STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

TOLEDO HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TOLEDO HOSPITAL (EIN 34-4428256)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202333189349315958
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T16:26:58-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344428256EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRENCE METZGERPersonNm
Person TitleCFOPersonTitleTxt
Phone4192525772PhoneNum
Signature2023-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTERRENCEPersonFirstNm
Person LastMETZGERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone3122071040PhoneNum
Preparation2023-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRENCE METZGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MADISON AVE ATTN TAX DEPARTMENTAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,475,777,502GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY AND THE ADULT TERTIARY FACILITY OF PROMEDICA HEALTH SYSTEM, INC. PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES TO THE GENERAL PUBLIC OF NORTHWEST OHIO AND SOUTHEAST MICHIGAN.ActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee8477TotalEmployeeCnt
Total Volunteers109TotalVolunteersCnt
Total Gross UBI$2,444,421TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$59,625NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,604,534PYContributionsGrantsAmt
CY Contributions Grants$8,315,680CYContributionsGrantsAmt
PY Program Service Revenue$1,291,859,234PYProgramServiceRevenueAmt
CY Program Service Revenue$1,400,045,499CYProgramServiceRevenueAmt
PY Investment Income$52,021,492PYInvestmentIncomeAmt
CY Investment Income$54,848,745CYInvestmentIncomeAmt
PY Other Revenue$6,115,642PYOtherRevenueAmt
CY Other Revenue$12,567,578CYOtherRevenueAmt
PY Total Revenue$1,373,600,902PYTotalRevenueAmt
CY Total Revenue$1,475,777,502CYTotalRevenueAmt
PY Grants And Similar Paid$25,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,716CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$538,565,419PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$468,663,251CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$671,373,987PYOtherExpensesAmt
CY Other Expenses$958,798,500CYOtherExpensesAmt
PY Total Expenses$1,209,964,406PYTotalExpensesAmt
CY Total Expenses$1,427,482,467CYTotalExpensesAmt
PY Revenues Less Expenses$163,636,496PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$48,295,035CYRevenuesLessExpensesAmt
Total Assets BOY$2,477,516,014TotalAssetsBOYAmt
Total Assets EOY$1,558,803,587TotalAssetsEOYAmt
Total Liabilities BOY$2,652,639,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,341,882,258TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$175,123,848NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$783,078,671NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE ARE A VALUABLE COMMUNITY RESOURCE PROVIDING COMPREHENSIVE HEALTH SERVICES WITH EXPERTISE AND COMPASSION, AND IMPROVING THE HEALTH OF THOSE WE SERVE THROUGH PREVENTION, EDUCATION, AND SUPERIOR SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,041,370,112ExpenseAmt
Grant$20,716GrantAmt
Revenue$1,403,084,181RevenueAmt
DescTHE TOLEDO HOSPITAL (D/B/A PROMEDICA TOLEDO HOSPITAL) IS THE ADULT TERTIARY HOSPITAL OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 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. FOR MORE THAN 130 YEARS, PROMEDICA TOLEDO HOSPITAL (TH) HAS SERVED METROPOLITAN TOLEDO AND SURROUNDING COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY, MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICES. THE 794-BED HOSPITAL OFFERS ACCESS TO THE AREA'S LARGEST BOARD-CERTIFIED MEDICAL STAFF, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS ADVANCE PRACTICE PROVIDERS, OFFERING THE LARGEST BOARD-CERTIFIED MEDICAL STAFF IN THE AREA. ADDITIONALLY, TH OFFERS A NUMBER OF KEY SERVICES TO THE METRO-TOLEDO AREA, SUCH AS THE CENTER FOR WOMEN'S HEALTH, WHICH INCLUDES MATERNAL-FETAL MEDICINE FOR HIGH-RISK PREGNANCIES AND A LEVEL III PERINATAL UNIT; JOBST VASCULAR INSTITUTE; PROMEDICA BREAST CARE; AND A LEVEL I TRAUMA CENTER. OTHER PROGRAMS AND SERVICES INCLUDE WELL-ESTABLISHED NEUROSCIENCES, CARDIOVASCULAR AND ORTHOPAEDIC DEPARTMENTS, A NATIONALLY RECOGNIZED BARIATRIC PROGRAM, A CERTIFIED COMPREHENSIVE STROKE CENTER, AND AN EMERGENCY CENTER THAT TREATS MORE THAN 100,000 PATIENTS ANNUALLY. ALL SERVICES ARE FULLY BACKED BY ACCREDITED ANCILLARY SERVICES, SUCH AS LABORATORY, RADIOLOGY, AS WELL AS PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES.THE PROMEDICA RUSSELL J. EBEID CHILDREN'S HOSPITAL (ECH) OPERATES AS PART OF TH, PROVIDING PEDIATRIC TERTIARY CARE. ECH EXCLUSIVELY SERVES THE HEALTHCARE NEEDS OF CHILDREN AND ADOLESCENTS UNDER THE AGE OF 18. ECH'S MEDICAL STAFF INCLUDES BOARD-CERTIFIED PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WHILE A NEWBORN INTENSIVE CARE UNIT INCLUDES A NEONATAL PHYSICIAN AND PEDIATRIC HOSPITALIST WHO ARE ON DUTY 24 HOURS A DAY. OTHER ECH SPECIALTY SERVICES INCLUDE A PEDIATRIC CANCER CENTER, ASTHMA TREATMENT AND EDUCATION SERVICES, PEDIATRIC PSYCHIATRY, AND A DEDICATED LEVEL II PEDIATRIC TRAUMA CENTER. PROMEDICA TOLEDO HOSPITAL WAS RATED THE NUMBER 1 HOSPITAL IN THE METRO TOLEDO AREA BY U.S. NEWS AND WORLD REPORT AND WAS RECOGNIZED BY BECKER'S HOSPITAL REVIEW AS ONE OF THE "100 GREATEST HOSPITALS IN AMERICA" FOR 2022. THEY ACHIEVED THE TOP 50 HOSPITAL RECOGNITION AS WELL.PROMEDICA TOLEDO HOSPITAL CONTINUED TO OPERATE ITS FREESTANDING EMERGENCY DEPARTMENT AND URGENT CARE CLINIC IN MAUMEE, OHIO TO MEET THE NEEDS OF THAT COMMUNITY'S RESIDENTS. THE FACILITY IS THE FIRST FREESTANDING, COMBINED ER AND URGENT CARE IN LUCAS COUNTY. THE FACILITY IS EQUIPPED TO HANDLE ALL LEVELS OF URGENT AND EMERGENCY CARE, AND PATIENTS ONLY WILL BE BILLED FOR THE LEVEL OF CARE THEY NEED.PROMEDICA FLOWER HOSPITAL (FH), A DIVISION OF TH, IS A 315-BED FACILITY IN SYLVANIA, OHIO, WHICH PROVIDES EXTENSIVE HEALTHCARE SERVICES INCLUDING EMERGENCY MEDICINE, INPATIENT REHABILITATION, SURGICAL SERVICES, CARDIAC AND PULMONARY REHABILITATION, LABOR AND DELIVERY, INPATIENT ONCOLOGY CARE, OUTPATIENT ONCOLOGY SERVICES THROUGH THE HICKMAN CANCER CENTER, AND A FULL RANGE OF DIAGNOSTIC, LABORATORY AND RADIOLOGY SERVICES. FH ALSO HOUSES THE LARGEST ADULT INPATIENT PSYCHIATRIC UNIT IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. IN 2022, FH CONTINUES TO BE A DESIGNATED STEMI CENTER BY THE OHIO DEPARTMENT OF HEALTH. LOCAL EMS CAN TAKE PATIENTS IN NEED OF EMERGENCY HEART CARE DIRECTLY TO FH INSTEAD OF TO ANOTHER LOCATION. A NEW CARDIAC CATH LAB AND SEVERAL MONTHS OF PLANNING, PREPARATION AND TRAINING HELPED BRING THIS CARE TO FH PATIENTS AND THE COMMUNITY. FH ALSO IS A DESIGNATED GET WITH THE GUIDELINES STROKE GOLD PLUS HOSPITAL IN RECOGNITION OF ITS COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED BEST PRACTICES.PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (WOSH), ALSO A DIVISION OF TH, IS AN ALL-DIGITAL, 42-BED ACUTE CARE FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT ORTHOPAEDIC SURGERY TO ADDRESS THE NEEDS OF AGING BABY BOOMERS AND OTHERS WHO EXPERIENCE CHRONIC PAIN FROM JOINT DISEASE. THIS UNIQUE, FREE-STANDING HOSPITAL SERVES ONLY ORTHOPAEDIC AND SPINE PATIENTS, OFFERING DIAGNOSTIC, SURGICAL AND REHABILITATION SERVICES ALL IN ONE CONVENIENT AND EASILY ACCESSIBLE LOCATION. IN 2022, TH SERVED 36,790 INPATIENTS; 632,632 OUTPATIENTS; AND 122,491 EMERGENCY CENTER PATIENTS. TH CONTRIBUTED $314,879,000 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, TH CONTRIBUTED $1,705,000 TO THE COMMUNITY DURING 2022. INCLUDED IN THIS FIGURE ARE PROGRAMS SUCH AS: THE COME TO THE TABLE INITIATIVE THAT PROVIDES 24 HOURS' WORTH OF FOOD TO PATIENTS WHO QUALIFY FOR FOOD INSECURITY BY COMPLETING A QUESTIONNAIRE UPON DISCHARGE FOLLOWING AN INPATIENT STAY. THE AUTISM COLLABORATIVE A COLLABORATION BETWEEN ECH AND LOCAL AUTISM ORGANIZATIONS AND UNIVERSITIES TO PROVIDE EXPERT KNOWLEDGE AND SERVICES UNDER ONE UMBRELLA ORGANIZATION, ALLOWING THOSE WITH AUTISM AND THEIR FAMILIES TO RESEARCH AND FIND THE BEST POSSIBLE CARE. SUPPORT GROUPS FOR PATIENTS' FAMILIES TO ASSIST WITH MANAGING CHRONIC DISEASE AND TO OFFER SOCIAL SERVICES INFORMATION. WITH THE GOAL OF IMPROVING INFANT MORTALITY RATES IN OUR REGION, A NURSING MOTHERS SUPPORT GROUP IS OFFERED AT NO CHARGE THROUGHOUT THE YEAR. THE TEEN PEP (PEERS EDUCATING PEERS) PROGRAM EXTENDS CARE AND EDUCATION OUTSIDE THE HOSPITAL, IN MORE NONTRADITIONAL WAYS, BY ENCOURAGING TEENS TO TALK WITH THEIR PEERS ABOUT IMPORTANT TOPICS SUCH AS TEEN RELATIONSHIPS, BULLYING, MENTAL HEALTH, AND PHYSICAL AND EMOTIONAL ABUSE. VIRTUAL PREPARATION FOR PARENTHOOD CLASSES THAT HELP PREPARE EXPECTANT PARENTS FOR A HEALTHY LABOR AND DELIVERY, AND OFFER INFANT SAFETY TIPS, AS WELL AS NEW MOTHER CARE AND HEALTHY BABY EDUCATION.FREE SCREENING MAMMOGRAMS AND BREAST CARE EDUCATION THAT EMPHASIZES THE IMPORTANCE OF ROUTINE SELF-BREAST EXAMS FOR UNINSURED AND UNDERINSURED WOMEN IN THE TOLEDO AREA. IN-KIND DONATIONS AND GENERAL CONTRIBUTIONS, WHICH SUPPORT LOCAL NON-PROFIT ORGANIZATIONS WITH SIMILAR VALUES.TH ALSO PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2022, OF WHICH $37,097,000 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 DID NOT PAY THEIR BILLS. TH'S COST OF BAD DEBT FOR 2022 WAS $50,271,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL OF $314,879,000 INDICATED ABOVE.FURTHER, TH PROVIDED $87,866,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID PATIENTS. ALSO, IN 2022, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT- FOR TREATING MEDICARE PATIENTS WAS $7,780,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $314,879,000 NOTED ABOVE. DURING 2022 TH EXPENDED $374,541,000 IN NET PAYROLL, PROVIDING 8,477 JOBS IN NORTHWEST OHIO. A TOTAL OF $24,863,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES.Desc
Total Program Service Expenses$1,041,370,112TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee8477EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members27GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ARTURO POLIZZI
PRESIDENT AND CEO1.0054.00Yes (X)Yes (X)$0$1,605,830$12,750
THOMAS GEORGE PADANILAM MD
TRUSTEE1.0054.00Yes (X)$0$1,083,579$22,095
MATTHEW KANG
EX-OFFICIO - PART YEAR1.0054.00Yes (X)$0$901,908$13,971
AARON A BUERK MD
TRUSTEE1.0054.00Yes (X)$0$818,038$6,313
BRIAN DOLSEY
TRUSTEE1.0054.00Yes (X)$0$756,275$13,270
DAWN M BUSKEY
PRESIDENT TOLEDO HOS.1.0054.00Yes (X)$0$750,062$11,796
RAVI K ADUSUMILLI MD
TRUSTEE1.0054.00Yes (X)$0$529,071$26,354
WILLIAM R MCDONNELL
CHAIRMAN1.0014.00Yes (X)Yes (X)$0$0$0
DARRELL J WACHOWIAK RN BSN MHA
TRUSTEE1.0054.00Yes (X)$0$271,821$35,764
THADIUS L WADSWORTH MBA BSN RN C
TRUSTEE1.0054.00Yes (X)$0$273,028$10,870
GREGORY BRAYLOCK
TRUSTEE1.0054.00Yes (X)$0$258,172$7,913
SARA M SWISHER
TRUSTEE1.001.00Yes (X)$0$0$0
JACQUELINE HYLANT BERENWEIG
TRUSTEE1.001.00Yes (X)$0$0$0
JAMES H BRENNAN JR
TRUSTEE1.0014.00Yes (X)$0$0$0
RODNEY L EASON JR
TRUSTEE1.001.00Yes (X)$0$0$0
MARK FOX
TRUSTEE1.001.00Yes (X)$0$0$0
TIMOTHY M HUSTED MD
TRUSTEE1.001.00Yes (X)$0$0$0
AMIR A KHAN
TRUSTEE1.001.00Yes (X)$0$0$0
MARLON P KISER
TRUSTEE1.001.00Yes (X)$0$0$0
SARAH A MCHUGH
TRUSTEE1.001.00Yes (X)$0$0$0
ANTHONY PACKO
TRUSTEE1.001.00Yes (X)$0$0$0
CHARLES A PARCHER
TRUSTEE1.001.00Yes (X)$0$0$0
ROBERT SCHLATTER
TRUSTEE1.000.00Yes (X)$0$0$0
CHARLES MICHAEL SMITH
TRUSTEE1.001.00Yes (X)$0$0$0
SUSAN K STAELIN
TRUSTEE1.001.00Yes (X)$0$0$0
PETER VAVRINEK
TRUSTEE1.000.00Yes (X)$0$0$0
ERICH L WEINLANDER
TRUSTEE1.001.00Yes (X)$0$0$0
RANDALL OOSTRA
PHS PRES. & CEO-PART YEAR1.0054.00Yes (X)$0$5,476,040$3,579
STEVEN M CAVANAUGH
TREASURER, CFO-PART YEAR1.0054.00Yes (X)$0$2,435,815$41,525
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER-PART YEAR1.0054.00Yes (X)$0$927,467$44,223
STEPHEN M SADOWSKI
CHIEF LEGAL OFFICER1.0054.00Yes (X)$0$683,615$6,102
LOUIS ROBICHAUX
TREASURER1.0054.00Yes (X)$0$0$0
DEANA SIEVERT
SR VP, PAT CARE/CNO, SYSTEM - PART YEAR54.001.00$157,458$0$2,442Yes (X)
GREGORY KASPER
PRES. JOINT VASCULAR INSTITUTE40.000.00$613,567$0$36,641Yes (X)
BRIAN MILLER
VP, MEDICAL OPERATIONS, PPG40.000.00$461,578$0$13,673Yes (X)
HOLLY BRISTOLL
CHIEF INT OFFICER ACADEMIC AFFAIRS40.000.00$420,232$0$12,880Yes (X)
JULIE ARQUETTE
PRESIDENT, HICKMAN40.000.00$392,737$0$19,096Yes (X)
GARY AKENBERGER
SR VP FINANCE-FORMER54.001.00$466,247$0$33,651Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,511,819TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,770,721TotReportableCompRltdOrgAmt
Total Other Compensation$374,908TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K683IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$4,314,793RelatedOrganizationsAmt
Government Grants$1,309,840GovernmentGrantsAmt
All Other Contributions$2,691,047AllOtherContributionsAmt
Total Contributions$8,315,680TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES621110$1,386,763,426$1,386,763,426
AFFIL. ORG. RENT REV.531120$13,282,073$13,282,073
FieldValueIRS element (for citing)
Total Program Service Revenue$1,400,045,499TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,715,561TotalRevenueColumnAmt
Exclusion$13,715,561ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,853,311RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,853,311RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,853,311TotalRevenueColumnAmt
Exclusion$2,853,311ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$41,058,967SecuritiesAmt
Other$74,217OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$41,058,967SecuritiesAmt
Other$74,217OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,133,184TotalRevenueColumnAmt
Exclusion$41,133,184ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY456110$4,140,559$3,038,682$1,101,877
HEALTH CLUB MEMBERSHIP713940$808,154$808,154
NONPATIENT SERVICE REV621990$366,013$366,013

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,399,541TotalRevenueColumnAmt
Unrelated Business Revenue$168,377UnrelatedBusinessRevenueAmt
Exclusion$4,231,164ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,714,267OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,475,777,502TotalRevenueColumnAmt
Related Or Exempt Func Income$1,403,084,181RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,444,421UnrelatedBusinessRevenueAmt
Exclusion$61,933,220ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,716TotalAmt
Program Services$20,716ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$385,318,918TotalAmt
Program Services$328,377,393ProgramServicesAmt
Management And General$56,941,525ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,351,264TotalAmt
Program Services$2,003,800ProgramServicesAmt
Management And General$347,464ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$51,817,751TotalAmt
Program Services$44,160,245ProgramServicesAmt
Management And General$7,657,506ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,175,318TotalAmt
Program Services$24,863,858ProgramServicesAmt
Management And General$4,311,460ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,175,399TotalAmt
Management And General$8,175,399ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$750,756TotalAmt
Management And General$750,756ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$32,943TotalAmt
Management And General$32,943ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,380TotalAmt
Management And General$8,380ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$212,919,771TotalAmt
Program Services$148,410,074ProgramServicesAmt
Management And General$64,509,697ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$342,989TotalAmt
Program Services$19,515ProgramServicesAmt
Management And General$323,474ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,219,553TotalAmt
Program Services$1,239,882ProgramServicesAmt
Management And General$6,979,671ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$643,895TotalAmt
Program Services$57,273ProgramServicesAmt
Management And General$586,622ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,994,772TotalAmt
Program Services$13,645,242ProgramServicesAmt
Management And General$1,349,530ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,795,519TotalAmt
Program Services$215,958ProgramServicesAmt
Management And General$3,579,561ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,918,213TotalAmt
Program Services$31,918,213ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$76,557,515TotalAmt
Program Services$66,990,818ProgramServicesAmt
Management And General$9,566,697ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$354,498TotalAmt
Program Services$322,593ProgramServicesAmt
Management And General$31,905ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$258,839,252$258,839,252
INTERCOMPANY EXPENSES$236,064,024$15,104,259$220,959,765
BAD DEBT EXPENSE$50,271,626$50,271,626
UBI TAXES$100,000$100,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$54,809,395TotalAmt
Program Services$54,809,395ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,427,482,467TotalAmt
Program Services$1,041,370,112ProgramServicesAmt
Management And General$386,112,355ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$67,251,880BOYAmt
EOY$55,953,437EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,137,055BOYAmt
EOY$6,490,453EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$187,954,137BOYAmt
EOY$163,532,864EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,617,124BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,797,986BOYAmt
EOY$19,516,918EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,643,363BOYAmt
EOY$2,555,049EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,846,046,182LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,049,161,056LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$801,401,595BOYAmt
EOY$796,885,126EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$807,834,216BOYAmt
EOY$97,217,798EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,536,303BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$41,526,995BOYAmt
EOY$40,880,700EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$515,815,360BOYAmt
EOY$375,771,242EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,477,516,014BOYAmt
EOY$1,558,803,587EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$188,183,567BOYAmt
EOY$145,668,606EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$896,100BOYAmt
EOY$873,100EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$743,696,840BOYAmt
EOY$613,352,217EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,507,246,649BOYAmt
EOY$1,442,956,929EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$212,616,706BOYAmt
EOY$139,031,406EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,652,639,862BOYAmt
EOY$2,341,882,258EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$480,013,500BOYAmt
EOY-$1,090,747,342EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$304,889,652BOYAmt
EOY$307,668,671EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$175,123,848BOYAmt
EOY-$783,078,671EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,477,516,014BOYAmt
EOY$1,558,803,587EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$48,295,035ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$117,573,517NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$538,676,341OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$32,943OtherActivitiesAmt
Total Lobbying Expenditures$32,943TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE TOLEDO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ORGANIZATION.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,747,861BeginningYearBalanceAmt
Contributions$8,000ContributionsAmt
Investment Earnings Or Losses$3,669,430InvestmentEarningsOrLossesAmt
End Year Balance$32,425,291EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,674,678BeginningYearBalanceAmt
Contributions$21,592,265ContributionsAmt
Investment Earnings Or Losses-$3,519,082InvestmentEarningsOrLossesAmt
End Year Balance$28,747,861EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,456,174OtherCostOrOtherBasisAmt
Book Value$52,456,174BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,263,267,654OtherCostOrOtherBasisAmt
Depreciation$658,761,974DepreciationAmt
Book Value$604,505,680BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,764,347OtherCostOrOtherBasisAmt
Depreciation$3,755,535DepreciationAmt
Book Value$8,812BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$429,620,940OtherCostOrOtherBasisAmt
Depreciation$344,410,405DepreciationAmt
Book Value$85,210,535BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$96,937,067OtherCostOrOtherBasisAmt
Depreciation$42,233,142DepreciationAmt
Book Value$54,703,925BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$796,885,126TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$3,838,136
BENEFICIAL INTEREST IN FOUNDATION$248,816,853
OTHER SEGREGATED INVESTMENTS$1,674,973
INTERCOMPANY DEBT FROM RELATED ENTITIES$78,609,405
THIRD PARTY PAYER RECEIVABLE$5,407,701
DEFERRED COMPENSATION$3,912,594
INVESTMENT IN AFFILIATE$33,511,580
FieldValueIRS element (for citing)
Total Book Value Other Assets$375,771,242TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATES$89,206,929
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$11,405,410
ASSET REMEDIATION OBLIGATION$11,567,827
DEFERRED COMPENSATION$3,912,594
PENSION PLAN LIABILITY$127,925
OPERATING LEASE LIABILITY$17,972,018
OTHER LIABILITIES$4,838,703
FieldValueIRS element (for citing)
Total Liability$139,031,406TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,222,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,222,000NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$291,233,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$217,654,871DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,578,509NetCommunityBenefitExpnsAmt
Total Expense0.05340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$298,455,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$217,654,871DirectOffsettingRevenueAmt
Net Community Benefit Expns$80,800,509NetCommunityBenefitExpnsAmt
Total Expense0.05860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,845,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,812,422DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,032,956NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,913,987TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,053,770DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,860,217NetCommunityBenefitExpnsAmt
Total Expense0.03260TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,391,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,597,438DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,794,142NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$907,339TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$907,339NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$89,058,284TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,463,630DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,594,654NetCommunityBenefitExpnsAmt
Total Expense0.03980TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$387,513,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$252,118,501DirectOffsettingRevenueAmt
Net Community Benefit Expns$135,395,163NetCommunityBenefitExpnsAmt
Total Expense0.09840TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$50,271,626BadDebtExpenseAmt
Bad Debt Expense Attributable$3,315,977BadDebtExpenseAttributableAmt
Reimbursed By Medicare$212,903,148ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$220,684,048CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,780,900MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

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

Hospital Facilities HospitalFacilitiesGrp (4 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

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

Supplemental Information SupplementalInformationGrp (31 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: FLOWER HOSPITAL
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY. A RESOURCE ASSESSMENT AND GAP ANALYSIS WERE COMPLETED AS PART OF THIS PROCESS. IN 2022, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, BAY PARK, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED SEPARATE CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, THAT INCLUDED GAP AND RESOURCE ASSESSMENTS. EACH COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THE DEFINED COMMUNITY AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED:ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AREA OFFICE ON AGING OF NORTHWESTERN OHIO, BOARD OF LUCAS COUNTY COMMISSIONERS, CITY OF TOLEDO, CONNECTING KIDS TO MEALS, CWA LOCAL 4319, HEALTH PARTNERS OF WESTERN OHIO, HOSPITAL COUNCIL OF NORTHWEST OHIO, LISC TOLEDO, LIVE WELL GREATER TOLEDO, LUCAS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES, LUCAS METROPOLITAN HOUSING AUTHORITY, MCLAREN ST. LUKE'S, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NAACP #3204, NEIGHBORHOOD HEALTH ASSOCIATION, TOLEDO FIRE & RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO LUCAS COUNTY HOMELESSNESS BOARD, TOLEDO PUBLIC SCHOOLS, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: FLOWER HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, BAY PARK HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 11:THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - TRAUMA- EDUCATION - MENTAL HEALTH/SUBSTANCE ABUSE THE CHNA DISCUSSED IN THE BELOW DISCLOSURES WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, AND THSES NEEDS HAVE BEEN ADDRESSED THROUGH 2022. THE LATEST CHNA WAS ADOPTED AT THE END OF 2022, AND WILL BE ADDRESSED IN 2023-2025.THE TOLEDO HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE ADULT: HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, , ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS,YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERCEPTIONS OF SUBSTANCE ABUSE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, YOUTH VIOLENCE; CHILD; HEALTH AND FUNCTION STATUS, CHILD CARE HEALTH ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2022 WITH RESPECT TO ITS CHNA CONDUCTED IN 2019: HEALTH NEED IDENTIFIED: TRAUMA EDUCATION STRATEGY #1 - PROVIDE AT LEAST FOUR (4) FREE, "STOP THE BLEED" TRAININGS AND EDUCATION TO COMMUNITY ORGANIZATIONS PER YEAR.ACTIONS TAKEN: - IN 2022, 16 "STOP THE BLEED" TRAININGS SESSIONS WERE CONDUCTED, WITH 19 KITS DISTRIBUTED AND 360 TOTAL PARTICIPANTS.STRATEGY #2 - PROVIDE AT LEAST TEN FREE CONTINUING MEDICAL EDUCATION TO LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS PER YEARACTIONS TAKEN:- IN 2022, 22 FREE CONTINUING MEDICAL EDUCATION SESSIONS WERE PROVIDE TO 382 LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS TO IMPROVE MEDICAL CARE AT THE SCENE OF INJURY OR EMEGENCY.STRATEGY #3 - ASSESS INDIVIDUALS FOR FALL PREVENTION AND PROVIDE CONNECTIONS TO RESOURCES IN THE COMMUNITY.ACTIONS TAKEN: - IN 2022, 6323 INDIVIDUALS WERE ASSESSED FOR FALL RISK AND PROVIDED EDUCATION IN THE TOLEDO HOSPITAL EMERGENCY DEPARTMENT (ED).- 201 REFERRALS WERE MADE TO COMMUNITY RESOURCES.- THE PERCENTAGE OF COMPLIANCE OF FALL RISK ASSESSMENTS IN THE ED WAS 54% - CONITINOUS PLAN TO IMPROVE THIS COMPLIANCE PERCENTAGE INCLUDES NURSING AND PROVIDER EDUCATION, AS WELL AS INCLUDING INPATIENT NURSING AND CARE COORDINATION TEAM. HEALTH NEED IDENTIFIED: MENTAL HEALTH/SUBSTANCE ABUSE STRATEGY #1 - DEPLOYMENT OF FREE NARCAN KITS TO PATIENTS AND FAMILIES IN THE ED WHO ARE AT RISK FOR OVERDOSEACTIONS TAKEN:- 322 FREE NARCAN KITS WERE DISTRIBUTED TO PATIENT AND FAMILIES IN THE ED WHO WERE AT RISK FOR OVERDOSE.STRATEGY #2 - PROVIDE AT LEAST TWO FREE EDUCATIONAL CLASSES IN THE COMMUNITY ON MOCK HEROIN OVERDOSE ACTIONS TAKEN: - ZERO EDUCATIONAL SESSESION WERE OFFERED DUE TO CHALLENGES ORGANIZING COMMUNITY EVENTS AND ENGAGEMENT IN COMPLIANCE WITH PUBLIC HEALTH GUIDELINES PERTAINING TO COVID-19. RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL, FORMERLY TOLEDO CHILDREN'S HOSPITAL (OPERATING WITHIN AND AS PART OF THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- MENTAL HEALTH/SUBSTANCE ABUSE- INFANT MORTALITY/MATERNAL HEALTH- INJURY PREVENTION/SAFETY- CHRONIC DISEASE ASTHMA AND FOOD INSECURITY- INCREASE SCHOOL READINESSTHE CHNA DISCUSSED IN THE BELOW DISCLOSURES WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, AND THESE NEEDS HAVE BEEN ADDRESSED THROUGH 2022. THE LATEST CHNA WAS ADOPTED AT THE END OF 2022, AND WILL BE ADDRESSED IN 2023-2025.RUSSEL J. EBEID CHILDREN'S HOSPITAL (ECH), 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 2019 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH 3STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH VIOLENCE, CHILD HEALTH AND FUNCTION STATUS, MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, SOME OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. RUSSELL J. EBEID CHILDREN'S HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2022 WITH RESPECT TO ITS CHNA, CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: MENTAL HEALTH/SUBSTANCE ABUSESTRATEGY #1 - CONDUCT EPIC AUDIT OF SCREENS COMPLETED AND % WITH APPROPRIATE FOLLOW THROUGH. SCREENS WILL BE AUDITED TO DETERMINE HOW MANY WERE COMPLETED AND HANDLED APPROPRIATELY ACCORDING TO RISK LEVEL. CULLEN CENTER WILL SCREEN ALL CLIENTS FOR SUICIDE RISK AND REFER AS APPROPRIATE.ACTIONS TAKEN: - AUDIT SHOWED 97% COMPLIANCE WITH DATA SHARED WITH STAFF TO IMPROVE COMPLIANCE. STRATEGY #2 - IMPROVE YOUTH MENTAL HEALTH THROUGH:1. PROVIDE TRAUMA AND TRAUMA INFORMED TRAININGS TO RUSSELL J. EBEID CHILDREN'S HOSPITAL STAFF, PROFESSIONALS, AND COMMUNITY MEMBERS AT LARGE TO HELP THEM PROVIDE APPROPRIATE TRAUMA INFORMED SERVICES TO YOUTH WHO HAVE HISTORIES OF TRAUMA.2. PROVIDE TRAUMA INFORMED PARENTING GROUPS TO PARENTS OF CHILDREN WITH HISTORIES OF TRAUMA.3. PROVIDE RISK PREVENTION PROGRAM, HIP HOP HEALTH, TO AT-RISK TEENS, AND, ALSO PROVIDE EDUCATION FOR OTHER PROVIDERS WHO PROVIDE PREVENTION PROGRAMS FOR AT-RISK YOUTH.ACTIONS TAKEN: - 3 COMMUNITY AND HOSPITAL TRAUMA INFORMED TRAININGS WERE PROVIDED, WITH 189 PARTICIPANTS TRAINED IN 2022.- PARENTING GROUPS AND RISK PREVENTION PROGRAMMING WAS ON HOLD THIS YEAR DUE TO THE PUBLIC HEALTH EMERGENCY. STRATEGY #3 - PROVIDE PEER-LED BULLYING/VIOLENCE PREVENTION AWARENESS EDUCATION TO ELEMENTARY AND MIDDLE SCHOOL AGED KIDS. HAVE A POSITIVE IMPACT ON PEER BULLYING BY PROVIDING EDUCATION TO SCHOOLS (Y1-500 YOUTH, Y2-750 YOUTH, Y3-1000 YOUTH).ACTIONS TAKEN: - 602 STUDENT LEADERS RECEIVED MULTI-SESSION TRAININGS ON BYSTANDER INTERVENTION IN 2022.- 3,850 STUDENTS RECEIVED PEER LED EDUCATION ON HOW THEY CAN REDUCE BULLYING IN THEIR SCHOOLS.- EDUCATED PEERS VIA SOCIAL MEDIA MESSAGING CAMPAIGNS CENTERED AROUND BYSTANDER INTERVENTION, BULLYING PREVENTION, INCREASING KINDNESS, MENTAL HEALTH AWARENESS AND DE-STIGMATIZATION, WITH 16,128 TOTAL REACH.CONTINUED BELOW
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY. A RESOURCE ASSESSMENT AND GAP ANALYSIS WERE COMPLETED AS PART OF THIS PROCESS. IN 2022, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, BAY PARK, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED SEPARATE CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, THAT INCLUDED GAP AND RESOURCE ASSESSMENTS. EACH COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THE DEFINED COMMUNITY AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED:ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AREA OFFICE ON AGING OF NORTHWESTERN OHIO, BOARD OF LUCAS COUNTY COMMISSIONERS, CITY OF TOLEDO, CONNECTING KIDS TO MEALS, CWA LOCAL 4319, HEALTH PARTNERS OF WESTERN OHIO, HOSPITAL COUNCIL OF NORTHWEST OHIO, LISC TOLEDO, LIVE WELL GREATER TOLEDO, LUCAS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES, LUCAS METROPOLITAN HOUSING AUTHORITY, MCLAREN ST. LUKE'S, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NAACP #3204, NEIGHBORHOOD HEALTH ASSOCIATION, TOLEDO FIRE & RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO LUCAS COUNTY HOMELESSNESS BOARD, TOLEDO PUBLIC SCHOOLS, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, BAY PARK HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 11:FLOWER HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- MENTAL HEALTH- CANCERTHE CHNA DISCUSSED IN THE BELOW DISCLOSURES WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, AND THESE NEEDS HAVE BEEN ADDRESSED THROUGH 2022. THE LATEST CHNA WAS ADOPTED AT THE END OF 2022, AND WILL BE ADDRESSED IN 2023-2025.FLOWER HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS,YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE; YOUTH PERCEPTIONS, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME.FLOWER HOSPITAL TOOK THE FOLLOWING ACTIONS DURING TAX YEAR 2022 WITH RESPECT TO ITS CHNA CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - ADVOCACY & CAPACITY BUILDINGA. SPONSOR A BI-ANNUAL CONFERENCE TO HELP PROVIDERS BETTER SERVE PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS.ACTIONS TAKEN: - ONE (1) CONFERENCE WAS HELD IN NOVEMBER 2022, THE PSYCHIATRIC SYMPOSIUM, WITH 25 PARTICIPANTS. (NOTE: PARTICIPANTS PAID TO ATTEND THE CONFERENCE FOR CEU'S.)B. JOIN OR CREATE THREE ADVOCACY ACTIVITIES EACH YEAR THAT SUPPORT LOCAL, STATE, OR NATIONAL EFFORTS TO HELP PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS.ACTIONS TAKEN: - 57 ADVOCACY ACTIVITIES WERE COMPLETED IN 2022 TO SUPPORT LOCAL, STATE, OR NATIONAL EFFORTS TO HELP PARENTS AND FAMILIES WHOSE CHILDREN HAVE MENTAL HEALTH DIAGNOSIS.STRATEGY #2 A. MAINTAIN A FAMILY SUPPORT GROUP FOR PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSISACTIONS TAKEN:- THERE WERE 4,737 PARTICIPANTS IN FAMILY SUPPORT GROUP INITIATIVES. B. PARTNER WITH COMMUNITY GROUPS TO INCREASE COMMUNITY ORGANIZATION'S STAFFING THAT PROVIDES SYSTEM AND RESOURCE NAVIGATION SUPPORT TO PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSISACTIONS TAKEN: - PROMEDICA CONTINUED TO FUND A PART TIME FAMILY NAVIGATOR IN COLLABORATION WITH THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) WHO SUPPORTED 80 HOURS TOWARD NAVIGATION OF COMMUNITY RESOURCES FOR FAMILIES WHOSE CHILDREN HAD A MENTAL HEALTH DIAGNOSIS IN 2022.C. PARTNER WITH COMMUNITY GROUPS TO CREATE INFORMATION AND REFERRAL RESOURCES FOR PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: - COLLABORATED WITH COMMUNITY PARTNERS TO PROVIDE DIRECT SUPPORT AND DISTRIBUTION OF RESOURCES TO 798 FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS. STRATEGY #3 - EDUCATION: HOLD FIVE EDUCATIONAL SESSIONS EACH YEAR THAT PROVIDE EDUCATION AND INFORMATION ON VARIOUS TOPICS AND ISSUES THAT ARE IMPORTANT TO PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: - A TOTAL OF 5 EDUCATIONAL SESSIONS WERE HELD, WITH 159 PARTICIPANTS.HEALTH NEED IDENTIFIED: CANCERSTRATEGY #1 - ADVOCACY & CAPACITY BUILDING: WORK WITH SALONS AND BARBERSHOP OWNERS TO PROVIDE EDUCATION AND RESOURCES TO INCREASE HEALTH EQUITY IN THE COMMUNITIES THEY SERVE.ACTIONS TAKEN: - EIGHT (8) BARBERSHOPS AND OR SALONS PARTICIPATED IN WORKSHOPS AND DISTRIBUTION OF HEALTH-RELATED EDUCATION MATERIALS TO INCREASE HEALTH EQUITY IN THE COMMUNITIES THEY SERVE. - 60 COMMUNITY MEMBERS RECEVIED HEALTH-RELATED EDUCATION AT BARBERSHOPS AND SALONS IN 2022. - 26 BARBERS PARTICIPATED IN A MENTAL HEALTH FIRST AID TRAINING TO BE EQUIPPED WITH KNOWLEDGE, TOOLS AND LOCAL RESOURCES TO SUPPORT COMMUNITY MEMBERS.STRATEGY #2 - PROGRAMMING: EDUCATE THE COMMUNITY ON EARLY DETECTION OF BREAST AND PROSTATE CANCER THROUGH AT LEAST TWO EDUCATIONAL PROGRAMS PER YEAR.ACTIONS TAKEN:- 18 EDUCATIONAL SESSIONS WERE PROVIDED IN THE COMMUNITY TO INCREASE KNOWLEDGE OF EARLY DETECTION OF CANCER WITH A TOTAL OF 180 PARTICIPANTS.STRATEGY #3 - EDUCATION: PROVIDE EDUCATION ON HEALTH TOPICS TO REDUCE THE INCIDENCE OF LATE TERM CANCER DIAGNOSIS. ACTIONS TAKEN:- TWO (2) EDUCATION SESSIONS WERE PROVIDED AT BARBERSHIPS AND SALONS TO EDUCATE THEIR CUSTOMERS ON CANCER SCREENING EDUCATION. THESE SHOPS WERE LOCATED IN UNDERSERVED, HIGH MINORITY ZIP CODES. - 74 COMMUNITY MEMBERS PARTICIPATED IN EDUCATION SESSIONS OFFERED AT BARBERSHOPS AND SALONS.- 2,000 AMERICAN CANCER SOCIETY CANCER PREVENTION RESOURCE GUIDES WERE DISTRIBUTED BY SALONS AND BARBERSHOPS TO IMPROVE AWARENESS AND ACCESS TO RELATED RESOURCES.- 500 EDUCATIONAL PACKETS ABOUT CANCER AND HEALTH RELATED EDUCATION WERE DISTRIBUTED THROUGH BARBERSHOPS AND SALONS IN 2022.
PART V, SECTION BFACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:- FACILITY 3: WILDWOOD ORTHOPAEDIC HOSPITAL
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY. A RESOURCE ASSESSMENT AND GAP ANALYSIS WERE COMPLETED AS PART OF THIS PROCESS. IN 2022, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, BAY PARK, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED SEPARATE CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, THAT INCLUDED GAP AND RESOURCE ASSESSMENTS. EACH COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THE DEFINED COMMUNITY AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED:ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AREA OFFICE ON AGING OF NORTHWESTERN OHIO, BOARD OF LUCAS COUNTY COMMISSIONERS, CITY OF TOLEDO, CONNECTING KIDS TO MEALS, CWA LOCAL 4319, HEALTH PARTNERS OF WESTERN OHIO, HOSPITAL COUNCIL OF NORTHWEST OHIO, LISC TOLEDO, LIVE WELL GREATER TOLEDO, LUCAS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES, LUCAS METROPOLITAN HOUSING AUTHORITY, MCLAREN ST. LUKE'S, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NAACP #3204, NEIGHBORHOOD HEALTH ASSOCIATION, TOLEDO FIRE & RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO LUCAS COUNTY HOMELESSNESS BOARD, TOLEDO PUBLIC SCHOOLS, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, FLOWER HOSPITAL, BAY PARK HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP B-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 11:WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- HUNGER- OBESITYTHE CHNA DISCUSSED IN THE BELOW DISCLOSURES WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, AND THESE NEEDS HAVE BEEN ADDRESSED THROUGH 2022. THE LATEST CHNA WAS ADOPTED AT THE END OF 2022, AND WILL BE ADDRESSED IN 2023-2025.WILDWOOD HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT TOBACCO USE, ADULT DRUG USE, ADULT ALCOHOL CONSUMPTION, ADULT SEXUAL BEHAVIOR, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE; YOUTH PERCEPTIONS, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2022 WITH RESPECT TO ITS CHNA CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: HUNGERSTRATEGY #1 - SCREEN INPATIENTS ON ADMISSION FOR FOOD INSECURITY, AND PROVIDE FOOD TO TAKE HOME AT DISCHARGE, IF FOOD INSECURITY IS IDENTIFIED.ACTIONS TAKEN:- IN 2022, WITH TOLEDO HOSPITAL, 890 INPATIENTS WERE SCREENED FOR FOOD INSECURITY, AND 140 FOOD AT DISCHARGE BOXES WITH COMMUNITY FOOD RESOURCE LISTINGS, WERE PROVIDED. PATIENTS HAVE THE OPTION OF DECLINING THE FOOD AT DISCHARGE BOX.STRATEGY #2 - SCREEN OUTPATIENTS IN SPECIFIC PROMEDICA PRIMARY CARE OFFICES FOR FOOD INSECURITY AND PROVIDE A REFERRAL TO A PROMEDICA FOOD PHARMACY AND/OR PROVIDE A LISTING OF FOOD AGENCIES TO ASSIST PATIENTS WITH FOOD ACCESS.ACTIONS TAKEN:- 2,073 PATIENTS IN OUTPATIENT CARE SETTINGS WERE SCREENED FOR FOOD INSECUIRTY IN 2022. PATIENTS ARE REFERRED BY THEIR PROMEDICA PRIMARY CARE PROVIDER AND MAY VISIT THE FOOD CLINICS ONCE A MONTH FOR 2-3 DAYS OF HEALTHY FOOD.HEALTH NEED IDENTIFIED: OBESITYSTRATEGY #1 - PROVIDE FREE COOKING MATTERS PROGRAMMING TO PARENTS AND FAMILIES THROUGHOUT THE COMMUNITY. COOKING MATTERS IS A 6-WEEK HEALTHY EATING AND COOKING CLASS FOR LOW-INCOME FAMILIES, WHICH WILL BE OFFERED AT THE PROMEDICA EBEID CENTER'S TEACHING KITCHEN.ACTIONS TAKEN:- THROUGH THE EBEID NEIGHBORHOOD PROMISE, 35 COOKING CLASSES WERE COMPLETED AT THE EBEID CENTER IN 2022, WITH 410 PARTICIPANTS. THE EBEID CENTER IS A PARTNER PROGRAM IN URBAN TOLEDO.STRATEGY #2 - PROVIDE FREE COOKING MATTERS AT THE STORE PROGRAMMING TO PARENTS AND FAMILIES. COOKING MATTERS AT THE STORE IS A ONE-TIME, EDUCATIONAL GROCERY STORE TOUR TEACHING HEALTHY EATING ON A BUDGET.ACTIONS TAKEN:- EDUCATIONAL GROCERY STORE STOURS TEACHING HEALTHY EATING ON A BUDGET SERVED 247 COMMUNITY MEMBERS IN 2022.- 21 COMMUNITY TOURS OF THE EBEID GROCERY STORE AND OPERATIONS WERE PROVIDED TO 89 PARTICIPANTS IN 2022 TO LEARN MORE ABOUT ITS SERVICE TO COMMUNITY. STRATEGY #3 - PROVIDE PHYSICAL ACTIVITY EDUCATION AS PART OF THE PROGRAMMING AT THE EBEID CENTER.ACTIONS TAKEN:- THROUGH THE EBEID NEIGHBORHOOD PROMISE PROGRAM, 18 REOCCURRING PHYSICAL ACTIVITY PROGRAMS WERE OFFERED AND SERVED 455 PARTICIPANTS.
PART V, SECTION BFACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:- FACILITY 4: ARROWHEAD BEHAVIORAL HEALTH
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY. A RESOURCE ASSESSMENT AND GAP ANALYSIS WERE COMPLETED AS PART OF THIS PROCESS. IN 2022, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, BAY PARK, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED SEPARATE CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, THAT INCLUDED GAP AND RESOURCE ASSESSMENTS. EACH COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THE DEFINED COMMUNITY AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED:ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AREA OFFICE ON AGING OF NORTHWESTERN OHIO, BOARD OF LUCAS COUNTY COMMISSIONERS, CITY OF TOLEDO, CONNECTING KIDS TO MEALS, CWA LOCAL 4319, HEALTH PARTNERS OF WESTERN OHIO, HOSPITAL COUNCIL OF NORTHWEST OHIO, LISC TOLEDO, LIVE WELL GREATER TOLEDO, LUCAS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES, LUCAS METROPOLITAN HOUSING AUTHORITY, MCLAREN ST. LUKE'S, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NAACP #3204, NEIGHBORHOOD HEALTH ASSOCIATION, TOLEDO FIRE & RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO LUCAS COUNTY HOMELESSNESS BOARD, TOLEDO PUBLIC SCHOOLS, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6A:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, FLOWER HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, & BAY PARK HOSPITAL.
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B:THE HOSPITAL FACILITY CONDUCTED ITS 2022 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 11:ARROWHEAD BEHAVIORAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2022, THEREFORE THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS, 2020-2022:- SUBSTANCE ABUSE- MENTAL HEALTHTHE CHNA DISCUSSED IN THE BELOW DISCLOSURES WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, AND THESE NEEDS HAVE BEEN ADDRESSED THROUGH 2022. THE LATEST CHNA WAS ADOPTED AT THE END OF 2022, AND WILL BE ADDRESSED IN 2023-2025.ARROWHEAD BEHAVIORAL HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN INCLUDE: ADULT HEALTHCARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE, YOUTH PERCEPTION, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ARROWHEAD BEHAVIORAL HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2022 WITH RESPECT TO ITS CHNA CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 - FREE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS (WHEN NEEDED).ACTIONS TAKEN: - NO COST TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS WERE PROVIDED TO 581 INDIVIDUALS.STRATEGY #2 - COLLABORATION WITH TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT TO PROVIDE NO COST HEPATITIS A VACCINATIONS TO INDIVIDUALS IN HIGH RISK POPULATIONS.ACTIONS TAKEN:- DUE TO COVID RESTRICTIONS THIS ACTIVITY DID NOT TAKE PLACE IN 2022.STRATEGY #3 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES, INCLUDING: RELAPSE PREVENTION, ALCOHOLICS ANONYMOUS AND NAMI FAMILY TO FAMILY. ACTIONS TAKEN:- RELAPSE PREVENTION AND ALCOHOLICS ANNONYMOUS SESSIONS RESUMED IN 2022 AND SERVED 240 PEOPLE. HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES TO INCREASE EDUCATION AND AWARENESS TO THE COMMUNITY ABOUT MENTAL HEALTH AND MENTAL HEALTH RESOURCES.ACTIONS TAKEN: - THROUGHOUT 2022, ARROWHEAD BEHAVIORAL HEALTH RESUMED OUTREACH STRATEGIES BY HOSTING 13 LUNCH AND LEARN SESSIONS ABOUT MENTAL HEALTH. - 245 PARTICIPANTS JOINED LUNCH AND LEARN SESSIONS ABOUT VARIOUS MENTAL HELTH WELLNESS TOPICS.
GROUP C-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 20E:PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS:- PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITYTO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THEPATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENTMAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IFTHE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOESNOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICESAND PHONE CALLS FOR MULTIPLE MONTHS
PART V, SECTION B, LINE 7A:THE 2022 CHNA FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, TOLEDO CHILDREN'S HOSPITAL AND ARROWHEAD BEHAVIORAL HOSPITALS CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY
PART V, SECTION B, LINE 10A:THE 2023-2025 CHNA IMPLEMENTATION PLAN FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, TOLEDO CHILDREN'S HOSPITAL AND ARROWHEAD BEHAVIORAL HOSPITALS CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY
PART V, SECTION B, LINE 16A:THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16B:THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16C:A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE
RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:STRATEGY #4 - DEMONSTRATE CHANGE AS EVIDENCED BY PARTICIPANT RETROSPECTIVE TESTING. INCREASE CONFIDENCE LEVEL "YOUR PEERS ARE MAKING FUN OF A CLASSMATE. HOW CONFIDENT ARE YOU THAT YOU WOULD STAND UP FOR THE PERSON EVEN IF YOU DID NOT KNOW THEM?" (Y1-10%, Y2-15%, Y3-20%).ACTIONS TAKEN:- TRACKED CONFIDENCE LEVEL OF TEENS. TEEN LEADERS DEMONSTRATED AN 40% OVERALL INCREASE IN THEIR CONFIDENCE LEVEL FOR INTERVENING (BYSTANDER INTERVENTION). DATA COLLECTED ONCE/ANNUALLY AT CONCLUSION OF SCHOOL YEAR MAY/JUNE.STRATEGY #5: 1. PROVIDE ANTENATAL EDUCATION BY NEONATAL NURSE PRACTITIONER FROM NEONATAL INTENSIVE CARE UNIT (NICU) ABOUT MATERNAL BONDING AND THE USE OF NON-PHARMACOLOGICAL BUNDLE ITEMS TO DECREASE THE NEED FOR PHARMACOLOGICAL TREATMENT FOR NEONATAL ABSTINENCE SYNDROME (NAS) STRESSING THE IMPORTANCE OF THE USE OF MATERNAL BREAST MILK IN THE NAS POPULATION. 2. CONTINUE CONSULTS AT CENTER FOR HEALTH SERVICES (CHS) AS ORDERED BY PRIMARY CARE PROVIDER/OBSTETRICIAN.3. CONTINUE PARTICIPATION AT THE MONTHLY "MOM'S GROUP" MEETINGS AT ZEPF CENTER.ACTIONS TAKEN: - 22 NEONATAL ABSTINENCE SYNDROME (NAS) CONSULTS WERE COMPLETED AT THE CENTER FOR HEALTH SERVICES (CHS) IN 2022 WHERE A NEONATAL NURSE PRACTITIONER FROM THE NEONATAL INTENSIVE CARE UNIT (NICU) INSTRUCTED NEW MOTHERS ABOUT MATERNAL BONDING AND THE USE OF NON-PHARMACOLOGICAL BUNDLE ITEMS TO DECREASE THE NEED FOR PHARMACOLOGICAL TREATMENT FOR NAS AND STRESSING THE IMPORTANCE OF THE USE OF MATERNAL BREAST MILK IN THE NAS POPULATION. -24% DECREASE IN LENGTH OF STAY FOR INFANTS DIAGNOSED WITH NAS COMPARED TO PRIOR YEARS DUE TO MATERNAL BONDING EDUCAITON PROVIDED ABOVE. HEALTH NEED IDENTIFIED: INFANT MORTALITY/MATERNAL HEALTHSTRATEGY #1 - SAFE SLEEP1. PROVIDE ACCESS TO SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH CHILDREN LESS THAN 12 MONTHS OF AGE AND REFER PARENTS TO CLASSES AS APPROPRIATE. PROVIDE ASSESSMENTS TO FAMILIES RECEIVING PORTABLE CRIB TO ENSURE SAFE SLEEP PRACTICES AND USE OF CRIB.2. PROVIDE SAFE SLEEP SACKS AND SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH NEWBORN INFANTS WHEN APPROPRIATE.3. EXPAND AS POSSIBLE BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN:NOTE: ALL NEW MOTHERS RECEIVE EDUCATION ON SAFE SLEEP DURING THEIR DELIVERY STAY IN THE HOSPITAL.- FIVE (5) PATIENTS WERE REFERRED TO THE SAFE SLEEP CRIB PROGRAM AT THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT. -SAFE SLEEP ASSESSMENT WAS PROVIDED TO FIVE (5) FAMILIES RECEIVING PORTABLE CRIBS TO ENSURE SAFE SLEEP PRACTICES. - SAFE SLEEP SACKS AND SAFE SLEEP EDUCATION WAS PROVIDED TO 20 LOW INCOME CAREGIVERS WITH NEWBORN INFANTS.STRATEGY #2 - BREASTFEEDING 1. TH/ECH WOMEN, INFANT AND CHILDREN SUPPLEMENTAL FOOD PROGRAM (WIC) DIETITIANS AND SUPPORT STAFF DISCUSS BREASTFEEDING WITH EACH PREGNANT/BREASTFEEDING WOMAN, ENROLLED IN THE TH/ECH WIC PROGRAM, AND ENCOURAGE ATTENDANCE TO THE FREE, UNLIMITED, BREASTFEEDING EDUCATION CLASSES. 2. OFFER BREASTFEEDING EDUCATION CLASSES TO EACH PREGNANT/BREASTFEEDING WOMAN ENROLLED IN THE WIC PROGRAM.3. MAKE REFERRALS TO WIC LACTATION CONSULTANT AND WIC BREASTFEEDING STAFF.4. WIC PEER BREASTFEEDING COUNSELOR CONTACTS THE TH/ECH BREASTFEEDING MOMS TO OFFER SUPPORT AND ANSWER BREASTFEEDING QUESTIONS.5. EDUCATE PREGNANT WOMEN PARTICIPATING IN PATHWAYS AND HMG HOME VISITING PROGRAMS REGARDING BREASTFEEDING AND/OR FEEDING BREASTMILK DURING HOME VISITS AND USE LACTATION CONSULTANTS IF NEEDED TO SUSTAIN INFANTS RECEIVING BREASTMILK UNTIL AT LEAST 5 WEEKS OLD. INCORPORATE THE ODH BREASTFEEDING/BREAST MILK INITIATIVE MATERIALS. ACTIONS TAKEN:- THE NUMBER OF PREGNANT/BREASTFEEDING WOMEN ENROLLED IN TH/ECH WIC PROGRAM WAS 1680.- ECH PROVIDED FREE BREASTFEEDING CLASSES THROUGH WIC WITH A TOTAL OF 148 WOMEN ATTENDING. - ECH WIC PEER BREASTFEEDING COUNSELOR CONTACTS, TO EDUCATE AND ENCOURAGE, BREASTFEEDING MOMS (VIA TEXTS, IN PERSON, PHONE CALLS) WAS 14,224 TOTAL CONTACTS.- PROMOTED BREASTFEEDING THROUGH EDUCATION AND SUPPORT TO 40% PARTICIPANTS OF PATHWAYS AND HELP ME GROW PROGRAM. THE ECH CERTIFIED LACTATION COUNSELOR REFERRED THESE PATIENTS TO HEALTH DEPARTMENT LACTATION CONSULTANT.- THE NUMBER OF INFANTS WHO RECEIVED BREASTMILK UNTIL AT LEAST FIVE WEEKS OF AGE WAS NINE (9). HEALTH NEED IDENTIFIED: INJURY PREVENTION STRATEGY #11. KIDS IN SAFE SEATS (KISS) AND OHIO BUCKLES BUCKEYES (OBB) PROGRAMS WILL EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF PROPER CAR SEAT USE AT RUSSELL J. EBEID CHILDREN'S HOSPITAL FITTING STATIONS AND COMMUNITY CAR SEAT CHECK EVENTS.2. PROVIDE OPPORTUNITIES FOR PARENTS AND CAREGIVERS TO RECEIVE CAR SEAT INFORMATION (Y1-40, Y2-50, Y3-60).3. KISS AND OBB PROGRAMS WILL PROVIDE ACCESS TO CAR SEATS AND BOOSTER SEATS TO LOW INCOME FAMILIES AT RUSSELL J. CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND COMMUNITY EVENTS AND WE WILL DISTRIBUTE TO LOW INCOME FAMILIES.4. PROMOTE AND FACILITATE AT LEAST 2 TRAININGS PER YEAR TO INCREASE THE NUMBER OF CHILD SAFETY TECHNICIANS TRAINED (Y1-16, Y2-18, Y3-20).ACTIONS TAKEN: -ECH STAFF EDUCATED 736 INDIVIDUALS ON CAR SEAT SAFETY THROUGH EVENTS PROVIDING 57 FITTING STATIONS AND 178 CAR SEATS CHECKED. -ECH STAFF PROVIDED 31 CAR SEAT PRESENTATIONS WITH 330 PARTICIPANTS-624 NO COST OR GRANT FUNDED CAR SEATS WERE DISTRIBUTED TO FAMILIES.- ECH STAFF PROVIDED CHILD PASSENGER SAFETY TRAINING (CPST) WITH 36 TOTAL PEOPLE TRAINED.STRATEGY #2 - INCREASE AWARENESS OF DISTRACTED DRIVING DANGERS.1. PROMOTE AND FACILITATE DISTRACTED DRIVING PRESENTATIONS FOR LOCAL HIGH SCHOOLS AND COMMUNITY LOCATIONS THROUGHOUT NORTHWEST OHIO.2. CONDUCT DISTRACTED DRIVING PROGRAMMING FOR HIGH SCHOOLS (Y1-3, Y2-5, Y3-6) AND AT COMMUNITY LOCATIONS (Y1-1, Y2-2, Y3-3).ACTIONS TAKEN:- APPROXIMATELY 280 PEOPLE WERE PROVIDED DISTRACTED DRIVING EDUCATION AND OFFERED USE OF DISTRACTED DRIVING SIMULATOR.-DUE TO THE PUBLIC HEALTH EMERGENCY, COLLABORATIONS WITH SCHOOLS PAUSED THIS ACTIVITY. IN LIEU OF THE PROGRAMMING BEING PAUSED, DISTRACTED DRIVING PRESENTATIONS WERE PROVIDED TO THE COMMUNITY. STRATEGY #3 - INCREASE ACCESS TO SAFETY ITEMS AND PROVIDE EDCUATION ON CHILD/HOME SAFETY. 1. EBEID CHILDREN'S HOSPITAL (ECH) TRAUMA DEPT. AND SAFE KIDS GREATER TOLEDO WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSIONS CLINIC, AND AREA SCHOOLS. EDUCATE AT LEAST 50 PARTICIPANTS AT PRESENTATIONS AND EVENTS (Y1-50 Y2,3-75). NOTE: THIS IS A DUPLICATE STRATEGY TO STRATEGY 5 (#1) BELOW, AND WILL ONLY BE REPORTED HERE, IN ACTIONS TAKEN.2. ECH COMMUNITY OUTREACH/SAFE KIDS GREATER TOLEDO AND TOLEDO HEALTHY TOMORROWS WILL EDUCATE PARENTS, CAREGIVERS, AND THE COMMUNITY ON HOME SAFETY ISSUES INCLUDING ACCIDENTAL POISONINGS, MEDICATION SAFETY, WATER SAFETY, FALLS, FIRE, BURN, ETC.3. DIRECTLY EDUCATE INDIVIDUALS (Y1-150, Y2-175, Y3-185) THROUGH PRESENTATIONS AND EDUCATIONAL SESSIONS; INDIRECTLY EDUCATE THOUSANDS MORE THROUGH AT SOCIAL MEDIA POSTS, TRADITIONAL MEDIA AND BROCHURES (Y1-5, Y2-10, Y3-15).ACTIONS TAKEN:-ECH EDUCATED 675 INDIVIDUALS AT PRESENTATIONS AND EVENTS RELATED TO CONCUSSIONS, SKILLS AND DRILLS AND TNCC.-1079 PARTICIPANTS RECEIVED IN HOME SAFETY EDUCATION ABOUT PREVENTING ACCIDENTAL POISONING, MEDICATION SAFETY, WATER SAFETY, FALLS, FIRE AND BURNS.-19,920 VIEWERS WERE REACHED WITH A CAMPAIGN FOR RELATED EDUCATION TOPICS ACROSS 125 SOCIAL MEDIA POSTS IN 2022.STRATEGY #4 - IMPROVE SAFETY OF CHILDREN WHO WALK OR BIKE TO SCHOOL.1. ECH COMMUNITY OUTREACH/SAFE KIDS GREATER TOLEDO AND SAFE ROUTES TO SCHOOL (PROGRAMS) WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE FACILITATE WALK TO SCHOOL DAY AND BIKE TO SCHOOL DAY WITH LOCAL SCHOOLS AND EDUCATE ON SAFE WALKING/BIKE PRACTICES AND BENEFITS OF GOING TO SCHOOL IN GROUPS (Y1&2-50 CHILDREN, Y3-60 CHILDREN).ACTIONS TAKEN:- 5,508 STUDENTS PARTICIPATED IN WALK AND BIKE TO SCHOOL DAY ACTIVITIES IN 2022. STRATEGY #5 - INCREASE AWARENESS OF CONCUSSION PREVENTION AND SPORTS RELATED INJURIES.1. RUSSELL J. EBEID CHILDREN'S HOSPITAL TRAUMA DEPT. AND SAFE KIDS GREATER TOLEDO WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSIONS CLINIC, AND AREA SCHOOLS (Y1-AT LEAST 50 PARTICIPANTS, Y2&3-AT LEAST 75 PARTICIPANTS). NOTE: THIS IS A DUPLICATE STRATEGY TO STRATEGY 3 (#1) ABOVE AND IS REPORTED THERE.2. RUSSEL J. EBEID CHILDREN'S HOSPITAL TRAUMA DEPT. WILL ASSIST SCHOOLS AND MEDICAL PROFESSIONALS WITH RETURN2PLAY AND RETURN TO LEARN POLICY AND PROCEDURE ADOPTION BY PROVIDING EDUCATIONAL MATERIALS AND SESSIONS (Y1-AT LEAST 4 SCHOOLS OR MEDICAL PROFESSIONALS, Y2-5, Y3-6).
RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:ACTIONS TAKEN: -675 PARENTS/GIVERS PARTICIPATED IN CONCUSSION PREVENTION AND SPORTS RELATED INJURIES AT EVENTS, COACHES TRAININGS AND CONCUSSION CLINICS WITH LOCAL SCHOOLS IN 2022.-ECH TRAUMA DEPARTMENT PROVIDED EDUCATION TO 489 INDIVUIDUALS ON RETURN2PLAY AND RETURN TO LEARN.STRATEGY #6 - DEVELOP AND IMPLEMENT SAFETY EDUCATION FOR CHILDREN AND PARENTS OF CHILDREN WITH AUTISM (YEAR 1-AT LEAST 2 EVENTS, YEAR 2-4 EVENTS, YEAR 3-6 EVENTS).ACTIONS TAKEN:-NO EDUCATION WAS PROVIDED TO THIS GROUP IN 2022 - IN PERSON EVENTS WERE DIFFICULT TO SCHEDULE DUE TO COVID GROUP RESTRICTIONS IN 2022.HEALTH NEED IDENTIFIED: CHRONIC DISEASE/ASTHMA/FOOD INSECURITYSTRATEGY #1 - RUSSELL J. EBEID CHILDREN'S HOSPITAL WILL PROVIDE NURSE COVERAGE IN COLLABORATION WITH THE LUCAS COUNTY HEALTH DEPARTMENT "SHOTS FOR TOTS" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN.ACTIONS TAKEN: - RUSSELL J. EBEID CHILDREN'S HOSPITAL PROVIDED THREE (3) HOURS OF NURSE COVERAGE AT ONE EVENT SERVING CHILDREN AT "SHOTS FOR TOTS" PROGRAM IN 2022.STRATEGY # 2 - INCREASE ACCESS TO ASTHMA EDUCATIONAL PROGRAMS AND INTERVENTIONAL HEALTHCARE. IMPROVE ASTHMA MANAGEMENT FOR CHILDREN. INCREASE UTILIZATION OF CARE FOR HIGHER RISK CHILDREN WITH ASTHMA.1. UTILIZE EVIDENCE BASED ASTHMA DISEASE MANAGEMENT PROGRAM UTILIZED AT PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL FOR ASTHMA EDUCATION AT THE PEDIATRIC AMBULATORY DEPARTMENT.2. UTILIZE RESPIRATORY THERAPISTS TRAINED TO PROVIDE CONSISTENT ASTHMA EDUCATION TO PARENTS AND CHILDREN WITH ASTHMA AND PROVIDE ACTION PLANS.3. PROVIDE ASTHMA EDUCATION 2 DAYS PER WEEK TO ALL PARENTS OF ASTHMATIC CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT AND PROVIDE ASTHMA INSTRUCTION BOOKLET TO THOSE RECEIVING EDUCATION. 4. SURVEY PARENTS/PATIENTS AFTER ASTHMA EDUCATION TO ASSESS PERCEPTION OF CARE.5. UTILIZE HOME CARE NURSES TO PROVIDE HOME EVALUATIONS AND FOLLOW UP CARE FOR ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION, IMPLEMENTATION OF MANAGEMENT SKILLS AND UNDERSTANDING OF NEED TO TAKE MEDICATIONS AS ORDERED. WILL MAKE HOME HEALTH REFERRAL IF PATIENT ANSWERS YES TO HOSPITALIZATION IN LAST YEAR.ACTIONS TAKEN: - EVIDENCE BASED ASTHMA EDUCATION PROVIDED IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS TO 2,790 PATIENTS/FAMILIES. THESE ARE FREE EDUCATIONAL SESSIONS AT PATIENT AND FAMILY ONE ON ONE APPOINTMENTS. -61 PATIENTS WITH A POSITIVE HIGH-RISK ASTHMA SCREEN WERE REFERRED FOR ASTHMA EDUCATION. FREE SCREENING; NO CHARGE. -2724 ACTION PLANS WERE GIVEN TO PARENTS OF CHILDREN IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS WITH AN ASTHMA DIAGNOSIS. ACTION PLAN IS PROVIDED AT NO CHARGE.-PATIENTS RECEIVE EDUCATION AT EVERY VISIT - NO PATIENTS RETURNED FOR EDUCATION OR SOUGHT CLASS INSTRUCTION IN 2022, ALTHOUGH WE OFFER MORE EDUCATION IF NEEDED, AT NO COST. -COMPLIANCE AUDITS OF PEDIATRIC PATIENT CHARTS ARE PERFORMED AND EDUCATION IS PROVIDED TOO STAFF AND RESIDENTS, AS NEEDED TO IMPROVE COMPLIANCE TO STRICT EDUCATIONAL STANDARDS.STRATEGY #3 - DECREASE ASTHMA-RELATED HOSPITAL ADMISSIONS AND ED VISITS BY IMPROVED FAMILY/CHILD KNOWLEDGE AND APPROPRIATE MANAGEMENT OF CHILD'S ASTHMA.1. PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL AND OUTPATIENT PRACTICES HAVE BEEN CERTIFIED BY THE JOINT COMMISSION FOR PEDIATRIC ASTHMA DISEASE MANAGEMENT AND IS THE ONLY HOSPITAL IN OHIO WITH THIS DISTINCTION. THIS TEAM MEETS REGULARLY TO EVALUATE PROGRESS BASED ON TARGET GOALS.2. PROVIDE EVIDENCED BASED EDUCATION TO PATIENTS USING QUALITY MEASURES TO DETERMINE SUCCESS. A. UTILIZE ASTHMA ORDER SETS IN PEDIATRIC EMERGENCY DEPARTMENT.B. UTILIZE ASTHMA ORDER SETS IN PEDIATRIC INPATIENT UNITC. UTILIZE ASTHMA ORDER SETS AT PULMONARY CLINIC AT PEDS AMBULATORY CLINIC (MEANT TO STATE PEDIATRIC ICU)3. PROVIDE ASTHMA INSTRUCTION BOOKLETS TO THOSE RECEIVING PARENT EDUCATION AND CONDUCT EVALUATIONS. 4. PROVIDE ASTHMA ACTION PLAN TO ALL PATIENTS AND FAMILIES WITH ASTHMA DIAGNOSIS FROM PROMEDICA RUSSELL J. EBEID CHILDRENS HOSPITAL AND MONITOR NUMBER OF PATIENTS SEEN IN ED WITHIN 7 OR 30 DAYS FROM LAST ED VISIT.ACTIONS TAKEN:- 2790 PATIENTS RECEIVED ASTHMA EDUCAITON IN 2022. - 61 PATIENTS WITH HIGH-RISK POSITIVE SCREENING WERE REFRRED FOR AND RECEIVED EDUCATION. - 2724 PARENTS OF CHILDREN WITH ASTHMA DIAGNOSIS WERE PROVIDED AN ACTION PLAN OF EDUCATION TWO DAYS PER WEEK. - 97% OF PARENTS ANSWERED "YES" TO THEY WERE GIVEN ENOUGH TIME WITH EDUCATOR TO GET QUESTIONS ANSWEREDSTRATEGY #4 - ASSESS FOOD INSECURITY FOR EACH WIC PARTICIPANT DURING ALL WIC CERTIFICATION APPOINTMENTS. YEAR 1 (2020)1. REVIEW ALL HEALTH HISTORY FORMS AT EACH WIC CERTIFICATION APPOINTMENT AND ADDRESS THE QUESTION THAT INDICATES FOOD INSECURITY.2. DISCUSS THE PROMEDICA HEALTH SYSTEM FOOD CLINIC WITH EACH FOOD INSECURE FAMILY. STAFF ALSO PHYSICALLY WALK WIC PATIENTS DOWN TO THE CHS FOOD CLINIC. IF THE FOOD CLINIC IS CLOSED, WE OFFER HOURS OF OPERATION AND SUGGEST THAT ALL PROMEDICA HEALTH SYSTEM PATIENTS OBTAIN A REFERRAL TO THE FOOD CLINIC FROM THEIR PRIMARY PHYSICIAN.3. YEAR 2 AND 3 (2021-2022) EVALUATE PROGRAM TO DETERMINE ANY CHANGES NEEDED.ACTIONS TAKEN:- 233 PATIENTS HAD POSITIVE/AT RISK RESPONSES TO FOOD INSECUITY QUESTIONS ASKED AT WIC CERTIFICATION APPOINTMENT. -79 PATIENTS REFERRED TO THE FOOD CLINIC FOR MONTHLY FOOD FOR HOUSEHOLD FOR 2-3 DAYS OF FOOD. BASED ON PATIENT FEEDBACK FROM PATIENTS, THE REMAINDER OF THE PATIENTS DECLINED A REFERRAL TO THE FOOD CLINICS DUE TO FOOD STAMP/SNAP BENEFITS, IN ADDITION TO FREE UNIVERSAL BREAKFAST AND LUNCH AT SCHOOLS.STRATEGY #5 - PROMEDICA ECH AMBULATORY PEDIATRIC PRACTICES WILL CONTINUE TO SCREEN ALL PATIENTS FOR FOOD INSECURITY AND REFER PATIENTS TO THE PROMEDICA FOOD CLINIC. THE FOOD CLINIC PROVIDES ACCESS TO HEALTHY FOOD AND NUTRITION EDUCATION FOR PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. THE FOOD CLINIC WILL PROVIDE CONTINUED EDUCATION/TRAINING TO PRACTICES ON ADDRESSING FOOD INSECURITY. ALL PATIENTS REFERRED TO THE FOOD CLINIC WILL BE OFFERED NUTRITION COUNSELING AND NUTRITION RESOURCES.1. THE FOOD CLINIC WILL EXPLORE WAYS TO INCREASE EDUCATION THROUGH IMPROVED COMMUNICATION WITH PROVIDERS AND INCREASED EDUCATION OPPORTUNITIES. 2. YEARS 2 AND 3 (2021-2022) EVALUATE FOOD CLINIC PROGRAM EXPANSION TO PROVIDE SERVICES TO ADDITIONAL PRACTICES AND PATIENTS. REFINE NUTRITION EDUCATION OPPORTUNITIES PROVIDED THROUGH THE FOOD CLINIC. 3. YEARS 2 AND 3 (2021-2022) ALL PATIENTS/FAMILIES AT ECH WILL BE SCREENED FOR FOOD INSECURITY PRI - OR TO DISCHARGE AND WILL BE OFFERED AN EMERGENCY FOOD BAG UPON DISCHARGE.4. YEAR 1 (2020) - CONTINUE TO PROVIDE FOOD BAGS AT DISCHARGE FOR PATIENTS IDENTIFIED AS FOOD INSECURE. YEARS 2 AND 3 (2021-2022) - EVALUATE FOOD SECURITY SCREENING RATES TO DETERMINE NEED FOR ADDITIONAL TRAINING ACROSS ECH STAFF. ACTIONS TAKEN:- ALL METRO TOLEDO PROVIDERS WERE TRAINED TO REFER PATIENTS TO THE FOOD CLINIC, WHO HAD POSITIVE FOOD INSECURITY SCREENING. - 13,221 FOOD INSECURITY SCREENS WERE CONDUCTED AT CENTER FOR HEALTH SERVICES (CHS) PEDIATRIC PRACTICE IN 2022- 866 REFERRALS WERE WRITTEN TO THE FOOD CLINIC FROM CHS PEDIATRIC PRACTICES IN 2022.- ALL NEW PATIENTS ARE OFFERED NUTRITION EDUCATION BY REGISTERED DIETITIAN AND PROVIDED WITH WRITTEN EDUCATION AND FOOD RESOURCES IN THE COMMUNITY.- 36 FOOD AT DISCHARGE FOOD BAGS WERE PROVIDED TO FOOD INSECURE FAMILIES AT ECH IN 2022.
RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:HEALTH NEED IDENTIFIED: INCREASE SCHOOL READINESS1. EDUCATE LOW INCOME PARENTS ABOUT PARENTING AND BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS AND PROVIDE FREE CHILDREN'S BOOKS TO HOMES.A. YEAR 1 (2020) - TOLEDO HEALTHY TOMORROWS (THT)/HELP ME GROW (HMG) HOME VISITORS PROVIDE LITERACY EDUCATION AND BOOKS TO FAMILIES.B. YEAR 2 THROUGH 3 (2021-2022) - CONTINUE EDUCATION AND BOOK DISTRIBUTION WITH FAMILIES ENROLLED IN THT PROGRAMS AND PROVIDE RESOURCES FOR FAMILIES TO CONTINUE LITERACY ACTIVITIES AFTER DISCHARGED FROM THT PROGRAMS.2. PROVIDE AGE SPECIFIC DEVELOPMENTAL SCREENING FROM BIRTH TO AGE 3 FOR CHILDREN ENROLLED IN THT/HMG PROGRAMS.3. YEARS 1 THROUGH 3 (2020-2022)SCREEN ALL INFANTS AND CHILDREN TO AGE 3 YEARS OLD WITH AGE APPROPRIATE AGES AND STAGES, THIRD EDITION AND REFER ALL CHILDREN TO EARLY INTERVENTION THROUGH ESTABLISHED PROCEDURE IF SCREENING DETERMINES NEED FOR EVALUATION.ACTIONS TAKEN: - PROVIDED EDUCATION ABOUT READING AND DISTRIBUTED BOOKS DURING HOME VISITS, BETWEEN THE TWO HOME VISITING PROGRAMS, 366 FAMILIES EDUCATED. WITH 373 BOOKS DISTRIBUTED.- SCREENED 46 CHILDREN ENROLLED IN THT/HMG PROGRAM WITH AGES AND STAGES ASSESSMENT. - NINE (9) REFERRALS WERE MADE TO EARLY INTERVENTION THROUGH THESE HOME VISIT ASSESSMENTS.
FieldValueIRS element (for citing)
Facility57FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (57 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PROMEDICA HICKMAN CANCER CENTER
5300 HARROUN RD STE 010SYLVANIAOH435602182ONCOLOGY
2 - PARKWAY SURGERY CENTER
2120 W CENTRAL AVETOLEDOOH436063834SURGERY/LAB
3 - ENDOSCOPY CENTER
5700 MONROE ST UNIT 102SYLVANIAOH435602767ENDOSCOPY
4 - PROMEDICA MAUMEE ONCOLOGY
5805 MONCLOVA RDMAUMEEOH435371839ONCOLOGY
5 - HARRIS-MCINTOSH RADIOLOGYEBEID CHILDREN
2121 HUGHES DRTOLEDOOH436063845RADIOLOGY/CARDIOLOGY/PULMONARY
6 - PROMEDICA LABS
2130 W CENTRAL AVE STE 300TOLEDOOH436062920LAB
7 - PROMEDICA HEALTH AND WELLNESS CENTER
5700 MONROE STSYLVANIAOH435602779LAB & RADIOLOGY
8 - NORTHWEST OHIO CARDIOLOGY
2940 N MCCORD RDTOLEDOOH436151753CARDIOLOGY
9 - PROMEDICA NEUROSCIENCE CENTER
2130 W CENTRAL AVETOLEDOOH436063818NEUROSCIENCE
10 - SPORTSCARE AT WILDWOOD MEDICAL CTR
2865 N REYNOLDS RD STE 110TOLEDOOH436152069PHYSICAL THERAPY
11 - PMV CARDIOVASCULAR
5705 MONCLOVA RD STE 201MAUMEEOH435371877CARDIAC TESTING
12 - TOLEDO HOSP TOTAL REHAB AT CTR FOR HEALT
2150 W CENTRAL AVENUETOLEDOOH436063834PHYSICAL THERAPY/WOMEN'S CARE/INFUSION CENTER/PEDIATRICS
13 - FLOWER MOB LAB
5308 HARROUN RD STE 0050SYLVANIAOH435602193LAB
14 - TOTAL REHAB PEDIATRICS
4041 W SYLVANIA AVE STE 100TOLEDOOH436234465PHYSICAL THERAPY
15 - PERRYSBURG MEDICAL CTR
1601 BRIGHAM DR 180PERRYSBURGOH435517118LAB/RADIOLOGY
16 - PROMEDICA HEALTH CTR ARROWHEAD
660 BEAVER CREEK CIR STE 120MAUMEEOH435371745LAB/RADIOLOGY/PT
17 - PAT METRO PAT CLINIC
3500 EXECUTIVE PKWYTOLEDOOH436061319LAB
18 - PROMEDICA VISION ASSOCIATES AMB SURGERY
3330 MEIJER DR STE 2TOLEDOOH436173103EYE CARE
19 - CENTER FOR HEALTH SVCSREHABRADIOLOGYW
2150 W CENTRAL AVENUE ROOM HTOLEDOOH436063859LAB
20 - JOBST VASCULAR VASCULAR INSTITUTE
2109 HUGHES DR STE 500TOLEDOOH436063856VASCULAR
21 - TOTAL REHAB AT PERRYSBURG
1601 BRIGHAM DR 100PERRYSBURGOH435517121PHYSICAL THERAPY
22 - PROMEDICA WILDWOODTOTAL REHAB WILDWOOD
2865 N REYNOLDS RD SUITE 150TOLEDOOH436152069LAB & RADIOLOGY
23 - MONROE CARDIOLOGY TESTING CENTER
730 N MACOMB ST 429MONROEMI481622904CARDIOLOGY
24 - TOLEDO HOSP AT CONRAD JOBST TOWER
2109 HUGHES DR STE 130TOLEDOOH436063856LAB
25 - PROMEDICA FREESTANDING EMERGENCY ROOM-UR
1075 MEDICAL CENTER PKWYMAUMEEOH435371904EMERGENCY/URGENT CARE
26 - TOLEDO HOSPITAL CARDIAC TESTING CENTER
1601 BRIGHAM DR 120PERRYSBURGOH435517121PHYSICAL THERAPY/CARDIOLOGY/VASCULAR
27 - PROMEDICA VASCULAR LAB - SYLVANIA
5700 MONROE ST UNIT 309SYLVANIAOH435602767VASCULAR
28 - TOTAL REHAB AT BEDFORD
2000 W DEAN RDTEMPERANCEMI481829427PHYSICAL THERAPY
29 - PROMEDICA TOLEDO HOSPITAL - INFANT MONIT
2121 HUGHES DR STE 850TOLEDOOH436063845INFANT MONITORING
30 - SPORTSCARE AT PROFESSIONAL PARK
4848 N HOLLAND SYLVANIA RD STE 202SYLVANIAOH435602148PHYSICAL THERAPY
31 - TOTAL REHAB AT SPRING MEADOWS
6855 SPRING VALLEY DR STE 155HOLLANDOH435289374PHYSICAL THERAPY
32 - TOTAL REHAB AT MAUMEE ARROWHEAD
660 BEAVER CREEK CIR STE 210MAUMEEOH435371745PHYSICAL THERAPY
33 - PROMEDICA LABS MCCORD RD
3020 N MCCORD RD 101TOLEDOOH436151701LAB
34 - PROMEDICA SECOR RD LAB
7300 SECOR RD STE 6LAMBERTVILLEMI481449360LAB
35 - PROMEDICA HEARING CTR
5300 HARROUN RD SUITE 218SYLVANIAOH435602168AUDIOLOGY
36 - TFL METRO PAT CLINIC
5300 HARROUN RD STE 202 226SYLVANIAOH435602146LAB
37 - PROMEDICA WELLNESS CENTER - PULMONARY FU
5700 MONROE ST STE 307SYLVANIAOH435602768PULMONARY
38 - PROMEDICA LAB - TOLEDO HOSPITAL MEDICAL
2100 W CENTRAL AVE STE 130TOLEDOOH436063800LAB
39 - JOBST ANTICOAGULATION - TOLEDO
2109 HUGHES DR STE 550TOLEDOOH436065103ANTICOAGULATION CLINIC
40 - PROMEDICA HEALTH CTR SWANTON
22 TURTLE CREEK CIR STE ESWANTONOH435588591LAB
41 - PROMEDICA LAB - POINT PLACE
4805 SUDER RDTOLEDOOH436111800LAB
42 - PROMEDICA HEALTH CENTER - EAST
3156 DUSTIN RD STE102OREGONOH436164342LAB
43 - PROMEDICA ROSSFORD
1215 GRASSY LANEROSSFORDOH434601525LAB
44 - PROMEDICA MEDICAL CENTER
455 W 4TH STREETFOSTORIAOH448301849LAB
45 - PROMEDICA MARY ELLEN FALZONE DIABETES
2100 W CENTRAL AVE STE 120TOLEDOOH436063800DIABETES CARE
46 - PROMEDICA PHYSICIANS GENERAL SURGERY
5700 MONROE STSYLVANIAOH435602767BARIATRIC
47 - PCJ HEART FAILURE CLINIC
2109 HUGHES DRTOLEDOOH436063856HEART FAILURE CLINIC
48 - PROMEDICA TRANSPORTATION NETWORK
2142 NORTH COVE BLVDTOLEDOOH436063895GROUND AND AIR TRANSPORT
49 - TOTAL REHAB- PROMEDICA OWENS CORNING
1 OWENS CORNING PARKWAYTOLEDOOH436591000PHYSICAL THERAPY
50 - PROMEDICA WELLNESS SERVICES-MAUMEE
1789 INDIAN WOOD CIRCLE STE 210MAUMEEOH435374022COMMUNITY EDUCATION
51 - REMOTE
1801 RICHARDS RDTOLEDOOH436071037ACUTE CARE AT HOME
52 - PROMEDICA NORTHWEST OHIO HEMOPHILIA CENT
2109 HUGHES DR STE 860TOLEDOOH436065114HEMOPHILIA
53 - PROMEDICA HEALTH AND WELLNESS CENTER
5700 MONROE ST STE 100SYLVANIAOH435602767VASCULAR
54 - PROMEDICA HEMATOLOGYONCOLOGY ASSOC
5308 HARROUN RD STE 0055SYLVANIAOH435602174CANCER CARE
55 - RENAL CARE GROUP DIALYSIS
3100 W CENTRAL AVE STE 100TOLEDOOH436062924DIALYSIS
56 - CHS OCCUHEALTH
2142 NORTH COVE BLVDTOLEDOOH436063895CHECK LAB OR RAD
57 - CENTER FOR WOUND CARE OF NW OHIO
3110 W CENTRAL AVENUE SUITE ATOLEDOOH436062956WOUND CARE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:THE TOLEDO HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 50,271,626.
PART III, LINE 2:THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 19 AND 20 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION.
PART III, LINE 8:MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2022 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
PART III, LINE 9B:FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2:PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:THE TOLEDO HOSPITAL, WITH LOCATIONS IN THE TOLEDO, OHIO METROPOLITAN AREA, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 650,000. APPROXIMATELY, 14% OF THE SERVICE AREA IS AGE 65 OR OVER; 60% IS BETWEEN AGE 18 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000; 89% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 50% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 431,000 WITH APPROXIMATELY 18% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 32% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 8% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2022 WAS 4.4%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, COVID, UNINTENTIONAL INJURIES/ACCIDENTS, LUNG DISEASE, ALZHEIMER'S, AND DIABETES. ACCORDING TO 2021 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 69 OF 88 COUNTIES FOR HEALTH OUTCOMES. THERE ARE THIRTEEN HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., MONROE REGIONAL HOSPITAL, AND FULTON COUNTY HEALTH CENTER.
PART VI, LINE 5:THE TOLEDO HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2022:- 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 2022 PROMEDICA WAS COMPRISED OF MORE THAN 45,000 EMPLOYEES, NEARLY 850 VOLUNTEERS AND MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERSINCLUDING APPROXIMATELY 1,200 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP (PPG) WHO FORM A PROVIDER NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. IN 2022:- 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1444 N SUMMIT STAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Recipient EIN341517672RecipientEIN
Cash Grant$20,716CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantOPERATING GRANTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAS AN AFFILIATE OF 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

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RANDALL OOSTRA
PHS PRES. & CEO-PART YEAR$0$1,664,907$0$2,628,840$0$1,182,293$0$0$0$3,579$0$5,479,619$0$0
STEVEN M CAVANAUGH
TREASURER, CFO-PART YEAR$0$604,206$0$1,107,251$0$724,358$0$28,986$0$12,539$0$2,477,340$0$0
ARTURO POLIZZI
PRESIDENT AND CEO$0$1,003,178$0$597,348$0$5,304$0$0$0$12,750$0$1,618,580$0$0
THOMAS GEORGE PADANILAM MD
TRUSTEE$0$770,938$0$310,019$0$2,622$0$0$0$22,095$0$1,105,674$0$0
JEFFREY C KUHN
SECRETARY, CHIEF LEGAL OFFICER-PART$0$390,988$0$196,494$0$339,985$0$23,904$0$20,319$0$971,690$0$0
MATTHEW KANG
EX-OFFICIO - PART YEAR$0$262,574$0$324,480$0$314,854$0$4,528$0$9,443$0$915,879$0$0
AARON A BUERK MD
TRUSTEE$0$793,646$0$24,092$0$300$0$0$0$6,313$0$824,351$0$0
BRIAN DOLSEY
TRUSTEE$0$564,833$0$189,660$0$1,782$0$0$0$13,270$0$769,545$0$0
DAWN M BUSKEY
PRESIDENT TOLEDO HOS.$0$650,606$0$96,246$0$3,210$0$0$0$11,796$0$761,858$0$0
STEPHEN M SADOWSKI
CHIEF LEGAL OFFICER$0$596,289$0$86,275$0$1,051$0$0$0$6,102$0$689,717$0$0
GREGORY KASPER
PRES. JOINT VASCULAR INSTITUTE$544,683$0$66,562$0$2,322$0$32,068$0$4,573$0$650,208$0$0$0
RAVI K ADUSUMILLI MD
TRUSTEE$0$358,353$0$166,854$0$3,864$0$0$0$26,354$0$555,425$0$0
GARY AKENBERGER
SR VP FINANCE-FORMER$391,743$0$68,216$0$6,288$0$24,334$0$9,317$0$499,898$0$0$0
BRIAN MILLER
VP, MEDICAL OPERATIONS, PPG$409,225$0$48,789$0$3,564$0$9,060$0$4,613$0$475,251$0$0$0
HOLLY BRISTOLL
CHIEF INT OFFICER ACADEMIC AFFAIRS$175,045$0$61,290$0$183,897$0$7,454$0$5,426$0$433,112$0$0$0
JULIE ARQUETTE
PRESIDENT, HICKMAN$314,974$0$75,729$0$2,034$0$17,796$0$1,300$0$411,833$0$0$0
DARRELL J WACHOWIAK RN BSN MHA
TRUSTEE$0$209,535$0$45,176$0$17,110$0$4,139$0$31,625$0$307,585$0$0
THADIUS L WADSWORTH MBA BSN RN C
TRUSTEE$0$225,193$0$47,212$0$623$0$0$0$10,870$0$283,898$0$0
GREGORY BRAYLOCK
TRUSTEE$0$207,445$0$48,979$0$1,748$0$0$0$7,913$0$266,085$0$0
DEANA SIEVERT
SR VP, PAT CARE/CNO, SYSTEM - PART Y$122,359$0$34,717$0$382$0$2,442$0$0$0$159,900$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, INC., USES AN INDEPENDENT CONSULTANT, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES.
PART I, LINES 4A-BELIGIBLE 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. - HOLLY BRISTOL RECEIVED A SEVERANCE PAYMENT OF 151,804 DURING 2022. - STEVEN CAVANAUGH RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $688,132 DURING 2022. - JEFFERY KUHN RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, PROMEDICA HEALTH SYSTEM, IN THE AMOUNT OF $333,184 DURING 2022.
SCHEDULE J, SUPPLEMENTAL INFORMATION:IN ADDITION, HCR MANORCARE, INC. A RELATED ORGANIZATION PROVIDES A SPLIT-DOLLAR LIFE INSURANCE PLAN TO ITS CHIEF EXECUTIVE OFFICER FROM WHICH NO CASH PAYMENTS WERE MADE DURING THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF LUCAS OHIO (2015B)
A346400806549310VL12015-09-30$45,586,125SEE PART VI000
COUNTY OF LUCAS OHIO (2017A-D)
B3464008060000000002017-12-29$299,500,000SEE PART VI000
COUNTY OF LUCAS OHIO (2017FG)
C346400806549310VM92017-12-29$142,500,000SEE PART VI000
COUNTY OF LUCAS OHIO (2018A)
D346400806549310WE62018-10-25$261,485,311SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtCredit EnhancementCreditEnhancementAmt
A$45,598,957$600$586,084$45,012,873201800Yes (1)Yes (1)
B$4,2630Yes (1)Yes (1)Yes (1)$299,495,737
C$62,500,000$80,000,000Yes (1)0Yes (1)Yes (1)$62,500,000
D$262,545,834$1,559,890$170,995,519Yes (1)0Yes (1)Yes (1)$89,150,881$839,544

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)
C000Yes (1)Yes (1)000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I:SERIES 2015 BOND DETAIL ISSUER NAME: 2015 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VL1 DATE ISSUED: 09/30/2015 ISSUE PRICE: $45,586,125 PURPOSE: FINANCE THE CONSTRUCTION AND EQUIPPING OF A 302 BED PATIENT TOWER ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2045 SERIES 2017 BOND DETAIL ISSUER NAME: 2017 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $54,710,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008D BONDS ISSUED 05/15/2008. MATURITY: 11/15/2040 ISSUER NAME: 2017 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $120,010,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $84,980,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011A BONDS ISSUED 02/09/2011. MATURITY: 11/15/2041 ISSUER NAME: 2017 SERIES D - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 12/29/2017 ISSUE PRICE: $39,800,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011. MATURITY: 11/15/2029 ISSUER NAME: 2017 SERIES F AND G - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310VM9 DATE ISSUED: 12/29/2017 ISSUE PRICE: $142,500,000 PURPOSE: TO REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2008A BONDS ISSUED 05/15/2008 AND TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2034 SERIES 2018 BOND DETAIL ISSUER NAME: 2018 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: 549310WE6 DATE ISSUED: 10/25/2018 ISSUE PRICE: $261,485,311 PURPOSE: REFINANCING THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011C BONDS ISSUED 05/25/2011 & 2017G BONDS ISSUED 12/29/2017 AND FINANCE THE CONSTRUCTION AND EQUIPPING OF REPLACEMENT HOSPITAL CAMPUS ON THE CAMPUS OF THE TOLEDO HOSPITAL. MATURITY: 11/15/2048 SERIES 2021A BOND DETAIL ISSUER NAME: 2021 SERIES A - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 8/17/2021 ISSUE PRICE: $25,885,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011 MATURITY: 11/15/2029 SERIES 2021B BOND DETAIL ISSUER NAME: 2021 SERIES B - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 8/17/2021 ISSUE PRICE: $25,885,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011 MATURITY: 11/15/2029 SERIES 2021C BOND DETAIL ISSUER NAME: 2021 SERIES C - COUNTY OF LUCAS OHIO ISSUER EIN: 34-6400806 CUSIP#: N/A DATE ISSUED: 8/17/2021 ISSUE PRICE: $25,885,000 PURPOSE: REFINANCE A PORTION OF THE EARLY OPTIONAL REDEMPTION OF THE PROMEDICA HEALTHCARE OBLIGATED GROUP SERIES 2011D BONDS ISSUED 12/01/2011 MATURITY: 11/15/2029 PART I, COLUMN (E): DIFFERENCE BETWEEN THE ISSUE PRICE SHOWN IN PART I, COUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 2 ARE DUE TO INVESTMENT EARNINGS PART IV, LINE 6: CERTAIN OF THESE BOND ISSUES CONSTITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH THE PROCEEDS OF THE BONDS. PART IV COLUMN (B) SERIES 2017 BONDS REBATE CALCULATION PERFORMED 12/21/2021
PART I, LINE C OF ENTITY 2, COLUMN (C):ENTERED HERE IS THE CUSIP FOR THE LATEST MATURITY; THIS INFORMATION WAS INADVERTENTLY OMITTED FROM THE FORM 8038 FOR THE ISSUE.
PART I, COLUMN (E):DIFFERENCE BETWEEN THE ISSUE PRICES SHOWN IN PART I, COLUMN (E) AND TOTAL PROCEEDS SHOWN IN PART II, LINE 3 ARE DUE TO INVESTMENT EARNINGS.
PART IV, COLUMN (A), SERIES 2015 B BONDS:DATE THE REBATE COMPUTATION WAS PERFORMED: 10/10/2020
PART IV, LINE 6:CERTAIN OF THESE BOND ISSUES CONSITUTE ADVANCE REFUNDING ISSUES. FOR SUCH ISSUES, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
PART IV, COLUMN (C) SERIES 2017F+G BONDS:DATE THE REBATE COMPUTATION WAS PERFORMED: 12/29/2022

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF LUCAS OHIO (2021A-C)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN346400806BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2021-08-17BondIssuedDt
Issue Price$79,650,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Other Spent Proceeds$79,650,000OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSANDRA WACHOWIAKPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF DARRELL WACHOWIAK (TRUSTEE)RelationshipDescriptionTxt
Transaction$140,021TransactionAmt
TransactionEMPLOYED LEAD PHARMACISTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 1A:THE PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY. ALL 1099 FORMS FOR PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES ARE FILED UNDER PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671.
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF THE TOLEDO HOSPITAL. AS THE MEMBER, PHS HAS THE RIGHT TO (A) ELECT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF THE TOLEDO HOSPITAL AND (B) FILL ANY VACANCY ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BWHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN IS REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS FROM THE BOARD ARE REVIEWED AND INCORPORATED INTO THE RETURN IF APPROPRIATE. FINAL RETURNS ARE PROVIDED TO A PRINCIPAL OFFICER FOR SIGNATURE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CPROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER STATEMENT OF CONFLICT (SOC) SURVEY WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER SOC SURVEYS ARE REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER SOC SURVEYS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED, AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO COMPLETE THE SURVEY OR THE SUBMISSION OF A FALSE OR INCOMPLETE SURVEY, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S SURVEY RESULTS OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL BONUS-ELIGIBLE SENIOR LEADERSHIP AND SPECIFICALLY IDENTIFIED ADDITIONAL EMPLOYEES, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PROVIDERS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, THE CHIEF HUMAN RESOURCE OFFICER, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. ADDITIONALLY, AS PART OF THE ANNUAL MANDATORY COMPLIANCE TRAINING ASSIGNED TO ALL PROMEDICA EMPLOYEES, EACH EMPLOYEE IS REQUIRED TO ELECTRONICALLY ACKNOWLEDGE THAT THEY HAVE RECEIVED A COPY OF THE PROMEDICA STANDARDS OF CONDUCT, THAT THEY UNDERSTAND HOW THE STANDARDS APPLY TO THEM, ACKNOWLEDGE THEIR OBLIGATION TO FOLLOW THEM, THEIR OBLIGATION TO REPORT VIOLATIONS OF THE STANDARDS OR REQUESTS THAT WOULD RESULT IN VIOLATIONS OF THE STANDARDS TO APPROPRIATE COMPANY OFFICERS AND THAT THEY HAVE REPORTED ALL VIOLATIONS KNOWN TO THEM AS REQUIRED BY THE STANDARDS. IN ADDITION THE ATTESTATION STATES ANY CONFLICTS OF INTEREST OR OTHER MATTERS FOR WHICH THE STANDARDS REQUIRE WRITTEN DISCLOSURE TO THE COMPANY HAVE BEEN SO DISCLOSED BY THE EMPLOYEE AND THEY UNDERSTAND AND ACKNOWLEDGE THAT TO THE EXTENT THEY ARE AN AT-WILL EMPLOYEE, THE STANDARDS DO NOT AFFECT THE AT-WILL NATURE OF MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY. EMPLOYED PROVIDERS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PROVIDERS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PROVIDER CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER FOR PROMEDICA PHYSICIAN GROUP, INC. (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE OFFICE OF THE PROMEDICA HEALTH SYSTEM, INC. ("PHS") V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PROVIDER CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE PHS AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PROVIDERS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PROVIDER STANDARD OF CONDUCT AND THE PROVIDER CERTIFICATION STATEMENT WHICH THE NEW PROVIDER IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE PHS V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PROVIDER AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE IDENTIFIED PROVIDER BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, OR DESIGNEE, WILL PROVIDE THE PROVIDER-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PHS WEBSITE (HTTPS://WWW.PROMEDICA.ORG/PAGES/ABOUT-US/INDUSTRY-RELATIONSHIPS.ASPX) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE.
FORM 990, PART VI, SECTION B, LINE 15THE TOLEDO HOSPITAL'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF PROMEDICA FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:JOINT VENTURE OPERATING AGREEMENTS INVOLVING PROMEDICA HEALTH SYSTEM, INC. OR ITS SUBSIDIARIES (COLLECTIVELY, PHS) INCLUDE PROVISIONS TO PROTECT PHS'S TAX-EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. PHS CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL PHS JOINT VENTURES.
PART VII, SECTION B:PROMEDICA HEALTH SYSTEM PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, PROMEDICA HEALTH SYSTEM, INC. THE INDEPENDENT CONTRACTORS OVER $100,000 WILL BE LISTED ON THE 990 FILED FOR PROMEDICA HEALTH SYSTEM, INC. FEIN 34-1517671.
FORM 990, PART VII, SECTION A:LOUIS ROBICHAUX IS EMPLOYED BY A MANAGEMENT AGENCY THAT IS UNDER A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO PROMEDICA HEALTH SERVICES.
FORM 990, PART IX, LINE 11GNON-PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 52,840,283. MANAGEMENT AND GENERAL EXPENSES 20,870,581. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,710,864. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 9,952,093. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,952,093. SERVICE CONTRACT FEES: PROGRAM SERVICE EXPENSES 20,807,498. MANAGEMENT AND GENERAL EXPENSES 10,803,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,610,547. AUXILIARY FEES: PROGRAM SERVICE EXPENSES 64,810,200. MANAGEMENT AND GENERAL EXPENSES 32,836,067. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,646,267.
FORM 990, PART XI, LINE 9:PENSION EXPENSE ADJUSTMENT -29,297. TRANSFERS BETWEEN RELATED ENTITIES -494,543,779. REVERSE OF BOOK ENTRY FOR AUXILIARY ACTIVITY -44,103,265.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PROMEDICA HICKMAN CANCER CENTER PHARMACY LLC
100 MADISON AVETOLEDOOH43604PHARMACYOH$0$0THE TOLEDO HOSPITAL
PHS INVESTMENTS LLC
100 MADISON AVETOLEDOOH43604INVESTMENT COMPANYOH$407,399$0THE TOLEDO HOSPITAL
TH LEVIS MOB I LLC
100 MADISON AVETOLEDOOH43604HEALTH CAREOH$0$0THE TOLEDO HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
100 MADISON AVETOLEDOOH43604341883132HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
COMMUNITY HEALTH CENTER OF BRANCH COUNTY
100 MADISON AVETOLEDOOH43604386108110HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
DEFIANCE HOSPITAL INC
100 MADISON AVETOLEDOOH43604344446484HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER
100 MADISON AVETOLEDOOH43604382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI43604382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIEMMA L BIXBY MEDICAL CENTERYes (1)
FOSTORIA HOSPITAL ASSOCIATION
100 MADISON AVETOLEDOOH43604340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)10FOSTORIA HOSPITAL ASSOCIATIONYes (1)
HCR MANORCARE FOUNDATION INC
444 N SUMMIT STTOLEDOOH43604522031975FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
HCR MANORCARE INC
PO BOX 10086 ATTN TAX-5TOLEDOOH43699825373223SKILLED NURSING FACILITIESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
HEARTLAND HOSPICE MEMORIAL FUND INC
444 N SUMMIT STTOLEDOOH43604270497199FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)12B, IIHERRICK MEMORIAL HOSPITAL INCYes (1)
HERRICK MEMORIAL HOSPITAL INC
100 MADISON AVETOLEDOOH43604383049015HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
KAITLYN'S COTTAGE INC
100 MADISON AVETOLEDOOH43604454781053RESPITE CAREOH501(C)(3)10DEFIANCE HOSPITAL INCYes (1)
LENAWEE LONG TERM CARE
PO BOX 10086 ATTN TAX-5TOLEDOOH43699382879330LONG TERM CAREMI501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF GIG HARBOR WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624719SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF LACEY WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624391SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF LYNNWOOD WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624675SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF SALMON CREEK WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624375SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF SPOKANE WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624687SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MANOR CARE OF TACOMA WA ASSOCIATION
PO BOX 10086 ATTN TAX-5TOLEDOOH43699260624696SKILLED NURSING FACILITYDE501(C)(3)10HCR MANORCARE INCYes (1)
MEMORIAL HOSPITAL
100 MADISON AVETOLEDOOH43604344430849HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MEMORIAL PROFESSIONAL SERVICES
100 MADISON AVETOLEDOOH43604273763993PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
100 MADISON AVETOLEDOOH43604381984289HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MONROE COMMUNITY HEALTH SERVICES
PO BOX 10086 ATTN TAX-5TOLEDOOH43699382934134LONG TERM CAREMI501(C)(3)10HCR MANORCARE INCYes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIRMAUMEEOH43537203376102HEALTH INSURANCEOH501(C)(3)10PROMEDICA INSURANCE CORP INC AND SUBSIDIARIESYes (1)
PROMEDICA CENTRAL PHYSICIANS
100 MADISON AVETOLEDOOH43604341881137PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA CHILDRENS SPECIALISTS
100 MADISON AVETOLEDOOH43604208734161PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
100 MADISON AVETOLEDOOH43604344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)10PROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA CONTINUUM SERVICES
100 MADISON AVETOLEDOOH43604341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA COURIER SERVICES INC
100 MADISON AVETOLEDOOH43604260324790COURIER SERVICEOH501(C)(3)12B, IIPROMEDICA CONTINUUM SERVICESYes (1)
PROMEDICA FOUNDATION
444 N SUMMIT STTOLEDOOH43604341517672FOUNDATIONOH501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA GENITO-URINARY SURGEONS
100 MADISON AVETOLEDOOH43604461120436PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA HEALTH SYSTEM INC
100 MADISON AVETOLEDOOH43604341517671PARENT COMPANY OF HEALTH SYSTEMOH501(C)(3)12B, IIYes (1)N/A
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)12B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA MONROE CARDIOLOGY
100 MADISON AVETOLEDOOH43604272920342PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA MONROE PHYSICIANS
100 MADISON AVETOLEDOOH43604461111822PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
100 MADISON AVETOLEDOOH43604454976786PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS
100 MADISON AVETOLEDOOH43604263888045PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA PHYSICIAN GROUP INC
100 MADISON AVETOLEDOOH43604341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)10PROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIANS AT HOME INC
100 MADISON AVETOLEDOOH43604852181349PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
PROMEDICA PRIMARY CARE PROVIDERS
100 MADISON AVETOLEDOOH43604831731861PHYSICIAN HEALTH CARE SERVICESMI501(C)(3)10PROMEDICA PHYSICIAN GROUP INCYes (1)
THE HUG FUND
444 N SUMMIT STTOLEDOOH43604202272848FOUNDATIONOH501(C)(3)12B, IIPROMEDICA FOUNDATIONYes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
100 MADISON AVETOLEDOOH43604341831624HOSPICE HOME CAREOH501(C)(3)10HCR MANORCARE INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVEFREMONTOH43420204066818REAL ESTATEOHN/A00
AIR DIVERTER SOLUTIONS LLC
100 MADISON AVETOLEDOOH43604853725776DEVELOPMENTOHN/A00
MERCYMANOR PARTNERSHIP
PO BOX 10086 ATTN TAX-5TOLEDOOH43604521931012SKILLED NURSINGPAN/A0Yes (1)
NORMAN SPECIALTY HOSPITAL LLC
PO BOX 10086 ATTN TAX-5TOLEDOOH43604421627672HEALTH CAREDEN/A0Yes (1)
NORTHWEST OHIO DEDICATED BREAST MRI LLC
100 MADISON AVETOLEDOOH43604260679898MEDICAL DIAGNOSTICSOHN/A00
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
100 MADISON AVETOLEDOOH43604473163945REAL ESTATEOHN/A0Yes (1)
PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC
100 MADISON AVETOLEDOOH43604852085627HEALTH CAREMI00THE TOLEDO HOSPITALRELATED$2,304,154$2,996,9700.51000
PROMEDICA PATHOLOGY LABORATORIES LLC
2130 W CENTRAL AVE STE 300TOLEDOOH43606831022842CLINICAL LABORATORYDE00THE TOLEDO HOSPITALRELATED$247,7770.51000
PROMEDICA SENIOR CARE OF GEORGIA LLC
100 MADISON AVETOLEDOOH43604871802834SKILLED NURSINGOHN/A0Yes (1)
PROMEDICA VENTURES INNOVATION FUND III LLC
100 MADISON AVETOLEDOOH43604873197533HOLDING COMPANYOHN/A00
REYNOLDS ROAD SURGICAL CENTER LTD
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROH00THE TOLEDO HOSPITALRELATED$56,022$1,568,2330.63000
ROCKET VENTURE FUND II LLC
2865 N REYNOLDS RD STE 220TOLEDOOH43615475603627INVESTMENT FUNDOHN/A00
SENIOR & REHAB CARE AT METROHEALTH LLC
100 MADISON AVE ATTN TAX DEPTTOLEDOOH43604872465544SKILLED NURSINGOHN/A0Yes (1)
THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIN/A00
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROH0Yes (1)THE TOLEDO HOSPITALRELATED$585,016$3,269,1470.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CEC ASSOCIATES INC
1901 INDIAN WOOD CIRMAUMEEOH43537232267042HEALTH CARE INSURANCEOHN/ACYes (1)
FORT INDUSTRY JV PARTNER LLC
100 MADISON AVETOLEDOOH43604844675266REAL ESTATEOHN/ACYes (1)
HEALTH MANAGEMENT SOLUTIONS INC
1901 INDIAN WOOD CIRMAUMEEOH43537311463193HEALTH CARE INSURANCEOHN/ACYes (1)
HEALTH RESOURCES INC
1901 INDIAN WOOD CIRMAUMEEOH43537351682400HEALTH CARE INSURANCEOHN/ACYes (1)
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMIN/ACYes (1)
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMIN/ACYes (1)
LENAWEE CLINICAL PARTNERS
100 MADISON AVETOLEDOOH43604821072356PHYSICAN SUPPORTOHN/ACYes (1)
MONROE HEALTH VENTURES INC
718 N MACOMBMONROEMI48164382704426PHARMACYMIN/ACYes (1)
PHS TOLEDO INNOVATION CENTER HOLDINGS LLC
100 MADISON AVETOLEDOOH43604871433009HOLDING COMPANYOHN/ACYes (1)
PARAMOUNT BENEFITS AGENCY INC
1901 INDIAN WOOD CIRMAUMEEOH43537341773766HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE INC
1901 INDIAN WOOD CIRMAUMEEOH43537341549926HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF CONNECTICUT INC
1901 INDIAN WOOD CIRMAUMEEOH43537881097334HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF FLORIDA INC
1901 INDIAN WOOD CIRMAUMEEOH43537854374415HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF INDIANA INC
1901 INDIAN WOOD CIRMAUMEEOH43537364956006HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF KENTUCKY INC
1901 INDIAN WOOD CIRMAUMEEOH43537881051496HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF MARYLAND INC
1901 INDIAN WOOD CIRMAUMEEOH43537881112110HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF MICHIGAN INC
1901 INDIAN WOOD CIRMAUMEEOH43537383200310HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF NEW JERSEY INC
1901 INDIAN WOOD CIRMAUMEEOH43537881148265HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT CARE OF VIRGINIA INC
1901 INDIAN WOOD CIRMAUMEEOH43537881024636HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT INSURNACE COMPANY
1901 INDIAN WOOD CIRMAUMEEOH43537010580404HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT PREFERRED OPTIONS INC
1901 INDIAN WOOD CIRMAUMEEOH43537341623220HEALTH CARE INSURANCEOHN/ACYes (1)
PARAMOUNT PREFERRED SOLUTIONS INC
1901 INDIAN WOOD CIRMAUMEEOH43537473952430HEALTH CARE INSURANCEOHN/ACYes (1)
PROMEDICA AT HOME INC
100 MADISON AVETOLEDOOH43604852320857PHYSICAN SUPPORTMIN/ACYes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
100 MADISON AVETOLEDOOH43604383322278PHYSICIAN HEALTH CARE SERVICESOHN/ACYes (1)
PROMEDICA HEALTH NETWORK INC
100 MADISON AVETOLEDOOH43604474006496PHYSICIAN MANAGEMENT SERVICESOHN/ACYes (1)
PROMEDICA INNOVATIONS LLC
100 MADISON AVETOLEDOOH43604301221601INVESTMENT COMPANYOHN/ACYes (1)
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHN/ACYes (1)
PROMEDICA MANAGER MEMBER LLC
100 MADISON AVETOLEDOOH43604475168737REAL ESTATEOHN/ACYes (1)
PROMEDICA NORTH PHYSICIAN CORPORATION
100 MADISON AVETOLEDOOH43604383482148PHYSICIAN HEALTH CARE SERVICESOHN/ACYes (1)
PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC
PO BOX 10086 ATTN TAX-5TOLEDOOH43699861179270SKILLED NURSINGNJN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd