PROMEDICA HEALTH SYSTEM INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: PROMEDICA HEALTH SYSTEM INC (EIN 34-1517671)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202433199349306048
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 C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T11:21:37-06:00	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	341517671	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROMEDICA HEALTH SYSTEM INC	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TERRENCE METZGER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4192525772	PhoneNum
Signature	2024-11-11	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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$333,286,703	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	1986	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	2008	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$2,099,408	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,837,941	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$298,314,432	PYProgramServiceRevenueAmt
CY Program Service Revenue	$319,095,062	CYProgramServiceRevenueAmt
PY Investment Income	$52,705,052	PYInvestmentIncomeAmt
CY Investment Income	$6,049,063	CYInvestmentIncomeAmt
PY Other Revenue	$1,502,334	PYOtherRevenueAmt
CY Other Revenue	$2,718,450	CYOtherRevenueAmt
PY Total Revenue	$357,359,759	PYTotalRevenueAmt
CY Total Revenue	$327,862,575	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,924,354	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,236,958	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$100,367,408	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$162,569,997	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,500,685,570	PYOtherExpensesAmt
CY Other Expenses	$264,500,322	CYOtherExpensesAmt
PY Total Expenses	$1,613,977,332	PYTotalExpensesAmt
CY Total Expenses	$433,307,277	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,256,617,573	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$105,444,702	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,727,790,337	TotalAssetsBOYAmt
Total Assets EOY	$854,134,157	TotalAssetsEOYAmt
Total Liabilities BOY	$468,074,722	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$326,317,247	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,259,715,615	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$527,816,910	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BASED IN TOLEDO, OHIO, PROMEDICA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE DELIVERY NETWORK WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OTHERS. IT IS GUIDED BY ITS CORE VALUES OF COMPASSION, INNOVATION, TEAMWORK, AND EXCELLENCE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$254,125,448	ExpenseAmt
Grant	$6,236,958	GrantAmt
Revenue	$319,095,062	RevenueAmt
Desc	ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, WE ARE AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. WE CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE; PROMEDICA COLLABORATES WITH THE COMMUNITY ON SERVICES AND PROGRAMS ANNUALLY TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED.OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING HEALTH AND WELLNESS PROGRAMMING FOR OUR COMMUNITIES, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S SERVICES AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES, AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, MEDICALLY NECESSARY SERVICES ARE PROVIDED AT DISCOUNTED RATES BASED ON A SLIDING SCALE DEPENDING ON INCOME LEVEL AND INSURANCE STATUS.IN SUMMARY, PROMEDICA DEMONSTRATES ITS 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 HEALTH CARE SERVICES; RECRUIT AND TRAIN HEALTH CARE 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	$254,125,448	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	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	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	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	4802	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2008	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	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BR	ForeignCountryCd
Foreign Country	CH	ForeignCountryCd
Foreign Country	CI	ForeignCountryCd
Foreign Country	EZ	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	HU	ForeignCountryCd
Foreign Country	ID	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	JA	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	NI	ForeignCountryCd
Foreign Country	PL	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	TU	ForeignCountryCd
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	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4192525772	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES BINGLE
TRUSTEE/PHYSICIAN	1.00	0.00	Yes (X)	$0	$1,800	$0
JIM HOFFMAN
TRUSTEE	1.00	1.00	Yes (X)	$25,000	$0	$0
THOMAS WINSTON
TRUSTEE	1.00	3.00	Yes (X)	$0	$0	$0
LISA A MCDUFFIE MSSA
TRUSTEE	1.00	0.00	Yes (X)	$30,000	$0	$0
LISA HAWKER
TRUSTEE	1.00	14.00	Yes (X)	$40,000	$0	$0
MARK WAGONER
TRUSTEE	1.00	1.00	Yes (X)	$0	$0	$0
KEVIN SAUDER
TRUSTEE	1.00	0.00	Yes (X)	$40,000	$0	$0
MARYJANE A WURTH MS
TRUSTEE	1.00	7.00	Yes (X)	$30,000	$0	$0
MICHAEL BAUER
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
RAVI NARRA MD
TRUSTEE/PHYSICIAN	1.00	44.00	Yes (X)	$0	$550,819	$5,857
ROBERT LACLAIR
CHAIRMAN	1.00	23.00	Yes (X)	$30,000	$0	$0	Yes (X)
DARRELL CAMBPELL
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
STEPHEN STAELIN
TRUSTEE	1.00	7.00	Yes (X)	$0	$0	$0
JIM WHITE
TRUSTEE	1.00	7.00	Yes (X)	$0	$0	$0
KURT DARROW
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
ARTURO POLIZZI
PRESIDENT AND CEO	20.00	35.00		$2,121,593	$0	$5,857	Yes (X)
STEPHEN SADOWSKI
CHIEF LEGAL OFFICER	20.00	35.00		$1,407,180	$0	$6,028	Yes (X)
TERRENCE METZGER
TREASURER-CFO	20.00	35.00		$1,055,090	$0	$4,079	Yes (X)
LOUIS ROBICHAUX
TREASURER - PART YEAR	20.00	35.00		$0	$0	$0	Yes (X)
KENT BISHOP
PRESIDENT PPG	41.00	14.00		$1,437,763	$0	$4,120		Yes (X)
DAWN BUSKEY
PRESIDENT ACUTE CARE	36.00	19.00		$1,412,400	$0	$5,337		Yes (X)
JUSTIN SKIVER
PRESIDENT PROMEDICA SENIOR CARE	35.00	10.00		$914,603	$0	$7,106		Yes (X)
ANDREW GOTTMAN
VP HUMAN RESOURCES	45.00	0.00		$733,099	$0	$6,791		Yes (X)
ANGELA BRANDT
CHIEF ADMINISTRATIVE OFFICER	37.00	8.00		$1,233,231	$0	$2,999			Yes (X)
LORI JOHNSTON
PRESIDENT PARAMOUNT	44.00	1.00		$830,869	$0	$5,456			Yes (X)
KAREN STRAUSS
CHIEF ADMINISTRATIVE OFFICER	45.00	0.00		$682,542	$0	$2,853			Yes (X)
TIMOTHY ROBERTS
VP TREASURY	42.00	3.00		$619,519	$0	$5,372			Yes (X)
FLOYD CHASSE
CHIEF HR OFFICER	45.00	0.00		$548,330	$0	$3,400			Yes (X)
STEVEN M CAVANAUGH
TREASURER, CFO - FORMER	0.00	0.00		$1,335,180	$0	$5,657				Yes (X)
JEFFREY C KUHN
CHIEF LEGAL OFFICER - FORMER	0.00	0.00		$748,426	$0	$30,922				Yes (X)
GARY AKENBERGER
SR VP FINANCE - FORMER	0.00	0.00		$0	$528,647	$43,532				Yes (X)
MATTHEW KANG
CFO SENIOR CARE - FORMER	0.00	0.00		$583,664	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,858,489	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,081,266	TotReportableCompRltdOrgAmt
Total Other Compensation	$145,366	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	351	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
5930 CORNERSTONE CT W SUITE 300	SAN DIEGO	CA	92121	NURSING SERVICES	$76,098,475
OPTUM HOSPICE PHARMACY SERVICES LLC
9900 BREN RD E	MINNETONKA	MN	55343	PHARMACY CONTRACT	$26,286,773
EMERGENCY PHYSICIANS OF NWO
PO BOX 638133	CINCINNATI	OH	45263	EMERGENCY MEDICAL STAFF	$10,471,419
LEADERSTAT LTD
1322B MANNING PKWY	POWELL	OH	43065	MEDICAL STAFF SERVICES	$9,306,726
INTELYCARE INC
1250 HANCOCK STREET SUITE 501N	QUINCY	MA	02169	NURSING SERVICES	$9,273,551

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	678	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	MANAGEMENT FEES	Desc
Business	551114	BusinessCd
Total Revenue Column	$319,095,062	TotalRevenueColumnAmt
Related Or Exempt Func Income	$319,095,062	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$319,095,062	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,352,900	TotalRevenueColumnAmt
Unrelated Business Revenue	-$39,485	UnrelatedBusinessRevenueAmt
Exclusion	$6,392,385	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,490,368	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,120,291	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,629,923	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,629,923	TotalRevenueColumnAmt
Exclusion	-$1,629,923	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$303,837	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$303,837	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$303,837	TotalRevenueColumnAmt
Exclusion	-$303,837	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
GROCERY STORE	445100	$2,574,992	$927,745	$1,647,247
PARKING	812930	$968,473	$968,473
FOOD SERVICE	722513	$242,675	$242,675

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$562,233	TotalRevenueColumnAmt
Exclusion	$562,233	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,348,373	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$327,862,575	TotalRevenueColumnAmt
Related Or Exempt Func Income	$319,095,062	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,099,408	UnrelatedBusinessRevenueAmt
Exclusion	$6,668,105	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,236,958	TotalAmt
Program Services	$6,236,958	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,375,656	TotalAmt
Management And General	$9,375,656	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$121,610,918	TotalAmt
Program Services	$24,322,184	ProgramServicesAmt
Management And General	$97,288,734	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,221,797	TotalAmt
Program Services	$4,244,359	ProgramServicesAmt
Management And General	$16,977,438	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,361,626	TotalAmt
Program Services	$2,072,325	ProgramServicesAmt
Management And General	$8,289,301	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$857,183	TotalAmt
Management And General	$857,183	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$891,653	TotalAmt
Management And General	$891,653	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,153,000	TotalAmt
Management And General	$1,153,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$112,420	TotalAmt
Management And General	$112,420	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$138,016,590	TotalAmt
Program Services	$110,503,208	ProgramServicesAmt
Management And General	$27,513,382	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,346,885	TotalAmt
Program Services	$1,077,508	ProgramServicesAmt
Management And General	$269,377	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,374,200	TotalAmt
Program Services	$1,899,360	ProgramServicesAmt
Management And General	$474,840	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,831,778	TotalAmt
Program Services	$2,265,422	ProgramServicesAmt
Management And General	$566,356	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,099,972	TotalAmt
Program Services	$879,978	ProgramServicesAmt
Management And General	$219,994	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,255,245	TotalAmt
Program Services	$1,004,196	ProgramServicesAmt
Management And General	$251,049	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,544,380	TotalAmt
Management And General	$7,544,380	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,887,861	TotalAmt
Program Services	$22,310,289	ProgramServicesAmt
Management And General	$5,577,572	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,165,396	TotalAmt
Program Services	$932,317	ProgramServicesAmt
Management And General	$233,079	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
RESTRUCTURING COSTS	$70,016,185	$70,016,185
UTILITIES	$7,436,477	$5,949,182	$1,487,295
SUPPLIES	$44,238	$35,390	$8,848
INTERCOMPANY SERVICES	$15,497	$15,497

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$451,362	TotalAmt
Program Services	$361,090	ProgramServicesAmt
Management And General	$90,272	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$433,307,277	TotalAmt
Program Services	$254,125,448	ProgramServicesAmt
Management And General	$179,181,829	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$98,475,250	BOYAmt
EOY	$40,496,283	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$80,982,365	BOYAmt
EOY	$43,320,369	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,985,405	BOYAmt
EOY	$6,278,541	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$23,146,076	BOYAmt
EOY	$30,904,573	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$90,480	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$52,547,199	BOYAmt
EOY	$43,058,673	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$461,388,669	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$271,440,460	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$219,045,186	BOYAmt
EOY	$189,948,209	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,428,159	BOYAmt
EOY	$3,467,664	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,040,713	BOYAmt
EOY	$684,726	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,247,139,984	BOYAmt
EOY	$495,884,639	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,727,790,337	BOYAmt
EOY	$854,134,157	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$266,214,771	BOYAmt
EOY	$62,701,874	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,177,071	BOYAmt
EOY	$2,235,252	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$27,634,440	BOYAmt
EOY	$42,666,286	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$172,048,440	BOYAmt
EOY	$218,713,835	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$468,074,722	BOYAmt
EOY	$326,317,247	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	$1,234,766,825	BOYAmt
EOY	$499,197,472	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,948,790	BOYAmt
EOY	$28,619,438	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,259,715,615	BOYAmt
EOY	$527,816,910	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,727,790,337	BOYAmt
EOY	$854,134,157	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$105,444,702	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$651,546,200	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$25,092,197	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)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	33	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (33 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
BAY PARK COMMUNITY HOSPITAL
341883132	3	0	$0	$0
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
386108110	3	0	$0	$0
DEFIANCE HOSPITAL INC
344446484	3	0	$0	$0
EMMA L BIXBY MEDICAL CENTER
382796005	3	0	$0	$0
FOSTORIA HOSPITAL ASSOCIATION
340898745	3	0	$0	$0
HCR MANORCARE INC
825373223	10	0	$0	$0
HERRICK MEMORIAL HOSPITAL INC
383049015	3	0	$0	$0
KAITLYN'S COTTAGE INC
454781053	10	0	$0	$0
LENAWEE LONG TERM CARE
382879330	10	0	$0	$0
MANOR CARE OF GIG HARBOR WA ASSOCIATION
260624719	10	0	$0	$0
MANOR CARE OF LACEY WA ASSOCIATION
260624391	10	0	$0	$0
MANOR CARE OF LYNNWOOD WA ASSOCIATION
260624675	10	0	$0	$0
MANOR CARE OF SALMON CREEK WA ASSOCIATION
260624375	10	0	$0	$0
MANOR CARE OF SPOKANE WA ASSOCIATION
260624687	10	0	$0	$0
MANOR CARE OF TACOMA WA ASSOCIATION
260624696	10	0	$0	$0
MEMORIAL HOSPITAL
344430849	3	0	$0	$0
MEMORIAL PROFESSIONAL SERVICES
273763993	10	0	$0	$0
MERCY MEMORIAL HOSPITAL CORPORATION
381984289	3	0	$0	$0
MONROE COMMUNITY HEALTH SERVICES
382934134	10	0	$0	$0
PROMEDICA CENTRAL PHYSICIANS
341881137	10	0	$0	$0
PROMEDICA CHILDRENS SPECIALISTS
208734161	10	0	$0	$0
PROMEDICA CONTINUING CARE SERVICES CORPORATION
344492440	10	0	$0	$0
PROMEDICA GENITO-URINARY SURGEONS
461120436	10	0	$0	$0
PROMEDICA MONROE CARDIOLOGY
272920342	10	0	$0	$0
PROMEDICA MONROE PHYSICIANS
461111822	10	0	$0	$0
PROMEDICA MULTI SPECIALTY PHYSICIANS
454976786	10	0	$0	$0
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
263888045	10	0	$0	$0
PROMEDICA PHYSICIAN GROUP
341899439	10	0	$0	$0
PROMEDICA PHYSICIANS AT HOME INC
852181349	10	0	$0	$0
PROMEDICA PRIMARY CARE PROVIDERS
831731861	10	0	$0	$0
THE TOLEDO HOSPITAL
344428256	3	0	$0	$0
TOLEDO DISTRICT NURSE ASSOCIATION
344427949	10	0	$0	$0
VISITING NURSE HOSPICE AND HEALTH CARE
341831624	10	0	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	33	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	0	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	0	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, SECTION A, LINE 1:

PROMEDICA HEALTH SYSTEM, INC. (34-1517671) AFFILIATES DESIGNATED BY CLASS AND PURPOSE LISTED IN SCHEDULE R, PART II THAT ARE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) THAT ARE NOT PRIVATE FOUNDATIONS BECAUSE THEY ARE DESCRIBED IN CODE SECTION 509(A)(1) OR SECTION 509(A)(2).

PART IV, SECTION C, LINE 1

PROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT OF AN INTEGRATED HEALTH CARE DELIVERY NETWORK MADE UP OF AN AFFILIATED GROUP OF EXEMPT ORGANIZATIONS WHICH INCLUDES HOSPITALS, HEALTH CARE PROVIDERS, CONTINUING CARE SERVICES, SPECIALIZED HEALTH SERVICES, ENTITIES PROVIDING SUPPORT SERVICES, AND FOUNDATIONS. PHS PROVIDES OVERALL DIRECTION, MANAGEMENT, AND CONTROL TO ITS FIRST TIER SUBSIDIARIES, INCLUDING PROMEDICA INDEMNITY CORPORATION, AND INDIRECTLY THROUGH ITS FIRST TIER SUBSIDIARIES, TO ALL AFFILIATED SECOND TIER SUBSIDIARIES OF EACH FIRST TIER SUBSIDIARY. THE ACTIVITIES OF PHS SUPPORT THE EXEMPT PURPOSES OF THE AFFILIATED ORGANIZATIONS IN THE PHS NETWORK AND ENHANCE AND IMPROVE THE DELIVERY OF EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY THE PHS NETWORK. CONTROL AND MANAGEMENT EFFECTIVELY IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ALL SUBSIDIARY ORGANIZATIONS THROUGH RESERVED POWERS. PHS HAS RESERVED POWERS IN EACH SUBSIDIARY'S CODE OF REGULATIONS OR BYLAWS ALONG WITH THE RIGHT TO APPROVE CERTAIN ACTIONS OF EACH SUBSIDIARY'S BOARD OF TRUSTEES. THE FIRST TIER SUBSIDIARIES HAVE IN TURN RESERVED SIMILAR POWERS OVER THE SECOND TIER SUBSIDIARIES TO INTEGRATE OVERALL DIRECTION, MANAGEMENT, AND CONTROL. THE RESERVED POWERS AND OVERALL SYSTEM CONTROL ENSURE THAT PHS WILL BE RESPONSIVE TO THE NEEDS OF EACH SUPPORTED ORGANIZATION. PHS IS AN INTEGRAL PART OF THE PHS NETWORK. PHS QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION BECAUSE OF COMMON SUPERVISION AND CONTROLS THAT ARE SHARED THROUGH THE STRUCTURAL RELATIONSHIP OF PHS. THERE HAS ALSO BEEN A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN PHS ITS SUPPORTED ORGANIZATIONS AND A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS AS A RESULT OF THIS RELATIONSHIP SUPPORTING COMMON CONTROL CONSISTENT WITH TYPE II SUPPORTING ORGANIZATION CLASSIFICATION. PHS HAS MAINTAINED, AND WILL CONTINUE TO MAINTAIN, A SIGNIFICANT INVOLVEMENT IN EACH SUPPORTED ORGANIZATION'S OPERATIONS.

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	$112,420	OtherActivitiesAmt
Total Lobbying Expenditures	$112,420	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	PROMEDICA HEALTH SYSTEM, INC. PAID FEES TO STRATEGIC HEALTH CARE - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,857,511	OtherCostOrOtherBasisAmt
Book Value	$5,857,511	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$155,047,396	OtherCostOrOtherBasisAmt
Depreciation	$40,500,579	DepreciationAmt
Book Value	$114,546,817	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,394,114	OtherCostOrOtherBasisAmt
Depreciation	$2,472,756	DepreciationAmt
Book Value	$921,358	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$285,242,613	OtherCostOrOtherBasisAmt
Depreciation	$225,057,629	DepreciationAmt
Book Value	$60,184,984	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,847,035	OtherCostOrOtherBasisAmt
Depreciation	$3,409,496	DepreciationAmt
Book Value	$8,437,539	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$189,948,209	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$1,093,120,944
BENEFICIAL INTEREST IN FOUNDATION	$28,052,966
DEFERRED COMPENSATION	$52,389,283
LINE OF CREDIT COLLATERAL	$50,402,926
INVESTMENT IN AFFILIATES	-$728,081,480

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$495,884,639	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PAYROLL TAXES	$2,662,424
ACCRUED WAGES	$76,614,793
DEFERRED COMPENSATION	$52,389,283
DEPOSITS	$3,940
DUE TO/FROM AFFILIATE	$74,625,650
MALPRACTICE TAIL LIABILITY	$5,996,099
REMEDIATION	$6,421,646

Field	Value	IRS element (for citing)
Total Liability	$218,713,835	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS HELD	TypeOfActivitiesConductedTxt
Region Total Expenditures	$2,109,269	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$2,109,269	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$2,109,269	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
JUMPSTART INC
6701 CARNEGIE AVENUE SUITE 100	CLEVELAND	OH	44103	341398522	501(C)(3)	$175,000	$0	SUPPORT OPERATIONS
ST PERFORMING ARTS LLC
4645 HEATHERDOWNS BLVD	TOLEDO	OH	43614	346560639	501(C)(3)	$18,000	$0	SUPPORT PERFORMING ARTS
UNIVERSITY OF TOLEDO
2400 DALLAS PARKWAY SUITE 500	PLANO	TX	75063	470911648	501(C)(3)	$8,800	$0	SUPPORT ATHLETICS
UNITED STATES GOLF ASSOCIATION
77 LIBERTY CORNER RD	FAR HILLS	NJ	07931	131427105	501(C)(3)	$5,000,000	$0	SUPPORT YOUTH GOLF EVENTS
LUCAS COUNTY TREASURER - GLASS CITY CENTER
401 JEFFERSON AVE	TOLEDO	OH	43604	341388178	115	$200,000	$0	SUPPORT OPERATIONS
OTTAWA HILLS SCHOOLS FOUNDATION
4035 W CENTRAL AVE	TOLEDO	OH	43606	463032381	501(C)(3)	$166,000	$0	SUPPORT SCHOOL
GABBY'S LADDER
2262 N MONROE ST	MONROE	MI	48162	383564824	501(C)(3)	$30,000	$0	SUPPORT OPERATIONS
ERNST & YOUNG FOUNDATION
5 TIMES SQUARE	NEW YORK	NY	10036	136094489	501(C)(3)	$25,000	$0	SUPPORT OPERATIONS
ALTUS MATH FOUNDATION
5319 UNIVERSITY DR	IRVINE	CA	92612	453185330	501(C)(3)	$5,625	$0	SUPPORT OPERATIONS

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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	$1,315,647	$0	$789,979	$0	$15,967	$0	$0	$0	$5,857	$0	$2,127,450	$0	$0	$0
KENT BISHOP
PRESIDENT PPG	$679,900	$0	$752,663	$0	$5,200	$0	$0	$0	$4,120	$0	$1,441,883	$0	$0	$0
DAWN BUSKEY
PRESIDENT ACUTE CARE	$658,750	$0	$751,150	$0	$2,500	$0	$0	$0	$5,337	$0	$1,417,737	$0	$0	$0
STEPHEN SADOWSKI
CHIEF LEGAL OFFICER	$625,095	$0	$774,925	$0	$7,160	$0	$0	$0	$6,028	$0	$1,413,208	$0	$0	$0
STEVEN M CAVANAUGH
TREASURER, CFO - FORMER	$0	$0	$0	$0	$1,335,180	$0	$0	$0	$5,657	$0	$1,340,837	$0	$0	$0
ANGELA BRANDT
CHIEF ADMINISTRATIVE OFFICER	$630,060	$0	$597,921	$0	$5,250	$0	$0	$0	$2,999	$0	$1,236,230	$0	$0	$0
TERRENCE METZGER
TREASURER-CFO	$480,090	$0	$575,000	$0	$0	$0	$0	$0	$4,079	$0	$1,059,169	$0	$0	$0
JUSTIN SKIVER
PRESIDENT PROMEDICA SENIOR CARE	$509,605	$0	$404,998	$0	$0	$0	$0	$0	$7,106	$0	$921,709	$0	$0	$0
LORI JOHNSTON
PRESIDENT PARAMOUNT	$699,768	$0	$122,448	$0	$8,653	$0	$0	$0	$5,456	$0	$836,325	$0	$0	$0
JEFFREY C KUHN
CHIEF LEGAL OFFICER - FORMER	$26,526	$0	$0	$0	$721,900	$0	$26,526	$0	$4,396	$0	$779,348	$0	$0	$0
ANDREW GOTTMAN
VP HUMAN RESOURCES	$393,099	$0	$340,000	$0	$0	$0	$0	$0	$6,791	$0	$739,890	$0	$0	$0
KAREN STRAUSS
CHIEF ADMINISTRATIVE OFFICER	$0	$0	$0	$0	$682,542	$0	$0	$0	$2,853	$0	$685,395	$0	$0	$0
TIMOTHY ROBERTS
VP TREASURY	$305,769	$0	$313,750	$0	$0	$0	$0	$0	$5,372	$0	$624,891	$0	$0	$0
MATTHEW KANG
CFO SENIOR CARE - FORMER	$0	$0	$0	$0	$583,664	$0	$0	$0	$0	$0	$583,664	$0	$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
RAVI NARRA MD
TRUSTEE/PHYSICIAN	$0	$319,380	$0	$229,897	$0	$1,542	$0	$0	$0	$5,857	$0	$556,676	$0	$0
FLOYD CHASSE
CHIEF HR OFFICER	$243,969	$0	$300,000	$0	$4,361	$0	$0	$0	$3,400	$0	$551,730	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 PROMEDICA HEALTH SYSTEM IN THE AMOUNT OF $1,335,180 DURING 2023. JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM PROMEDICA HEALTH SYSTEM IN THE AMOUNT OF $721,900 DURING 2023. MATTHEW KANG RECEIVED SEVERANCE PAYMENTS FROM 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. KAREN STRAUSS RECEIVED SEVERANCE PAYMENTS FROM PROMEDICA HEALTH SYSTEM IN THE AMOUNT OF 682,542 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.
PART I, LINE 6	CERTAIN PHYSICANS AND OTHER LISTED PERSONS RECEIVED INCENTIVES BASED ON INDIVIDUAL PRODUCTIVITY NET EARNINGS.
PART I, LINE 7	AN INCENTIVE BONUS IS PAID TO ALL EXECUTIVES BASED ON ATTAINMENT OF FINANCIAL AND NON-FINANCIAL GOALS, TYPICALLY IN THE AREAS OF 1) PATIENT SATISFACTION; 2) EMPLOYEE ENGAGEMENT; 3) GROWTH; 4) QUALITY AND SAFETY; AND 5) PROFITABILITY. CERTAIN LISTED EXECUTIVES RECEIVED A DISCRETIONARY BONUS BASED ON EXCEPTIONAL PERFORMANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BRAD LACLAIR
FAMILY MEMBER OF ROBERT W. LACLAIR EX OFFICIO AND CHAIRMAN	$132,534	EMPLOYED ASSOCIATE VICE PRESIDENT	0
KASSIDY BISHOP
FAMILY MEMBER OF KENT BISHOP- BOARD MEMBER	$115,877	EMPLOYED PHYSICIAN	0
KEVIN BINGLE
FAMILY MEMBER OF JAMES BINGLE - BOARD MEMBER	$276,752	EMPLOYED PHSYSICIAN	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4:	PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, WE ARE AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. WE CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. PROMEDICA HAS BEEN NATIONALLY RECOGNIZED FOR ITS ADVOCACY PROGRAMS AND EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE; PROMEDICA LAUNCHES NEW SERVICES AND PROGRAMS ANNUALLY TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS, RESIDENTS, AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING HEALTH AND WELLNESS PROGRAMMING FOR OUR COMMUNITIES , GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE FOODS AND CLOTHING ITEMS TO NUMEROUS LOCAL COMMUNITY ORGANIZATIONS - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S SERVICES AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES, AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, MEDICALLY NECESSARY SERVICES ARE PROVIDED AT DISCOUNTED RATES BASED ON A SLIDING SCALE DEPENDING ON INCOME LEVEL AND INSURANCE STATUS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS 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 HEALTH CARE SERVICES; RECRUIT AND TRAIN HEALTH CARE 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.
FORM 990, PART V, LINE 2A	IN 2022, THE HEALTH SYSTEM CENTRALIZED ITS PAYROLL PROCESS, TRANSITIONING FROM MULTIPLE PAYROLL ENTITIES. AS A RESULT, EMPLOYEES RECEIVED UP TO THREE DIFFERENT W-2S UNDER PROMEDICA HEALTH SYSTEM AND DISREGARDED ENTITIES' EINS. IN 2023, EMPLOYEES WERE ISSUED A SINGLE W-2.
FORM 990, PART VI, SECTION A, LINE 3	IN 2022 AND 2023, PROMEDICA HEALTH SYSTEM ENTERED INTO AN AGREEMENT WITH ANKURA TO PROVIDE EXECUTIVE GUIDANCE TO THE HEALTH SYSTEM. THOSE SERVICES INCLUDE, ACTING AS INTERIM CFO OF THE HEALTH SYSTEM, COORDINATING VARIOUS FINANCIAL ACTIVITIES INCLUDING, REVIEW AND ANALYSIS OF FINANCIAL AND OPERATIONAL PERFORMANCE, GUIDANCE AND SUPPORT REGARDING ORGANIZATIONAL STRUCTURE, AND SUPPORT OF PERFORMANCE IMPROVEMENT INITIATIVES. LOUIS ROBICHAUX, ACTING AS INTERIM CFO OF PROMEDICA HEALTH SYSTEM WAS EMPLOYED AND COMPENSATED BY ANKURA. ANKURA RECEIVED $858,454 IN EXCHANGE FOR THE SERVICES PROVIDED BY LOUIS ROBICHAUX DURING 2023.
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 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	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.
PART VI, SECTION B, LINE 16B:	JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
FORM 990, PART VII, SECTION A	LOUIS ROBICHAUX IS EMPLOYED BY A MANAGEMENT AGENCY THAT IS UNDER A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO PROMEDICA HEALTH SERVICES.
FORM 990, PART IX, LINE 11G	HEALTHCARE SERVICES: PROGRAM SERVICE EXPENSES 103,831,259. MANAGEMENT AND GENERAL EXPENSES 25,957,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,789,074. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 874,759. MANAGEMENT AND GENERAL EXPENSES 218,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,093,449. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 5,797,190. MANAGEMENT AND GENERAL EXPENSES 1,336,877. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,134,067.
FORM 990, PART XI, LINE 9:	TRANSFERS BETWEEN RELATED ENTITIES 12,800,713. NET PERIODIC PENSION CHANGE 12,291,484.
FORM 990, PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
1611 MONROE INVESTORS LLC
100 MADISON AVE	TOLEDO	OH	43604	REAL ESTATE	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC
300 MADISON BUILDING LLC
100 MADISON AVE	TOLEDO	OH	43604	REAL ESTATE	OH	-$1,575,903	$33,359,451	PROMEDICA HEALTH SYSTEM INC	822062486
BALL PARK PROPERTIES LLC
100 MADISON AVE	TOLEDO	OH	43604	REAL ESTATE	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC	823954332
IST THEATRE LLC
100 MADISON AVE	TOLEDO	OH	43604	COMMUNITY ARTS FACILITY	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC
KAPIOS LLC
2865 N REYNOLDS RD	TOLEDO	OH	43615	SOFTWARE DEVELOPMENT	OH	$0	$87,412	PROMEDICA HEALTH SYSTEM INC	812624635
MARINA DISTRICT DEVELOPMENT LLC
100 MADISON AVE	TOLEDO	OH	43604	REAL ESTATE	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC
PHS VENTURES LLC
100 MADISON AVE	TOLEDO	OH	43604	HEALTH CARE MANAGEMENT SERVICES	DE	$0	$0	PROMEDICA HEALTH SYSTEM INC	341880473
PROMEDICA ACTIVE MOBILITY LLC
100 MADISON AVE	TOLEDO	OH	43604	DURABLE MEDICAL EQUIPMENT	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC	815178173
PROMEDICA INTERNATIONAL LLC
100 MADISON AVE	TOLEDO	OH	43604	CONSULTING SERVICES	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC	832427163
PROMEDICA SHARED SERVICES LLC
100 MADISON AVE	TOLEDO	OH	43604	HOLDING COMPANY	OH	$319,600,689	$78,323,486	PROMEDICA HEALTH SYSTEM INC	883490894
TOLEDO INNOVATION LEVERAGED LENDER LLC
100 MADISON AVE	TOLEDO	OH	43604	HOLDING COMPANY	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC	871386349
TOLEDO RIVERFRONT HOTEL LLC
100 MADISON AVE	TOLEDO	OH	43604	REAL ESTATE	OH	$0	$0	PROMEDICA HEALTH SYSTEM INC	422211190

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
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)
MERCY MEMORIAL HOSPITAL CORPORATION
100 MADISON AVE	TOLEDO	OH	43604	381984289	HOSPITAL	MI	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
MONROE COMMUNITY HEALTH SERVICES
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	382934134	LONG TERM CARE	MI	501(C)(3)	10	HCR MANORCARE INC	Yes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	203376102	HEALTH INSURANCE	OH	501(C)(3)	10	PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES	Yes (1)
PROMEDICA CENTRAL PHYSICIANS
100 MADISON AVE	TOLEDO	OH	43604	341881137	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA CHILDRENS SPECIALISTS
100 MADISON AVE	TOLEDO	OH	43604	208734161	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVE	TOLEDO	OH	43604	344492440	LONG TERM AND HOME HEALTH CARE	OH	501(C)(3)	10	PROMEDICA CONTINUUM SERVICES	Yes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVE	TOLEDO	OH	43604	341880767	PHYSICIAN MANAGEMENT SERVICES	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA COURIER SERVICES INC
100 MADISON AVE	TOLEDO	OH	43604	260324790	COURIER SERVICE	OH	501(C)(3)	12B, II	PROMEDICA CONTINUUM SERVICES	Yes (1)
PROMEDICA FOUNDATION
444 N SUMMIT ST	TOLEDO	OH	43604	341517672	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA GENITO-URINARY SURGEONS
100 MADISON AVE	TOLEDO	OH	43604	461120436	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOOR	BURLINGTON	VT	05401	341931936	PROFESSIONAL & GENERAL LIABILITY	VT	501(C)(3)	12B, II	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA MONROE CARDIOLOGY
100 MADISON AVE	TOLEDO	OH	43604	272920342	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA MONROE PHYSICIANS
100 MADISON AVE	TOLEDO	OH	43604	461111822	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVE	TOLEDO	OH	43604	454976786	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
100 MADISON AVE	TOLEDO	OH	43604	263888045	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA PHYSICIAN GROUP INC
100 MADISON AVE	TOLEDO	OH	43604	341899439	PHYSICIAN HEALTH CARE SERVICES	OH	501(C)(3)	10	PROMEDICA HEALTH SYSTEM INC	Yes (1)
PROMEDICA PHYSICIANS AT HOME INC
100 MADISON AVE	TOLEDO	OH	43604	852181349	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
PROMEDICA PRIMARY CARE PROVIDERS
100 MADISON AVE	TOLEDO	OH	43604	831731861	PHYSICIAN HEALTH CARE SERVICES	MI	501(C)(3)	10	PROMEDICA PHYSICIAN GROUP INC	Yes (1)
THE HUG FUND
444 N SUMMIT ST	TOLEDO	OH	43604	202272848	FOUNDATION	OH	501(C)(3)	12B, II	PROMEDICA FOUNDATION	Yes (1)
THE TOLEDO HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	344428256	HOSPITAL	OH	501(C)(3)	3	PROMEDICA HEALTH SYSTEM INC	Yes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
100 MADISON AVE	TOLEDO	OH	43604	341831624	HOSPICE HOME CARE	OH	501(C)(3)	10	HCR MANORCARE INC	Yes (1)

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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		0	Yes (1)	PROMEDICA HEALTH SYSTEM INC	RELATED	$12,885	$989	0.90000
PROMEDICA VENTURES INNOVATION FUND III LLC
100 MADISON AVE	TOLEDO	OH	43604	873197533	HOLDING COMPANY	OH		0	0	PROMEDICA HEALTH SYSTEM INC	RELATED		$1,016,301	0.97000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220	TOLEDO	OH	43615	475603627	INVESTMENT FUND	OH		0	0	PROMEDICA HEALTH SYSTEM INC	RELATED	-$635,683	$4,308,618	0.66660
SENIOR & REHAB CARE AT METROHEALTH LLC
100 MADISON AVE ATTN TAX DEPT	TOLEDO	OH	43604	872465544	SKILLED NURSING	OH		0	Yes (1)	PROMEDICA HEALTH SYSTEM INC	RELATED	-$1,755,425	$7,556,677	0.51000
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	Share Of EOY AssetsShareOfEOYAssetsAmt	Share Of Total IncomeShareOfTotalIncomeAmt
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TR	ADRIAN	MI	49221	383146907	FACILITY LEASING	MI	N/A	C	Yes (1)
LENAWEE CLINICAL PARTNERS
100 MADISON AVE	TOLEDO	OH	43604	821072356	PHYSICIAN SUPPORT	OH	N/A	C	Yes (1)
PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC
PO BOX 10086 ATTN TAX-5	TOLEDO	OH	43699	861179270	SKILLED NURSING	NJ	N/A	C	Yes (1)
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVE	ADRIAN	MI	49221	383639616	FACILITY MANAGEMENT	MI	N/A	C	Yes (1)
MONROE HEALTH VENTURES INC
718 N MACOMB	MONROE	MI	48164	382704426	PHARMACY	MI	N/A	C	Yes (1)
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVE	TOLEDO	OH	43604	475168737	REAL ESTATE	OH		C	Yes (1)	PROMEDICA HEALTH SYSTEM INC	1.00000
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIR	MAUMEE	OH	43537	341570675	HEALTH CARE INSURANCE	OH		C	Yes (1)	PROMEDICA HEALTH SYSTEM INC	1.00000	$202,413,565
PROMEDICA INNOVATIONS LLC
100 MADISON AVE	TOLEDO	OH	43604	301221601	INVESTMENT COMPANY	OH		C	Yes (1)	PROMEDICA HEALTH SYSTEM INC	1.00000	$823,402	-$2,586,190
PROMEDICA HEALTH NETWORK INC
100 MADISON AVE	TOLEDO	OH	43604	474006496	PHYSICIAN MANAGEMENT SERVICES	OH		C	Yes (1)	PROMEDICA HEALTH SYSTEM INC	1.00000	$4,298,025	-$786,605
PHS TOLEDO INNOVATION CENTER HOLDINGS LLC
100 MADISON AVE	TOLEDO	OH	43604	871433009	HOLDING COMPANY	OH		C	Yes (1)	PROMEDICA HEALTH SYSTEM INC	1.00000
FORT INDUSTRY JV PARTNER LLC
100 MADISON AVE	TOLEDO	OH	43604	844675266	REAL ESTATE	OH		C	Yes (1)	PROMEDICA HEALTH SYSTEM INC	1.00000		-$14,840
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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BAY PARK COMMUNITY HOSPITAL
P	$21,544,824	FMV
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
P	$6,781,483	FMV
DEFIANCE HOSPITAL INC
P	$14,022,599	FMV
EMMA L BIXBY MEDICAL CENTER
P	$23,806,351	FMV
FOSTORIA HOSPITAL ASSOCIATION
P	$6,879,463	FMV
MEMORIAL HOSPITAL
P	$13,842,525	FMV
MERCY MEMORIAL HOSPITAL CORPORATION
P	$31,905,201	FMV
PARAMOUNT ADVANTAGE
Q	$11,732,142	FMV
PROMEDICA FOUNDATION
P	$312,406	FMV
PROMEDICA HEALTH NETWORK
P	$132,043	FMV
PROMEDICA INNOVATIONS
P	$869,061	FMV
THE TOLEDO HOSPITAL
P	$232,966,552	FMV
PROMEDICA PHYSICIANS GROUP
P	$4,279,556	FMV
HCR MANORCARE INC
P	$13,269,129	FMV