEALTHY COOKING AND NUTRITION EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN:-78 WELLNESS CLASSES WERE OFFERED BY THE PROMEDICA EBEID CENTER THAT COVERED TOPICS INCLUDING HEALTHY EATING, WHICH COMPLEMENTED COOKING CLASSES THAT WERE OFFERED.-605 COMMUNITY MEMBERS PARTICIPATED IN WELLNESS CLASSES OFFERED BY THE PROMEDICA EBEID CENTER IN 2023. STRATEGY #2 - PROVIDE AND DISTRIBUTE PHYSICAL ACTIVITY AND HOME FITNESS AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN: -A YOUTUBE VIDEO TITLED "AT HOME EXERCISE PROGRAM, BEGINNERS HOME WORKOUT" WAS DEVELOPED AND POSTED. THE VIDEO WAS VIEWED 109 TIMES IN 2023. HEALTH NEED IDENTIFIED: SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY STRATEGY #1 - SCREEN INPATIENTS FOR FOOD INSECURITY AND OFFER FOOD AT DISCHARGE WITH A COMMUNITY FOOD RESOURCE LISTING FOR INPATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ON ADMISSION. ACTIONS TAKEN:-155 PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY IN THE INPATIENT SETTING RECEIVED FOOD AT DISCHARGE IN 2023.-580 EMPLOYEES SCREENING POSITIVE FOR FOOD INSECURITY RECEIVED FOOD RESOURCES IN 2023. STRATEGY #2 - EDUCATE NEW PRIMARY CARE PROVIDERS ABOUT SCREENING AND REFERRING FOOD INSECURE PATIENTS TO PROMEDICA FOOD CLINICS. ACTIONS TAKEN: -8566 PATIENTS RECEIVED FOOD FROM PROMEDICA FOOD CLINICS IN 2023 DUE TO EDUCATION AND INTEGRATION OF SCREENING AND REFERRING WITH ALL PROVIDERS. HEALTH NEED IDENTIFIED: TRAUMA PREVENTION STRATEGY #1 - EDUCATE EMERGENCY MEDICAL SERVICES (EMS) PROVIDERS THROUGH THE REGION TO IMPROVE QUALITY OF CARE AT THE SCENE OF AN EMERGENCY. ACTIONS TAKEN:-263 EMERGENCY MEDICAL SERVICE PROVIDERS RECEIVED EDUCATION AND TRAINING IN 2023.STRATEGY #2 - PROVIDE AND DISTRIBUTE HEALTH EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN: -235 COMMUNITY MEMBERS RECEIVE HEALTH EDUCATION IN 2023.
GROUP A-FACILITY 2 -- FLOWER 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
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, BAY PARK HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 11:FLOWER HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:-BEHAVIORAL HEALTH MENTAL HEALTH AND SUBSTANCE ABUSE-SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY, FINANCIAL STRAIN, SOCIAL ISOLATION-CHRONIC DISEASE CANCER, HYPERTENSION, AND CONGESTIVE HEART FAILURETHIS 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.FLOWER 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 COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2023 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, 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.FLOWER HOSPITAL TOOK THE FOLLOWING ACTIONS DURING TAX YEAR 2023 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2022:HEALTH NEED IDENTIFIED: BEHAVIORAL HEALTH MENTAL HEALTH AND SUBSTANCE ABUSEADVOCACY & CAPACITY BUILDINGSTRATEGY #1 - FLOWER HOSPITAL STAFF WILL HELP LEAD PLANNING AND IMPLEMENTATION OF A BI-ANNUAL CONFERENCE THAT HELPS PROVIDERS BETTER SERVE PATIENTS RECEIVING MENTAL HEALTH TREATMENT. ACTIONS TAKEN: -12 STAFF HOURS WERE CONTRIBUTED TO THE PLANNING AND IMPLEMENTATION OF THE BI-ANNUAL CONFERENCE IN 2023. STRATEGY #2 - PROVIDE TEN (10) NO COST VOUCHERS TO BI-ANNUAL PSYCHIATRIC CONFERENCE FOR NON-PROFIT AGENCIES SERVING UNDERSERVED POPULATIONS. ACTIONS TAKEN:-10 NO COST VOUCHERS WERE PROVIDED TO AGENCIES SERVING UNDERSERVED POPULATIONS TO ATTEND THE BI-ANNUAL PSYCHIATRIC CONFERENCE IN 2023. STRATEGY #3 - PARTICIPATE IN ADVOCACY ACTIVITIES EACH YEAR THAT SUPPORT LOCAL, STATE, OR NATIONAL EFFORTS TO INCREASE AWARENESS AND SUPPORT FOR MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. ACTIONS TAKEN: -172 STAFF HOURS WERE CONTRIBUTED TO ADVOCACY EFFORTS TO IMPROVE AWARENESS AND SUPPORT FOR MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES IN OUR COMMUNITIES. PROGRAMMINGSTRATEGY #1 - MAINTAIN A FAMILY SUPPORT GROUP FOR FAMILIES WHOSE FAMILY MEMBERS HAVE MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: -1065 COMMUNITY MEMBERS WERE SUPPORTED BY THE MENTAL HEALTH SUPPORT GROUP SESSIONS IN COLLABORATION WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS IN 2023. STRATEGY #2 - PARTNER WITH COMMUNITY GROUPS TO CREATE INFORMATION AND REFERRAL RESOURCES FOR FAMILIES WHOSE FAMILY MEMBERS HAVE MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: -81 STAFF HOURS WERE CONTRIBUTED TO THE CREATION OF RESOURCES AND INFORMATION LISTINGS IN 2023. -125 BEHAVIORAL HEALTH RESOURCE GUIDES WERE DISTRIBUTED TO THE COMMUNITY IN 2023. EDUCATIONSTRATEGY #1 - PROVIDE AND DISTRIBUTE MENTAL HEALTH EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN: -1142 EDUCATIONAL MATERIALS AND RESOURCES PROVIDING INFORMATION ABOUT MENTAL HEALTH WERE DISTRIBUTED TO THE COMMUNITY IN 2023. STRATEGY #2 - PROVIDE MENTAL HEALTH FIRST AID (MHFA) EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN: -16 MESSAGES PROVIDING MENTAL HEALTH RESOURCES AND OR EDUCATION WERE POSTED TO THE HOSPITAL'S FACEBOOK PAGE IN 2023. -PROMEDICA'S EDUCATIONAL YOUTUBE VIDEO TITLED "FINDING MENTAL HEALTH HELP AND RESOURCES" WAS POSTED ONLINE AND VIEWED 67 TIMES IN 2023. STRATEGY #3 - PROVIDE AND DISTRIBUTE TRAUMA INFORMED CARE (TIC) EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN: -TO PROVIDE MORE TRAUMA INFORMED CARE TO PATIENTS, FLOWER HOSPITAL TRAINED 107 EMPLOYEES ON TRAUMA INFORMED CARE WITHIN THE HEALTHCARE SETTING. HEALTH NEED IDENTIFIED: SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY STRATEGY #1 - SCREEN ALL INPATIENTS FOR FOOD INSECURITY AT ADMISSION AND OFFER FOOD INSECURE PATIENTS FOOD AT DISCHARGE, INCLUDING COMMUNITY FOOD RESOURCE LISTINGS. ACTIONS TAKEN: -691 INPATIENTS SCREENED POSITIVE FOR FOOD INSECURITY AND RECEIVED FOOD AT DISCHARGE IN 2023.-5 EMPLOYEES EXPERIENCING FOOD INSECURITY RECEIVED FOOD IN 2023. STRATEGY #2 - DISTRIBUTE EDUCATION ABOUT FINANCIAL OPPORTUNITY CENTERS PROGRAMS TO PATIENTS, EMPLOYEES, AND OTHERS FROM THE COMMUNITY.ACTIONS TAKEN:-1,026 PATIENTS WERE REFERRED TO THE FINANCIAL OPPORTUNITY CENTER TO WORK DIRECTLY WITH A FINANCIAL COACH.HEALTH NEED IDENTIFIED: CHRONIC DISEASE CANCERSTRATEGY #1 - PARTNER WITH BARBERSHOPS AND SALONS IN UNDERSERVED AND MINORITY COMMUNITIES TO PROVIDE EARLY CANCER PREVENTION EDUCATION. ACTIONS TAKEN: -53 COMMUNITY MEMBERS RECEIVED EDUCATION ABOUT EARLY CANCER PREVENTION THROUGH PARTNERSHIPS WITH BARBERSHOPS AND SALONS IN 2023. STRATEGY #2 - PROVIDE AND DISTRIBUTE EARLY CANCER PREVENTION EDUCATION TO UNDERSERVED AND MINORITY COMMUNITIES. ACTIONS TAKEN:-70 COMMUNITY MEMBERS RECEIVED EARLY CANCER PREVENTION EDUCATION IN UNDERSERVED PORTIONS OF COMMUNITIES IN 2023. HYPERTENSIONSTRATEGY #3 - PROVIDE BLOOD PRESSURE SCREENINGS AND RELATED EDUCATION TO COMMUNITY PARTICIPANTS. ACTIONS TAKEN: -80 PARTICIPANTS RECEIVED BLOOD PRESSURE SCREENINGS AND EDUCATION AT COMMUNITY EVENTS THE HOSPITAL TEAM ATTENDED IN 2023. CONGESTIVE HEART FAILURESTRATEGY #4 - PROVIDE AND DISTRIBUTE TOBACCO/VAPING CESSATION EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN:-80 COMMUNITY MEMBERS RECEIVED EDUCATION ABOUT RESPIRATORY HEALTH AT COMMUNITY EVENTS THAT THE HOSPITAL TEAM ATTENDED IN 2023. STRATEGY #5 - PROVIDE AND DISTRIBUTE CONGESTIVE HEART FAILURE (CHF) EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN:-FLOWER HOSPITAL STAFF PROVIDED HEART HEALTH EDUCATION AT THE SYLVANIA EXPO IN 2023.
PART V, SECTION BFACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:- FACILITY 3: WILDWOOD ORTHOPAEDIC HOSPITAL
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC 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
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, FLOWER HOSPITAL, BAY PARK HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 11:WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:-HEALTHY BEHAVIORS - TOBACCO/VAPING CESSATION-HEALTHY BEHAVIORS - NUTRITION AND PHYSICAL ACTIVITY TO REDUCE OBESITY THIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2022; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2022-2025.WILDWOOD 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 COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2022 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT TOBACCO USE, ADULT DRUG USE, ADULT ALCOHOL CONSUMPTION, ADULT SEXUAL BEHAVIOR, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, 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.WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2023 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2022:HEALTH NEED IDENTIFIED: HEALTHY BEHAVIORS - TOBACCO/VAPING CESSATIONSTRATEGY #1 - PROVIDE AND DISTRIBUTE TOBACCO AND VAPING CESSATION EDUCATION AND RESOURCES OT THE COMMUNITY.ACTIONS TAKEN:-IN 2023, 100 RESPIRATORY HEALTH EDUCATION PACKETS WERE DISTRIBUTED TO PATIENTS AND COMMUNITY MEMBERS ATTENDING EDUCATION SESSIONS AT THE PROMEDICA EBEID CENTER. -IN 2023, 150 TOBACCO CESSATION EDUCATION PACKETS WERE DISTRIBUTED TO PATIENTS AND COMMUNITY MEMBERS ATTENDING EDUCATION SESSIONS AT THE PROMEDICA EBEID CENTER. HEALTH NEED IDENTIFIED: HEALTHY BEHAVIORS - NUTRITION AND PHYSICAL ACTIVITY TO REDUCE OBESITYSTRATEGY #1 - PROVIDE AND DISTRIBUTE HEALTHY EATING, COOKING AND NUTRITION EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN:-37 COOKING CLASSES WERE OFFERED BY THE PROMEDICA EBEID CENTER IN 2023. -309 COMMUNITY MEMBERS PARTICIPATED IN COOKING CLASSES OFFERED BY THE EBEID CENTER IN 2023. STRATEGY #2 - PROVIDE AND DISTRIBUTE PHYSICAL ACTIVITY AND HOME FITNESS EDUCATION AND RESOURCES TO THE COMMUNITY. ACTIONS TAKEN:-12 COMMUNITY MEMBERS WERE LINKED TO YMCA MEMBERSHIPS IN 2023. -76 PHYSICAL ACTIVITY SESSIONS WERE HOSTED FOR THE COMMUNITY AT THE PROMEDICA EBEID CENTER IN 2023. -1040 COMMUNITY MEMBERS PARTICIPATED IN PHYSICAL ACTIVITY SESSIONS OFFERED BY THE PROMEDICA EBEID CENTER IN 2023. SOCIAL DETERMINANTS OF HEALTH FOOD INSECURITY AND FINANCIAL STRAINSTRATEGY #1 - SCREEN INPATIENTS FOR FOOD INSECURITY AND OFFER FOOD AT DISCHARGE, WITH A COMMUNITY FOOD RESOURCE LISTING, TO INPATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. ACTIONS TAKEN-74 PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY RECEIVED FOOD AT DISCHARGE IN 2023.STRATEGY #2 - EDUCATE EMPLOYEES, PATIENTS AND FAMILY ON NO COST FINANCIAL OPPORTUNITY CENTER PROGRAMS, TO IMPROVE FINANCIAL WELL-BEING. ACTIONS TAKEN:-9 PATIENTS WERE REFERRED TO THE FINANCIAL OPPORTUNITY CENTER IN 2023. -337 COMMUNITY MEMBERS WERE ENROLLED INTO FINANCIAL COACHING THROUGH THE PROMEDICA EBEID CENTER IN 2023. -98 COMMUNITY MEMBERS INCREASED THEIR NET WORTH.
PART V, SECTION BFACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:- FACILITY 4: ARROWHEAD BEHAVIORAL HEALTH
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH 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
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH 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, & BAY PARK HOSPITAL.
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 11:ARROWHEAD BEHAVIORAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2022; THEREFORE THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS, 2022-2025.-SUBSTANCE ABUSE-MENTAL HEALTHARROWHEAD BEHAVIORAL 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 2023 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND 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 WEIGHT STATUS, ADULT TOBACCO USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS; YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE, YOUTH PERCEPTION, 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.ARROWHEAD BEHAVIORAL HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2022 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2022:HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 - PROVIDE NO COST TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS (WHEN NEEDED). ACTIONS TAKEN: -NO COST TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS WERE PROVIDED TO 399 INDIVIDUALS.STRATEGY #2 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES, INCLUDING CHEMICAL DEPENDENCY, RELAPSE PREVENTION, AND ALCOHOLICS ANONYMOUS.ACTIONS TAKEN:-599 COMMUNITY MEMBERS PARTICIPATED IN ACTIVITIES PROVIDING EDUCATION ABOUT CHEMICAL DEPENDENCY, RELAPSE PREVENTION, AND ALCOHOLICS ANONYMOUS. STRATEGY #3 - HOLD WEEKLY ALUMNI (ADULTS DISCHARGED FROM ABH) SUPPORT GROUP. ACTIONS TAKEN:-100 COMMUNITY MEMBERS PARTICIPATED IN ALUMNI SUPPORT GROUPS. HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES TO INCREASE EDUCATION AND AWARENESS TO THE COMMUNITY ABOUT MENTAL HEALTH, SUICIDE PREVENTION, AND MENTAL HEALTH RESOURCES.ACTIONS TAKEN: -600 COMMUNITY MEMBERS RECEIVED EDUCATION ABOUT MENTAL HEALTH RESOURCES AND ACCESS IN 2023. STRATEGY #2 - DISTRIBUTE ARROWHEAD BEHAVIORAL HEALTH MENTAL HEALTH RESOURCE GUIDES TO FAMILIES AND THE COMMUNITY TO INCREASE AWARENESS OF ACCESS TO HEALTHCARE.ACTIONS TAKEN: -PROMEDICA AND ARROWHEAD BEHAVIORAL HEALTH MET TO REFRESH STRATEGY AND SHARE UPDATED RESOURCE GUIDES TO DISTRIBUTE IN SUPPORT OF COMMUNITY MEMBERS NAVIGATING LOCAL MENTAL HEALTH RESOURCES. -10 MENTAL HEALTH RESOURCE GUIDES WERE DISTRIBUTED IN 2023.
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 20E:PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS:- PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITYTO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THEPATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENTMAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IFTHE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOESNOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICESAND PHONE CALLS FOR MULTIPLE MONTHS
PART V, SECTION B, LINE 7A:THE 2022 CHNA FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, TOLEDO CHILDREN'S HOSPITAL AND ARROWHEAD BEHAVIORAL HOSPITALS 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 FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, TOLEDO CHILDREN'S HOSPITAL AND ARROWHEAD BEHAVIORAL HOSPITALS 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
FieldValueIRS element (for citing)
Facility65FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (65 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PROMEDICA OWENS CORNING - TOTAL REHAB
1 OWENS CORNING PKWYTOLEDOOH43659POC TOTAL REHAB
2 - PROMEDICA TOLEDO HOSPITAL FREESTANDING EME
1075 MEDICAL CENTER PKWYMAUMEEOH43537FREESTANDING ER/URGENT CARE
3 - PROMEDICA LABORATORIES BOWLING GREEN
1180 N MAIN ST STE 7BOWLING GREENOH43402LAB
4 - PROMEDICA ROSSFORD - LAB
1215 GRASSY LNROSSFORDOH43460LAB ROSSFORD
5 - PROMEDICA PERRYSBURG - JOBST MEDICATION TH
1601 BRIGHAM DRPERRYSBURGOH43551JOBST MTM
6 - PROMEDICA PERRYSBURG - TOTAL REHAB
1601 BRIGHAM DR 100PERRYSBURGOH43551TOTAL REHAB
7 - PROMEDICA PERRYSBURG - CARDIOVASCULAR
1601 BRIGHAM DR 120PERRYSBURGOH43551CARDIOVASCULAR
8 - PROMEDICA PERRYSBURG - RADIOLOGY IMAGING
1601 BRIGHAM DR 180PERRYSBURGOH43551IMAGING & LAB
9 - PROMEDICA PERRYSBURG MEDICAL ONCOLOGY
1620 BRIGHAM DR STE 110PERRYSBURGOH43551ONCOLOGY
10 - PROMEDICA FLOWER BEDFORD - TOTAL REHAB
2000 W DEAN RDTEMPERANCEMI48182TOTAL REHAB
11 - PROMEDICA MARY FALZONE DIABETES CENTER - J
2100 W CENTRAL AVE STE 120TOLEDOOH43606JOBST MTM
12 - PROMEDICA MARY FALZONE DIABETES CENTER - D
2100 W CENTRAL AVE STE 120TOLEDOOH43606DIABETES CLINIC
13 - PROMEDICA MARY FALZONE DIABETES CENTER - L
2100 W CENTRAL AVE STE 130TOLEDOOH43606LAB
14 - PROMEDICA HEART FAILURE CLINIC
2109 HUGHES DRTOLEDOOH43606HEART FAILURE CLINIC
15 - PROMEDICA CONRAD JOBST TOWER - LAB
2109 HUGHES DR 130TOLEDOOH43606LAB
16 - PROMEDICA CONRAD JOBST TOWER - VASCULAR
2109 HUGHES DR STE 500TOLEDOOH43606VASCULAR
17 - PROMEDICA TOLEDO HOSPITAL - JOBST MEDICATI
2109 HUGHES DR STE 550TOLEDOOH43606JOBST MTM
18 - PROMEDICA NORTHWEST OHIO HEMOPHILIA CENTER
2109 HUGHES DR STE 860TOLEDOOH43606HEMOPHILIA CENTER
19 - PROMEDICA PARKWAY AMBULATORY SURGERY A DIV
2120 W CENTRAL AVE FL 2TOLEDOOH43606PARKWAY SURGERY CENTER
20 - PROMEDICA PARKWAY SURGICAL CENTER - RADIOL
2120 W CENTRAL AVE SUITE 1011TOLEDOOH43606PARKWAY IMAGING
21 - PROMEDICA PARKWAY SURGICAL CENTER - LAB
2120 W CENTRAL AVE STE 1008TOLEDOOH43606PARKWAY LAB
22 - PROMEDICA HARRIS MCINTOSH TOWER - ECHO
2121 HUGHES DRTOLEDOOH43606CHILDRENS HEART ECHO
23 - PROMEDICA HARRIS MCINTOSH TOWER - IMAGING
2121 HUGHES DRTOLEDOOH43606IMAGING
24 - PROMEDICA HARRIS MCINTOSH TOWER - PULMONAR
2121 HUGHES DRTOLEDOOH43606PULMONARY FUNCTION
25 - PROMEDICA TOLEDO HOSPITAL - INFANT MONITOR
2121 HUGHES DR STE 850TOLEDOOH43606INFANT MONITOR
26 - PROMEDICA NEUROSCIENCE CENTER - LAB
2130 W CENTRAL AVE STE 104TOLEDOOH43606MOBILE LAB
27 - PROMEDICA NEUROSCIENCE CENTER - IMAGING
2130 W CENTRAL AVE STE 106TOLEDOOH43606IMAGING
28 - PROMEDICA NEUROSCIENCE CENTER - NEUROPHYSI
2130 W CENTRAL AVE STE 203TOLEDOOH43606NEUROPHYSIOLOGY
29 - PROMEDICA TOLEDO HOSPITAL - NORTH CAMPUS L
2130 W CENTRAL AVE STE 300TOLEDOOH43606NORTH CAMPUS LAB
30 - PROMEDICA NEUROSCIENCE CENTER - TOTAL REHA
2130 W CENTRAL AVE STE 202TOLEDOOH43606TOTAL REHAB
31 - CENTER FOR HEALTH SERVICES - WOMEN'S SERVI
2150 W CENTRAL AVE FL 1TOLEDOOH43606CHS WOMENS SVCS
32 - CHS PEDS CLINIC
2150 W CENTRAL AVE FL 2TOLEDOOH43606CHS PEDS CLINIC
33 - PROMEDICA CENTER FOR HEALTH SERVICES
2150 W CENTRAL AVENUE FL 3TOLEDOOH43606CHS TOTAL REHAB
34 - PROMEDICA CENTER FOR HEALTH SERVICE - LAB
2150 W CENTRAL AVENUE ROOM HTOLEDOOH43606CHS LAB
35 - PROMEDICA SWANTON - LAB
22 TURTLE CREEK CIR STE ESWANTONOH43558LAB
36 - PROMEDICA WILDWOOD CAMPUS - IMAGING
2865 N REYNOLDS RDTOLEDOOH43615IMAGING
37 - PROMEDICA WILDWOOD ANCILLARY SERVICES - SP
2865 N REYNOLDS RD STE 110TOLEDOOH43615SPORTS CARE REHAB
38 - PROMEDICA WILDWOOD ANCILLARY SERVICES - RA
2865 N REYNOLDS RD STE 150TOLEDOOH43615IMAGING
39 - PROMEDICA WILDWOOD ANCILLARY SERVICES - LA
2865 N REYNOLDS RDTOLEDOOH43615LAB
40 - PROMEDICA HEART FAILURE CLINIC
2940 N MCCORD RDTOLEDOOH43615CARDIOVASCULAR
41 - PROMEDICA MCCORD - LAB
3020 N MCCORD RD STE 101TOLEDOOH43615LAB
42 - ELMORE LAB
3105 S STATE ROUTE 51TOLEDOOH43416LAB ELMORE
43 - PROMEDICA EAST - LAB
3156 DUSTIN RD STE 102OREGONOH43616LAB
44 - PROMEDICA VISION ASSOCIATES PERIOP AMBULAT
3330 MEIJER DR STE 2TOLEDOOH43617PERIOP AMB SURGERY
45 - PROMEDICA METRO PRE-ADMISSION CLINIC ON EX
3500 EXECUTIVE PKWYTOLEDOOH43606PRE-ADMISSION TESTING CLINIC
46 - PROMEDICA CVHH ONSTED - TOTAL REHAB
4041 W SYLVANIA AVE STE 100TOLEDOOH43623TOTAL REHAB PED
47 - PROMEDICA LABORATORIES 4TH ST - FOSTORIA
455 W 4TH STFOSTORIAOH44830LAB
48 - PROMEDICA PROFESSIONAL PARK -TOTAL REHAB
4848 N HOLLAND SYLVANIA RD STE 202SYLVANIAOH43560TOTAL REHAB
49 - PROMEDICA FLOWER HOSPITAL A DIVISION OF TO
5300 HARROUN RD STE 010SYLVANIAOH43560FLOWER HICKMAN ONCOLOGY
50 - PROMEDICA FLOWER HOSPITAL A DIVISION OF TO
5300 HARROUN RD STE 202SYLVANIAOH43560JOBST MTM
51 - PROMEDICA FLOWER HOSPITAL A DIVISION OF TO
5300 HARROUN RD STE 218SYLVANIAOH43560AUDIOLOGY
52 - PROMEDICA FLOWER MEDICAL OFFICE BUILDING 2
5308 HARROUN RD STE 0050SYLVANIAOH43560LAB
53 - PROMEDICA WELLNESS CENTER DIETICIANS
5700 MONROE STSYLVANIAOH42560PHWC BARIATRIC DIETICIANS
54 - PROMEDICA WELLNESS CENTER - JOBST MEDICATI
5700 MONROE ST STE 111SYLVANIAOH43560PHWC JOBST MTM
55 - PROMEDICA WELLNESS CENTER - PULMONARY FUNC
5700 MONROE ST STE 307SYLVANIAOH43560PHWC PULMONARY FUNCTION
56 - PROMEDICA WELLNESS CENTER - ENDOSCOPY
5700 MONROE ST UNIT 102SYLVANIAOH43560PHWC ENDOSCOPY
57 - PROMEDICA WELLNESS CENTER - IMAGING
5700 MONROE ST UNIT 109SYLVANIAOH43560PHWC IMAGING
58 - PROMEDICA WELLNESS CENTER - LAB
5700 MONROE ST UNIT 110SYLVANIAOH43560PHWC LAB
59 - PROMEDICA WELLNESS CENTER
5700 MONROE ST UNIT 111SYLVANIAOH43560PHWC VASCULAR
60 - PROMEDICA FORT MIAMI VASCULAR
5705 MONCLOVA RD STE 201MAUMEEOH43537CARDIOVASCULAR
61 - PROMEDICA ARROWHEAD - RADIOLOGY IMAGING L
660 BEAVER CREEK CIR STE 120MAUMEEOH43537LAB & IMAGING
62 - PROMEDICA ARROWHEAD - TOTAL REHAB
660 BEAVER CREEK CIR STE 210MAUMEEOH43537TOTAL REHAB
63 - PROMEDICA FLOWER SPRING MEADOWS - TOTAL RE
6855 SPRING VALLEY DR STE 155HOLLANDOH43528TOTAL REHAB
64 - PROMEDICA CARDIAC CENTER MONROE MICHIGAN -
730 N MACOMB STMONROEMI48162CARDIOVASCULAR
65 - PROMEDICA LABORATORIES LAMBERTVILLE
7300 SECOR RD STE 6LAMBERTVILLEMI48144LAB

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:THE TOLEDO 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 $ 55,312,863.
PART III, LINE 2:THE TOLEDO 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:THE TOLEDO 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 8:MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2023 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
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 THESE 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:THE TOLEDO HOSPITAL, WITH LOCATIONS IN THE TOLEDO, OHIO METROPOLITAN AREA, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 650,000. APPROXIMATELY, 17% OF THE SERVICE AREA IS AGE 65 OR OVER; 60% IS BETWEEN AGE 18 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $53,000; 90% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 429,000 WITH APPROXIMATELY 25% OF FAMILIES BELOW THE POVERTY LEVEL. 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 COUNTIES FOR HEALTH FACTORS. THERE ARE THIRTEEN HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., MONROE REGIONAL HOSPITAL, AND FULTON COUNTY HEALTH CENTER.
PART VI, LINE 5:THE TOLEDO 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 PROVIDERS INCLUDING 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

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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
THOMAS PADANILAM
TRUSTEE/PHYSICIAN - PART YEAR$0$1,153,195$0$550,094$0$2,915$0$0$0$2,422$0$1,708,626$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
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
ONDREA WILLIAMS
VICE PRESIDENT$371,900$0$205,000$0$1,823$0$3,956$0$0$0$582,679$0$0$0
GARY AKENBERGER
CHIEF OPERATING OFFICER-FORMER$246,095$0$83,570$0$198,982$0$6,893$0$7,184$0$542,724$0$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
BRIAN MILLER
VICE PRESIDENT$422,034$0$25,945$0$5,944$0$7,921$0$1,789$0$463,633$0$0$0
MATTHEW HAMMOND
CHIEF OPERATING OFFICER$332,483$0$112,710$0$0$0$0$0$1,619$0$446,812$0$0$0
JULIE YAROCH
PRESIDENT - HICKMAN HOSPITAL$322,281$0$67,193$0$1,242$0$4,244$0$6,933$0$401,893$0$0$0
DARRIN ARQUETTE
PRESIDENT - HOSPITAL$339,455$0$29,131$0$3,272$0$10,156$0$3,234$0$385,248$0$0$0
THADIUS WADSWORTH
SECRETARY$236,462$0$114,500$0$1,192$0$2,202$0$0$0$354,356$0$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
PRESIDENT - FLOWER HOSPITAL$225,340$0$13,875$0$2,456$0$10,156$0$6,650$0$258,477$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, INC., USES AN INDEPENDENT CONSULTANT, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES.
PART I, LINES 4A-BUNDER 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 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF LUCAS OHIO (2015B)
A346400806549310VL12015-09-30$45,586,125SEE PART VI000
COUNTY OF LUCAS OHIO (2018A)
B346400806549310WE62018-10-25$261,485,311SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmt
A$45,598,957$949$586,084$45,012,873201800Yes (1)Yes (1)
B$262,545,834$6,312$1,559,890$170,995,5192022Yes (1)0Yes (1)Yes (1)$839,544$89,150,881

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I:SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2018 BOND DETAIL ISSUER NAME: 2018 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310WE6 DATE ISSUED: 10/25/2018 ISSUE PRICE: $261,485,311 PURPOSE: REFINANCING THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011C BONDS ISSUED 05/25/2011 & 2017G BONDS ISSUED 12/29/2017 AND FINANCE THE CONSTRUCTION AND EQUIPPING OF REPLACEMENT HOSPITAL CAMPUS ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2048
PART IV, COLUMN (A), SERIES 2015 B BONDS:DATE THE REBATE COMPUTATION WAS PERFORMED: 10/10/2020
PART IV, COLUMN (B), SERIES 2018A BONDS:DATE THE REBATE COMPUTATION WAS PERFORMED: 10/25/2023
PART IV, LINE 6:CERTAIN OF THESE BOND ISSUES CONSITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSANDRA WACHOWIAKPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF DARRELL WACHOWIAK (TRUSTEE)RelationshipDescriptionTxt
Transaction$150,604TransactionAmt
TransactionEMPLOYED LEAD PHARMACISTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, SECTION 4A:TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2023, OF WHICH $56,532,114 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 & DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2023 WAS $55,313,000 . THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $350,337,000 INDICATED ABOVE. FURTHER, TH PROVIDED $57,488,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. ALSO, IN 2023, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT- FOR TREATING MEDICARE PATIENTS WAS $19,665,000 & IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $350,337,000 NOTED ABOVE. DURING 2023 TH EXPENDED $386,882,000 IN NET PAYROLL, PROVIDING 4,674 JOBS IN NORTHWEST OHIO. A TOTAL OF $25,032,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE & LOCAL TAXES.
PART V, LINE 1A:THE PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY. ALL 1099 FORMS FOR PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES ARE FILED UNDER PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671.
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BWHILE 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 11BTHE 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 12CPROMEDICA 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 15THE TOLEDO 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 19PROMEDICA 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.
PART VII, SECTION B:PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, PROMEDICA HEALTH SYSTEM, INC. THE INDEPENDENT CONTRACTORS OVER $100,000 WILL BE LISTED ON THE 990 FILED FOR PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671.
FORM 990, PART VII, SECTION A:LOUIS ROBICHAUX IS EMPLOYED BY A MANAGEMENT AGENCY THAT IS UNDER A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO PROMEDICA HEALTH SERVICES.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES MANAGEMENT: PROGRAM SERVICE EXPENSES 52,796,362. MANAGEMENT AND GENERAL EXPENSES 20,847,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,643,424. TEMPORARY AGENCY FEES: PROGRAM SERVICE EXPENSES 46,802,687. MANAGEMENT AND GENERAL EXPENSES 23,712,566. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,515,253. SERVICE CONTRACT FEES: PROGRAM SERVICE EXPENSES 21,083,778. MANAGEMENT AND GENERAL EXPENSES 10,946,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,030,269. CONTRACTED MEDICAL PERSONNEL: PROGRAM SERVICE EXPENSES 10,308,727. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,308,727.
FORM 990, PART XI, LINE 9:PENSION EXPENSE ADJUSTMENT -535,783. TRANSFERS BETWEEN RELATED ENTITIES 112,723,127. REVERSE OF BOOK ENTRY FOR AUXILIARY ACTIVITY 31,548,428.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PROMEDICA HICKMAN CANCER CENTER PHARMACY LLC
100 MADISON AVETOLEDOOH43604PHARMACYOH$0$0THE TOLEDO HOSPITAL
PHS INVESTMENTS LLC
100 MADISON AVETOLEDOOH43604INVESTMENT COMPANYOH$0$0THE TOLEDO HOSPITAL
TH LEVIS MOB I LLC
100 MADISON AVETOLEDOOH43604HEALTH CAREOH$0$0THE TOLEDO HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
100 MADISON AVETOLEDOOH43604341883132HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
100 MADISON AVETOLEDOOH43604386108110HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
DEFIANCE HOSPITAL INC
100 MADISON AVETOLEDOOH43604344446484HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER
100 MADISON AVETOLEDOOH43604382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI43604382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIEMMA L BIXBY MEDICAL CENTERYes (1)
FOSTORIA HOSPITAL ASSOCIATION
100 MADISON AVETOLEDOOH43604340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10FOSTORIA HOSPITAL ASSOCIATIONYes (1)
HCR MANORCARE FOUNDATION INC
444 N SUMMIT STTOLEDOOH43604522031975FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5TOLEDOOH43699825373223SKILLED NURSING FACILITIESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
HEARTLAND HOSPICE MEMORIAL FUND INC
444 N SUMMIT STTOLEDOOH43604270497199FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIHERRICK MEMORIAL HOSPITAL INCYes (1)
HERRICK MEMORIAL HOSPITAL INC
100 MADISON AVETOLEDOOH43604383049015HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
KAITLYN'S COTTAGE INC
100 MADISON AVETOLEDOOH43604454781053RESPITE CAREOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
LENAWEE LONG TERM CARE
PO BOX 10086 ATTN TAX-5TOLEDOOH43699382879330LONG TERM CAREMI501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF GIG HARBOR WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624719SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF LACEY WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624391SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF LYNNWOOD WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624675SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF SALMON CREEK WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624375SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF SPOKANE WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624687SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF TACOMA WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624696SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MEMORIAL HOSPITAL
100 MADISON AVETOLEDOOH43604344430849HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MEMORIAL PROFESSIONAL SERVICES
100 MADISON AVETOLEDOOH43604273763993PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
100 MADISON AVETOLEDOOH43604381984289HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MONROE COMMUNITY HEALTH SERVICES
PO BOX 10086 ATTN TAX-5TOLEDOOH43699382934134LONG TERM CAREMI501(C)(3)10HCR MANORCARE INCYes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIRMAUMEEOH43537203376102HEALTH INSURANCEOH501(C)(3)10PROMEDICA INSURANCE CORP INC AND SUBSIDIARIESYes (1)
PROMEDICA CENTRAL PHYSICIANS
100 MADISON AVETOLEDOOH43604341881137PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA CHILDRENS SPECIALISTS
100 MADISON AVETOLEDOOH43604208734161PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVETOLEDOOH43604344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)10PROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVETOLEDOOH43604341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA COURIER SERVICES INC
100 MADISON AVETOLEDOOH43604260324790COURIER SERVICEOH501(C)(3)12B, IIPROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672FOUNDATIONOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA GENITO-URINARY SURGEONS
100 MADISON AVETOLEDOOH43604461120436PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA MONROE CARDIOLOGY
100 MADISON AVETOLEDOOH43604272920342PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA MONROE PHYSICIANS
100 MADISON AVETOLEDOOH43604461111822PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVETOLEDOOH43604454976786PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
100 MADISON AVETOLEDOOH43604263888045PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA PHYSICIAN GROUP INC
100 MADISON AVETOLEDOOH43604341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIANS AT HOME INC
100 MADISON AVETOLEDOOH43604852181349PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA PRIMARY CARE PROVIDERS
100 MADISON AVETOLEDOOH43604831731861PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
THE HUG FUND
444 N SUMMIT STTOLEDOOH43604202272848FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
100 MADISON AVETOLEDOOH43604341831624HOSPICE HOME CAREOH501(C)(3)10HCR MANORCARE INCYes (1)
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671PARENT COMPANY OF HEALTH SERVICESOH501(C)(3)12B, II0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPctShare Of EOY AssetsShareOfEOYAssetsAmt
NORMAN SPECIALTY HOSPITAL LLC
PO BOX 10086 ATTN TAX-5TOLEDOOH43604421627672HEALTH CAREDEN/A0Yes (1)
MERCYMANOR PARTNERSHIP
PO BOX 10086 ATTN TAX-5TOLEDOOH43604521931012SKILLED NURSINGPAN/A0Yes (1)
THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIN/A00
PROMEDICA SENIOR CARE OF GEORGIA LLC
100 MADISON AVETOLEDOOH43604871802834SKILLED NURSINGOHN/A0Yes (1)
PROMEDICA VENTURES INNOVATION FUND III LLC
100 MADISON AVETOLEDOOH43604873197533HOLDING COMPANYOHN/A00
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220TOLEDOOH43615475603627INVESTMENT FUNDOHN/A00
SENIOR & REHAB CARE AT METROHEALTH LLC
100 MADISON AVE ATTN TAX DEPTTOLEDOOH43604872465544SKILLED NURSINGOHN/A0Yes (1)
AIR DIVERTER SOLUTIONS LLC
100 MADISON AVETOLEDOOH43604853725776DEVELOPMENTOHN/A00
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVETOLEDOOH43604473163945REAL ESTATEOHN/A0Yes (1)
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVETOLEDOOH43604260679898MEDICAL DIAGNOSTICSOH0Yes (1)THE TOLEDO HOSPITALRELATED$68,7900.50000
PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC
100 MADISON AVETOLEDOOH43604852085627HEALTH CAREMI00THE TOLEDO HOSPITALRELATED$5,819,6270.51000$3,316,554
REYNOLDS ROAD SURGICAL CENTER LTD
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROH00THE TOLEDO HOSPITALRELATED$98,6550.63000$3,558,823
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROH0Yes (1)THE TOLEDO HOSPITALRELATED$320,2200.50000$6,442,718
PROMEDICA MASTER TENANT LLC
100 MADISON AVETOLEDOOH43604475288490REAL ESTATEOHN/A0Yes (1)
ARROWHEAD BEHAVIORAL HEALTH LLC
367 SOUTH GULPH ROAD PO BOX 61558KING OF PRUSSIAPA19406270608044HEALTH CAREPA0Yes (1)THE TOLEDO HOSPITALRELATED$337,2800.30000$4,777,643

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMIN/ACYes (1)
LENAWEE CLINICAL PARTNERS
100 MADISON AVETOLEDOOH43604821072356PHYSICIAN SUPPORTOHN/ACYes (1)
PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC
PO BOX 10086 ATTN TAX-5TOLEDOOH43699861179270SKILLED NURSINGNJN/ACYes (1)
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMIN/ACYes (1)
MONROE HEALTH VENTURES INC
718 N MACOMBMONROEMI48164382704426PHARMACYMIN/ACYes (1)
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVETOLEDOOH43604475168737REAL ESTATEOHN/ACYes (1)
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHN/ACYes (1)
PROMEDICA INNOVATIONS LLC
100 MADISON AVETOLEDOOH43604301221601INVESTMENT COMPANYOHN/ACYes (1)
PROMEDICA HEALTH NETWORK INC
100 MADISON AVETOLEDOOH43604474006496PHYSICIAN MANAGEMENT SERVICESOHN/ACYes (1)
PHS TOLEDO INNOVATION CENTER HOLDINGS LLC
100 MADISON AVETOLEDOOH43604871433009HOLDING COMPANYOHN/ACYes (1)
FORT INDUSTRY JV PARTNER LLC
100 MADISON AVETOLEDOOH43604844675266REAL ESTATEOHN/ACYes (1)
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVETOLEDOOH43604383482148PHYSICIAN HEALTH CARE SERVICESOHN/ACYes (1)
PROMEDICA AT HOME INC
100 MADISON AVETOLEDOOH43604852320857PHYSICIAN SUPPORTMIN/ACYes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVETOLEDOOH43604383322278PHYSICIAN HEALTH CARE SERVICESOHN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd