2024-11-14T11:23:02-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-01-01 344428256 THE TOLEDO HOSPITAL TOLE 4192525772 100 MADISON AVE ATTN TAX DEPARTM TOLEDO OH 43604 TERRENCE METZGER CFO 4192525772 2024-11-11 1 1 AMY CIMINELLO P00796388 3122071040 2024-11-10 2023 2024-10-15 13:58:12Z TERRENCE METZGER 100 MADISON AVE ATTN TAX DEPARTMENT TOLEDO OH 43604 2050060057 0 X WWW.PROMEDICA.ORG X 1907 OH THE 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. 23 15 8471 212 1046665 5373 8315680 8006039 1400045499 1559013592 54848745 3749647 12567578 15277828 1475777502 1586047106 20716 0 0 0 468663251 483341475 0 0 0 958798500 981958298 1427482467 1465299773 48295035 120747333 1558803587 1627180659 2341882258 2145248340 -783078671 -518067681 X AS 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. 0 0 1066199465 0 1558816701 THE 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. 1066199465 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 X 0 0 8471 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 23 15 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 0 X TERRENCE METZGER 4192525772 100 MADISON AVE TOLEDO OH 43604 X AARON BUERK MD TRUSTEE/PHYSICIAN 1.00 44.00 X 0 834658 0 AMIR KHAN TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY PACKO TRUSTEE 1.00 0.00 X 0 0 0 BILL MCDONNELL CHAIRMAN - PART YEAR 1.00 15.00 X 0 0 0 BRIAN DOLSEY TRUSTEE/PHYSICIAN 1.00 44.00 X 0 703046 0 C MICHAEL SMITH TRUSTEE 1.00 0.00 X 0 0 0 DARRELL WACHOWIAK PRESIDENT - FLOWER HOSPITAL 44.00 1.00 X X 241671 0 0 DAWN BUSKEY TRUSTEE/TREASURER 1.00 54.00 X X 0 1412400 5337 ERICH WEINLANDER TRUSTEE 1.00 0.00 X 0 0 0 GREGORY BRAYLOCK TRUSTEE/VICE PRESIDENT 0.00 0.00 X 0 264412 552 JACKIE HYLANT BERENZWEIG TRUSTEE 1.00 0.00 X 0 0 0 JAMES BRENNAN JR TRUSTEE 1.00 15.00 X 0 0 0 LOUIS ROBICHAUX TREASURER - PART YEAR 1.00 54.00 X X 0 0 0 MARK FOX TRUSTEE/PARAMEDIC 44.00 1.00 X 68019 0 6819 MARLON KISER TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 NANCY KABAT CHAIR 1.00 15.00 X X 0 0 0 PETE VAVRINEK TRUSTEE 1.00 0.00 X 0 0 0 RAVI ADUSUMILLI MD TRUSTEE/PHYSICIAN 1.00 44.00 X 0 474270 0 RODENY EASON JR TRUSTEE 1.00 0.00 X 0 0 0 SARA SWISHER TRUSTEE 1.00 0.00 X 0 0 0 SARAH MCHUGH TRUSTEE 1.00 0.00 X 0 0 0 STEVE SADOWSKI TREASURER/CHIEF LEGAL OFFICER 1.00 54.00 X X 0 1407180 6028 TERRENCE METZGER TRUSTEE/CFO 1.00 54.00 X X 0 1055090 4079 THADIUS WADSWORTH SECRETARY 44.00 1.00 X X 352154 0 0 THOMAS PADANILAM TRUSTEE/PHYSICIAN - PART YEAR 1.00 44.00 X 0 1706204 2422 TIMOTHY HUSTED MD TRUSTEE 1.00 0.00 X 0 0 0 THOMAS WINSTON TRUSTEE/AUDIT / COMPLIANCE CHAIR 1.00 3.00 X 0 0 0 ARTURO POLIZZI PRESIDENT AND CEO 1.00 54.00 X 0 2121593 5857 BRIAN MILLER VICE PRESIDENT 45.00 0.00 X 453923 0 0 DARRIN ARQUETTE PRESIDENT - HOSPITAL 42.00 3.00 X 371858 0 0 JULIE YAROCH PRESIDENT - HICKMAN HOSPITAL 44.00 1.00 X 390716 0 0 MATTHEW HAMMOND CHIEF OPERATING OFFICER 44.00 1.00 X 445193 0 1619 ONDREA WILLIAMS VICE PRESIDENT 45.00 0.00 X 578723 0 0 GARY AKENBERGER CHIEF OPERATING OFFICER-FORMER 0.00 0.00 X 528647 0 36639 JEFFREY C KUHN SECRETARY, CHIEF LEGAL OFFICER - FORMER 0.00 0.00 X 0 721900 33822 STEVEN M CAVANAUGH TREASURER, CFO - FORMER 0.00 0.00 X 0 1335180 995 3430904 12035933 104169 685 1 1 0 0 4734000 2136971 1135068 8006039 NET PATIENT SERVICES 621110 1533450947 1533425209 25738 AFFIL. ORG. RENT REV. 531120 14994942 14994942 PHARMACY 456110 10396550 10396550 MANAGEMENT FEES 541610 171153 171153 1559013592 322698 322698 2588823 0 2588823 2588823 2588823 467439900 457061094 6951857 10378806 -6951857 3426949 3426949 AUXILIARY DEPARTMENTAL 900099 2402704 2402704 HEALTH CLUB MEMBERSHIP 713940 849774 849774 TUITION REVENUE 900099 393579 393579 9042948 9042948 12689005 1586047106 1558816701 1046665 18177701 X 403995361 344293875 59701486 -876250 -746760 -129490 50849796 43335332 7514464 29372568 25031959 4340609 11039274 11039274 622258 622258 39087 39087 2705 2705 186497673 130991554 55506119 276406 15727 260679 16102334 2428963 13673371 1053704 93724 959980 16263954 14800197 1463757 3334658 189735 3144923 32357016 32357016 70698182 61863673 8834509 339858 309271 30587 MEDICAL SUPPLIES 296006228 296006228 INTERCOMPANY EXPENSES 247961494 15865504 232095990 BAD DEBT EXPENSE 55312863 55312863 TAXES 40816230 40816230 3234374 3234374 1465299773 1066199465 399100308 0 55953437 224405344 6490453 6729993 163532864 197779281 19516918 22053411 2555049 3747394 1865238923 1111565041 796885126 753673882 97217798 43444268 40880700 35706142 375771242 339640944 1558803587 1627180659 145668606 140842346 873100 0 613352217 301729641 1442956929 1408803089 139031406 293873264 2341882258 2145248340 X -1090747342 -829933638 307668671 311865957 -783078671 -518067681 1558803587 1627180659 X 120747333 527885 143735772 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 39087 39087 0 PART II-B, LINE 1: THE 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. 30135019 3280987 474704 32941302 36451512 -6316213 280 30135019 33317596 2000 3131916 36451512 32425291 2000 890305 33317596 28747861 8000 3669430 32425291 0.00000 1.00000 0.00000 1 1 1 44586655 44586655 1285613191 692223068 593390123 3764347 3756795 7552 437877020 367533492 70343528 93397710 48051686 45346024 753673882 OTHER RECEIVABLES 4280286 BENEFICIAL INTEREST IN FOUNDATION 257131906 OTHER SEGREGATED INVESTMENTS 1202471 INTERCOMPANY DEBT FROM RELATED ENTITIES 36070683 THIRD PARTY PAYER RECEIVABLE 17719540 DEFERRED COMPENSATION 3644067 INVESTMENT IN AFFILIATE 19594991 OTHER ASSETS -3000 339640944 DUE TO AFFILIATES 239347256 ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE 26085140 ASSET REMEDIATION OBLIGATION 11520127 DEFERRED COMPENSATION 3644067 OPERATING LEASE LIABILITY 13276674 293873264 PART V, LINE 4: THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT THE TOLEDO HOSPITAL CONSISTENT WITH DONOR INTENT. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 0 10613516 10613516 0.00750 284636387 227148645 57487742 0.04080 295249903 227148645 68101258 0.04830 1445350 1445350 0.00100 43177351 6471297 36706054 0.02600 10339665 6092731 4246934 0.00300 125000 125000 0.00010 55087366 12564028 42523338 0.03010 350337269 239712673 110624596 0.07840 1 55312863 2867710 201023483 220684048 -19660565 X 1 1 1 PROMEDICA ORTHOPEDIC CO-MANAGEMENT CO LLC PHYSICIAN SERVICES 0.35000 0.06000 0.51000 2 PROMEDICA SURGICAL SERVICES CO-MANAGEMENT PHYSICIAN SERVICES 0.45280 0.00940 0.40560 3 REYNOLD ROAD SURGICAL CENTER LLC SURGICAL CENTER 0.63000 0.04990 0.27020 4 NORTHWEST OHIO DEDICATED BREAST MRI LLC MEDICAL DIAGNOSTIC 0.50000 0.00000 0.50000 5 WEST CENTRAL SURGICAL CENTER LLC SURGICAL CENTER 0.50000 0.00000 0.25000 4 1 THE TOLEDO HOSPITAL 2142 NORTH COVE BLVD TOLEDO OH 43606 WWW.PROMEDICA.ORG 1226 X X X X X X A 2 FLOWER HOSPITAL 5200 HARROUN RD SYLVANIA OH 43560 WWW.PROMEDICA.ORG 1227 X X X X A 3 WILDWOOD ORTHOPAEDIC HOSPITAL 2901 N REYNOLDS RD TOLEDO OH 43615 WWW.PROMEDICA.ORG 1501 X X B 4 ARROWHEAD BEHAVIORAL HEALTH 1725 TIMBERLINE RD MAUMEE OH 43537 WWW.ARROWHEADBEHAVIORAL.COM 1543 X PSYCHIATRIC/ SUBSTANCE ABUSE FACILITY C REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 600.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 600.000000000000 X X 1 1 X X X 1 X WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSIS X WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSIS X WWW.PROMEDICA.ORG/PAGES/PATIENT-RESOURCES/BILLING-INSURANCE/FINANCIAL-ASSIS X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP C 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 600.000000000000 X 1 1 X X 1 X X X X 1 X 0 X X X 0 X X 0 0 PART V, SECTION B FACILITY 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 B FACILITY 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 B FACILITY 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 65 1 - PROMEDICA OWENS CORNING - TOTAL REHAB 1 OWENS CORNING PKWY TOLEDO OH 43659 POC TOTAL REHAB 2 - PROMEDICA TOLEDO HOSPITAL FREESTANDING EME 1075 MEDICAL CENTER PKWY MAUMEE OH 43537 FREESTANDING ER/URGENT CARE 3 - PROMEDICA LABORATORIES BOWLING GREEN 1180 N MAIN ST STE 7 BOWLING GREEN OH 43402 LAB 4 - PROMEDICA ROSSFORD - LAB 1215 GRASSY LN ROSSFORD OH 43460 LAB ROSSFORD 5 - PROMEDICA PERRYSBURG - JOBST MEDICATION TH 1601 BRIGHAM DR PERRYSBURG OH 43551 JOBST MTM 6 - PROMEDICA PERRYSBURG - TOTAL REHAB 1601 BRIGHAM DR 100 PERRYSBURG OH 43551 TOTAL REHAB 7 - PROMEDICA PERRYSBURG - CARDIOVASCULAR 1601 BRIGHAM DR 120 PERRYSBURG OH 43551 CARDIOVASCULAR 8 - PROMEDICA PERRYSBURG - RADIOLOGY IMAGING 1601 BRIGHAM DR 180 PERRYSBURG OH 43551 IMAGING & LAB 9 - PROMEDICA PERRYSBURG MEDICAL ONCOLOGY 1620 BRIGHAM DR STE 110 PERRYSBURG OH 43551 ONCOLOGY 10 - PROMEDICA FLOWER BEDFORD - TOTAL REHAB 2000 W DEAN RD TEMPERANCE MI 48182 TOTAL REHAB 11 - PROMEDICA MARY FALZONE DIABETES CENTER - J 2100 W CENTRAL AVE STE 120 TOLEDO OH 43606 JOBST MTM 12 - PROMEDICA MARY FALZONE DIABETES CENTER - D 2100 W CENTRAL AVE STE 120 TOLEDO OH 43606 DIABETES CLINIC 13 - PROMEDICA MARY FALZONE DIABETES CENTER - L 2100 W CENTRAL AVE STE 130 TOLEDO OH 43606 LAB 14 - PROMEDICA HEART FAILURE CLINIC 2109 HUGHES DR TOLEDO OH 43606 HEART FAILURE CLINIC 15 - PROMEDICA CONRAD JOBST TOWER - LAB 2109 HUGHES DR 130 TOLEDO OH 43606 LAB 16 - PROMEDICA CONRAD JOBST TOWER - VASCULAR 2109 HUGHES DR STE 500 TOLEDO OH 43606 VASCULAR 17 - PROMEDICA TOLEDO HOSPITAL - JOBST MEDICATI 2109 HUGHES DR STE 550 TOLEDO OH 43606 JOBST MTM 18 - PROMEDICA NORTHWEST OHIO HEMOPHILIA CENTER 2109 HUGHES DR STE 860 TOLEDO OH 43606 HEMOPHILIA CENTER 19 - PROMEDICA PARKWAY AMBULATORY SURGERY A DIV 2120 W CENTRAL AVE FL 2 TOLEDO OH 43606 PARKWAY SURGERY CENTER 20 - PROMEDICA PARKWAY SURGICAL CENTER - RADIOL 2120 W CENTRAL AVE SUITE 1011 TOLEDO OH 43606 PARKWAY IMAGING 21 - PROMEDICA PARKWAY SURGICAL CENTER - LAB 2120 W CENTRAL AVE STE 1008 TOLEDO OH 43606 PARKWAY LAB 22 - PROMEDICA HARRIS MCINTOSH TOWER - ECHO 2121 HUGHES DR TOLEDO OH 43606 CHILDRENS HEART ECHO 23 - PROMEDICA HARRIS MCINTOSH TOWER - IMAGING 2121 HUGHES DR TOLEDO OH 43606 IMAGING 24 - PROMEDICA HARRIS MCINTOSH TOWER - PULMONAR 2121 HUGHES DR TOLEDO OH 43606 PULMONARY FUNCTION 25 - PROMEDICA TOLEDO HOSPITAL - INFANT MONITOR 2121 HUGHES DR STE 850 TOLEDO OH 43606 INFANT MONITOR 26 - PROMEDICA NEUROSCIENCE CENTER - LAB 2130 W CENTRAL AVE STE 104 TOLEDO OH 43606 MOBILE LAB 27 - PROMEDICA NEUROSCIENCE CENTER - IMAGING 2130 W CENTRAL AVE STE 106 TOLEDO OH 43606 IMAGING 28 - PROMEDICA NEUROSCIENCE CENTER - NEUROPHYSI 2130 W CENTRAL AVE STE 203 TOLEDO OH 43606 NEUROPHYSIOLOGY 29 - PROMEDICA TOLEDO HOSPITAL - NORTH CAMPUS L 2130 W CENTRAL AVE STE 300 TOLEDO OH 43606 NORTH CAMPUS LAB 30 - PROMEDICA NEUROSCIENCE CENTER - TOTAL REHA 2130 W CENTRAL AVE STE 202 TOLEDO OH 43606 TOTAL REHAB 31 - CENTER FOR HEALTH SERVICES - WOMEN'S SERVI 2150 W CENTRAL AVE FL 1 TOLEDO OH 43606 CHS WOMENS SVCS 32 - CHS PEDS CLINIC 2150 W CENTRAL AVE FL 2 TOLEDO OH 43606 CHS PEDS CLINIC 33 - PROMEDICA CENTER FOR HEALTH SERVICES 2150 W CENTRAL AVENUE FL 3 TOLEDO OH 43606 CHS TOTAL REHAB 34 - PROMEDICA CENTER FOR HEALTH SERVICE - LAB 2150 W CENTRAL AVENUE ROOM H TOLEDO OH 43606 CHS LAB 35 - PROMEDICA SWANTON - LAB 22 TURTLE CREEK CIR STE E SWANTON OH 43558 LAB 36 - PROMEDICA WILDWOOD CAMPUS - IMAGING 2865 N REYNOLDS RD TOLEDO OH 43615 IMAGING 37 - PROMEDICA WILDWOOD ANCILLARY SERVICES - SP 2865 N REYNOLDS RD STE 110 TOLEDO OH 43615 SPORTS CARE REHAB 38 - PROMEDICA WILDWOOD ANCILLARY SERVICES - RA 2865 N REYNOLDS RD STE 150 TOLEDO OH 43615 IMAGING 39 - PROMEDICA WILDWOOD ANCILLARY SERVICES - LA 2865 N REYNOLDS RD TOLEDO OH 43615 LAB 40 - PROMEDICA HEART FAILURE CLINIC 2940 N MCCORD RD TOLEDO OH 43615 CARDIOVASCULAR 41 - PROMEDICA MCCORD - LAB 3020 N MCCORD RD STE 101 TOLEDO OH 43615 LAB 42 - ELMORE LAB 3105 S STATE ROUTE 51 TOLEDO OH 43416 LAB ELMORE 43 - PROMEDICA EAST - LAB 3156 DUSTIN RD STE 102 OREGON OH 43616 LAB 44 - PROMEDICA VISION ASSOCIATES PERIOP AMBULAT 3330 MEIJER DR STE 2 TOLEDO OH 43617 PERIOP AMB SURGERY 45 - PROMEDICA METRO PRE-ADMISSION CLINIC ON EX 3500 EXECUTIVE PKWY TOLEDO OH 43606 PRE-ADMISSION TESTING CLINIC 46 - PROMEDICA CVHH ONSTED - TOTAL REHAB 4041 W SYLVANIA AVE STE 100 TOLEDO OH 43623 TOTAL REHAB PED 47 - PROMEDICA LABORATORIES 4TH ST - FOSTORIA 455 W 4TH ST FOSTORIA OH 44830 LAB 48 - PROMEDICA PROFESSIONAL PARK -TOTAL REHAB 4848 N HOLLAND SYLVANIA RD STE 202 SYLVANIA OH 43560 TOTAL REHAB 49 - PROMEDICA FLOWER HOSPITAL A DIVISION OF TO 5300 HARROUN RD STE 010 SYLVANIA OH 43560 FLOWER HICKMAN ONCOLOGY 50 - PROMEDICA FLOWER HOSPITAL A DIVISION OF TO 5300 HARROUN RD STE 202 SYLVANIA OH 43560 JOBST MTM 51 - PROMEDICA FLOWER HOSPITAL A DIVISION OF TO 5300 HARROUN RD STE 218 SYLVANIA OH 43560 AUDIOLOGY 52 - PROMEDICA FLOWER MEDICAL OFFICE BUILDING 2 5308 HARROUN RD STE 0050 SYLVANIA OH 43560 LAB 53 - PROMEDICA WELLNESS CENTER DIETICIANS 5700 MONROE ST SYLVANIA OH 42560 PHWC BARIATRIC DIETICIANS 54 - PROMEDICA WELLNESS CENTER - JOBST MEDICATI 5700 MONROE ST STE 111 SYLVANIA OH 43560 PHWC JOBST MTM 55 - PROMEDICA WELLNESS CENTER - PULMONARY FUNC 5700 MONROE ST STE 307 SYLVANIA OH 43560 PHWC PULMONARY FUNCTION 56 - PROMEDICA WELLNESS CENTER - ENDOSCOPY 5700 MONROE ST UNIT 102 SYLVANIA OH 43560 PHWC ENDOSCOPY 57 - PROMEDICA WELLNESS CENTER - IMAGING 5700 MONROE ST UNIT 109 SYLVANIA OH 43560 PHWC IMAGING 58 - PROMEDICA WELLNESS CENTER - LAB 5700 MONROE ST UNIT 110 SYLVANIA OH 43560 PHWC LAB 59 - PROMEDICA WELLNESS CENTER 5700 MONROE ST UNIT 111 SYLVANIA OH 43560 PHWC VASCULAR 60 - PROMEDICA FORT MIAMI VASCULAR 5705 MONCLOVA RD STE 201 MAUMEE OH 43537 CARDIOVASCULAR 61 - PROMEDICA ARROWHEAD - RADIOLOGY IMAGING L 660 BEAVER CREEK CIR STE 120 MAUMEE OH 43537 LAB & IMAGING 62 - PROMEDICA ARROWHEAD - TOTAL REHAB 660 BEAVER CREEK CIR STE 210 MAUMEE OH 43537 TOTAL REHAB 63 - PROMEDICA FLOWER SPRING MEADOWS - TOTAL RE 6855 SPRING VALLEY DR STE 155 HOLLAND OH 43528 TOTAL REHAB 64 - PROMEDICA CARDIAC CENTER MONROE MICHIGAN - 730 N MACOMB ST MONROE MI 48162 CARDIOVASCULAR 65 - PROMEDICA LABORATORIES LAMBERTVILLE 7300 SECOR RD STE 6 LAMBERTVILLE MI 48144 LAB 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. 1 1 0 0 0 0 0 0 0 ARTURO POLIZZI PRESIDENT AND CEO 0 1315647 0 789979 0 15967 0 0 0 5857 0 2127450 0 0 THOMAS PADANILAM TRUSTEE/PHYSICIAN - PART YEAR 0 1153195 0 550094 0 2915 0 0 0 2422 0 1708626 0 0 DAWN BUSKEY TRUSTEE/TREASURER 0 658750 0 751150 0 2500 0 0 0 5337 0 1417737 0 0 STEVE SADOWSKI TREASURER/CHIEF LEGAL OFFICER 0 625095 0 774925 0 7160 0 0 0 6028 0 1413208 0 0 STEVEN M CAVANAUGH TREASURER, CFO - FORMER 0 0 0 0 0 1335180 0 0 0 995 0 1336175 0 0 TERRENCE METZGER TRUSTEE/CFO 0 480090 0 575000 0 0 0 0 0 4079 0 1059169 0 0 AARON BUERK MD TRUSTEE/PHYSICIAN 0 812858 0 21500 0 300 0 6895 0 88 0 841641 0 0 JEFFREY C KUHN SECRETARY, CHIEF LEGAL OFFICER - FOR 0 0 0 0 0 721900 0 26526 0 7296 0 755722 0 0 BRIAN DOLSEY TRUSTEE/PHYSICIAN 0 572900 0 128364 0 1782 0 6957 0 3709 0 713712 0 0 ONDREA WILLIAMS VICE PRESIDENT 371900 0 205000 0 1823 0 3956 0 0 0 582679 0 0 0 GARY AKENBERGER CHIEF OPERATING OFFICER-FORMER 246095 0 83570 0 198982 0 6893 0 7184 0 542724 0 0 0 RAVI ADUSUMILLI MD TRUSTEE/PHYSICIAN 0 387750 0 82656 0 3864 0 3897 0 2907 0 481074 0 0 BRIAN MILLER VICE PRESIDENT 422034 0 25945 0 5944 0 7921 0 1789 0 463633 0 0 0 MATTHEW HAMMOND CHIEF OPERATING OFFICER 332483 0 112710 0 0 0 0 0 1619 0 446812 0 0 0 JULIE YAROCH PRESIDENT - HICKMAN HOSPITAL 322281 0 67193 0 1242 0 4244 0 6933 0 401893 0 0 0 DARRIN ARQUETTE PRESIDENT - HOSPITAL 339455 0 29131 0 3272 0 10156 0 3234 0 385248 0 0 0 THADIUS WADSWORTH SECRETARY 236462 0 114500 0 1192 0 2202 0 0 0 354356 0 0 0 GREGORY BRAYLOCK TRUSTEE/VICE PRESIDENT 0 235082 0 26010 0 3320 0 0 0 552 0 264964 0 0 DARRELL WACHOWIAK PRESIDENT - FLOWER HOSPITAL 225340 0 13875 0 2456 0 10156 0 6650 0 258477 0 0 0 PART I, LINE 3 A 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-B UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. STEVEN CAVANAUGH RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $1,335,180 DURING 2023. JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $721,900 DURING 2023. MATTHEW KANG RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $583,664 DURING 2023. GARY AKENBERGER RECEIVED SEVERANCE PAYMENTS FROM 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. A COUNTY OF LUCAS OHIO (2015B) 346400806 549310VL1 2015-09-30 45586125 SEE PART VI 0 0 0 B COUNTY OF LUCAS OHIO (2018A) 346400806 549310WE6 2018-10-25 261485311 SEE PART VI 0 0 0 A 45598957 949 586084 45012873 2018 0 0 1 1 B 262545834 6312 1559890 839544 170995519 89150881 2022 1 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 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. SANDRA WACHOWIAK FAMILY MEMBER OF DARRELL WACHOWIAK (TRUSTEE) 150604 EMPLOYED LEAD PHARMACIST 0 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 6 AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF 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 7B WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS FROM THE BOARD ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. FINAL RETURNS ARE PROVIDED TO A PRINCIPAL OFFICER FOR SIGNATURE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C PROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER STATEMENT OF CONFLICT (SOC) SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL BONUS-ELIGIBLE SENIOR LEADERSHIP AND SPECIFICALLY IDENTIFIED ADDITIONAL EMPLOYEES, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PROVIDERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PROVIDER CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER FOR PROMEDICA PHYSICIAN GROUP, INC. (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE OFFICE OF THE PROMEDICA HEALTH SYSTEM, INC. ("PHS") V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PROVIDER CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE PHS AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PROVIDERS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PROVIDER STANDARD OF CONDUCT AND THE PROVIDER CERTIFICATION STATEMENT WHICH THE NEW PROVIDER IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE PHS V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PROVIDER AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE IDENTIFIED PROVIDER BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, WILL PROVIDE THE PROVIDER-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES. 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 11G PURCHASED 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 PROMEDICA HICKMAN CANCER CENTER PHARMACY LLC 100 MADISON AVE TOLEDO OH 43604 PHARMACY OH 0 0 THE TOLEDO HOSPITAL PHS INVESTMENTS LLC 100 MADISON AVE TOLEDO OH 43604 INVESTMENT COMPANY OH 0 0 THE TOLEDO HOSPITAL TH LEVIS MOB I LLC 100 MADISON AVE TOLEDO OH 43604 HEALTH CARE OH 0 0 THE TOLEDO HOSPITAL BAY PARK COMMUNITY HOSPITAL 100 MADISON AVE TOLEDO OH 43604 341883132 HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 COMMUNITY HEALTH CENTER OF BRANCH COUNTY 100 MADISON AVE TOLEDO OH 43604 386108110 HOSPITAL MI 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 DEFIANCE HOSPITAL AUXILIARY 1200 RALSTON DEFIANCE OH 43512 510173779 HOSPITAL / FOUNDATION SUPPORT OH 501(C)(3) 10 DEFIANCE HOSPITAL INC 1 DEFIANCE HOSPITAL INC 100 MADISON AVE TOLEDO OH 43604 344446484 HOSPITAL OH 501(C)(3) 3 PROMEDICA HEALTH SYSTEM INC 1 EMMA L BIXBY MEDICAL CENTER 100 MADISON AVE TOLEDO OH 43604 382796005 HOSPITAL MI 501(C)(3) 3 PROMEDICA 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