MERCY-MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MERCY-MEMORIAL HOSPITAL CORPORATION (EIN 38-1984289)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202433199349306398
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T11:24:54-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10 S RIVERSIDE PLAZA 9TH FLOOR	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381984289	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	4192525772	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MADISON AVE ATTN TAX DEPT	AddressLine1Txt
City	TOLEDO	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43604	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TERRENCE METZGER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4192525772	PhoneNum
Signature	2024-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	3122071040	PhoneNum
Preparation	2024-11-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PROMEDICA MONROE REGIONAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TERRENCE METZGER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MADISON AVE ATTN TAX DEPT	AddressLine1Txt
City	TOLEDO	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43604	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$165,137,446	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1238	TotalEmployeeCnt
Total Volunteers	93	TotalVolunteersCnt
Total Gross UBI	$1,188,917	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$151,254	PYContributionsGrantsAmt
CY Contributions Grants	$517,749	CYContributionsGrantsAmt
PY Program Service Revenue	$157,612,407	PYProgramServiceRevenueAmt
CY Program Service Revenue	$160,698,753	CYProgramServiceRevenueAmt
PY Investment Income	$2,700,429	PYInvestmentIncomeAmt
CY Investment Income	-$290,142	CYInvestmentIncomeAmt
PY Other Revenue	$5,031,728	PYOtherRevenueAmt
CY Other Revenue	$3,972,302	CYOtherRevenueAmt
PY Total Revenue	$165,495,818	PYTotalRevenueAmt
CY Total Revenue	$164,898,662	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,880	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,122,004	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$62,718,428	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$114,904,293	PYOtherExpensesAmt
CY Other Expenses	$110,054,383	CYOtherExpensesAmt
PY Total Expenses	$180,040,177	PYTotalExpensesAmt
CY Total Expenses	$172,776,811	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,544,359	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,878,149	CYRevenuesLessExpensesAmt
Total Assets BOY	$242,625,809	TotalAssetsBOYAmt
Total Assets EOY	$92,479,483	TotalAssetsEOYAmt
Total Liabilities BOY	$61,005,803	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,162,683	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$181,620,006	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$63,316,800	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITY WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$134,705,507	ExpenseAmt
Grant	$4,000	GrantAmt
Revenue	$162,521,887	RevenueAmt
Desc	MERCY MEMORIAL HOSPITAL CORPORATION (D/B/A PROMEDICA MONROE REGIONAL HOSPITAL) IS A MEMBER OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 28 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. A 238-BED FACILITY LOCATED IN MONROE, MICHIGAN, PROMEDICA MONROE REGIONAL HOSPITAL (MRH) PROVIDES A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES - SUCH AS EMERGENCY MEDICINE; SURGICAL SERVICES; BEHAVIORAL HEALTH CARE; COMPREHENSIVE WOMEN'S HEALTH SERVICES, CARDIOVASCULAR SERVICES; AN ACCREDITED SLEEP MEDICINE CENTER; AND ORTHOPAEDIC SERVICES. AN EXTENSIVE OUTPATIENT CANCER CENTER IS PART OF THE PROMEDICA CANCER INSTITUTE AND PROVIDES RADIATION AND MEDICAL ONCOLOGY SERVICES WHILE THE HOSPITAL'S CANCER CONNECTION OFFERS NON-TREATMENT SERVICES AND SUPPORT TO MONROE COUNTY RESIDENTS RECEIVING CANCER TREATMENTS. IN 2021, THE PROMEDICA HEART INSTITUTE OPENED A HEART FAILURE CLINIC ON THE MRH CAMPUS.STRIVING TO IMPROVE PATIENT CARE AND CLINICAL EXCELLENCE, MRH IS NATIONALLY ACCREDITED BY THE JOINT COMMISSION AND THE AMERICAN COLLEGE OF RADIOLOGY. MRH HAS THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR PRIMARY STROKE CERTIFICATION. MRH IS RECOGNIZED BY THE AMERICAN HEART ASSOCIATION GOLD PLUS GET WITH THE GUIDELINES STROKE QUALITY ACHIEVEMENT AWARD FOR ITS COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES. MRH IS ACCREDITED BY THE JOINT COMMISSION FOR MEDICATION COMPOUNDING. MRH SERVED 5,346 INPATIENTS AND 166,913 OUTPATIENTS IN 2023. FURTHER, 35,567 INDIVIDUALS SOUGHT EMERGENCY CARE AT MRH. THE HOSPITAL CONTRIBUTED $41,575,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE.THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, MRH CONTRIBUTED $6,776,000 TO THE COMMUNITY DURING 2023. INCLUDED IN THIS AMOUNT ARE ACTIVITIES AND PROGRAMS SUCH AS: - CONTINUING THE TEEN PEERS EDUCATING PEERS (PEP) PROGRAM WITH MONROE PUBLIC SCHOOLS TO EMPOWER YOUTH IN PREVENTING BULLYING AND ADDRESS BEHAVIORAL HEALTH NEEDS OF YOUTH. - CONTINUE ITS PARTNERSHIP WITH THE UNITED WAY OF MONROE & LENAWEE COUNTY'S HEALTH CHECK EVENTS PROVIDING IMPROVED ACCESS TO LOW AND NO COST HEALTH SCREENINGS. - IMPLEMENTING A PARTNERSHIP WITH THE MONROE COUNTY OPPORTUNITY PROGRAM TO PROVIDE LIFESTYLE MEDICINE, NUTRITION EDUCATION, AND WALK WITH A DOC SESSIONS AT THE OPPORTUNITY CENTER. - FREE MAMMOGRAM CLINICS THAT PROVIDE BREAST CANCER SCREENINGS FOR INDIVIDUALS BETWEEN THE AGES OF 40 - 64 WHO HAVE NO INSURANCE OR INSURANCE WITH A HIGH DEDUCTIBLE FOR MAMMOGRAMS.- FREE AND LOW-COST HEALTH SCREENINGS FOR UNDERSERVED COMMUNITY MEMBERS- CONTINUED COLLABORATIONS WITH THE BUILDING HEALTHY COMMUNITIES COALITION TO CONDUCT THE COUNTY'S HEALTH ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. - COMMUNITY PARTNERSHIPS WITH GABBY'S GRIEF CENTER AND RIVER RAISIN NATIONAL BATTLEFIELD PARK VISITOR'S CENTER.MRH PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2023, OF WHICH $3,770,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT TO THOSE PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. MRH'S COST OF BAD DEBT FOR 2023 WAS $6,212,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $41,575,000 NOTED ABOVE.FURTHER, MRH PROVIDED $9,382,000 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 $1,988,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $41,575,000 NOTED ABOVE. DURING 2023, MRH EXPENDED $43,261,000 IN NET PAYROLL, PROVIDING 753 JOBS. A TOTAL OF $2,648,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES.IN SUMMARY, MRH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.	Desc
Total Program Service Expenses	$134,705,507	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1238	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TERRENCE METZGER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4192525772	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MADISON AVE	AddressLine1Txt
City	TOLEDO	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43604	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEVE SADOWSKI
SECRETARY/CHIEF LEGAL OFFICER	1.00	54.00	Yes (X)	Yes (X)	$0	$1,407,180	$6,028
TERRENCE METZGER
TRUSTEE/TREASURER	1.00	54.00	Yes (X)	Yes (X)	$0	$1,055,090	$4,079
KEVIN SHARP
TRUSTEE/VICE PRESIDENT	1.00	44.00	Yes (X)		$0	$509,196	$4,120
DEE BIALECKI-HAASE MD
TRUSTEE/CMO	1.00	44.00	Yes (X)		$0	$522,751	$1,363
KENNETH MCNAMEE MD
TRUSTEE/PHYSICIAN	1.00	44.00	Yes (X)		$0	$648,491	$5,858
DARRIN ARQUETTE
TRUSTEE/PRESIDENT	1.00	44.00	Yes (X)		$0	$360,319	$5,022
ANTHONY MELONKOS MD
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$373,959	$10,390
CHRISTI ANSBERG
TRUSTEE/VP PHILANTHROPY	1.00	44.00	Yes (X)		$0	$236,562	$0
THOMAS MYERS
TRUSTEE/ASSOCIATE VP, NON CLINICAL	1.00	44.00	Yes (X)		$0	$115,537	$2,526
CELESTE BATCHEV MD
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$0	$0
DAVID KUBISKE PE
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$0	$0
FLORENCE BUCHANAN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
GREGORY A APPLIN
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$0	$0
GREGORY REINHOLD DO
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
INDERPAL K DEOL
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$0	$0
JAMES PEACE
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
JULIE EVERLY PHD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
KEITH P MASSERANT
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
KOJO QUARTEY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
KRISTIN IRWIN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
KRISTINE BRENNER
CHAIRMAN - PART YEAR	1.00	14.00	Yes (X)	Yes (X)	$0	$0	$0
LOUIS ROBICHAUX
TREASURER - PART YEAR	1.00	54.00	Yes (X)	Yes (X)	$0	$0	$0
MOLLY LUEMPERT-COY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
PAUL C LAMARRE
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$0	$0
STEPHEN J MCNEW EDD
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$0	$0
SUE VANISACKER
TRUSTEE	1.00	14.00	Yes (X)		$0	$0	$0
SUE WETZEL
TRUSTEE - PART YEAR	1.00	0.00	Yes (X)		$0	$0	$0
TIMOTHY C LAKE
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ARTURO POLIZZI
PRESIDENT AND CEO	1.00	54.00		Yes (X)	$0	$2,121,593	$5,857
GARY AKENBERGER
SR VP FINANCE - FORMER	0.00	0.00		Yes (X)	$0	$528,647	$43,532
TODD COSTLOW
PHARMACIST	45.00	0.00			$180,628	$0	$7,106	Yes (X)
JENNIFER SELL
DIRECTOR OF PHARMACY	45.00	0.00			$168,457	$0	$1,705	Yes (X)
JENNIFER WILSON
SUPERVISOR	45.00	0.00			$160,716	$0	$12,477	Yes (X)
CARRIE BLANCHETT
NURSE PRACTIONER	45.00	0.00			$145,372	$0	$1,118	Yes (X)
LUKE LARZELERE
PHARMACIST	45.00	0.00			$144,243	$0	$516	Yes (X)
STEVEN M CAVANAUGH
TREASURER, CFO - FORMER	0.00	0.00			$0	$1,335,180	$5,657		Yes (X)
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER - FORMER	0.00	0.00			$0	$721,900	$33,822		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$799,416	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,936,405	TotReportableCompRltdOrgAmt
Total Other Compensation	$151,176	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	86	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$201,733	RelatedOrganizationsAmt
Government Grants	$306,016	GovernmentGrantsAmt
All Other Contributions	$10,000	AllOtherContributionsAmt
Total Contributions	$517,749	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES	621110	$160,117,961	$160,117,961
AFFIL. ORG. RENT REV.	531120	$580,792	$580,792

Field	Value	IRS element (for citing)
Total Program Service Revenue	$160,698,753	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$51,358	TotalRevenueColumnAmt
Exclusion	-$51,358	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$553,269	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$553,269	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$553,269	TotalRevenueColumnAmt
Exclusion	$553,269	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$238,784	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$238,784	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$238,784	TotalRevenueColumnAmt
Exclusion	-$238,784	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY/DRUGS	456110	$2,992,308	$1,823,134	$1,169,174
AUXILIARY OTHER DEPART	900099	$406,982			$406,982
SPECIMEN LAB	621500	$19,743		$19,743

Field	Value	IRS element (for citing)
Other Revenue Total	$3,419,033	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$164,898,662	TotalRevenueColumnAmt
Related Or Exempt Func Income	$162,521,887	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,188,917	UnrelatedBusinessRevenueAmt
Exclusion	$670,109	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$4,000	TotalAmt
Program Services	$4,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$53,518,118	TotalAmt
Program Services	$36,914,752	ProgramServicesAmt
Management And General	$16,603,366	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,360,596	TotalAmt
Program Services	$3,697,535	ProgramServicesAmt
Management And General	$1,663,061	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,839,714	TotalAmt
Program Services	$2,648,488	ProgramServicesAmt
Management And General	$1,191,226	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$343,830	TotalAmt
Management And General	$343,830	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$104,769	TotalAmt
Management And General	$104,769	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$23,229	TotalAmt
Management And General	$23,229	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,414,529	TotalAmt
Program Services	$14,487,826	ProgramServicesAmt
Management And General	$10,926,703	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,367	TotalAmt
Program Services	$1,701	ProgramServicesAmt
Management And General	$10,666	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,427,972	TotalAmt
Program Services	$471,511	ProgramServicesAmt
Management And General	$2,956,461	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,433	TotalAmt
Program Services	$10,129	ProgramServicesAmt
Management And General	$2,304	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,469,675	TotalAmt
Program Services	$40,572	ProgramServicesAmt
Management And General	$3,429,103	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$214,221	TotalAmt
Program Services	$29,466	ProgramServicesAmt
Management And General	$184,755	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,192,655	TotalAmt
Program Services	$1,192,655	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,364,848	TotalAmt
Program Services	$4,791,122	ProgramServicesAmt
Management And General	$573,726	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$58,086	TotalAmt
Management And General	$58,086	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
INTERCOMPANY EXPENSES	$32,236,552	$32,236,552
MEDICAL SUPPLIES	$14,677,946	$14,677,946
DRUGS	$13,648,685	$13,648,685
PROVISION FOR BAD DEBT	$6,211,819	$6,211,819

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,640,767	TotalAmt
Program Services	$3,640,748	ProgramServicesAmt
Management And General	$19	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$172,776,811	TotalAmt
Program Services	$134,705,507	ProgramServicesAmt
Management And General	$38,071,304	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,961,465	BOYAmt
EOY	$15,465,926	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,282,324	BOYAmt
EOY	$20,564,733	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,049,414	BOYAmt
EOY	$2,280,699	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$119,932	BOYAmt
EOY	$209,347	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$113,106,335	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,214,179	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$53,739,951	BOYAmt
EOY	$48,892,156	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$133,115,644	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$678,026	BOYAmt
EOY	$733,352	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,483,662	BOYAmt
EOY	$1,100,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,195,391	BOYAmt
EOY	$3,233,270	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$242,625,809	BOYAmt
EOY	$92,479,483	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,514,371	BOYAmt
EOY	$12,612,911	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,491,432	BOYAmt
EOY	$16,549,772	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,005,803	BOYAmt
EOY	$29,162,683	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$181,284,006	BOYAmt
EOY	$63,151,800	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$336,000	BOYAmt
EOY	$165,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$181,620,006	BOYAmt
EOY	$63,316,800	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$242,625,809	BOYAmt
EOY	$92,479,483	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,878,149	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,736,720	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$114,161,777	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$23,229	OtherActivitiesAmt
Total Lobbying Expenditures	$23,229	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MERCY MEMORIAL HOSPITAL CORPORATION PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$357,680	BeginningYearBalanceAmt
End Year Balance	$357,680	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$476,908	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$119,228	InvestmentEarningsOrLossesAmt
End Year Balance	$357,680	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$412,158	BeginningYearBalanceAmt
Investment Earnings Or Losses	$64,750	InvestmentEarningsOrLossesAmt
End Year Balance	$476,908	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$433,728	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$21,570	InvestmentEarningsOrLossesAmt
End Year Balance	$412,158	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$414,608	BeginningYearBalanceAmt
Investment Earnings Or Losses	$19,120	InvestmentEarningsOrLossesAmt
End Year Balance	$433,728	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,401,726	OtherCostOrOtherBasisAmt
Book Value	$9,401,726	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,801,100	OtherCostOrOtherBasisAmt
Depreciation	$21,714,896	DepreciationAmt
Book Value	$33,086,204	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,265	OtherCostOrOtherBasisAmt
Depreciation	$61,540	DepreciationAmt
Book Value	$60,725	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,037,211	OtherCostOrOtherBasisAmt
Depreciation	$39,729,625	DepreciationAmt
Book Value	$5,307,586	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,744,033	OtherCostOrOtherBasisAmt
Depreciation	$2,708,118	DepreciationAmt
Book Value	$1,035,915	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$48,892,156	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$11,629,614
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE	$2,637,959
ASSET REMEDIATION OBLIGATION	$1,864,157
OPERATING LEASE LIABILITY	$418,042

Field	Value	IRS element (for citing)
Total Liability	$16,549,772	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT MERCY MEMORIAL HOSPITAL CORPORATION CONSISTENT WITH DONOR INTENT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,073,844	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,073,844	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,724,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,341,943	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,382,430	NetCommunityBenefitExpnsAmt
Total Expense	0.05630	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,798,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,341,943	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,456,274	NetCommunityBenefitExpnsAmt
Total Expense	0.06270	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	261	ActivitiesOrProgramsCnt
Persons Served	6520	PersonsServedCnt
Total Community Benefit Expns	$111,103	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$111,103	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,645,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,340,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,305,038	NetCommunityBenefitExpnsAmt
Total Expense	0.03190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,494	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	261	ActivitiesOrProgramsCnt
Persons Served	6520	PersonsServedCnt
Total Community Benefit Expns	$6,776,297	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,340,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,435,635	NetCommunityBenefitExpnsAmt
Total Expense	0.03270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	261	ActivitiesOrProgramsCnt
Persons Served	6520	PersonsServedCnt
Total Community Benefit Expns	$41,574,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,682,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,891,909	NetCommunityBenefitExpnsAmt
Total Expense	0.09540	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	500	PersonsServedCnt
Total Community Benefit Expns	$507	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$507	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	239	PersonsServedCnt
Total Community Benefit Expns	$1,477	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,477	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	739	PersonsServedCnt
Total Community Benefit Expns	$1,984	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,984	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,211,819	BadDebtExpenseAmt
Bad Debt Expense Attributable	$136,869	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$28,341,943	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,329,635	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,987,692	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 MONROE SURGICAL CO-MANAGEMENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PHYSICIAN SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.08960	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.41040	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	718 N MACOMB STREET	AddressLine1Txt
City	MONROE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48162	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PROMEDICA.ORG	WebsiteAddressTxt
State License	1060000049	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEMORIAL HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MERCY MEMORIAL HOSPITAL CORPORATION	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 SURVEY, PMRH STAFF WILL JOIN MULTIPLE COMMUNITY ORGANIZATIONS THROUGH THE BUILDING HEALTHY COMMUNITIES COALITION OF MONROE COUNTY TO COLLABORATE, DEVELOP AND IMPLEMENT A PRIORITIZED, STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR MONROE COUNTY. A GAP ANALYSIS AND RESOURCE ASSESSMENT ARE CONDUCTED AS PART OF THIS PROCESS.IN 2022, PROMEDICA MONROE REGIONAL HOSPITAL CONVENED A CHNA COMMITTEE TO COMPLETE THE CHNA AND TO REVIEW THE MOST RECENT BUILDING HEALTHY COMMUNITIES COALITION OF MONROE COUNTY CHIP, THAT INCLUDED GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, 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 HOSPITAL RECEIVED FEEDBACK ON THE CHNA PLAN FROM THE MONROE COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A PUBLIC HEALTH EXPERT PERSPECTIVE.THE BUILDING HEALTHY COMMUNITIES COALITION OF MONROE COUNTY CHIP PROCESS INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: AIRPORT COMMUNITY SCHOOLS, AMERICAN CANCER SOCIETY OF SE MI, AMERICAN HEART ASSOCIATION, AMERICAN RED CROSS, BEDFORD PUBLIC SCHOOLS, CATHOLIC CHARITIES OF SOUTHEAST MI, CHILD ADVOCACY NETWORK (CAN) COUNCIL, CITY OF MONROE, COMMUNITY MENTAL HEALTH PARTNERSHIP OF SE MI, COMMUNITY FOUNDATION, DEPARTMENT OF HUMAN SERVICES, DUNDEE PUBLIC SCHOOLS, FAMILY COUNSELING & SHELTER SERVICES, FAMILY MEDICAL CENTER OF MICHIGAN, GREAT START COLLABORATIVE, HUMAN SERVICES COLLABORATIVE NETWORK, IDA PUBLIC SCHOOLS, JEFFERSON PUBLIC SCHOOLS, MASON CONSOLIDATED PUBLIC SCHOOLS, MICHIGAN STATE POLICE, MONROE CENTER FOR HEALTHY AGING, MONROE COUNTY BOARD OF COMMISSIONERS, MONROE COUNTY COMMISSION ON AGING, MONROE COUNTY COMMUNITY COLLEGE, MONROE COUNTY FAMILY YMCA, MONROE COUNTY HEAD START/EARLY HEAD START, MONROE COUNTY HEALTH DEPARTMENT, MONROE COUNTY INTERMEDIATE SCHOOL DISTRICT, MONROE COUNTY MENTAL HEALTH AUTHORITY, MONROE COUNTY MSU EXTENSION, MONROE COUNTY OPPORTUNITY CENTER, MONROE COUNTY PLANNING COMMISSION, MONROE COUNTY SUBSTANCE ABUSE COALITION, MONROE PUBLIC SCHOOLS, PROMEDICA MONROE REGIONAL HOSPITAL, SALVATION ARMY, SENATOR ZORN'S OFFICE, SUMMERFIELD PUBLIC SCHOOLS, UNITED WAY OF MONROE, WHITEFORD PUBLIC SCHOOLS
MERCY MEMORIAL HOSPITAL CORPORATION	PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
MERCY MEMORIAL HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: MERCY MEMORIAL HOSPITAL CORPORATION 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:- MENTAL HEALTH- SOCIAL DETERMINANTS OF HEALTH - CHRONIC CONDITIONS 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. MERCY MEMORIAL HOSPITAL CORPORATION DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2022 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS IMPLEMENTATION PLAN INCLUDE: HEALTH CARE COVERAGE, HEALTH CARE ACCESS AND 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, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ASTHMA, ARTHRITIS, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL HEALTH, COVID 19 AND PARENTING. MERCY MEMORIAL HOSPITAL CORPORATION TOOK THE FOLLOWING ACTIONS DURING TAX YEAR 2023 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2022:HEALTH NEED IDENTIFIED: MENTAL HEALTH STRATEGY #1 - IMPLEMENT AND SUSTAIN THE TEEN PEP PROGRAM CURRICULUM IN SCHOOL CLINIC WITH MONROE HIGH SCHOOL TO ADDRESS BULLYING, TEEN DATING VIOLENCE, AND HEALTHY RELATIONSHIPS. ACTIONS TAKEN:- 11 STUDENTS WERE TRAINED AS TEEN PEP LEADS BY TEEN PEP PEERS.- 13 EDUCATIONAL SESSIONS WERE HELD BY THE TEEN PEP PROGRAM TO PROVIDE EDUCATION TO STUDENTS. - 1150 STUDENTS WERE PROVIDED EDUCATION BY TRAINED PEERS.STRATEGY #2 - EXPAND TEEN PEP PROGRAMMING OR OTHER PARTNERSHIPS TO IMPLEMENT BULLYING, TEEN DATING VIOLENCE, AND HEALTHY RELATIONSHIP EDUCATION IN OTHER SCHOOLS IN MONROE COUNTY. ACTIONS TAKEN:- ZERO (0) SCHOOLS WERE ENGAGED ABOUT EXPANSION OF THE TEEN PEP PROGRAM DUE TO CAPACITY AND FUNDING RESTRICTIONS. STRATEGY #3 - PROVIDE EDUCATION TO MONROE LAW ENFORCEMENT & FIRST RESPONDERS ON RESOURCES AND PATIENT LINKAGES FOR PATIENTS SEEKING BEHAVIORAL HEALTH SERVICES. ACTIONS TAKEN:- 12 EDUCATIONAL MEETINGS WERE HELD WITH STAKEHOLDERS REGARDING LINKAGES TO BEHAVIORAL AND MENTAL HEALTH RESOURCES. THESE SESSIONS INCLUDED TOPICS OF EPINEPHRINE KITS VERSUS EPI-PENS AND PHYSICIAN LED SESSION WITH FIRST RESPONDERS AT THE MONROE OPIOID COLLABORATIVE'S WORKGROUP MEETING. - 41 PARTICIPANTS WERE INVOLVED IN SESSIONS. - 735 POUNDS OF UNUSED MEDICATIONS WERE DISPOSED OF LEGALLY AND RESPONSIBLY BY THE HOSPITAL MEDSAFE PROGRAM. THIS PROGRAM COMPLEMENTS MEDICATION DISPOSAL EFFORTS WITH THE DEA, LAW ENFORCEMENT AND THE HOSPITAL. STRATEGY #4 - CONTINUE THE HOSPITAL'S COMMUNITY COLLABORATIVE FORUM TO ESTABLISH RESOURCE LINKAGES & PARTNERSHIPS TO DIRECTLY CONNECT PATIENTS TO MENTAL & BEHAVIORAL HEALTH SERVICES. ACTIONS TAKEN:- 18 MEETINGS WERE HELD WITH LOCAL COMMUNITY PARTNERS REGARDING LINKAGES TO COMMUNITY RESOURCES. MEETINGS TOOK PLACE WITH BUILDING HEALTHY COMMUNITIES COALITION, HUMAN SERVICES COLLABORATIVE, AND MONROE SUBSTANCE ABUSE COALITION. - 50 COMMUNITY RESOURCES WERE DISTRIBUTED TO STAKEHOLDERS SUPPORTING PATIENT LINKAGES TO RESOURCES. - STRATEGY #5 - CONTINUE TO UPDATE & PROVIDE THE MONROE COUNTY MENTAL HEALTH RESOURCE GUIDE FOR THE COMMUNITY. ACTIONS TAKEN:- THE MONROE COUNTY MENTAL HEALTH RESOURCE GUIDE WAS UPDATED ON 04/18/2023.- THE MONROE COUNTY MENTAL HEALTH RESOURCE GUIDE WAS POSTED ELECTRONICALLY ON PROMEDICA'S AND THE BUILDING HEALTHY COMMUNITIES COALITION WEBSITE ON 04/28/2023. - 18 PAPER COPIES OF THE DOCUMENT WERE DISTRIBUTED IN 2023. STRATEGY #6 - PROVIDE COMMUNITY EDUCATION REGARDING AVAILABLE RESOURCES, SCREENINGS, AND OTHER RELATED TOPICS FOR BEHAVIORAL HEALTH & MENTAL HEALTH AND HEALTHY AGING. ACTIONS TAKEN:- 4 EDUCATION SESSIONS WERE HELD FOR THE COMMUNITY IN 2023. - 98 PARTICIPANTS ATTENDED EDUCATION SESSIONS IN 2023. - RATHER THAN DEVELOPING A HEALTHY AGING NEWSLETTER, PROMEDICA MONROE REGIONAL HOSPITAL HAS CONTINUED ITS PARTNERSHIP WITH THE HEALTH ODYSSEY SERIES TO PROVIDE HEALTHY AGING EDUCATION. STRATEGY #7 - PARTNER WITH ORGANIZATIONS TO OFFER ACES & BEHAVIORAL HEALTH RELATED TRAININGS FOR PROMEDICA MONROE REGIONAL HOSPITAL STAFF. ACTIONS TAKEN:- ZERO (0) TRAININGS WERE HELD IN 2023 DUE TO THE CERTIFIED ACES TRAINER IN MONROE COUNTY RESIGNING FROM THEIR POSITION. MEETINGS TOOK PLACE IN 2023 TO COORDINATE TRAININGS IN 2024. HEALTH NEED IDENTIFIED - SOCIAL DETERMINANTS OF HEALTHSTRATEGY #1 - CONTINUE MEALS AT DISCHARGE INITIATIVE AND REFERRAL TO LOCAL SERVICES ADDRESSING FOOD INSECURITY FOR PATIENTS AND STAFF SCREENING POSITIVE FOR FOOD INSECURITY. ACTIONS TAKEN:- 18 PATIENTS RECEIVED FOOD AT DISCHARGE. - 0 EMPLOYEES SCREENED POSITIVE FOR FOOD INSECURITY IN 2023.- 18 PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY WERE REFERRED TO MONROE COUNTY OPPORTUNITY PROGRAM FOOD PANTRY IN 2023 FOR FOOD ACCESS NEEDS AFTER THEIR SUPPLY FROM THE HOSPITAL DEPLETED.- THE FAMILY MEDICINE RESIDENCY CENTER COLLABORATED WITH MCOP TO ESTABLISH LIFESTYLE MEDICINE WORKSHOPS IN 2023 PROVIDING HEALTHY RECIPE COOKING DEMONSTRATIONS AND NUTRITION EDUCATION. - 7 WORKSHOPS PROVIDING NUTRITION EDUCATION WERE OFFERED IN 2023 THAT SERVED 12 PARTICIPANTS. STRATEGY #2 - SECURE PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO PROVIDE PATIENTS WITH NON-EMERGENCY TRANSPORTATION SERVICES. ACTIONS TAKEN:- 226 PATIENTS WITHOUT MEANS OF TRANSPORTATION AT DISCHARGE RECEIVED COMPLEMENTARY TRANSPORTATION THROUGH PARTNERSHIPS WITH TRANSPORTATION PROVIDERS. STRATEGY #3 - PARTNER WITH HOUSING, SHELTERS AND HOMELESSNESS SERVICES TO LINK PATIENTS TO SHELTER AND WRAP AROUND SERVICES PROMOTING HOUSING STABILITY.ACTIONS TAKEN:- MEETINGS TOOK PLACE IN 2023 TO DISCUSS OPPORTUNITIES TO COLLABORATE IN LINKING INDIVIDUALS DIRECTLY TO HOUSING RESOURCES. A PROCESS WILL BE ESTABLISHED IN 2024 TO LINK PATIENTS AND DOCUMENT THE NUMBER OF PATIENTS SUPPORTED THROUGH PARTNERSHIPS. - 263 PATIENTS WERE SERVED BY THE HOSPITAL CLOTHING CLOSET IN 2023 TO ENSURE INDIVIDUALS LEAVE THE HOSPITAL WITH CLOTHING IF NEEDED. HEALTH NEED IDENTIFIED: CHRONIC CONDITIONSSTRATEGY #1 - CONTINUE TO DISTRIBUTE THE BE ACTIVE MONROE FLYER TO ENCOURAGE PHYSICAL ACTIVITY AT LOCAL PARKS, TRAILS, AND NON-MOTORIZED PATHWAYS IN MONROE COUNTY. ACTIONS TAKEN:- 66 BE ACTIVE MONROE FLYERS WERE DISTRIBUTED TO THE COMMUNITY IN 2023. - 9 EVENTS WERE HELD IN 2023 THAT ENCOURAGED PHYSICAL ACTIVITY. A PARTNERSHIP WAS ESTABLISHED WITH FAMILY MEDICINE RESIDENCY CENTER AND MCOP TO ESTABLISH WALK WITH A DOC EVENTS AT THE MCOP COMMUNITY CENTER. - 92 COMMUNITY MEMBERS PARTICIPATED IN WALK WITH A DOC EVENTS IN 2023. STRATEGY #2 - DISTRIBUTE HEALTHY EATING AND WELLNESS NEWSLETTER FROM PROMEDICA FOOD CLINICS TO THE COMMUNITY. ACTIONS TAKEN: - THE FAMILY MEDICINE RESIDENCY CENTER COLLABORATED WITH MCOP TO ESTABLISH LIFESTYLE MEDICINE WORKSHOPS IN 2023 PROVIDING HEALTHY RECIPE COOKING DEMONSTRATIONS AND NUTRITION EDUCATION. - 7 WORKSHOPS PROVIDING NUTRITION EDUCATION WERE OFFERED IN 2023 THAT SERVED 12 PARTICIPANTS. STRATEGY #3 - CONTINUE TO PARTNER WITH THE HEALTH ODYSSEY TO PROVIDE EDUCATION ON HEALTH-RELATED TOPICS AND ISSUES IN THE COMMUNITY. ACTIONS TAKEN: - 15 EDUCATION SESSIONS PROVIDED EDUCATION TO 792 COMMUNITY MEMBERS ABOUT HEALTH TOPICS THROUGH THE HEALTH ODYSSEY, OFFERED BY THE MONROE CENTER FOR HEALTHY AGING AND HEALTH CHECK EVENTS HOSTED BY THE UNITED WAY OF MONROE & LENAWEE COUNTIES. - 6 CHILDBIRTH AND BREASTFEEDING CLASSES SERVED 110 COMMUNITY MEMBERS IN 2023. - 17 COMMUNITY MEMBERS RECEIVED NO-COST WOMEN'S HEALTH SCREENINGS IN 2023. - 318 COMMUNITY MEMBERS RECEIVED BLOOD PANEL TESTING FROM THE PROMEDICA LAB DEPARTMENT AT FOUR (4) UNITED WAY HEALTH CHECK EVENTS IN 2023.
PART V, SECTION B, LINE 7A	THE 2022 CHNA CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY
PART V, SECTION B, LINE 10A	THE 2023-2025 CHNA IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY
PART V, SECTION B, LINE 16A:	THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16B:	THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16C:	A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - PROMEDICA DUNDEE - LAB
100 POWELL DR STE 6	DUNDEE	MI	48131	LAB
2 - PROMEDICA MONROE DELIELSE CENTER AT 1060 N
1060 N MONROE ST	MONROE	MI	48162	LAB
3 - PROMEDICA NORTH MONROE STREET TOTAL REHAB
1422 N MONROE ST	MONROE	MI	48162	TOTAL REHAB
4 - PROMEDICA TELEGRAPH TOTAL REHAB
407 S TELEGRAPH RD	MONROE	MI	48161	TOTAL REHAB
5 - PROMEDICA MONROE COLE RD LAB
55 COLE RD	MONROE	MI	48162	LAB
6 - PROMEDICA MONROE MOB - HEART FAILURE CLINI
730 N MACOMB ST	MONROE	MI	48162	HEART FAILURE CLINIC
7 - PROMEDICA MONROE MOB - WOUND CARE OUTPATIE
730 N MACOMB ST STE 222	MONROE	MI	48162	WOUND CARE CLINIC
8 - PROMEDICA MONROE DIXIE HWY LAB
7825 N DIXIE HWY STE 104	NEWPORT	MI	48166	LAB
9 - PROMEDICA MONROE CANCER CENTER - RADIATION
800 STEWART RD	MONROE	MI	48162	RADIATION ONCOLOGY
10 - PROMEDICA MONROE DIAGNOSTIC CENTER - LAB
901 N MACOMB ST STE 102	MONROE	MI	48162	LAB
11 - PROMEDICA MONROE DIAGNOSTIC CENTER - OUTPA
901 N MACOMB ST STE 110	MONROE	MI	48162	DIABETES EDUCATION

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 7:	MERCY MEMORIAL HOSPITAL CORPORATION 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 $ 6,211,819.
PART III, LINE 2:	MERCY MEMORIAL HOSPITAL CORPORATION'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:	MERCY MEMORIAL HOSPITAL CORPORATION 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:	MERCY MEMORIAL HOSPITAL CORPORATION 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 THIS DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:	THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:	PROMEDICA MONROE REGIONAL HOSPITAL, LOCATED IN MONROE, MICHIGAN, SERVES AN AREA PRIMARILY AROUND MONROE COUNTY. APPROXIMATELY, 19% OF THE SERVICE AREA IS AGE 65 OR OVER; 60% IS BETWEEN AGE 18 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $66,000; 92% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER. MONROE COUNTY HAS A POPULATION OF APPROXIMATELY 155,000 WITH APPROXIMATELY 12% OF FAMILIES BELOW THE POVERTY LEVEL. APPROXIMATELY, 5% OF MONROE COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR MONROE COUNTY IN 2023 WAS 6.0%. THE LEADING CAUSES OF DEATH IN MONROE COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, COVID, UNINTENTIONAL INJURIES/ACCIDENTS, STROKE, LUNG DISEASE, ALZHEIMER'S, AND DIABETES. ACCORDING TO 2023 COUNTY HEALTH RANKINGS, MONROE COUNTY RANKED 35 OF 83 COUNTIES FOR HEALTH OUTCOMES AND 36 OF 83 FOR HEALTH FACTORS. THERE ARE EIGHTEEN HOSPITALS WITHIN A 30-MILE RADIUS OF PROMEDICA MONROE REGIONAL HOSPITAL: MERCY MEMORIAL HOSPITAL SYSTEM, BEAUMONT HOSPITAL TRENTON, ST. VINCENT MERCY MEDICAL CENTER, ST. ANNE MERCY HOSPITAL, THE TOLEDO HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, FLOWER HOSPITAL, BEAUMONT HOSPITAL TAYLOR, HENRY FORD WYANDOTTE HOSPITAL, UNIVERSITY OF TOLEDO MEDICAL CENTER, BEAUMONT HOSPITAL WAYNE, ST. JOSEPH MERCY SALINE HOSPITAL, BEAUMONT HOSPITAL DEARBORN, ST. JOSEPH MERCY ANN ARBOR HOSPITAL, GARDEN CITY HOSPITAL, HERRICK MEMORIAL HOSPITAL, INC., AND ST. LUKE'S HOSPITAL.
PART VI, LINE 5:	PROMEDICA MONROE REGIONAL HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2023:- THERE WERE APPROXIMATELY 300 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), SERVING ON MORE THAN 25 DIFFERENT BOARDS, COMMITTEES, COUNCILS AND FOUNDATIONS. OF THOSE BOARD MEMBERS, MOST LIVE WITHIN PROMEDICA'S OHIO AND MICHIGAN ACUTE CARE SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN THE GREATER TOLEDO AREA WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. - PROMEDICA NON-PARENT BOARD MEMBERS' DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, WERE PERFORMED ON A VOLUNTEER BASIS. - PROMEDICA'S MEDICAL STAFF PRIVILEGES WERE EXTENDED TO ALL QUALIFIED PHYSICIANS AT OUR METRO TOLEDO AND REGIONAL HOSPITALS. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MET THOSE QUALIFICATIONS WAS GRANTED PRIVILEGES, UPON THEIR REQUEST.- AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED TWO SYSTEM-WIDE UPGRADES TO THE EPIC PLATFORM. THE UPGRADES ALLOW PROMEDICA TO TAKE ADVANTAGE OF SOME OF THE MANY ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT.- PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE.- PROMEDICA CANCER INSTITUTE (PCI) COMPLETED LUNG CANCER SCREENINGS, SCREENING MAMMOGRAMS AND SCREENING COLONOSCOPIES. ADDITIONALLY, PCI CONTINUES TO BE INSTRUMENTAL IN HELPING PROMEDICA IMPLEMENT MONOCLONAL ANTIBODY TREATMENT AT ITS INFUSION CENTERS FOR COVID-19 PATIENTS TO IMPROVE SYMPTOM MANAGEMENT. - PROMEDICA SENIOR CARE SKILLED NURSING FACILITIES AND HOME HEALTH AND HOSPICE AGENCIES PROVIDE UNIQUE SERVICES TO VETERANS, HOLIDAY SUPPORT, SUPPORT GROUPS, AND WORKSHOPS TO ANYONE IN THE COMMUNITY WHO NEEDS ADDITIONAL HELP TO GET THROUGH THE LOSS OF A LOVED ONE. PATIENTS AND RESIDENTS' WISHES ARE GRANTED THROUGH THE ORGANIZATION'S HEART'S DESIRE PROGRAM. THROUGH GRANTS FROM THE HOSPICE MEMORIAL FUND, GRIEF CAMPS FOR CHILDREN AND ADULTS ARE OFFERED AS WELL AS EDUCATIONAL SESSIONS AND LIFE CELEBRATION EVENTS. THE FUND ALSO PROVIDES STABILIZING RESOURCES FOR HOSPICE PATIENTS AND FAMILIES IN FINANCIAL DISTRESS DUE TO THE LACK OF OR REDUCTION IN INCOME FROM TERMINAL ILLNESS OR DISEASE.- PROMEDICA CONTINUES TO EXPAND ITS OPTIONS FOR HOSPITAL-LEVEL CARE IN THE COMFORT OF A PATIENT'S HOME. PROMEDICA ACUTE CARE AT HOME COMBINES PROMEDICA'S EXTENSIVE NETWORK OF IN-HOME CARE PROVIDERS WITH A SOPHISTICATED TECHNOLOGY PLATFORM TO DELIVER SEAMLESS AND EFFECTIVE CARE AT HOME FOR PATIENTS WITH SELECT CHRONIC CONDITIONS OR DIAGNOSES SUCH AS HEART FAILURE, PNEUMONIA OR COPD. RECENTLY, PROMEDICA ACUTE CARE AT HOME EXPANDED ITS SERVICES TO INCLUDE CARE FOR SELECT ONCOLOGY PATIENTS BY COLLABORATING THE PROMEDICA CANCER CENTER. THE CARE TEAM CONSISTS OF PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, AND MAY INCLUDE OTHER HEALTHCARE PROFESSIONALS, SUCH AS PHYSICAL OR OCCUPATIONAL THERAPISTS, AS NEEDED.
PART VI, LINE 6:	PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A NATIONWIDE, MISSION-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2023 PROMEDICA WAS COMPRISED OF MORE THAN 45,000 EMPLOYEES, NEARLY 850 VOLUNTEERS AND MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS INCLUDING APPROXIMATELY 1,200 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP (PPG) WHO FORM A PROVIDER NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. IN 2023:- PROMEDICA MEMBERS AND AFFILIATE HOSPITALS INCLUDED: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL (D/B/A PROMEDICA BAY PARK HOSPITAL); EMMA L. BIXBY MEDICAL CENTER (D/B/A PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL); FOSTORIA HOSPITAL ASSOCIATION (D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL); DEFIANCE HOSPITAL, INC. (D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL); MERCY MEMORIAL HOSPITAL CORPORATION (D/B/A PROMEDICA MONROE REGIONAL HOSPITAL); MEMORIAL HOSPITAL (D/B/A PROMEDICA MEMORIAL HOSPITAL); AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY (D/B/A PROMEDICA COLDWATER REGIONAL HOSPITAL). PROMEDICA ALSO INCLUDES PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION AS WELL AS HUNDREDS OF SKILLED NURSING AND REHABILITATION CENTERS, ASSISTED LIVING FACILITIES AND MEMORY CARE COMMUNITIES, ALL UNDER THE PROMEDICA SENIOR CARE/HCR MANORCARE UMBRELLA.- PROMEDICA CONTINUED TO OPERATE THREE COMMUNITY FOOD CLINICS, LOCATED AT PROMEDICA BAY PARK HOSPITAL, THE PROMEDICA HEALTH AND WELLNESS CENTER AND PROMEDICA'S CENTER FOR HEALTH SERVICES, TO SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEMSELVES AND THEIR FAMILY FROM ONE OF THESE FOOD CLINICS. AS PART OF THE PROGRAM, PATIENTS CAN RECEIVE TWO TO THREE DAYS OF SUPPLEMENTAL FOOD. - FOR ITS MICHIGAN PATIENTS, PROMEDICA PARTNERED WITH THE SOUTH MICHIGAN FOOD BANK TO DISTRIBUTE FOOD RESOURCES TO PROMEDICA PHYSICIANS GROUP OFFICES FOR PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY. PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL PROVIDE THE $5 VOUCHERS AT DISCHARGE SO PATIENTS CAN REDEEM FRESH PRODUCE FROM THE VEGGIE MOBILE THAT IS SOURCED FROM PROMEDICA FARMS, LOCAL GROWERS, AND A WHOLESALER. - PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDED BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES AND A FINANCIAL OPPORTUNITY CENTER TO PROVIDE FINANCIAL COUNSELING FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. ADDITIONALLY, TWO NEW FINANCIAL OPPORTUNITY CENTERS (FOC) WERE OPENED IN FREMONT AND DEFIANCE, OHIO. MUCH LIKE THE FOC LOCATED IN UPTOWN TOLEDO, THE NEW LOCATIONS OFFER SERVICES AND ASSIST LOW TO MODERATE-INCOME FAMILIES WITH SECURING LIVING WAGE JOBS, BUILDING CREDIT, REDUCING DEBT, AND GAINING WEALTH. THE FOC ALSO HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING AS WELL AS FREE TAX PREPARATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ARTURO POLIZZI
PRESIDENT AND CEO	$0	$1,315,647	$0	$789,979	$0	$15,967	$0	$0	$0	$5,857	$0	$2,127,450	$0	$0
STEVE SADOWSKI
SECRETARY/CHIEF LEGAL OFFICER	$0	$625,095	$0	$774,925	$0	$7,160	$0	$0	$0	$6,028	$0	$1,413,208	$0	$0
STEVEN M CAVANAUGH
TREASURER, CFO - FORMER	$0	$0	$0	$0	$0	$1,335,180	$0	$0	$0	$5,657	$0	$1,340,837	$0	$0
TERRENCE METZGER
TRUSTEE/TREASURER	$0	$480,090	$0	$575,000	$0	$0	$0	$0	$0	$4,079	$0	$1,059,169	$0	$0
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER - FOR	$0	$0	$0	$0	$0	$721,900	$0	$26,526	$0	$7,296	$0	$755,722	$0	$0
KENNETH MCNAMEE MD
TRUSTEE/PHYSICIAN	$0	$630,700	$0	$13,300	$0	$4,491	$0	$0	$0	$5,858	$0	$654,349	$0	$0
GARY AKENBERGER
SR VP FINANCE - FORMER	$0	$246,095	$0	$83,570	$0	$198,982	$0	$36,639	$0	$6,893	$0	$572,179	$0	$0
DEE BIALECKI-HAASE MD
TRUSTEE/CMO	$0	$396,500	$0	$124,125	$0	$2,126	$0	$0	$0	$1,363	$0	$524,114	$0	$0
KEVIN SHARP
TRUSTEE/VICE PRESIDENT	$0	$326,154	$0	$183,000	$0	$42	$0	$0	$0	$4,120	$0	$513,316	$0	$0
ANTHONY MELONKOS MD
TRUSTEE - PART YEAR	$0	$366,861	$0	$0	$0	$7,098	$0	$0	$0	$10,390	$0	$384,349	$0	$0
DARRIN ARQUETTE
TRUSTEE/PRESIDENT	$0	$331,721	$0	$21,500	$0	$7,098	$0	$0	$0	$5,022	$0	$365,341	$0	$0
CHRISTI ANSBERG
TRUSTEE/VP PHILANTHROPY	$0	$191,661	$0	$40,375	$0	$4,526	$0	$3,803	$0	$4,009	$0	$244,374	$0	$0
TODD COSTLOW
PHARMACIST	$174,793	$0	$0	$0	$5,835	$0	$0	$0	$7,106	$0	$187,734	$0	$0	$0
JENNIFER WILSON
SUPERVISOR	$121,966	$0	$35,409	$0	$3,341	$0	$0	$0	$12,477	$0	$173,193	$0	$0	$0
JENNIFER SELL
DIRECTOR OF PHARMACY	$162,149	$0	$5,997	$0	$311	$0	$0	$0	$1,705	$0	$170,162	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF MERCY MEMORIAL HOSPITAL CORPORATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINES 4A-B

UNDER A VOLUNTARY TERMINATION AGREEMENT ENTERED INTO BY THE EMPLOYEE AND THE ORGANIZATION OR UPON A QUALIFYING TERMINATION DEFINED AS AN INVOLUNTARY SEPARATION FROM SERVICE OTHER THAN FOR CAUSE, THE EMPLOYEE IS ENTITLED TO SEVERANCE PAY BASED UPON YEARS OF SERVICE. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM PROMEDICA. STEVEN CAVANAUGH RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $1,335,180 DURING 2023. JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $721,900 DURING 2023. MATTHEW KANG RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $583,664 DURING 2023. GARY AKENBERGER RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, THE TOLEDO HOSPITAL, IN THE AMOUNT OF $195,150 DURING 2023. ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO ANY LISTED PERSONS IN PART VII.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 24A:	MERCY MEMORIAL HOSPITAL CORPORATION IS A HEALTH FACILITY THAT IS A SUBSIDIARY OF PROMEDICA HEALTH SYSTEM, INC. (PHS). MERCY MEMORIAL HOSPITAL CORPORATION HOLDS AN INTERCOMPANY NOTE PAYABLE TO THE TOLEDO HOSPITAL, WHICH IS ALSO A SUBSIDIARY OF PHS. THE NOTE PAYABLE REPRESENTS MERCY MEMORIAL HOSPITAL CORPORATION'S PORTION OF TAXABLE AND TAX-EXEMPT BONDS ISSUED BY PROMEDICA HEALTHCARE OBLIGATED GROUP.
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 A MICHIGAN NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF MERCY MEMORIAL HOSPITAL CORPORATION. AS THE SOLE MEMBER, PHS HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE (WITH CAUSE) THE MEMBERS OF THE BOARD OF TRUSTEES OF MERCY MEMORIAL HOSPITAL CORPORATION, AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY MERCY MEMORIAL HOSPITAL CORPORATION.
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	MERCY MEMORIAL HOSPITAL CORPORATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF MERCY MEMORIAL HOSPITAL CORPORATION'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 VII, SECTION A	LOUIS ROBICHAUX IS EMPLOYED BY A MANAGEMENT AGENCY THAT IS UNDER A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO PROMEDICA HEALTH SERVICES.
PART VII, SECTION B	PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, PROMEDICA HEALTH SYSTEM, INC. THE INDEPENDENT CONTRACTORS OVER $100,000 WILL BE LISTED ON THE 990 FILED FOR PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671.
FORM 990, PART IX, LINE 11G	TEMPORARY AGENCY FEES: PROGRAM SERVICE EXPENSES 9,939,180. MANAGEMENT AND GENERAL EXPENSES 2,661,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,601,144. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,035,866. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,035,866. CONTRACTED MEDICAL PERSONNEL: PROGRAM SERVICE EXPENSES 2,809,061. MANAGEMENT AND GENERAL EXPENSES 758,903. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,567,964. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 1,739,585. MANAGEMENT AND GENERAL EXPENSES 469,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,209,555.
FORM 990, PART XI, LINE 9:	TRANSFERS BETWEEN RELATED ENTITIES -112,011,543. REVERSE OF BOOK ENTRY FOR AUXILIARY ACTIVITY -2,150,234.
FORM 990, PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	341883132	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
100 MADISON AVE	TOLEDO	OH	43604	386108110	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTON	DEFIANCE	OH	43512	510173779	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	10	DEFIANCE HOSPITAL INC	Yes (1)
DEFIANCE HOSPITAL INC
100 MADISON AVE	TOLEDO	OH	43604	344446484	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER
100 MADISON AVE	TOLEDO	OH	43604	382796005	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVE	ADRIAN	MI	43604	382149602	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	12B, II	EMMA L BIXBY MEDICAL CENTER	Yes (1)
FOSTORIA HOSPITAL ASSOCIATION
100 MADISON AVE	TOLEDO	OH	43604	340898745	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907	FOSTORIA	OH	44830	346517634	HOSPITAL / FOUNDATION SUPPORT	OH	501(C)(3)	10	FOSTORIA HOSPITAL ASSOCIATION	Yes (1)
HCR MANORCARE FOUNDATION INC
444 N SUMMIT ST	TOLEDO	OH	43604	522031975	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA FOUNDATION	Yes (1)
HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	825373223	SKILLED NURSING FACILITIES	OH	501(C)(3)	10	PROMEDICA HEALTH SYSTEM INC	Yes (1)
HEARTLAND HOSPICE MEMORIAL FUND INC
444 N SUMMIT ST	TOLEDO	OH	43604	270497199	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA FOUNDATION	Yes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE ST	TECUMSEH	MI	49286	383076105	HOSPITAL / FOUNDATION SUPPORT	MI	501(C)(3)	12B, II	HERRICK MEMORIAL HOSPITAL INC	Yes (1)
HERRICK MEMORIAL HOSPITAL INC
100 MADISON AVE	TOLEDO	OH	43604	383049015	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
KAITLYN'S COTTAGE INC
100 MADISON AVE	TOLEDO	OH	43604	454781053	RESPITE CARE	OH	501(C)(3)	10	DEFIANCE HOSPITAL INC	Yes (1)
LENAWEE LONG TERM CARE
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	382879330	LONG TERM CARE	MI	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF GIG HARBOR WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624719	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF LACEY WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624391	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF LYNNWOOD WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624675	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF SALMON CREEK WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624375	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF SPOKANE WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624687	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MANOR CARE OF TACOMA WA ASSOCIATION
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	260624696	SKILLED NURSING FACILITY	DE	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
MEMORIAL HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	344430849	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
MEMORIAL PROFESSIONAL SERVICES
100 MADISON AVE	TOLEDO	OH	43604	273763993	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
MONROE COMMUNITY HEALTH SERVICES
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	382934134	LONG TERM CARE	MI	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	203376102	HEALTH INSURANCE	OH	501(C)(3)	10	PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES	Yes (1)
PROMEDICA CENTRAL PHYSICIANS
100 MADISON AVE	TOLEDO	OH	43604	341881137	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA CHILDRENS SPECIALISTS
100 MADISON AVE	TOLEDO	OH	43604	208734161	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVE	TOLEDO	OH	43604	344492440	LONG TERM AND HOME HEALTH CARE	OH	501(C)(3)	10	PROMEDICA CONTINUUM SERVICES	Yes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVE	TOLEDO	OH	43604	341880767	PHYSICIAN MANAGEMENT SERVICES	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA COURIER SERVICES INC
100 MADISON AVE	TOLEDO	OH	43604	260324790	COURIER SERVICE	OH	501(C)(3)	12B, II	PROMEDICA CONTINUUM SERVICES	Yes (1)
PROMEDICA FOUNDATION
444 N SUMMIT ST	TOLEDO	OH	43604	341517672	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA GENITO-URINARY SURGEONS
100 MADISON AVE	TOLEDO	OH	43604	461120436	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR	BURLINGTON	VT	05401	341931936	PROFESSIONAL & GENERAL LIABILITY	VT	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA MONROE CARDIOLOGY
100 MADISON AVE	TOLEDO	OH	43604	272920342	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA MONROE PHYSICIANS
100 MADISON AVE	TOLEDO	OH	43604	461111822	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVE	TOLEDO	OH	43604	454976786	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
100 MADISON AVE	TOLEDO	OH	43604	263888045	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA PHYSICIAN GROUP INC
100 MADISON AVE	TOLEDO	OH	43604	341899439	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	10	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA PHYSICIANS AT HOME INC
100 MADISON AVE	TOLEDO	OH	43604	852181349	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA PRIMARY CARE PROVIDERS
100 MADISON AVE	TOLEDO	OH	43604	831731861	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
THE HUG FUND
444 N SUMMIT ST	TOLEDO	OH	43604	202272848	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA FOUNDATION	Yes (1)
THE TOLEDO HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	344428256	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
100 MADISON AVE	TOLEDO	OH	43604	341831624	HOSPICE HOME CARE	OH	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVE	TOLEDO	OH	43604	341517671	PARENT COMPANY OF HEALTH SERVICES	OH	501(C)(3)	12B, II		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
NORMAN SPECIALTY HOSPITAL LLC
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43604	421627672	HEALTH CARE	DE	N/A	0	Yes (1)
MERCYMANOR PARTNERSHIP
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43604	521931012	SKILLED NURSING	PA	N/A	0	Yes (1)
THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
1051 S TELEGRAPH RD	MONROE	MI	48161	270843485	AMBULATORY SURGICAL CENTER	MI	N/A	0	0
PROMEDICA SENIOR CARE OF GEORGIA LLC
100 MADISON AVE	TOLEDO	OH	43604	871802834	SKILLED NURSING	OH	N/A	0	Yes (1)
PROMEDICA VENTURES INNOVATION FUND III LLC
100 MADISON AVE	TOLEDO	OH	43604	873197533	HOLDING COMPANY	OH	N/A	0	0
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220	TOLEDO	OH	43615	475603627	INVESTMENT FUND	OH	N/A	0	0
SENIOR & REHAB CARE AT METROHEALTH LLC
100 MADISON AVE ATTN TAX DEPT	TOLEDO	OH	43604	872465544	SKILLED NURSING	OH	N/A	0	Yes (1)
AIR DIVERTER SOLUTIONS LLC
100 MADISON AVE	TOLEDO	OH	43604	853725776	DEVELOPMENT	OH	N/A	0	0
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVE	TOLEDO	OH	43604	473163945	REAL ESTATE	OH	N/A	0	Yes (1)
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVE	TOLEDO	OH	43604	260679898	MEDICAL DIAGNOSTICS	OH	N/A	0	Yes (1)
PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC
100 MADISON AVE	TOLEDO	OH	43604	852085627	HEALTH CARE	MI	N/A	0	0
REYNOLDS ROAD SURGICAL CENTER LTD
2865 N REYNOLDS RD	TOLEDO	OH	43615	311569454	FREESTANDING AMBULATORY SURGICAL CENTER	OH	N/A	0	0
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRAL	TOLEDO	OH	43617	200088459	AMBULATORY SURGICAL CENTER	OH	N/A	0	Yes (1)
PROMEDICA MASTER TENANT LLC
100 MADISON AVE	TOLEDO	OH	43604	475288490	REAL ESTATE	OH	N/A	0	Yes (1)
ARROWHEAD BEHAVIORAL HEALTH LLC
367 SOUTH GULPH ROAD PO BOX 61558	KING OF PRUSSIA	PA	19406	270608044	HEALTH CARE	PA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TR	ADRIAN	MI	49221	383146907	FACILITY LEASING	MI	N/A	C	Yes (1)
LENAWEE CLINICAL PARTNERS
100 MADISON AVE	TOLEDO	OH	43604	821072356	PHYSICIAN SUPPORT	OH	N/A	C	Yes (1)
PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	861179270	SKILLED NURSING	NJ	N/A	C	Yes (1)
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	383639616	FACILITY MANAGEMENT	MI	N/A	C	Yes (1)
MONROE HEALTH VENTURES INC
718 N MACOMB	MONROE	MI	48164	382704426	PHARMACY	MI		C	Yes (1)	MERCY MEMORIAL HOSPITAL CORPORATION	1.00000
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVE	TOLEDO	OH	43604	475168737	REAL ESTATE	OH	N/A	C	Yes (1)
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	341570675	HEALTH CARE INSURANCE	OH	N/A	C	Yes (1)
PROMEDICA INNOVATIONS LLC
100 MADISON AVE	TOLEDO	OH	43604	301221601	INVESTMENT COMPANY	OH	N/A	C	Yes (1)
PROMEDICA HEALTH NETWORK INC
100 MADISON AVE	TOLEDO	OH	43604	474006496	PHYSICIAN MANAGEMENT SERVICES	OH	N/A	C	Yes (1)
PHS TOLEDO INNOVATION CENTER HOLDINGS LLC
100 MADISON AVE	TOLEDO	OH	43604	871433009	HOLDING COMPANY	OH	N/A	C	Yes (1)
FORT INDUSTRY JV PARTNER LLC
100 MADISON AVE	TOLEDO	OH	43604	844675266	REAL ESTATE	OH	N/A	C	Yes (1)
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVE	TOLEDO	OH	43604	383482148	PHYSICIAN HEALTH CARE SERVICES	OH	N/A	C	Yes (1)
PROMEDICA AT HOME INC
100 MADISON AVE	TOLEDO	OH	43604	852320857	PHYSICIAN SUPPORT	MI	N/A	C	Yes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVE	TOLEDO	OH	43604	383322278	PHYSICIAN HEALTH CARE SERVICES	OH	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd